Encl (6) to COMDTINST 7220.1A
Commanding Officer
U.S. Coast Guard Human Resources
Service and Information Center
Federal Building
444 S.E. Quincy Street
Topeka, KS 66683-3591
Staff Symbol: SES
Phone: (913) 357-3540
FAX: (913) 295-2544
7220
From: Commanding Officer, Coast Guard Human Resources Service & Information Center
To:
Member 000-00-0000, USCGR
Via:
(1) Commanding Officer, Coast Guard Integrated Support Command XXXXXXXX
(2) Commanding Officer, Member's Unit
Subj: INITIATION OF TERMINATION AND RECOUPMENT ACTION OF (INSERT TYPE)
BONUS
Ref:
(a) Enlisted Selected Reserve (SELRES) Incentive Programs, COMDTINST
M7220.1(series)
1.
Per reference (a), the following information is provided:
a.
Reason for termination/recoupment: (e.g., member was assigned sixth unexcused period
of Inactive Duty Training or member failed to perform Annual Training
________________).
b.
Last month of satisfactory participation: ___________________.
c.
Date bonus to be terminated: ____________________.
d.
Amount to be recouped: ____________________. (Total bonus payments to date minus
Pro-rata amount)
2.
My point of contact is (Rate/Name) at (Phone Number).
3.
Signature of Commanding Officer
Copy:
CGPC-adm-3
G-WTR-1