Encl (5) to COMDTINST 7220.1A
Unit Command
United States Coast Guard
Address
Staff Symbol:
Phone:
FAX:
7220
From: Member 000-00-0000, USCGR
To:
Commanding Officer, Coast Guard Human Resources Service & Information Center (SES)
Via:
(1) Commanding Officer, Member's Unit
(2) Commanding Officer, Coast Guard Integrated Support Command XXXXXXXX
Subj: REQUEST FOR SUBSEQUENT PAYMENT OF (INSERT TYPE) BONUS
Ref:
(a) Enlisted Selected Reserve (SELRES) Incentive Programs, COMDTINST M7220.1
(series)
1.
Per reference (a), I request the remaining amount of the (insert type) bonus. I have read,
understood, and completed all requirements as per COMDTINST 7220.1A.
2.
I may be contacted at (Phone Number).
Signature of Member
Copy:
CGPC-adm-3
G-WTR-1
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