OCR Deployment Tracking System (DTS)

---

Overview

Cover
Section I-VI
Section VII-X
Inprocessing Checklist

---

Sheet 1: Cover

READINESS AND DEPLOYMENT CHECKLIST (OMB 0412-0580; Expiration Date: XX/XX/XXX)

1. DATE (YYYYMMDD)

2. NAME (Last, First, Middle)

3. ORGANIZATIONLA ID NUMBER

4. SERVICE AFFILIATION

5. COMPONENT

6. STATUS

7. E-MAIL ADDRESS

USAID Commerce

ACTIVE

PSC

DOS Treasury

STAND-BY

DH

8. CITIZENSHIP COUNTRY

DOJ DHS

RESERVE

USDA

9. DEPLOYMENT COUNTRY

10. JOB TITLE

11.OVERALL STATUS OF EACH SECTION

a. Readiness Certification

b. Personnel

c. Finance

d. Training

d. Medical

YES NO

YES NO

YES NO

YES NO

YES NO

f. Training

g. Security

h. Medical

i. Dental

j. Vision

YES NO

YES NO

YES NO

YES NO

YES NO

SECTION I - DEPLOYMENT VALIDATION

Part B. Team Leader Acknowledgement: (Commanders may approve a non-deployable individual for deployment based on the certifying official's recommendation, criticality, and mission needs, unless otherwise indicated.) I Acknowledge the SRP Sites findings.

1. PRINTED NAME (TEAM LEADER)

2. GRADE

3. ADDRESS

4. SIGNATURE

5. TITLE

6. PHONE NUMBER

7. E-MAIL ADDRESS

8. Date

---

Sheet 2: Section I-VI

READINESS AND DEPLOYMENT CHECKLIST
NAME (Last, First Middle)					SSN
		READINESS CERTIFICATION				DEPLOYMENT VALIDATION
SECTION II - PERSONNEL		GO	NO GO	NA	DATE (YYYYMMDD)	GO	NO GO	NA	DATE (YYYYMMDD)
1. Emergency Data Information/Locator Card
2. Insurance Verification/MEDEVAC Insurance Policy Curent (Verification)
3. DoS/USAID Badge
4. Passport requested or in possession, if required (carried by person)
5. Visa requested or in possession, if required (carried by person)
6. Citizenship/Natrualization Verification
7. Travel Authorization Orders
8. Airline Tickets
9. SF 50 (Stand-by personnel only)
10. Passport Photo in database
11. Service Agreement (Stand-by personnel only)
12a. Signature of Certifying Official	12b. Grade/Title				12c. Date (YYYYMMDD)
SECTION III - SUPPLY AND LOGISTICS
1. Personal clothing, basic issue or like quantities
2. Organizational clothing and equipment issued
3. Theater specific clothing issued
4. Theater specific equipment issued
5a. Signature of Certifying Official	5b. Grade/Title				5c. Date (YYYYMMDD)

---

Sheet 3: Section VII-X

READINESS AND DEPLOYMENT CHECKLIST
NAME (Last, First Middle)				SSN
SECTION IV -TRAINING		READINESS CERTIFICATION				DEPLOYMENT VALIDATION
		GO	NO GO	NA	DATE (YYYYMMDD)	GO		NO GO	NA	DATE (YYYYMMDD)
1. Force Protection Training administered
2. OPSEC/SAEDA Briefing
3. Deployment Briefing to Family Members
4. Safety and Local laws for deployment area briefing
5. Media Awareness Training
6. Sector specific training requirements completed
7. Military Common Task Training
8a. SIGNATURE OF CERTIFYING OFFICIAL	8b. Grade/Title					8c.DATE (YYYYMMDD)
SECTION V- SECURITY
1. Security clearance meets requirement for duty position
2. Security clearance meets requirement for deployment mission
3. Security Clearance Provided to Gaining EMB.
4a. SIGNATURE OF CERTIFYING OFFICIAL	4b. Grade/Title					4c. DATE (YYYYMMDD)
SECTION VI- MEDICAL
1. Shot/Innoculations Current
2. Immunizations current
3. Current physical exam on hand (Class I)
4. Country specific immunizations required for deployment area.
5. Prescriptions, sufficient supply; minimum 90 day if Overseas)
6. Medical Tags/Bracelets
7a. SIGNATURE OF CERTIFYING OFFICIAL	7b. Grade/Title			7c. DATE (YYYYMMDD)

---

Sheet 4: Inprocessing Checklist

Civilian Response Corps (CRC) Inprocessing Checklist

Privacy Act Statement

Adminstrative Information

Name (Last, First M.I.)

Organization ID Number

Grade

Hiring Mechanism

Date of Birth

Age

Height

Weight

Hair Color

Eye Color

Blood Type

Religion

Home Address

Phone Number (Work)

Duty Title

Phone Number (Home)

Primary E-Mail Address

Phone Numner (Cell)

Section/Organization Address

Alternate E-Mail Address

Emergency Information

Address

A/ Phone Number

E-Mail Address

Alternate E-Mail Address

Security Information

Security Clearence

Date Initiated

Expiration Date

Languages (Reading/Writing/Verbal)

Equipment Sizes

a.

c.

Hat Size

Boot Size

Coat Size

b.

d.

Trouser Size

Glove Size

NBC Suit Size

NBC Glove Size

NBC Boot Size

Protective Mask Size

Sector Expertise

Foreign Country Experience

Sector

Experience

Country

Duration (Mos.)

Desciption

Training

Orientation Training

Date

Annual Training

Military Training

Date

Civilian Training

Date

Language Training

Date

Skill Level (i.e. 1/1/1)

USAID 101

Weapons Familiarization

R & S Training

Arabic

Military 101

Convoy Live Fire

DG Training

CMM 102

NBC Training

Conflict Management Tng

State 101

First Aid

HAZMAT Training

Equal Opportuniy

Communication

EPA Training

IT Training

Land Navigation

Cultural Awareness

Sapnish

Drivers Training

Rule of Law

Japanese

WST Training

Chinese

H.E.A.T. Training

EST 2000

MOUT Training

Counter IED Training

Medical

Physical

Required Medical Items

Allergies

Type

Date

Type

Yes/No

1

Spectacles (2 Pair)

Shots/Immunization/Vaccinations

Preotective Mask Inserts (2 Pair)

2

Type

Yes/No

Type

Yes/No

Ear Plugs (Fitted)

Yellow Fever

Hepatitis B

Hear Aids

3

Influenza

Anthrax

Medical Warning Tags

Hepatitis A

Smallpox