AF IMT Form 4010 Application for Ima Enlisted Bonus and Incentive

AF IMT Form 4010 is a U.S. Air Force IMT (Information Management Tool) form also known as the "Application For Ima Enlisted Bonus And Incentive". The latest edition of the form was released in June 1, 1999 and is available for digital filing.

Download an up-to-date AF IMT Form 4010 in PDF-format down below or look it up on the U.S. Air Force IMT (Information Management Tool) Forms website.

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APPLICATION FOR IMA ENLISTED BONUS AND INCENTIVE
PRIVACY ACT STATEMENT
delay in
TO:
I
REQUEST FOR INCENTIVE AUTHORIZATION
1. NAME (Last, First, Middle Initial)
2. SSN
3. GRADE
4. PAS
5. INCENTIVE TYPE REQUESTED
PRIOR SERVICE ENLISTMENT
REENLISTMENT
AFFILIATION
RETRAINING
6. BONUS DATA
a. DOE
b. DAFSC/CAFSC
c. PAY DATE
d. BONUS TOE (Check one)
3 YEARS
6 YEARS
f. DATE AWARDED 3-LEVEL BONUS CAFSC
g. PREVIOUS FY PARTICIPATION SATISFACTORY?
YES
NO
h. ETO
(Including other reserve components)
i. PREVIOUS INCENTIVE
YES
NO
7. STATEMENT OF UNDERSTANDING (Mandatory reading on reverse required for all incentive applicants.)
9. MEMBER'S SIGNATURE
DATE
10. PROGRAM MANAGER'S SIGNATURE
DATE
II
11. PARTICIPATION INCENTIVE AUTHORIZED
a.
b.
c.
d.
RETRAINING BONUS
ENLISTMENT
REENLISTMENT
AFFILIATION
3 YEARS
3 YEARS
12 MO OR LESS
6 YEARS
6 YEARS
13 MO OR MORE
12. DATE ENTERED BONUS PROGRAM
13a. SIGNATURE OF APPROVING AUTHORITY
b. DATE
III
TERMINATION OF AUTHORIZATION
TO:
14. TERMINATION DATE
15a. TERMINATION REASON
b. DATE OF FINAL PAYMENT
16a. PROGRAM MANAGER SIGNATURE
b. DATE
AF IMT 4010, 19990601, V1
APPLICATION FOR IMA ENLISTED BONUS AND INCENTIVE
PRIVACY ACT STATEMENT
delay in
TO:
I
REQUEST FOR INCENTIVE AUTHORIZATION
1. NAME (Last, First, Middle Initial)
2. SSN
3. GRADE
4. PAS
5. INCENTIVE TYPE REQUESTED
PRIOR SERVICE ENLISTMENT
REENLISTMENT
AFFILIATION
RETRAINING
6. BONUS DATA
a. DOE
b. DAFSC/CAFSC
c. PAY DATE
d. BONUS TOE (Check one)
3 YEARS
6 YEARS
f. DATE AWARDED 3-LEVEL BONUS CAFSC
g. PREVIOUS FY PARTICIPATION SATISFACTORY?
YES
NO
h. ETO
(Including other reserve components)
i. PREVIOUS INCENTIVE
YES
NO
7. STATEMENT OF UNDERSTANDING (Mandatory reading on reverse required for all incentive applicants.)
9. MEMBER'S SIGNATURE
DATE
10. PROGRAM MANAGER'S SIGNATURE
DATE
II
11. PARTICIPATION INCENTIVE AUTHORIZED
a.
b.
c.
d.
RETRAINING BONUS
ENLISTMENT
REENLISTMENT
AFFILIATION
3 YEARS
3 YEARS
12 MO OR LESS
6 YEARS
6 YEARS
13 MO OR MORE
12. DATE ENTERED BONUS PROGRAM
13a. SIGNATURE OF APPROVING AUTHORITY
b. DATE
III
TERMINATION OF AUTHORIZATION
TO:
14. TERMINATION DATE
15a. TERMINATION REASON
b. DATE OF FINAL PAYMENT
16a. PROGRAM MANAGER SIGNATURE
b. DATE
AF IMT 4010, 19990601, V1
B. MANDATORY READING FOR AFFILIATION BONUS APPLICANTS
1. I meet eligibility criteria outlined in AFI 36-2638.
1. I meet eligibility criteria outlined in AFI 36-2638.
3.Affiliation Bonus Schedule (pick one).
a. 1/2 and 1/2
12 months or less
1/2 Amount as Initial payment. Remaining 1/2 at
3 Year
successful completion of contract (see item 7 below).
$50.00 x Number of months pay 1/2 at signing,
13 months or more
6 Year
balance at 6th anniversary of original enlistment.
b. Equal Installments
3 Year
1. I will receive my initial bonus payment upon satisfactory completion of
6 Year
technical
training.
2. I will receive subsequent payments based on the option selected in box A.
C. MANDATORY READING FOR ALL BONUS APPLICANTS
2. Termination Reasons.
b. If I accept a civilian position where membership in a reserve component is a condition of employment.
c. If I separate from the Selected Reserve of the Air Force for any reason, or I receive an appointment as an officer.
3. Payment amount is based on the type and length of my contract. The way I receive payment is my decision and is indicated in Block A or Block B.
6. If I incur a period of authorized nonavailability, I will extend my contract period with the Ready Reserve in order to serve the full contract period in
the Selected Reserve of the Air Force Reserve. I will not be eligible for subsequent payments during the period of authorized nonavailability.
Entitlement to subsequent payments will resume on the adjusted anniversary date determined by HQ ARPC/DPAF.
7. If I do not complete my contract period
(see paragraph 2)
, I will reimburse the US Government for any Bonus overpayment I received.

Download AF IMT Form 4010 Application for Ima Enlisted Bonus and Incentive

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