USE THIS ENTRY TO WARN A MARINE WHO IS NOT …



USE THIS ENTRY TO WARN A MARINE WHO IS NOT CURRENTLY BEING PROCESSED FOR ADMINISTRATIVE OR JUDICIAL ACTION Date: Counseled this date concerning the following deficiencies: ____________________. Specific recommendations for corrective action are ____________________________ and obey all rules, regulations, and orders under the UCMJ. Assistance is available through the chain of command and ______________________. Failure to take corrective action and any further violations of the UCMJ may result in judicial or adverse administrative action, including but not limited to administrative separation. I was advised that within 5 working days after acknowledging this entry I may submit a written rebuttal which will be filed on the document side of the service record. I choose to _____/not to _____ make such a statement.__________________________ ___________________________________Signature of Marine Date Signature of CO Date USE THIS ENTRY TO DOCUMENT PROBLEMS FOR A MARINE WHO IS CURRENTLY BEING PROCESSED FOR ADMINISTRATIVE OR JUDICIAL ACTIONDate: Counseled this date concerning the following deficiencies: ____________________. Specific recommendations for corrective action are ____________________________ and obey all rules, regulations, and orders under the UCMJ. Assistance is available through the chain of command and ______________________. Failure to take corrective action and any further violations of the UCMJ may result in judicial or adverse administrative action. I understand that I am being administratively processed for separation under paragraph ________ MARCORSEPMAN for ______________________. I was advised that within 5 working days after acknowledging this entry I may submit a written rebuttal which will be filed on the document side of the service record. I choose to _____/not to _____ make such a statement.__________________________ ___________________________________Signature of Marine Date Signature of CO Date ................
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