AFSOC Form 6 "Request for Placement on Special Certification Roster"

What Is AFSOC Form 6?

This is a legal form that was released by the U.S. Air Force Special Operations Command on March 3, 2009 and used country-wide. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on March 3, 2009;
  • The latest available edition released by the U.S. Air Force Special Operations Command;
  • 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 AFSOC Form 6 by clicking the link below or browse more documents and templates provided by the U.S. Air Force Special Operations Command.

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Download AFSOC Form 6 "Request for Placement on Special Certification Roster"

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REQUEST FOR PLACEMENT ON SPECIAL CERTIFICATION ROSTER
PART I.
ROUTING/COORDINATION
TO
INITIALS
TO
INITIALS
TO
INITIALS
1
4
7
2
5
8
3
6
9
PART II.
PERSONAL DATA
PAFSC
DAFSC
NAME/GRADE
EMPLOYEE NO.
MONTHS EXPERIENCE - CURRENT MDS
MONTHS OTHER APPLICABLE EXPERIENCE - BY MDS
W/C MNEMONIC
YES
NO
NOTE: If yes, complete Part V on reverse.
WAIVER REQUIRED
PART III.
CAMS CODE
SPECIAL TASK TITLE
SCORE
CAMS CODE
SPECIAL TASK TITLE
SCORE
PART IV.
INDIVIDUAL
NAME/GRADE/DUTY TITLE
DATE SIGNED
SIGNATURE
Click to sign
I HAVE REVIEWED THE ABOVE LISTED INDIVIDUAL'S RECORDS AND QUALIFICATIONS.
SECTION CHIEF
HE/SHE IS QUALIFIED TO PERFORM THE TASK(S) LISTED.
NAME/GRADE/DUTY TITLE
DATE SIGNED
SIGNATURE
Click to sign
FLIGHT CHIEF
NAME/GRADE/DUTY TITLE
SIGNATURE
DATE SIGNED
Click to sign
CERTIFICATION TO PERFORM LISTED TASK(S) IS:
NAME/GRADE/DUTY TITLE
SIGNATURE
DATE SIGNED
Click to sign
AFSOC FORM 6, 20090303
REQUEST FOR PLACEMENT ON SPECIAL CERTIFICATION ROSTER
PART I.
ROUTING/COORDINATION
TO
INITIALS
TO
INITIALS
TO
INITIALS
1
4
7
2
5
8
3
6
9
PART II.
PERSONAL DATA
PAFSC
DAFSC
NAME/GRADE
EMPLOYEE NO.
MONTHS EXPERIENCE - CURRENT MDS
MONTHS OTHER APPLICABLE EXPERIENCE - BY MDS
W/C MNEMONIC
YES
NO
NOTE: If yes, complete Part V on reverse.
WAIVER REQUIRED
PART III.
CAMS CODE
SPECIAL TASK TITLE
SCORE
CAMS CODE
SPECIAL TASK TITLE
SCORE
PART IV.
INDIVIDUAL
NAME/GRADE/DUTY TITLE
DATE SIGNED
SIGNATURE
Click to sign
I HAVE REVIEWED THE ABOVE LISTED INDIVIDUAL'S RECORDS AND QUALIFICATIONS.
SECTION CHIEF
HE/SHE IS QUALIFIED TO PERFORM THE TASK(S) LISTED.
NAME/GRADE/DUTY TITLE
DATE SIGNED
SIGNATURE
Click to sign
FLIGHT CHIEF
NAME/GRADE/DUTY TITLE
SIGNATURE
DATE SIGNED
Click to sign
CERTIFICATION TO PERFORM LISTED TASK(S) IS:
NAME/GRADE/DUTY TITLE
SIGNATURE
DATE SIGNED
Click to sign
AFSOC FORM 6, 20090303
SQUADRON/CC
SIGNATURE
DATE SIGNED
NAME/GRADE/DUTY TITLE
Click to sign
MXG/CC
CERTIFICATION TO PERFOM LISTED TASK(S) IS:
APPROVED
DISAPPROVED
NAME/GRADE/DUTY TITLE
SIGNATURE
DATE SIGNED
Click to sign
PART V.
WAIVER JUSTIFICATION/APPROVAL
REASON/JUSTIFICATION FOR WAIVER
WAIVER
APPROVED
DISAPPROVED
SQUADRON/GROUP COMMANDER (Name, Grade, Duty Title)
SIGNATURE
DATE APPROVED
Click to sign
REMARKS
SIGNATURE
DATE
Click to sign
AFSOC FORM 6, 20090303
(REVERSE)
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