(Must be on letterhead and signed prior to sending to NAVMEDPRODEVCTR)

1500
Ser Code/Serial Number Date
FIRST ENDORSEMENT on HMC Haze G. Underway, USN ltr of From:  (Commanding Officer or Commander, your command)
To:		Commanding Officer, Navy Medicine Professional Development Center (Appropriate Code), 8955 Wood Road, Bethesda, MD 20889-5628

Subj:	REQUEST FOR CERTIFICATION EXAMINATION FUNDING

1.	Forward, recommending approval. (Name of command) does not have sufficient funds to support this request at this time.

2.	The member’s absence from the duty station for the time required to take the examination will not cause significant interruptions of service and care.

3.	Point of contact name and contact information.

Commanding officer signature Commanding officer name

Copy to:
(Enter member’s rank and last name)