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13th District Auxiliary Forms Distribution Table

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Item Form # ANSC Form Title Filled out by: Sent to: Sent to: Send/Copy to: Notes:
NEW MEMBERS
1   7001 Enrollment Application New Member and FSO-PS FC DIRAUX Exam Answer Sheet  
2   7036 New Member Interview FSO-PS and New Member FC DIRAUX Attach New Member DIRAUX Assign Member #
3     D13 “Auxiliary ID Card” Form New Member or Member (FSO-PS might assist) FC DIRAUX   Digital photo via e-mail, CD or floppy

 

Item Form # ANSC Form Title Filled out by: Sent to: Sent to: Send/Copy to: Notes:
PERSONNEL SECURITY
4 FD-258   Finger Print Card (2 copies) Member & Fingerprint Tech or local Law Enforcement
(must be filled-out in Black Ink)		 New Member then FC for enclosure in Membership Packet DIRAUX   OS or DO sent to Unit PSI Coord or JR Addington then DIRAUX with PSI packet).  Form held by JR or Fingerprint Tech.
5 OFI Form 86C   Special Agreement Check (SAC) (1 copy) New Member or Ops Support (OS) Member See note DIRAUX   New Member: Part of the new Member packet OS Member: send to PSI Coord or JR then DIRAUX
6 SF-85   Authorization for Release of Official Information (1 copy) Member/New Member Unit PSI Coord or JR DIRAUX   Included with the OFI Form 86C PSI packet
7 SF-86   Questionnaire for National Security Positions (2 copies) DO Members or OS Members who wish to change to DO Unit PSI Coord or JR DIRAUX   Included in the DO PSI packet
8 SF-86   Authorization for Release of Information and/or Medical Information Member Unit PSI Coord or JR DIRAUX   Included in the SF 86 PSI packet
9 DHS Form 110000-9   Disclosure and Authorization Pertaining to Consumer Reports Pursuant to the Fair Credit Reporting Act (1 copy)

Member

 Unit PSI Coord or JR

DIRAUX

   Included in the SF 86 PSI packet.  Sign, but do not date form.
10     USCG Auxiliary / SECCEN – Verification of U.S. Citizenship (optional) with a Photocopy a an acceptable verification document New Member (new Member packet); OS or DO Member Unit PSI Coord or JR

DIRAUX

   Include with PSI packet
11     DO SF-86 & OS/new Member Check List (dated: 16 Apr 2005) New Member/Member Unit PSI Coord or JR DIRAUX   Include with PSI packet

 

Item Form # ANSC Form Title Filled out by: Sent to: Sent to: Send/Copy to: Notes:
ADMINISTRATION
12 CG-1650 7002 Coast Guard Award Recommendation See Auxiliary Manual & confer with Awards Team VCO DIRAUX    
13   7006 Change of Officer Report FC or DCDR SO-IS     Entered In AUXDATA
14   7007 Annual Unit Officer’s Report FC or DCDR SO-IS     Entered In AUXDATA
15   7014 Instructor Qualification Record Instructor & Exam proctor FC DSO-MT DIRAUX IT Qual. Award
16   7028 Change of Member Information Member FSO-IS SO-IS   Entered in AUXDATA
17   7035 Change of Member Status

FC

Member

DSO-PS

DIRAUX

Copy back to FC/DCP
18   7056 Member Transfer Request within District Member FC DIRAUX Copy Both FC’s Transfer effective when Approved & accepted
19   7056 Member Transfer Request Outside District Member FC DIRAUX Jacket to New District  
20   7057 Member Qualification Changes DIRAUX Use only        
21 CG-5223 7059 Short Term Training Request (STTR), Resident C-School Member FC DIRAUX   See C-School Portal website http://cschool.auxservices.org/
22   7062 National Staff Application Member DVC-PS or designee     Send Completed resume

 

Item Form # ANSC Form Title Filled out by: Sent to: Sent to: Send/Copy to: Notes:
TRAINING AND CERTIFICATIONS
23   7022 AIM Candidate Travel Worksheet DSO-CC DIRAUX Academy Form Distribution Refer to the Career Counseling  Guide
24   7023 Notice of Intent to Teach PE Class FSO-PE National Database   Electronic Copy is sent to DSO-PE  
25  

7039

Workshop Attendance Report

Workshop Instructor

FSO-IS

SO-IS

   Entered In AUXDATA
26   7049

AIM Application (this is now an online form)

Applicant/Parents

 Electronically to Academy DSO-CC   Refer to the Career Counseling  Guide
27     D13 Annual Boat Crew Currency Maintenance Member & signed by the Coxswain (Annual) or QE (5yr) Original: SO-IS
Copy: FSO-IS & Member records		 DIRAUX    
28     D13 Annual PWC Currency Maintenance Member & signed by the Qual PWC Op (Annual) or QE (5yr) Original: SO-IS
Copy: FSO-IS & Member records		 DIRAUX    

 

Item Form # ANSC Form Title Filled out by: Sent to: Sent to: Send/Copy to: Notes:
OPERATIONS AND ACTIVITIES
29 Aux 204   Vessel Safety Check Qualified VE FSO-IS or kept by the VE     Copy to Boat Owner
30 Aux 204A   PWC Vessel Safety Check Qualified VE FSO-IS or kept by the VE     Copy to PWC Owner
31   7003 Vessel Facility Inspection Offer of Use Vessel Owner & Facility Inspector DIRAUX     Only one copy (the original)
32 CG-2736A 7004 Radio Facility Inspection Form AUXCOM Member DSO-CM DIRAUX    
33 CG-2736-C 7008 PWC Facility Inspection Offer of Use Owner & Inspector DIRAUX      
34   7029 Member Activity Report Member FSO-IS SO-IS   Entered In AUXDATA
35   7030 Activity Report-Mission Member FSO-IS SO-IS   Entered In AUXDATA
36 CG-4612 7034 Aux. SAR Incident Report Coxswain Order Issuing Authority      
37 NOAA-77-5 7037 NOS Chart Updating Program AV Verifier Member NOAA Distribution CG Group  
38   7038 VSC - Activity Report Member FSO-IS SO-IS   Entered In AUXDATA
39 CG-5232

7045

 VSC Action Information VE DSO-VE      
40   7046 RBS Visitation Report Member FSO-IS SO-IS   Entered In AUXDATA
41 CG-5093 7047 Manufacturer ID Code Mail System Qualified RBS Member DSO-RBS G-OPB-3   Refer to the RBS Staff Guide
42 CG-5132   CG AUX Patrol Order (POMS)
(Processed online only)		 Check with your Order Issuing Authority Coxswain Order Issuing Authority   Computer Generated by POMS
43 NOAA Charts   Request for Charts FSO-NS DSO-NS BC-ONC    
44     Certificate In Lieu of Receipt Coxswain Order Issuing Authority     Available from: http://www.uscg.mil/d13/diraux  
45     Request for Voluntary Removal of Certification Member D13 DIRAUX (dpa)     Used by a member to voluntarily remove their operational
certifications.

 

Item Form # ANSC Form Title Filled out by: Sent to: Sent to: Send/Copy to: Notes:
PILOT AND AIR CREW
46   7005 AUX Pilot Qualification/Aircraft Inspection Qualified Pilot/Inspector DIRAUX      
47   7015 Pilot/Aircrew Qualification         Distribution unknown at this time
48   7043 Air Crew Application Form Member DSO-AV DIRAUX    
49   7042 Air Crew Medical Screening Member & Doctor DSO-AV DIRAUX    
50   7048 SAR Procedures Flight Check Check Pilot Pilot’s Log     Retained by Check Pilot

 

Item Form # ANSC Form Title Filled out by: Sent to: Sent to: Send/Copy to: Notes:
FINANCIAL
51 FMS 2231   Direct Deposit New Member or Regular Member FINCEN     Obtain this form at http://www.fms.treas.gov/eft/2231.pdf
52  

7025

Financial Report-Aux Unit

Finance Officer

FC/DCDR/DCO

      

 

Item Form # ANSC Form Title Filled out by: Sent to: Sent to: Send/Copy to: Notes:
Recreational Boating Safety
53   7046 RBS Visitation Report Member FSO-IS SO-IS   Entered In AUXDATA
54 Aux 204   Vessel Safety Check Qualified VE FSO-IS or kept by the VE     Copy to Boat Owner
55 Aux 204A   PWC Vessel Safety Check Qualified VE FSO-IS or kept by the VE     Copy to PWC Owner
56   7038 VSC - Activity Report Member FSO-IS SO-IS   Entered In AUXDATA
57 CG-5232

7045

 VSC Action Information VE DSO-VE      
58   7023 Notice of Intent to Teach PE Class FSO-PE DSO-CS for web posting   Electronic Copy is sent to BOAT US and State Reps.  
58     Notice of Intent to Teach PE Class
National Database		 FSO-PE Posted to National Database   Electronic Copy is sent to DSO-PE for information purposes  
59     Request for Instructor Certification Member Qualified IT/elected officer DSO-PE D13 DIRAUX (dpa)  
60     Request for RBS Visitor Program Certification Member Qualified RBS Program Visitor/elected officer DSO-PV D13 DIRAUX (dpa)  
61     Request for Vessel Examiner Certification Member Qualified VE/elected officers DSO-VE D13 DIRAUX (dpa)  
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