Military Reserve Age Waiver Request Form
Request an age waiver for military reserve service. Please complete all required fields accurately.
Full Name
*
First Name
Last Name
Date of Birth
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Current Age
*
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Branch of Military Reserve
*
Please Select
Army Reserve
Navy Reserve
Air Force Reserve
Marine Corps Reserve
Coast Guard Reserve
Other
Current Rank or Position
Unit or Command (if applicable)
Reason for Age Waiver Request
*
By submitting this form, I certify that the information provided is true and complete to the best of my knowledge. I understand that this request is subject to review and does not guarantee approval. I authorize the release of this information to the appropriate military authorities for the purpose of processing my age waiver request.
Signature
*
Submit Waiver Request
Submit Waiver Request
Should be Empty: