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ROTC at Florida Tech

ROTC at Florida Tech

Panther Battalion

Forms and Documents

  • USACC Form 104-R, Planned Academic Program Worksheet, Sep 13

  • USACC Form 139-R, Cadet Application and Enrollment Record, Apr 19

  • CC Form 137-R, Authorization for Access to Student Records, Aug 02

  • CC Form 136-R, Briefing on Government Sponsored Benefits for ROTC Cadets, Aug 01 

  • DD Form 2005, Privacy Act Statement-Health Care Records, Jun 16 

  • DD Form 2058, State of Legal Residence Certificate, Jan 18

  • DA Form 3425-R, Medical Fitness Statement for Enrollment in Basic Course, Senior ROTC, Sep 68

  • Statement of Acknowledgement for Civilian Medical Records

  • SF 1199A, Direct Deposit Sign-Up Form, Mar 97

  • IRS Form W-4, Employee’s Withholding Allowance Certificate, 2019

  • Beneficiary Form, for DD Form 93 Record of Emergency Data, Jan 08