Appendix A to Part 64 - Letter Format to Cognizant Service Personnel Center Requesting Employee Be Screened From Retiree-Recall Program

From: (employer-Agency or company) To: (appropriate Military Service personnel center) Subject: Request for Employee To Be Removed from Retiree-Recall Program

This is to certify that the employee identified below is essential to the nation's defense efforts in (his or her) civilian job and cannot be mobilized with the Military Services in an emergency for the following reasons:

Therefore, I request that (he or she) be exempted from recall to active duty in a mobilization or national emergency and that you advise me accordingly when that action has been completed.

The employee is:

Name of employee (last, first, M.I.) Military grade and Military Service component Social security number Current home address (street, city, State, and ZIP code) Title of employee's civilian position Grade or salary level of civilian position Date (YYMMDD) hired or assigned to position Signature and Title of Agency Company Official