DA Form 3068-1 Marine Service Record

DA Form 3068-1 - also known as the "Marine Service Record" - is a United States Military form issued by the Department of the Army.

The form - often mistakenly referred to as the DD form 3068-1 - was last revised on January 1, 2017. Download an up-to-date fillable PDF version of the DA 3068-1 down below or look it up on the Army Publishing Directorate website.

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MARINE SERVICE RECORD
For use of this form, see AR 600-88; the proponent agency is DCS, G-1.
2. GRADE
3. PMOS
1. NAME (Last, First, Middle Initial)
1 RECORD OF SERVICE
4. UNIT
5. VESSEL TYPE, NAME AND HULL NUMBER
6. GT/SHP
7. POSITION (Per TOE/MTOE)
8. VESSEL STATUS
9. SERVING ABOARD
10. TYPE OF WATERS
11. DAYS UNDERWAY
OPERATIONAL
ARMY (USAV)
OTHER (Explain)
INLAND
DEPOT MAINTENANCE
NEAR COASTAL
NAVY (USS)
ADMIN STORAGE
OCEANS
MSC (USNS)
12. RESERVE COMPONENT ONLY (USAR/ARNGUS: include sea service under mobilization)
13. TOTALS (For MQD use only)
a. ACTIVE DUTY DAYS
b. FTNG DAYS
a. TOTAL DAYS SEA SERVICE
c. DRILL DAYS
d. OTHER (Explain)
b. TOTAL DAYS SEA PAY
14. DATE ASSIGNED
15. NAME AND GRADE OF VESSEL MASTER/COMMANDER
16. SIGNATURE
(YYYYMMDD)
(Print or type)
17. DEPARTURE DATE
18. NAME AND GRADE OF VESSEL MASTER/COMMANDER
19. SIGNATURE
(YYYYMMDD)
(Print or type)
20. REMARKS (Reason for leaving vessel/gaining unit, etc.)
2 RECORD OF SERVICE
4. UNIT
5. VESSEL TYPE, NAME AND HULL NUMBER
6. GT/SHP
7. POSITION (Per TOE/MTOE)
8. VESSEL STATUS
9. SERVING ABOARD
10. TYPE OF WATERS
11. DAYS UNDERWAY
OPERATIONAL
ARMY (USAV)
OTHER (Explain)
INLAND
DEPOT MAINTENANCE
NEAR COASTAL
NAVY (USS)
ADMIN STORAGE
MSC (USNS)
OCEANS
12. RESERVE COMPONENT ONLY (USAR/ARNGUS: include sea service under mobilization)
13. TOTALS (For MQD use only)
a. ACTIVE DUTY DAYS
b. FTNG DAYS
a. TOTAL DAYS SEA SERVICE
c. DRILL DAYS
d. OTHER (Explain)
b. TOTAL DAYS SEA PAY
14. DATE ASSIGNED
15. NAME AND GRADE OF VESSEL MASTER/COMMANDER
16. SIGNATURE
(
YYYYMMDD)
(Print or type)
17. DEPARTURE DATE
18. NAME AND GRADE OF VESSEL MASTER/COMMANDER
19. SIGNATURE
(YYYYMMDD)
(Print or type)
20. REMARKS (Reason for leaving vessel/gaining unit, etc.)
PREVIOUS EDITION ARE OBSOLETE.
APD LC v1.00ES
DA FORM 3068-1, JAN 2017
MARINE SERVICE RECORD
For use of this form, see AR 600-88; the proponent agency is DCS, G-1.
2. GRADE
3. PMOS
1. NAME (Last, First, Middle Initial)
1 RECORD OF SERVICE
4. UNIT
5. VESSEL TYPE, NAME AND HULL NUMBER
6. GT/SHP
7. POSITION (Per TOE/MTOE)
8. VESSEL STATUS
9. SERVING ABOARD
10. TYPE OF WATERS
11. DAYS UNDERWAY
OPERATIONAL
ARMY (USAV)
OTHER (Explain)
INLAND
DEPOT MAINTENANCE
NEAR COASTAL
NAVY (USS)
ADMIN STORAGE
OCEANS
MSC (USNS)
12. RESERVE COMPONENT ONLY (USAR/ARNGUS: include sea service under mobilization)
13. TOTALS (For MQD use only)
a. ACTIVE DUTY DAYS
b. FTNG DAYS
a. TOTAL DAYS SEA SERVICE
c. DRILL DAYS
d. OTHER (Explain)
b. TOTAL DAYS SEA PAY
14. DATE ASSIGNED
15. NAME AND GRADE OF VESSEL MASTER/COMMANDER
16. SIGNATURE
(YYYYMMDD)
(Print or type)
17. DEPARTURE DATE
18. NAME AND GRADE OF VESSEL MASTER/COMMANDER
19. SIGNATURE
(YYYYMMDD)
(Print or type)
20. REMARKS (Reason for leaving vessel/gaining unit, etc.)
2 RECORD OF SERVICE
4. UNIT
5. VESSEL TYPE, NAME AND HULL NUMBER
6. GT/SHP
7. POSITION (Per TOE/MTOE)
8. VESSEL STATUS
9. SERVING ABOARD
10. TYPE OF WATERS
11. DAYS UNDERWAY
OPERATIONAL
ARMY (USAV)
OTHER (Explain)
INLAND
DEPOT MAINTENANCE
NEAR COASTAL
NAVY (USS)
ADMIN STORAGE
MSC (USNS)
OCEANS
12. RESERVE COMPONENT ONLY (USAR/ARNGUS: include sea service under mobilization)
13. TOTALS (For MQD use only)
a. ACTIVE DUTY DAYS
b. FTNG DAYS
a. TOTAL DAYS SEA SERVICE
c. DRILL DAYS
d. OTHER (Explain)
b. TOTAL DAYS SEA PAY
14. DATE ASSIGNED
15. NAME AND GRADE OF VESSEL MASTER/COMMANDER
16. SIGNATURE
(
YYYYMMDD)
(Print or type)
17. DEPARTURE DATE
18. NAME AND GRADE OF VESSEL MASTER/COMMANDER
19. SIGNATURE
(YYYYMMDD)
(Print or type)
20. REMARKS (Reason for leaving vessel/gaining unit, etc.)
PREVIOUS EDITION ARE OBSOLETE.
APD LC v1.00ES
DA FORM 3068-1, JAN 2017

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