1. OCS OFFICER APPLICATION PRODOCS CHECKLIST
1160 SWO 1180 SPECWAR 1190 SPECOPS 1370 NFO 1390 PILOT
1630 INTEL 1640 CRYPTO 1520 AMDO 3100 SUPPLY 1650 PAO 5100 CEC
ATTENTION All NRDs: 40 pages shall be the maximum number of pages sent in one (1) file attachment. Documents, e.g. EPSQ, Physical, etc., shall
not be split between attachments or faxes. The Application Processing and Summary Record is the only acceptable fax cover sheet for all faxes or
attachments. NOTE: The file size shall be checked before the document is sent out. Files will not be accepted if the size limit, 1MB or 1000KB, is
exceeded. All items must be maintained until applicant has Final Disposition. After final disposition, must place required items in Residual File.
NAME: DESIGNATORS:
NAVCRUITDIST PROC: NAVCRUITDIST:
PROFESSIONAL DOCUMENTS/EXPLANATION
# YES N/A
BASIC APPLICATION
001 Application Checklist (NC 1131/57)
002 Application Processing and Summary Record (NC 1131/1)
Verified against PORT/ CIRIMS: Correct Name: Yes SSN: Yes DOB: Yes Age: Yes
Program Designator(s) requested: ________, ________, ________.
003 Application for Commission (NC 1131/2)
Designator(s) match Application Processing Summary Record & PORT Yes
Dependent Travel Statement of Understanding Initialed Yes
Meets requirements for Third class swim test Yes No, if NO, provide statement in remarks
004 EPSQ (SF 86) Signed and dated by applicant within past 6 months (Refer to COMNAVCRUITCOM NOTE 5510)
005 Birth Certificate or Request Verification of Birth (DD Form 372) if original birth certificate unavailable
006 Social Security Card Issued by Social Security Administration (SSA) or DD Form 214 or Report of Separation and
Record of Service for Prior Army or Air National Guard Members (NGB Form 22) (See Note 3)
007 Evidence of Citizenship Form (NC 1100/25)
ACADEMIC INFORMATION
008 Copies of Official Transcripts include all front and reverse sides for each college attended (See Note 1)
009 GPA Calculation Worksheet (NC 1131/53) Include all schools attended.
010 Academic Degree Completion Plan (NC 1131/4) Ensure total hours blocks and required hours blocks completed,
applicant is enrolled full time Spring and Fall and signed by Dean/advisor. (BDCP and CEC Collegiates Only)
PERSONAL INFORMATION
011 Employment References DD Form 370, front and back pages (1 from each Minimum combined total of 3
employer for the last 3 years, including part-time employment) valid references required
012 Character References required if employment references are not available
013 Photograph, full-length, 5x7 or 8x10 if sent directly to PERS 448, (PAO Only)
014 Professional Community Interview CEC applicants only, must be from CEC accession officer
PRIOR SERVICE INFORMATION
015 DD 214(s) If prior active service
016 Conditional Release (DD 368) Navy Drilling Reserve, & all non-Navy military
017 CO’s Recommendation required for SELRES and Active Duty applicants
018 Prior Service Record If prior service; send only fitreps/evals, pgs 4, 5, 9, and any derogatory information
MISCELLANEOUS DOCUMENTS
019 Change of Name Statement (NC 1131/14) or provide copy of court documents/marriage license
020 Family Care Plan Certificate (NP 1740/6) if applicable
021 Dual Compensation & Waiver Claim Statement (NC 1100/26) required if “yes” responses to questions 20a. & 20b.
of Sec I of Application for Commission
022 Police Record Checks (DD 369) Submit if derogatory information noted on application
023 OCS CTS Statement of Understanding (NC 1131/15)
024 Dive Physical Readiness Test (NC1131/6) (SEAL/EOD applicants only)
025 Anthropometric Measurements (NC1131/12) (Pilot and NFO applicants only)
026 Official ASTB scores report from NOMI or APEX command letter printed from APEX.net . (See Note 2)
027 Official SAT and/or ACT score report (BDCP applicants only)
028 United States Navy Tattoo Screening Certificate (NC 1130/104) if applicable
029 Disclosure of SSN Privacy Act Statement (NC 5211/1)
030 Statement of Understanding for Security Investigation (NC 1070/613)
RETAIN AT NRD
031 Hold Harmless Agreement and Release from Liability Certificate (NC1100/27) Retain at NRD
For Official Use Only When Filled In
CHECKLIST (Rev 9-09) Page 1 of 2

2. ________________________________________ ________________________________________
Signature/Date OPO Signature/Date
________________________________________
Printed
Person Completing Checklist
Notes:
Person Completing Checklist Notes:
Note 1: Transcripts can be electronic version but must be printed in the Recruiter's presence and signed/dated by an Officer Recruiter
(in the rank of 01 or above) to be a true copy. If classes taken at a prior school are listed with class name and grade on degree
transcripts you do not need to request that transcript. Cannot just state number or credits/hours transferred.
Note 2: Not required for CEC Applicants.
Note 3: Copies should be “Certified as a True Copy” to ensure that the original was cited, and “Reproduced for Reference Purposes
Only” written or typed in a conspicuous location.
For Official Use Only When Filled In
CHECKLIST (Rev 9-09) Page 2 of 2