AF IMT Form 125 "Application for Extended Active Duty With the United States Air Force"

What Is AF IMT Form 125?

This is a legal form that was released by the U.S. Air Force IMT (Information Management Tool) on June 1, 1998 and used country-wide. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on June 1, 1998;
  • The latest available edition released by the U.S. Air Force IMT (Information Management Tool);
  • Easy to use and ready to print;
  • Yours to fill out and keep for your records;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of AF IMT Form 125 by clicking the link below or browse more documents and templates provided by the U.S. Air Force IMT (Information Management Tool).

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Download AF IMT Form 125 "Application for Extended Active Duty With the United States Air Force"

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APPLICATION FOR EXTENDED ACTIVE DUTY WITH THE UNITED STATES AIR FORCE
PRIVACY ACT STATEMENT
AUTHORITY: 10 U.S.C. 10211, Policies and Regulations; Participation of Reserve Officers in Preparation and Administration; 10 U.S.C. 12301, Reserve
Components Generally; 10 U.S.C. 12310, Reserves: For Organizing, Administering, etc., Reserve Components; 10 U.S.C. 12647, Commissioned Officers;
Retention in Active Status While Assigned to Selective Service System or Serving as United States Property and Fiscal Officers; 10 U.S.C. 8021, Air
Force Reserve Forces Policy Committee; 32 U.S.C. 708, Property and Fiscal Officers.
PURPOSE: To determine qualifications and eligibility for extended active duty (EAD). If ordered to EAD, the form is maintained in the member's master
personnel records.
ROUTINE USES: NONE
DISCLOSURE IS VOLUNTARY: Failure to complete each applicable item (except telephone number) on this form and furnish SSN may result in denial of
consideration for order to EAD.
INSTRUCTIONS
1. Enter a postal zip code for each address. When allotted spaces are insufficient, continue under "Remarks" and complete appropriate explanation. Enter dates
in Year, Month, Day sequences.
2. Permanent home address (home of record) indicated in item 3 will be indicated in the EAD orders and will be used to compute allowances for entry onto and
termination from an EAD tour. Any change to the permanent home address reported after entry on EAD will not affect the address indicated on the EAD orders.
If applicant is ordered to EAD from an address other than the permanent home address, such temporary address will also be indicated in the orders.
3. If applying under AFI 36-2008, the applicant must be processed as prescribed in Table 3 or it will be returned without action.
4. An applicant on active duty in an enlisted status must enter in the "Remarks" section the enlisted grade in which serving, and unit of assignment.
5. In addition to the other documents specified in the directive under which applying attach the following to the application:
a. One copy of DD Form 214 relieving applicant of most recent tour of EAD. (This item is applicable to Guard/Reserve members who previously served
on EAD in A commissioned status).
b. If rated, a certified or photostatic copy of your latest Flight Record.
6. Include reason for separation from last period of EAD (if applicable) and any information you believe will be helpful in evaluating your application. Especially
important are items of information which may not be contained in your military records.
7. If you have been selected for EAD within one year from the date you submit this request, the application will then be returned to you and you must submit
a new AF From 125 if you still desire consideration.
NOTES (Caution)
1. Do not take action to close out personal affairs until actual receipt of competent orders or instructions. The Air Force cannot be held responsible for such
actions.
2. No assurance of assignment to an area of choice may be given. Selections for EAD are on Air Force-wide requirements.
3. If a reservist is selected for assignment to an overseas unit, travel by privately-owned vehicle or transportation of dependents and household goods/house trailer
to the base from which processed for overseas movement will not be authorized.
TO
DATE (YYYY MM DD)
1. NAME (Last, First, Middle Initial)
2. SSN
3. PERMANENT HOME ADDRESS (City, State, and Zip Code)
4. TEMPORARY ADDRESS
DATE (YYYY MM DD)
6. COMPONENT
7. CURRENT ASSIGNMENT
8. CURRENT MILITARY ADDRESS
9. GRADE
10. PRIMARY AFSC(s)
11. DUTY AFSC
12. TELEPHONE NUMBERS
Home
Work
DSN
13. EDUCATION (Highest level of education attained, including professional military schools)
YEARS ATTENDED
GRADUATE
TYPE OF
YEARS
TYPE OF
NAME OF SCHOOL
MAJOR SUBJECT
SCHOOL
COMPL.
DEGREE
FROM
TO
YES/NO
CIVILIAN
MILITARY
AF IMT 125, 19980601, V1
PREVIOUS EDITION IS OBSOLETE
APPLICATION FOR EXTENDED ACTIVE DUTY WITH THE UNITED STATES AIR FORCE
PRIVACY ACT STATEMENT
AUTHORITY: 10 U.S.C. 10211, Policies and Regulations; Participation of Reserve Officers in Preparation and Administration; 10 U.S.C. 12301, Reserve
Components Generally; 10 U.S.C. 12310, Reserves: For Organizing, Administering, etc., Reserve Components; 10 U.S.C. 12647, Commissioned Officers;
Retention in Active Status While Assigned to Selective Service System or Serving as United States Property and Fiscal Officers; 10 U.S.C. 8021, Air
Force Reserve Forces Policy Committee; 32 U.S.C. 708, Property and Fiscal Officers.
PURPOSE: To determine qualifications and eligibility for extended active duty (EAD). If ordered to EAD, the form is maintained in the member's master
personnel records.
ROUTINE USES: NONE
DISCLOSURE IS VOLUNTARY: Failure to complete each applicable item (except telephone number) on this form and furnish SSN may result in denial of
consideration for order to EAD.
INSTRUCTIONS
1. Enter a postal zip code for each address. When allotted spaces are insufficient, continue under "Remarks" and complete appropriate explanation. Enter dates
in Year, Month, Day sequences.
2. Permanent home address (home of record) indicated in item 3 will be indicated in the EAD orders and will be used to compute allowances for entry onto and
termination from an EAD tour. Any change to the permanent home address reported after entry on EAD will not affect the address indicated on the EAD orders.
If applicant is ordered to EAD from an address other than the permanent home address, such temporary address will also be indicated in the orders.
3. If applying under AFI 36-2008, the applicant must be processed as prescribed in Table 3 or it will be returned without action.
4. An applicant on active duty in an enlisted status must enter in the "Remarks" section the enlisted grade in which serving, and unit of assignment.
5. In addition to the other documents specified in the directive under which applying attach the following to the application:
a. One copy of DD Form 214 relieving applicant of most recent tour of EAD. (This item is applicable to Guard/Reserve members who previously served
on EAD in A commissioned status).
b. If rated, a certified or photostatic copy of your latest Flight Record.
6. Include reason for separation from last period of EAD (if applicable) and any information you believe will be helpful in evaluating your application. Especially
important are items of information which may not be contained in your military records.
7. If you have been selected for EAD within one year from the date you submit this request, the application will then be returned to you and you must submit
a new AF From 125 if you still desire consideration.
NOTES (Caution)
1. Do not take action to close out personal affairs until actual receipt of competent orders or instructions. The Air Force cannot be held responsible for such
actions.
2. No assurance of assignment to an area of choice may be given. Selections for EAD are on Air Force-wide requirements.
3. If a reservist is selected for assignment to an overseas unit, travel by privately-owned vehicle or transportation of dependents and household goods/house trailer
to the base from which processed for overseas movement will not be authorized.
TO
DATE (YYYY MM DD)
1. NAME (Last, First, Middle Initial)
2. SSN
3. PERMANENT HOME ADDRESS (City, State, and Zip Code)
4. TEMPORARY ADDRESS
DATE (YYYY MM DD)
6. COMPONENT
7. CURRENT ASSIGNMENT
8. CURRENT MILITARY ADDRESS
9. GRADE
10. PRIMARY AFSC(s)
11. DUTY AFSC
12. TELEPHONE NUMBERS
Home
Work
DSN
13. EDUCATION (Highest level of education attained, including professional military schools)
YEARS ATTENDED
GRADUATE
TYPE OF
YEARS
TYPE OF
NAME OF SCHOOL
MAJOR SUBJECT
SCHOOL
COMPL.
DEGREE
FROM
TO
YES/NO
CIVILIAN
MILITARY
AF IMT 125, 19980601, V1
PREVIOUS EDITION IS OBSOLETE
14. EXTENDED ACTIVE DUTY PROGRAMS AND AGREEMENTS (Check appropriate item)
I hereby volunteer for extended active duty (EAD) as prescribed in the directive checked below; I agree to the active duty agreement specified.
AFI 36-2007 (Air Force Participation in the Selective Program)
I agree to remain on EAD with the Selective Service System (SSS) for an indefinite period unless sooner relieved by competent authority. I further understand
that I may request release from EAD at any time and that such release will depend on the requirements of the SSS at the time of submission.
AFI 36-2002 (Voluntary Extended Active Duty (EAD) for Airmen)
I understand that the maximum EAD tour is four years and, if selected, the length of my EAD tour will be determined by the Air Force based upon the period of
time for which specific requirements of my AFSC exist. Eligibility criteria for enlistment in the Regular Air Force are contained in AFI 36-2002.
AFI 36-2115 (Assignment within the Reserve Components (10 U.S.C 12310)), or AFI 36-2116 (Extended Active Duty for Reserve Component Officers).
(To fill 10 U.S.C. 10211, 12310, or 8021 positions in OJCS, OSAF, HQ USAF, NGB, or MAJCOM).
I understand that if I am ordered to EAD under AFI 36-2115, or AFI 36-2116, my tour of duty will be a four-year period (three year period if ordered to
EAD under AFI 36-2215 for duty as a Base Individual Mobilization Augmentee Administrator) unless sooner relieved by competent authority and that I
will be released from EAD upon completion of such tour unless my continuance is approved by HQ USAF.
AFI 36-2008 (Voluntary Extended Active Duty (EAD) for Air Reserve Commissioned Officers).
A. Chaplains - I agree to serve on Extended Active Duty (EAD) for a period of three years unless sooner relieved by competent authority.
B. Line of the Air Force officers and other prior service applicant other than a chaplain or retiree - I agree to serve on EAD for a minimum of four years, I
understand that I may incur an additional active duty service commitment beyond the minimum four years as the result of training received, permanent
change of station, promotion, or for other reasons prescribed in AFI 36-2107. I further understand that this agreement does not preclude my earlier
release or separation from active duty if required by a change in law, regulation, or policy.
C.
Other than A and B above (MC, DC, MSC, BSC, NC, JAGs, or retirees) enter officer's competitive category and the specific active duty agreement
prescribed in AFI 36-2008.
ANGR 11-87 (Administration - US Property and Fiscal Officers)
I agree to serve on active duty for an indefinite period unless sooner relieved by competent authority.
Other
(You may enter under REMARKS any prior periods of employment having direct bearing to the specialty for which call to
15. CURRENT CIVILIAN OCCUPATION
EAD
EAD is being sought.)
DATES OF EMPLOYMENT (YYYY MM DD)
CURRENT JOB TITLE
MONTHLY SALARY
FROM
TO PRESENT
NAME AND ADDRESS OF EMPLOYER
DESCRIPTION OF WORK
16. HAVE YOU EVER BEEN CONVICTED BY A CIVIL COURT OR ARE YOU AWAITING TRIAL BY A CIVIL COURT FOR ANY OFFENSE INCLUDING MINOR TRAFFIC
VIOLATIONS? (If Yes, please explain fully under remarks.) (If you have had prior EAD service, list only offenses since release from EAD.)
YES
NO
17. FLYING STATUS AGREEMENT (Only officers who hold an aeronautical rating)
IF I AM SELECTED FOR EAD IN A NON-FLYING CAPACITY, I HEREBY VOLUNTARILY REQUEST PERMANENT SUSPENSION FROM FLYING STATUS
YES
NO
18. AREA ASSIGNMENT PREFERENCES
I DO
I DO NOT
VOLUNTEER FOR OVERSEAS
18a. UNITED STATES (Number areas in order of preference)
SOUTHEAST
NORTH CENTRAL
NORTHEAST
SOUTH CENTRAL
NORTHWEST
SOUTHWEST
18b. OVERSEAS (Number areas in order of preference)
EUROPE
PACIFIC
ALASKA
CARIBBEAN
19. I WILL BE AVAILABLE FOR ACTIVE DUTY ON (Date)
20.
I DO
I DO NOT
REQUIRE THIRTY (30) DAYS NOTICE
PRIOR TO MY ENTRY ON ACTIVE DUTY
21. REMARKS
22. I CERTIFY that the foregoing entries are true, correct, and complete to the best of my knowledge and belief.
TYPE OR PRINT NAME
SIGNATURE
DATE
REVERSE
AF IMT 125, 19980601, V1
PREVIOUS EDITION IS OBSOLETE
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