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MARINE CRYPTOLOGIC SUPPORT BATTALION, FT MEADE, MD

CHECK-[IN][OUT] SHEET (COMPLETE AND RETURN YOUR COMPANY S-1)


RANK: LAST, FIRST MI: EDIPI: MOS:
PERMANENT: [HQ] [CO B] [CO L] ORDERS: [PCS] [PCA] [TAD] [MOB]
JOIN DATE: DETACH DATE: PREV COMMAND: EAS:
PERMANENT PERSONNEL CHECK-IN/OUT WITH ALL SECTION/INDIVIDUALS LISTED
TAD PERSONNEL CHECK-IN/OUT WITH SECTIONS/INDIVIDUALS MARKED WITH (*)
SECTIONS LOCATED AT BATTALION TO BE COMPLETED BY ALL PERMANENT MCSB PERSONNEL [9800 SAVAGE RD, OPS 3]
COMMANDING OFFICER,
INITIALS & CONSOLIDATED PERSONNEL INITIALS & INITIALS &
EXECUTIVE OFFICER, SENIOR BATTALION S-2 (SSO)
DATE ADMINISTRATION CENTER DATE DATE
ENLISTED ADVISOR

CO (OFFICER/SNCO ONLY) AUDIT


[S]NCOIC

2
91

26
XO (OFFICER ONLY) CHECK IN/OUT SHEET
9

1
7-

4-
67

63
1)

3)
SEA (SNCO ONLY) *[S]NCOIC NOTES:
0

4
(3

(4
INITIALS & INITIALS & INITIALS &
S-4 BATTALION S-3 S-6
DATE DATE DATE

BARRACKS (SGT ↓) *OPSO/OPS CHIEF BLACKBERRY


0

1
26

79

26
1

1
FILE SHARE
4-

3-

4-
MOTORCYCLE
63

37

63
*[S]NCOIC
3)

0)

3)
SAFETY
4

4
DISTRO LIST
(2

(4
(4

SECTIONS TO BE COMPLETED AT COMPANY LEVEL BY ALL PERMANENT PERSONNEL


COMMANDING OFFICER, SENIOR INITIALS & INITIALS & ADMINISTRATIVE REQUIREMENTS FOR CHECK-OUT
ENLISTED ADVISOR DATE S-3 DATE
CORPORAL & BELOW SERGEANT & ABOVE
COMPANY CO *OPSO PRO/CON MARKS FITNESS REPORT
COMPANY SEA
*OPS CHIEF *SNCOIC *REPORTING
(301)688-3213 COMPANY L: (240)373-1906

INITIALS & SENIOR


HQ ELEMENT: (240)373-3799 COMPANY B:

S-1
DATE INTEL OVERSIGHT
*OIC *REVIEWING
*JOIN CLPM (MOS: 267X) OFFICER
MOL

*MORN RPT *TRAINING *ON MOL NOTES:


HQ ELEMENT: (240)373-3756

*LEGAL
COMPANY B: (301)677-0284

SCORE:
COMPANY L: (240)373-2044

PFT

*MEDICAL OFFICER CERTIFIACITON


*DTS DATE:
*GTCCP SCORE: YES / NO SIGNATURE DATE:
CFT

*SPONSORSHIP DATE: *MEDICALLY


QUALIFIED?
IAPS (OFF/SNCO) HEIGHT:
COMP
BODY

*LIMITED DUTY WEIGHT: YES / NO SIGNATURE DATE:


*[S]NCOIC BODY FAT: *DENTAL
QUALIFIED?
COMPANY COLLATERAL DUTIES FORT GEORGE G. MEADE

ITEM INITIALS & AGENCY INITIALS & RESERVE LIAISON [RESERVISTS ONLY)
DATE DATE
FAMILY FCP IN/OUT READ IN/OUT
BARRACKS
48
37

READINESS eMarine MAIL ROOM RPT/DET ENDO


3-
37

OFFICER
0)

MOL MJ1 (26XX) TRAVEL CLAIM


4
(2

CAREER RETENTION SPEC DEERS ID/CAC


:
ES

EQUAL OPPORTUNITY TRANSPORTATION OFFICE


T

(301)677-9639
NO

VOTING OFFICER
EDUCATION OFFICER PCS MOVE WORKSHOP
(301)677-9017
UNIFORM VICTIM ADVOCATE
CMD FINANCIAL SPEC WELCOME ABOARD BRIEF
(301)677-4151
WELCOME ABOARD BRIEF
SACO (301)677-4151

CHECK-OUT CERTIFICATION
I CERTIFY THAT I HAVE:
- MET ALL MY ORGANIZATION'S REQUIREMENTS FOR CHECK OUT
- BEEN CLEARED BY ALL AGENCIES I HAD DEALINGS WITH OR
RECEIVED SERVICES FROM

SIGNATURE DATE

MERICA
MARINE CRYPTOLOGIC SUPPORT BATTALION, FT MEADE, MD
CHECK-[IN][OUT] SHEET (COMPLETE AND RETURN YOUR COMPANY S-1)
RANK: LAST, FIRST MI: EDIPI: PMOS:
PERMANENT: [HQ] [CO B] ORDERS: [PCS] [PCA] [TAD] [MOB]
JOIN DATE: PREV COMMAND: DETACH DATE: EAS:
PERMANENT PERSONNEL CHECK-IN/OUT WITH ALL SECTION/INDIVIDUALS LISTED

TAD PERSONNEL CHECK-IN/OUT WITH SECTIONS/INDIVIDUALS MARKED WITH (*)

BATTALION COMPANY EXTERNAL


COMPLETED BY ALL PERMANENT MCSB COMPLETED AT COMPANY LEVEL BY ALL COMPLETED BY ALL PERMANENT MCSB
PERSONNEL PERMANENT PERSONNEL PERSONNEL

COMMANDING OFFICER, EXECUTIVE INITIALS COMMANDING OFFICER, SENIOR INITIALS *MEDICAL


OFFICER, SENIOR ENLISTED ADVISOR & DATE ENLISTED ADVISOR & DATE *DENTAL
* CO (OFFICER/SNCO ONLY) COMPANY CO MAIL ROOM/POSTAL
XO (OFFICER ONLY) COMPANY XO
*MEDICAL OFFICER CERTIFICATION
*SEA (SNCO ONLY) COMPANY SEA (DEPLOYMENT ONLY)
COMPANY GYSGT *MEDICALLY QUALIFIED?
BATTALION S-2 INITIALS
& DATE YES / NO DATE:
INITIALS
COMPANY S-1 & DATE
SSO
*NEW JOIN
INITIALS
MOL

BATTALION S-3
& DATE Returned to S-1
*MORNING REPORT
CLPM (MOS: 2641 & 27XX) *SPONSORSHIP
*OPSO/OPS CHIEF
INITIALS SIGNATURE
BATTALION S-4
& DATE *LEGAL *DENTAL QUALIFIED?
*LIMITED DUTY YES / NO DATE:
*BARRACKS MANAGER
(SINGLE SGT/BELOW) IAPS (OFF/SNCO)
CHIEF *ADMIN CHIEF
INITIALS *ADMINISTRATIVE REQUIREMENTS SIGNATURE
BATTALION S-5
& DATE (CHECK OUT ONLY)
RESERVIST ONLY
CAREER RETENTION SPEC RESERVE LIAISON
CORPORAL & SERGEANT &
FCP BELOW ABOVE READ IN/OUT
FAMILY
READINESS eMarine PRO/CON MARKS FITNESS REPORT RPT/DET ENDO
OFFICER
MOL *SEA *RS TRAVEL CLAIM
*CO *RO NOTES
INITIALS
BATTALION S-6 & DATE
INITIALS
COMPANY S-3 & DATE
BLACKBERRY
FILE SHARE *OPS CHIEF
DISTRO LIST INTEL OVERSIGHT
CLPM (MOS: 2641 & 27XX)
CONSOLIDATED PERSONNEL ADMIN INITIALS SAFETY OFFICER
CENTER Bldg 239 Chisholm Ave & DATE INTERN ONLY
*TRAINING CHIEF COMPANY CO
*AUDIT PFT SCORE: DATE: COMPANY XO
*PAY & ENTITLEMENTS CFT SCORE: DATE: COMPANY SEA
*CPAC CHIEF HEIGHT: COMPANY GYSGT
BODY WEIGHT: NOTES
INITIALS COMP
MISCELLANEOUS
& DATE BODY FAT:
MOTORCYCLE SAFETY REP MCMAP LEVEL
EQUAL OPPORTUNITY REP *PME COMPLETE
VOTING ASSISTANCE OFFICER INITIALS
COMPANY S-4
EDU OFFICER/HENDERSON HALL & DATE
SAPR/UVA SUPPLY CHIEF
SACO MEDICAL/DENTAL REP
SINGLE MARINE PROGRAM REP

I CERTIFY THAT I HAVE: MET ALL MY ORGANIZATION'S REQUIREMENTS FOR CHECK OUT. BEEN CLEARED
BY ALL AGENCIES I HAD DEALINGS WITH OR RECEIVED SERVICES FROM

SIGNATURE DATE

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