Military Rank Promotion Waiver
Use this form to request a waiver related to a military rank promotion and provide the details needed for review.
Service Member Details
Service Member Full Name
*
First Name
Middle Name
Last Name
Branch / Component
*
Please Select
Army
Navy
Air Force
Marine Corps
Space Force
Coast Guard
National Guard
Reserve
Other
Unit or Command
*
Contact Information (Email or Phone)
Promotion and Waiver Request
Current Rank/Grade
*
Please Select
Private (E-1)
Private First Class (E-2)
Specialist (E-4)
Corporal (E-4)
Sergeant (E-5)
Staff Sergeant (E-6)
Sergeant First Class (E-7)
Master Sergeant (E-8)
First Sergeant (E-8)
Sergeant Major (E-9)
Other
Requested Rank/Grade
*
Please Select
Private First Class (E-2)
Specialist (E-4)
Corporal (E-4)
Sergeant (E-5)
Staff Sergeant (E-6)
Sergeant First Class (E-7)
Master Sergeant (E-8)
First Sergeant (E-8)
Sergeant Major (E-9)
Other
Promotion Eligibility Date or Board Date
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Brief Description of Promotion Request or Assignment
*
Reason for Waiver Request
*
Supporting Review and Declaration
Supporting Documentation
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Endorsing Authority Name and Title
*
Submit Request
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