Flotilla 12-4 Member Forms:

Please check the Coast Guard Auxiliary's National Forms Archive Site for the most current versions of forms, or if the form you are looking for is not here.

Most of these forms can be filled out right on your computer, before printing! Please do this, when available, as it will make things easier to read. Some of these forms can even be e-mailed! Many of these forms contain special notes or instructions, either at the top of the form or in the individual cells. If you have any problems or questions, please contact the appropriate FSO. The forms that can be filled in on the computer or e-mailed will be indicated below.

If you are in Flotilla 12-4, the e-mail to send these forms is easy! The e-mail is fso-is@uscgamdr.org. This address DOES NOT CHANGE from year to year, even if the officer does. This applies to 12-4 members only. If you are in another Flotilla, contact your FSO-IS or elected officers for advice.

Note! For those forms that can be e-mailed, be sure to send yourself a copy by placing a comma after your FSO-IS's e-mail, and putting your own e-mail, for example: luke.mcluke@e-mail.com,your_e-mail@blah.com . Any questions, just ask!

Individual Development Plan (IDP):
- Individual Development Plan (IDP) Form with Descriptions - print only
- Individual Development Plan (IDP) Form Flotilla 12-4 Only - fill out and print
General Forms:
- 7003: Facility Inspection and Offer of Use - can be filled out in Acrobat, before printing
- 7004: Radio Facility Insp. / Offer of Use - can be filled out in Acrobat, before printing
- 7005: Aircraft Offer of Use - can be filled out in Acrobat, before printing
- 7008: PWC Facility Inspection/Offer for Use - can be filled out in Acrobat, before printing
- 7012: Vessel Safety Check
- 7023: Notice of Intent to Teach a PE Course - can be filled out in Acrobat, before printing or e-mailing
- 7028: Change of Member Information - can be filled out in Acrobat, before printing - or try using the AUXofficer site http://auxofficer.cgaux.org/
- 7029: Member Activity Log - NOTE: this is the new form as of JAN 2010; you MUST use this form starting now. The form can be filled out in Acrobat, then e-mailed directly from the form or printed or saved
- 7030: Mission Activity Report - can be filled out in Acrobat, before printing or e-mailing
Alternate form: Use the e-mailable 7030 to e-mail directly to the FSO-IS after completion. This version does not contain the explanations of missions - see the first version for this info.
- 7034: Auxiliary SAR Incident Report - can be filled out in Acrobat, before printing
- 7035: Change of Membership Status - can be filled out in Acrobat, before printing
- 7037: NOS Chart Updating Program
- 7038: Vessel Examination Activity Report - can be filled out in Acrobat, before printing or e-mailing
- 7039: Workshop Mission & Attendance Report - can be filled out in Acrobat, before printing or e-mailing
- 7042: Air Crew Medical Screening - can be filled out in Acrobat, before printing
- 7043: Air Crew Application Form - can be filled out in Acrobat, before printing
- 7045: Vessel Safety Check Action Information - can be filled out in Acrobat, before printing
- 7046: RBS Visitation Report - can be filled out in Acrobat, before printing or e-mailing
- 7047: Mfg. ID Code and Mail Label - can be filled out in Acrobat, before printing
- 7054: Aids To Navigation Report
- 7056: Member Transfer Request - can be filled out in Acrobat, before printing
- 7057: Qualification Changes - can be filled out in Acrobat, before printing
- 7059: Short Term Resident Training Request - can be filled out in Acrobat, before printing
- 7060: Training Evaluation Form - can be filled out in Acrobat, before printing
- 7104: RapidDraft Letter
- DD-1351-2: Travel Voucher Or Subvoucher - can be filled out in Acrobat, before printing
- FMS-2231-CGAUX: Federal Direct Deposit Form for Auxiliarist Mail or FAX ONLY - can be filled out in Acrobat, before printing - or, submit this form directly on-line
- CGAuxA-3: Claim for Reimbursement, Travel - can be filled out in Acrobat, before printing
- CGAuxA-4: Claim for Reimbursement, Non-travel - can be filled out in Acrobat, before printing
- SF-1164: Claim for Reimbursement for Expenditures on Official Business - can be filled out in Acrobat, before printing
- DD175: Military Flight Plan - can be filled out in Acrobat, before printing or e-mailing
Flotilla Staff Officer Forms:
- 7014: Instructor Qualification Record
- 7015: Pilot/Aircrew Qualification - can be filled out in Acrobat, before printing
- 7025: Financial Report of Auxiliary Unit - can be filled out in Acrobat, before printing
- 7026: Operational Specialty Course (OSC) Examination Request - can be filled out in Acrobat, before printing
- APDX #E: Currency Maintenance Letter
- NMGA-FD: NACO Membership Growth Award-Flotilla & Division - can be filled out in Acrobat, before printing
- NMGA-I: NACO Membership Growth Award-Individual - can be filled out in Acrobat, before printing
- AUX RSA: Auxiliary Recruiting Service Award Appication - can be filled out in Acrobat, before printing
Flotilla Commander Forms:
- 7006: Change of Officer Report - can be filled out in Acrobat, before printing
- 7007: Annual Unit Officers Report - can be filled out in Acrobat, before printing
Miscellaneous:
- 7010: Examination Answer Sheet
Forms for New / Prospective Members:
- Security Forms - PLEASE DO NOT FILL OUT AHEAD OF TIME
- Enrollment Application - please follow directions carefully. If in doubt wait until given directions from your prospective Flotilla Commander, or other Auxiliarist.
- 11SR District ID Card Application - fill out in MS Word. For District 11 South only - e-mail to Dennis Grinstead (Division 5).


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Coast Guard Auxiliary

12-4, The Los Angeles Flotilla
A unit of Division 12, Eleventh Coast Guard District, Southern Region