Quota Cancellation Request for Navy Training

NOTICE FOR CIVIL SERVICE EMPLOYEES: To ensure your request is considered, it is mandatory that you correctly enter the appropriate information in all fields. Failure to provide the required information will result in an invalid request. The Point of Contact for this form is the Explosives Safety Training Office at NOSSA, DSN: 354-6089 Commercial: (301) 744-6089.

All fields must be completed to submit a request.
Select Requested Class:
Requester:
Name, Rank
Reason for Cancellation:

INFORMATION OF STUDENT BEING CANCELLED:
Name:
Last, First
Rank/Grade:
GS-1084-05, WG-0709-05, E-5, etc.
DSN Phone:
Commercial Phone:
Fax Number:
Email Address:
Command Name/Address:
UIC:
Unit Identification Code
Comment: