APPLICATION FOR VOLUNTARY RETIREMENT

Application for Voluntary Retirement Form
Full Name of Applicant
First NameLast Name
Officer's Name
First NameLast Name
Rank
Current Grade (Pay Grade)
Phone Number
Format: (000) 000-0000.
E-mail
example@example.com
Chronological Start Date of Military Service
MonthDayYear
2 digit month, 2 digit day, 4 digit year1
Chronological End Date of Military Service
MonthDayYear
2 digit month, 2 digit day, 4 digit year2
Active Federal Service
Total Years/Months/Days
Address
Street Address
Street Address Line 2
CityState
Zip Code
Reason For Retirement
Should be Empty: