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U.S. DEPARTMENT OF HOMELAND SECURITY U.S. COAST GUARD CG-6058 (Rev. 2-05) FROM

COAST GUARD SPONSOR NOTIFICATION

TO

THE SERVICE MEMBER LISTED BELOW HAS BEEN ORDERED TO YOUR COMMAND NAME RANK/RATE EMPLID

MARITAL STATUS

WILL DEPENDENT(S) ACCOMPANY SERVICE MEMBER?

SEX AND AGES OF DEPENDENT CHILDREN SEX AGE

YES
CURRENT MAILING ADDRESS

NO

LEAVE ADDRESS

ESTIMATED DETACHMENT DATE

ESTIMATED ARRIVAL DATE YOUR COMMAND

MODE OF TRAVEL

INITIAL PERMANENT ASSIGNMENT

YES
SPONSOR ASSISTANCE DESIR ED OTHER INFORMATION N OT DESIRED

NO

PRIVACY ACT STATEMENT 5 U.S.C. 552(a) Privacy Act AUTHORITY: 10 U.S.C. 126 Transfer of Funds and Employees; 14U.S.C.18 CG Housing Authorities. PURPOSE: To authorize transferring unit to provide contact information, dependency status, and arrival dates to receiving unit for the purpose of assigning a sponsor. ROUTINE USES: To authorized personnel for the purpose of assigning sponsor. To authorized personnel for the purpose of assigning housing. DISCLOSURE: Voluntary; Failure to provide requested information may result in you not receiving a sponsor. It may also assist the housing office in determining the type of quarters a member is entitled. U.S. DEPT. OF HOMELAND SECURITY, USCG, CG-6058 (Rev. 2/05)

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