Enclosure (3) to COMDINST 1750.4D
Ombudsman Administrative File Checklist
A separate file shall be maintained on each appointed command ombudsman. The file shall
be maintained by the appointing commanding officers and shall include:
Ombudsman application completed and signed by the ombudsman
Department of Defense Form 2793, Volunteer agreement for appropriated fund
activities
Copy of appointment letter signed by the officer in charge, forward copy of letter
and volunteer agreement to servicing ISC ombudsman coordinator immediately, give
original to ombudsman
Family advocacy check returned and signed by family advocacy specialist, this is
the first page of the application
Reference verification sheet
Completed ombudsman command briefing checklist complete with ombudsman
before assignment of duties
Documentation place documentation in file for future reference and reporting, for
example:
Documentation of basic ombudsman training
Documentation of ongoing or advance training
Advance program planning
Supervision notes
Comments
Other
On-going documentation shall occur on a quarterly basis. Maintain administrate
files for 3 years after date of last entry.
Termination of Services, DD Form 2793, complete part IV give ombudsman a copy
place
in administrative file.
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