AF Form 1411 "Extension of Enlistment in the Air Force"

What Is AF Form 1411?

This is a legal form that was released by the U.S. Air Force on January 2, 2018 and used country-wide. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on January 2, 2018;
  • The latest available edition released by the U.S. Air Force;
  • Easy to use and ready to print;
  • Yours to fill out and keep for your records;
  • Compatible with most PDF-viewing applications;

Download a fillable version of AF Form 1411 by clicking the link below or browse more documents and templates provided by the U.S. Air Force.

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Download AF Form 1411 "Extension of Enlistment in the Air Force"

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EXTENSION OF ENLISTMENT IN THE AIR FORCE
PRIVACY ACT STATEMENT
AUTHORITY: 37 U.S.C. 308, Special Pay: Reenlistment Bonus; Executive Order 9397 (SSN), as amended.
PURPOSE: Used by immediate commander, major command headquarters Retention/Reenlistment office, United States Air Force Deputy Chief of Staff, Manpower,
Personnel and Services, Reenlistments Branch, Randolph Air Force Base, TX 78150 to manage advance payment of Selective Reenlistment Bonus monies due in
subsequent fiscal years.
ROUTINE USES: In addition to those disclosures generally permitted under 5 U.S.C. 552a(b) of the Privacy Act, these records or information contained therein may
specifically be disclosed outside the DoD as a routine use pursuant to 5 U.S.C. 552a(b)3). 'DoD Blanket Uses' apply.
DISCLOSURE: VOLUNTARY. However, if the information is not provided, the extension may not be processed or bonus paid.
SORN: F036 AFPC D, Request for Selective Reenlistment Bonus (SRB) and/or Advance Payment of SRB
I. IDENTIFICATION DATA
NAME (Last, First, Middle Initial)
RANK
SSN
UNIT OF ASSIGNMENT
DUTY TYPE
TAFMSD:
ETS:
HYT DATE:
REENLISTMENT ELIGIBILITY CODE:
II. REQUEST FOR EXTENSION
I hereby request that my current enlistment that I entered on
for a period of
year(s) and
month(s), be extended
a period of
month(s) for the purpose of
.
Authority for this request is AFI 36-2606, Table
. This is the
month(s).
Rule
extension to my current enlistment. All extensions to my current enlistment (Including this extension) now total
III. EXTENSION COUNSELING
(RegAF/ANG Airmen initial/check each item; AF Reserve check applicable items only)
I have considered the advantages of reenlisting instead of executing this extension. I understand I may be eligible to reenlist before or after entering this
extension, but my eligibility will be determined by the reenlistment policies in effect at the time I request reenlistment.
I understand that once I enter this extension I cannot cancel it, but may be eligible to request separation or immediate reenlistment (will be considered as
obligated service). My eligibility will be determined by the reenlistment policies in effect at the time I request reenlistment.
I understand if the original reason for which I extended is cancelled, I may request cancellation of this extension provided I have not entered it. I must request
cancellation within 30 CALENDAR DAYS of the date I am notified the original reason for which I extended no longer exists. Failure to cancel the extension
within the 30 CALENDAR DAY time limit will be considered a willingness on my part to serve out the extension.
I understand that if I am rendered ineligible to reenlist, this extension may be cancelled provided I have not entered this extension. If this extension is cancelled,
my DOS will revert to the DOS I had before I executed the extension and I may be required to separate on that date unless my reenlistment eligibility status
changes.
I understand if I am charged with lost time (for example, AWOL) after this date, I will be required to make that time up before I enter this extension. My ETS
and DOS will be changed to add the lost time.
I understand my ETS will not change until I enter this extension and I will not accrue any leave from this extension until I enter it. If this is the first extension of
my current enlistment, I understand I may be eligible to sell all or part of my accrued leave upon entry into this extension or carry my accrued leave forward. I
further understand I cannot sell leave upon entry into a second or subsequent extension to my current enlistment.
IV. ADDITIONAL EXTENSION COUNSELING (As required)
AIRMAN ACKNOWLEDGEMENT AND UNDERSTANDING (Initials/check applicable items)
I know that I can reenlist rather than extend, but I have elected to execute this extension instead of reenlisting (reenlistment eligible Airmen only).
SIX YEAR ENLISTEES. I understand if I do not reenlist before I enter this extension, I will lose all claim to a Zone A SRB (if authorized).
AIRMEN QUALIFIED AS A SOLE SURVIVING SON OR DAUGHTER. I understand if I extend my enlistment, I automatically waive my right to request
discharge as a sole surviving son or daughter.
CAREERS/NCORP RETRAINEES. I understand that I can request my extension for retraining be cancelled with an immediate reenlistment, if I have a
3 skill-level in my retraining AFSC and I HAVE NOT entered into the extension. I must request cancellation of the extension within 30 days after class grad
date. Airmen who request cancellation after 30 days must request an ETP to have their request granted. (Not applicable for ANG)
V. AIRMEN SERVING IN SRB SKILLS AND QUALIFIED FOR AN SRB, WHO ARE EXTENDING FOR A SERVICE-DIRECTED REASON
I understand if I am eligible, I may elect to extend my enlistment in one increment, for a period between 36 and 48 months, even though less retainability is
required to qualify for an SRB. My SRB will be based on the zone and multiple in effect on the date I sign this extension (the date I enter this extension
will determine the zone). Future changes (increases, decreases or terminations) to the SRB listing will not affect my entitlement. I will not receive the SRB
payment until I enter this extension and this entitlement will have no effect on any SRB payments I have already received or will receive from a previous
reenlistment. The interviewer has also explained the provisions for recoupment of the SRB should I fail to complete the period of the extension in the AFSC for
which I was paid the bonus. (Not applicable for ANG). (NOTE: SRBs will pay up to 24 years TAFMS. Member Initials:
My CAFSC (
) is currently on the SRB skills list
MPS Initials
Based on this extension I will be authorized a Zone
, Multiple
.
VI. CERTIFICATION BY MEMBERS AUTHORIZED AND ELECTING NOT TO RECEIVE THE SELECTIVE REENLISTMENT BONUS (SRB). (Complete
this section only if you are eligible to receive the SRB but you desire NOT to accept the SRB.)
I elect NOT to receive the Selective Reenlistment Bonus (SRB) upon this extension of enlistment to my current reenlistment that I entered on _______________. I
understand that once this election is made it may NOT be revoked or re-instated under any circumstance. My election NOT to receive the SRB is effective once my
extension is approved by the commander/civilian leader and accepted by the MPS representative. I understand that I will NOT have any further opportunity to receive
this bonus and that I may be ineligible for a future bonus in this Zone. I also understand that I must meet the requirements of AFI 36-2606 for any future SRB, if
offered. I understand that this decision IS irrevocable and that I am opting to extend my current enlistment for 36-48 months and serve in a skill the Air Force is
offering me a SRB; but freely elect NOT to receive the bonus payment. Member Initials:
VII. LEAVE SETTLEMENT ON FIRST EXTENSION OF CURRENT ENLISTMENT ONLY
In conjunction with me entering my first extension on
, I hereby make the leave settlement election as indicated below. I acknowledge full
understanding that I cannot sell any accrued leave on entry into a second or later extension I make to my current enlistment. I understand that if I apply for voluntary separation,
any leave sold upon entry into my first extension of enlistment will affect the number of terminal leave days I have available. I also understand that if I am in advance leave or
excess leave status at this time, I should immediately report to the local Accounting and Finance Office for counseling concerning the treatment of advance or excess leave upon
entry into an extension. I understand and acknowledge that I cannot sell more than 60 days accrued leave during my entire military career. I UNDERSTAND AND ACKNOWLEDGE
THAT I W ILL NOT BE ALLOWED TO CHANGE MY ELECTION ONCE I AM W WITHIN 10 CALENDAR DAYS OF THE EFFECTIVE DAY OF MY ENTRY INTO THE EXTENSION
OF ENLISTMENT.
Cash Settlement for All Accrued Leave
Carry Forward All Leave
Cash Settlement For
Days
AF FORM 1411, 20180102
Page 1 of 2
PREVIOUS EDITIONS ARE OBSOLETE
Prescribed by: AFI 36-2606
EXTENSION OF ENLISTMENT IN THE AIR FORCE
PRIVACY ACT STATEMENT
AUTHORITY: 37 U.S.C. 308, Special Pay: Reenlistment Bonus; Executive Order 9397 (SSN), as amended.
PURPOSE: Used by immediate commander, major command headquarters Retention/Reenlistment office, United States Air Force Deputy Chief of Staff, Manpower,
Personnel and Services, Reenlistments Branch, Randolph Air Force Base, TX 78150 to manage advance payment of Selective Reenlistment Bonus monies due in
subsequent fiscal years.
ROUTINE USES: In addition to those disclosures generally permitted under 5 U.S.C. 552a(b) of the Privacy Act, these records or information contained therein may
specifically be disclosed outside the DoD as a routine use pursuant to 5 U.S.C. 552a(b)3). 'DoD Blanket Uses' apply.
DISCLOSURE: VOLUNTARY. However, if the information is not provided, the extension may not be processed or bonus paid.
SORN: F036 AFPC D, Request for Selective Reenlistment Bonus (SRB) and/or Advance Payment of SRB
I. IDENTIFICATION DATA
NAME (Last, First, Middle Initial)
RANK
SSN
UNIT OF ASSIGNMENT
DUTY TYPE
TAFMSD:
ETS:
HYT DATE:
REENLISTMENT ELIGIBILITY CODE:
II. REQUEST FOR EXTENSION
I hereby request that my current enlistment that I entered on
for a period of
year(s) and
month(s), be extended
a period of
month(s) for the purpose of
.
Authority for this request is AFI 36-2606, Table
. This is the
month(s).
Rule
extension to my current enlistment. All extensions to my current enlistment (Including this extension) now total
III. EXTENSION COUNSELING
(RegAF/ANG Airmen initial/check each item; AF Reserve check applicable items only)
I have considered the advantages of reenlisting instead of executing this extension. I understand I may be eligible to reenlist before or after entering this
extension, but my eligibility will be determined by the reenlistment policies in effect at the time I request reenlistment.
I understand that once I enter this extension I cannot cancel it, but may be eligible to request separation or immediate reenlistment (will be considered as
obligated service). My eligibility will be determined by the reenlistment policies in effect at the time I request reenlistment.
I understand if the original reason for which I extended is cancelled, I may request cancellation of this extension provided I have not entered it. I must request
cancellation within 30 CALENDAR DAYS of the date I am notified the original reason for which I extended no longer exists. Failure to cancel the extension
within the 30 CALENDAR DAY time limit will be considered a willingness on my part to serve out the extension.
I understand that if I am rendered ineligible to reenlist, this extension may be cancelled provided I have not entered this extension. If this extension is cancelled,
my DOS will revert to the DOS I had before I executed the extension and I may be required to separate on that date unless my reenlistment eligibility status
changes.
I understand if I am charged with lost time (for example, AWOL) after this date, I will be required to make that time up before I enter this extension. My ETS
and DOS will be changed to add the lost time.
I understand my ETS will not change until I enter this extension and I will not accrue any leave from this extension until I enter it. If this is the first extension of
my current enlistment, I understand I may be eligible to sell all or part of my accrued leave upon entry into this extension or carry my accrued leave forward. I
further understand I cannot sell leave upon entry into a second or subsequent extension to my current enlistment.
IV. ADDITIONAL EXTENSION COUNSELING (As required)
AIRMAN ACKNOWLEDGEMENT AND UNDERSTANDING (Initials/check applicable items)
I know that I can reenlist rather than extend, but I have elected to execute this extension instead of reenlisting (reenlistment eligible Airmen only).
SIX YEAR ENLISTEES. I understand if I do not reenlist before I enter this extension, I will lose all claim to a Zone A SRB (if authorized).
AIRMEN QUALIFIED AS A SOLE SURVIVING SON OR DAUGHTER. I understand if I extend my enlistment, I automatically waive my right to request
discharge as a sole surviving son or daughter.
CAREERS/NCORP RETRAINEES. I understand that I can request my extension for retraining be cancelled with an immediate reenlistment, if I have a
3 skill-level in my retraining AFSC and I HAVE NOT entered into the extension. I must request cancellation of the extension within 30 days after class grad
date. Airmen who request cancellation after 30 days must request an ETP to have their request granted. (Not applicable for ANG)
V. AIRMEN SERVING IN SRB SKILLS AND QUALIFIED FOR AN SRB, WHO ARE EXTENDING FOR A SERVICE-DIRECTED REASON
I understand if I am eligible, I may elect to extend my enlistment in one increment, for a period between 36 and 48 months, even though less retainability is
required to qualify for an SRB. My SRB will be based on the zone and multiple in effect on the date I sign this extension (the date I enter this extension
will determine the zone). Future changes (increases, decreases or terminations) to the SRB listing will not affect my entitlement. I will not receive the SRB
payment until I enter this extension and this entitlement will have no effect on any SRB payments I have already received or will receive from a previous
reenlistment. The interviewer has also explained the provisions for recoupment of the SRB should I fail to complete the period of the extension in the AFSC for
which I was paid the bonus. (Not applicable for ANG). (NOTE: SRBs will pay up to 24 years TAFMS. Member Initials:
My CAFSC (
) is currently on the SRB skills list
MPS Initials
Based on this extension I will be authorized a Zone
, Multiple
.
VI. CERTIFICATION BY MEMBERS AUTHORIZED AND ELECTING NOT TO RECEIVE THE SELECTIVE REENLISTMENT BONUS (SRB). (Complete
this section only if you are eligible to receive the SRB but you desire NOT to accept the SRB.)
I elect NOT to receive the Selective Reenlistment Bonus (SRB) upon this extension of enlistment to my current reenlistment that I entered on _______________. I
understand that once this election is made it may NOT be revoked or re-instated under any circumstance. My election NOT to receive the SRB is effective once my
extension is approved by the commander/civilian leader and accepted by the MPS representative. I understand that I will NOT have any further opportunity to receive
this bonus and that I may be ineligible for a future bonus in this Zone. I also understand that I must meet the requirements of AFI 36-2606 for any future SRB, if
offered. I understand that this decision IS irrevocable and that I am opting to extend my current enlistment for 36-48 months and serve in a skill the Air Force is
offering me a SRB; but freely elect NOT to receive the bonus payment. Member Initials:
VII. LEAVE SETTLEMENT ON FIRST EXTENSION OF CURRENT ENLISTMENT ONLY
In conjunction with me entering my first extension on
, I hereby make the leave settlement election as indicated below. I acknowledge full
understanding that I cannot sell any accrued leave on entry into a second or later extension I make to my current enlistment. I understand that if I apply for voluntary separation,
any leave sold upon entry into my first extension of enlistment will affect the number of terminal leave days I have available. I also understand that if I am in advance leave or
excess leave status at this time, I should immediately report to the local Accounting and Finance Office for counseling concerning the treatment of advance or excess leave upon
entry into an extension. I understand and acknowledge that I cannot sell more than 60 days accrued leave during my entire military career. I UNDERSTAND AND ACKNOWLEDGE
THAT I W ILL NOT BE ALLOWED TO CHANGE MY ELECTION ONCE I AM W WITHIN 10 CALENDAR DAYS OF THE EFFECTIVE DAY OF MY ENTRY INTO THE EXTENSION
OF ENLISTMENT.
Cash Settlement for All Accrued Leave
Carry Forward All Leave
Cash Settlement For
Days
AF FORM 1411, 20180102
Page 1 of 2
PREVIOUS EDITIONS ARE OBSOLETE
Prescribed by: AFI 36-2606
NAME:
VIII. CERTIFICATION
TYPED NAME/RANK OF MPS REPRESENTATIVE
SIGNATURE
DATE
AIRMAN'S SIGNATURE
DATE
IX.
UNIT COMMANDER/NCO DETACHMENT CHIEF ACTION
(Initial or "X" appropriate Item)
RECOMMEND APPROVAL. (For reenlistment eligible Airmen and/or Airmen not yet considered under the Selective Reenlistment Program [SRP]) I certify
(at this time) that the Airman is qualified and recommended for reenlistment.
RECOMMEND APPROVAL. (For reenlistment ineligible Airmen) This Airman is ineligible for reenlistment.
RECOMMEND DISAPPROVAL. (Enter reason(s) for the recommendation below)
TYPED NAME/RANK OF UNIT CC/NCO DET CHIEF
SIGNATURE
DATE
X. MILITARY PERSONNEL ACTION: STATEMENTS SUBMITTED BY THE AIRMAN AND RECORDED ABOVE WERE VERIFIED
Servicing MPS address (Base, State, Zip Code)
a. Request is
APPROVED
.
b. Request is
DISAPPROVED (Enter reason(s) for disapproval below)
TYPED NAME/RANK OF APPROVAL AUTHORITY
SIGNATURE
DATE
XI. AIRMAN'S ACKNOWLEDGEMENT OF EXTENSION DISAPPROVAL
I acknowledge receipt of this official notification of extension denial. My signature below is for receipt purposes only and does not signify admission of wrong doing or
concurrence. I understand I may appeal and must render my intent to appeal within 1 workday of the date I acknowledge this action. If I intend to appeal, I must present
my written appeal to the Military Personnel Section (MPS) within 5 workdays.
AIRMAN'S SIGNATURE
DATE
XII.
AIRMAN'S APPEAL INTENT (Airman initials/marks appropriate block)
I INTEND TO APPEAL THIS DECISION
I DO NOT INTEND TO APPEAL THIS DECISION
AIRMAN'S SIGNATURE
DATE
XIII. ACTION BY APPEAL AUTHORITY
AIRMAN'S APPEAL IS APPROVED
AIRMAN'S APPEAL IS DENIED (Enter reason(s) for disapproval below)
TYPED NAME/RANK OF APPEAL AUTHORITY
SIGNATURE
DATE
XIV. REMARKS
TYPED NAME/RANK
SIGNATURE
DATE
AF FORM 1411, 20180102
PREVIOUS EDITIONS ARE OBSOLETE
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