Naval Junior Reserve Officer Training Corps
Sol C. Johnson High School
3012 Sunset Boulevard
Savannah, GA 31404
Phone: (912) 395-6407
Fax: (912) 201-2338
Missing Gear Statement
From:
_________________________________________________
(RANK) (NAME) (PLATOON)
To:
Via:
NSI/SNSI for Final Approval
(1) Cadet Platoon Commander (Counseling)
(2) Cadet Company Command Master Chief (Counseling)
(3) Cadet Admin Officer (Counseling Statement in JUMS)
(4) Cadet Commanding Officer (Ensures Complete)
(5) Cadet Supply Officer (Reissue of Gear, JUMS Adjust)
________ (initials)
________ (initials)
________ (initials)
________ (initials)
________ (initials)
Subj: REPORT OF LOST, DAMAGED, DESTROYED OR MISSING GOVERNMENT PROPERTY
The following items(s) of government property that are presently on charge to me are reported
as lost/damaged/destroyed/require administrative adjustment (circle one):
Items:
1.
2.
3.
4.
5.
No threat of disciplinary action if reimbursement is offered in case of loss, damage, or
destruction, such reimbursement should be for the full value of the property or, if applicable,
the cost of restoring the property to its previous condition.
a. ________ (initials) I DO/DO NOT desire to reimburse the government. (CIRCLE ONE)
_______________________________
Print Rank/Name
_______________________
Signature of Individual
_________
DATE
_______________________________
Print Rank/Name of Counseling Officer
______________________
Signature of Counseling Officer
__________
DATE
_______________________________
Print Rank/Name of NSI/SNSI
__________
Signature of SNSI/NSI
__________
DATE
__