PPE Order Form - U.S. Coast Guard

Use ink for all "signature" entries.
Use of "Balance on Hand" column is MAJCOM option.
Use ink/typewriter for remaining entries.
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21. OPTIONAL
22. RATED FSC AFSC
23. ORGANIZATION
PERSONAL CLOTHING AND EQUIPMENT RECORD
AUTHORIZED
ALLOWANCE
SIZE
ISSUE DATE TURN-IN DATE
S/N AND ARTICLE (Noun) ASC QNTY 1 2 3 4 5 1 2 3 4 5
24. GRADE 25. SSAN 26. DUTY TEL
27. NAME (Last, First, Middle Initial)
AF FORM 538
APR 74
PREVIOUS EDITION WILL BE USED
SIG OF INDIVIDUAL SIG OF SUP REP PAGE OF
BALANCE
ON HAND

PAGE 2 OF AF-538 (Rev. 4-74)
28.
I certify that items and quantities shown hereon are correct as indicated.
(Applicable only when physical inventory is accomplished.)
DATE SIGNATURE (Individual Performing Inventory)
INVENTORY
29. STATEMENT OF RATED FLYING STATUS CODE/HAZARDOUS DUTY STATUS
A. FLYING STATUS CODE
CURRENT AERONAUTICAL RATING FLYING STATUS CODE
I will give notification of any change in my flying status code/hazardous duty status code.
DATE SIGNATURE
REMARKS
VALIDATION
I certify that items and quantities shown hereon are in my possession.
(Applicable only when physical inventory is accomplished.)
DATE SIGNATURE (Individual Accountable for Items)
B. HAZARDOUS DUTY STATUS CODE
PAFSC DAFSC HAZARDOUS DUTY STATUS CODE
BASE DATE INITIALS BASE DATE INITIALS