USAFE-AFAFRICA Form 64 "Request for Special Certification"

What Is USAFE-AFAFRICA Form 64?

This is a legal form that was released by the U.S. Air Forces in Europe – Air Forces Africa on July 31, 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 July 31, 2018;
  • The latest available edition released by the U.S. Air Forces in Europe – Air Forces Africa;
  • 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 USAFE-AFAFRICA Form 64 by clicking the link below or browse more documents and templates provided by the U.S. Air Forces in Europe – Air Forces Africa.

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Download USAFE-AFAFRICA Form 64 "Request for Special Certification"

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REQUEST FOR SPECIAL CERTIFICATION
PART I.
TO
SIGNATURE
TO
SIGNATURE
TO
SIGNATURE
1
4
7
Click to sign
Click to sign
Click to sign
8
2
5
Click to sign
Click to sign
Click to sign
6
9
3
Click to sign
Click to sign
Click to sign
PART II.
PERSONAL DATA
NAME/GRADE
PAFSC
DAFSC
EMPLOYEE NO.
W/C MNEMONIC
MONTHS EXPERIENCE - CURRENT MDS
MONTHS OTHER APPLICABLE EXPERIENCE - BY MDS
YES
NO
WAIVER REQUIRED
NOTE: If yes, complete Part V on reverse.
PART III.
SPECIAL TASK(S) TO BE PERFORMED
MIS CODE
SPECIAL TASK TITLE
MIS CODE
SPECIAL TASK TITLE
PART IV.
QUALIFICATION VERIFICATION/CERTIFICATION
SECTION CHIEF
NAME/GRADE/DUTY TITLE
SIGNATURE
DATE SIGNED
Click to sign
FLIGHT CHIEF
NAME/GRADE/DUTY TITLE
SIGNATURE
DATE SIGNED
Click to sign
OPS OFFICER/MX SUPT
NAME/GRADE/DUTY TITLE
SIGNATURE
DATE SIGNED
Click to sign
GROUP CC
NAME/GRADE/DUTY TITLE
SIGNATURE
DATE SIGNED
Click to sign
USAFE-AFAFRICA FORM 64, 20180731
Prescribed by: AFI21-101_USAFE-AFAFRICASUP
REQUEST FOR SPECIAL CERTIFICATION
PART I.
TO
SIGNATURE
TO
SIGNATURE
TO
SIGNATURE
1
4
7
Click to sign
Click to sign
Click to sign
8
2
5
Click to sign
Click to sign
Click to sign
6
9
3
Click to sign
Click to sign
Click to sign
PART II.
PERSONAL DATA
NAME/GRADE
PAFSC
DAFSC
EMPLOYEE NO.
W/C MNEMONIC
MONTHS EXPERIENCE - CURRENT MDS
MONTHS OTHER APPLICABLE EXPERIENCE - BY MDS
YES
NO
WAIVER REQUIRED
NOTE: If yes, complete Part V on reverse.
PART III.
SPECIAL TASK(S) TO BE PERFORMED
MIS CODE
SPECIAL TASK TITLE
MIS CODE
SPECIAL TASK TITLE
PART IV.
QUALIFICATION VERIFICATION/CERTIFICATION
SECTION CHIEF
NAME/GRADE/DUTY TITLE
SIGNATURE
DATE SIGNED
Click to sign
FLIGHT CHIEF
NAME/GRADE/DUTY TITLE
SIGNATURE
DATE SIGNED
Click to sign
OPS OFFICER/MX SUPT
NAME/GRADE/DUTY TITLE
SIGNATURE
DATE SIGNED
Click to sign
GROUP CC
NAME/GRADE/DUTY TITLE
SIGNATURE
DATE SIGNED
Click to sign
USAFE-AFAFRICA FORM 64, 20180731
Prescribed by: AFI21-101_USAFE-AFAFRICASUP
PART V.
WAIVER JUSTIFICATION/APPROVAL
REASON/JUSTIFICATION FOR WAIVER
WAIVER
APPROVED
DISAPPROVED
SIGNATURE
DATE APPROVED
Click to sign
REMARKS:
SIGNATURE
DATE APPROVED
Click to sign
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