Female Template E-7 DoD ID Number AD unit
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Address/Phone
32 27
CONTROL NO. DATE
CLOTHING REQUEST AND RECEIPT -- MALE/FEMALE
(THIS FORM IS SUBJECT TO THE PRIVACY ACT OF 1974)
AUTHORITY:
10 U.S.C. 9832, 37 U.S.C. 418 and Executive Order 9397
PRINCIPAL PURPOSES:
To account for the issue of uniform clothing items to enlisted personnel, SSAN is used for positive identification.
ROUTINE USES:
May be disclosed to any DOD component and upon request to other Federal, State, and local agencies in the pursuit of their official duties. May
also be used for other lawful purposes including law enforcement and litigation.
DISCLOUSRE IS VOLUNTARY:
Failure to provide the information would preclude the orderly maintenance of property accounts or prevent the issuance of
clothing items. Disclosure of SSAN is voluntary
NAME OF AIRMAN FOR WHOM REQUEST IS MADE GRADE SSAN UNIT
SALES CODE
Other Reimbursable Appropriated Funds
16-Operation & Maintenance, AF 19-AF Reserve 80-ARMY
(Insert Sales Code)
Reimbursable Non-Appropriated Funds
17-Military Personnel, AF 23-Air National Guard 81-Navy
(Insert Sales Code)
QUANTITY QUANTITY
UNIT
COST
TOTAL
COST
UNIT
COST
TOTAL
COST
A
RTICLE
A
RTICLE
REQ'D SOLD REQ'D SOLD
Shirt, Ctn/Poly,S/S, AF Shade 1550, Tuck
-in (W)Belt, Cotton, Riggers, Desert Sand 503
Shirt, Ctn/Poly, L/S, AF Shade 1550,
Tuck-in (W)
Belt, Cotton, Web, Blue, w/Chromium Plate
Shoes, Dress Leather
Boots, Temperature, Sage Green Boots
Skirt, Darted, Poly Serge AF Shade 1620
(W)
Buckle, Belt, Chromium Plated
Slacks, Darted, Poly Serge AF Shade
1620 (W)
Socks, Athlete's, Crew, White (3 Pair
Package)
Cap, Garrison (Flight cap), AF Shade 1620)
Socks, Cushion Sole, Stretch, Green
Cap, ABU
Towel, Bath, Cotton, White
Trousers, ABU
Trousers, WI/Poly, Serge, 10oz, AF Shade
1620 (M)
Coat, Svs, W/Poly, Serge, Blue AF Shade 1620
Undershirt, Ctn, White, V-Neck (M)
Drawers, Cotton, Briefs, White, (M)
Maternity Trousers, ABU (W)
Gloves, Lea, Black, Lined, Unisex
Maternity Coat, ABU (W)
Name Tape, USAF
Maternity Slacks, Blue (W)
Name Tape
Socks, Liner, Poly/Nyl, Black
Jacket, Physical Taining Uniform (PT)
Pant PTU
Trunks, PTU
Jacket, Poly, Blue AF Shade 1605 w/rmvbl Liner
Necktie, Four-in-Hand (M)
Neck-Tab, Blue, AF Shade 1622 (M)
Shirt, Ctn/Poly, Long Sleeve, W/Epaulets (M)
Shirt, Ctn/Poly, Short Sleeve (M)
TOTAL VALUE TOTAL VALUE
I certify the above named airman has sufficient
initial allowance clothing credit available against
which the total value of items purchased has been
entered on his/her military record.
I certify the total value reflected hereon has been
charged against pay and/or allowances due the
above named airman.
SIGNATURE AND GRADE OF BASE FINANCE OFFICER SIGNATURE OF UNIT COMMANDER /IR PROGRAM
MANAGER
SIGNATURE & FISCAL STATION NO. OF FINANCE
OFFICER
I certify I have received the articles listed here on in the total value indicated and
that they are for my own personal use or that of the person I represent and I will
not dispose of them by sale, gift, loan, barter, or pledge to unauthorized personnel.
NOTE: MEMBERS DO NOT SIGN THIS FORM UNTIL CLOTHING ITEMS HAVE
BEEN RECEIVED.
A
PPROPRIATION
OFFICE TO BE BILLED SIGNATURE GRADE & ORGN OF AUTHENTICATING OFFICER
AF FORM 656, 20111129
PREVIOUS EDITIONS ARE OBSOLETE
EMAIL ETS
Bag, Duffel, Nylon, OG
Coat, All Weather w//Removable Liner
Coat, Camouflage ABU
Insignia, BOS, US
Name Tag, Metal
Name Tag, Plastic
Undershirt, Qtr. Sleeve, Sand
PROJECT CODE (For AFRES Only)
I certify the sales code indicated is correct and the offices to be billed
(and appropriation charged) are properly indicated.
SIGNATURE OF MEMBER UPON RECEIPT OF CLOTHING (GRADE/SSAN)
Maternity Shirt, Ctn/Poly (L/S or S/S) (W)
SIGNATURE, GRADE, ORGN OF AFRES PAYROLL
OFFICER (For AFRES Only)
XXXXXXXX@yahoo.com
6 months retainability
Click to sign
Click to sign Click to sign
Click to sign
Click to sign
Click to sign
I certify the items requested are for the airman's
health and/or appearance. Total value of clothing
provided is to be (Amortized at $
per month)(deducted from net pay) (Not to be
utilized at Basic Training Center).
1
T-Shirt, Athlete's, PTU
1 5
PRIVACY ACT INFORMATION: The information in this form is
FOR OFFICIAL USE ONLY. Protect IAW the Privacy Act of 1974.
