Examples

1610
xxx-xx-xxxx
28 FEB 21
From: Commanding Officer, Surgical Company Bravo, 4th Medical Battalion
To: Commander, Navy Personnel Command (PERS-32)
Subj: FITNESS REPORT EXTENSION

1. Identification of original report
a. Blocks 1-4: BARCLAY, LAUREN M., 2905, xxx-xx-xxxx
b. Blocks 10-13: Periodic
c. Blocks 14-15: 20FEB01 - 21JAN31
d. Blocks 17-19: REGULAR
e. Block 22: FERNANDEZMILO, A L
2. Extension data
a. Blocks 10-13: Add 11. Detachment of Reporting Senior
b. Blocks 14-15: Change to 20FEB01 - 21FEB28
3. If there are any questions, I can be reached at commercial (123) 456-7899

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1610
123-45-6789
05Apr2021
From: Officer In Charge NMRTC CL Det Delta
To: Commander, Navy Personnel Command (PERS-32)
Subj: EVALUATION REPORT EXTENSION

1. Identification of original report
a. Blocks 1-4: PRICE, DESIREE N, MA2 123-45-6789
b. Blocks 10-13: Periodic
c. Blocks 14-15: 20JUN16-21MAR15
d. Blocks 17-19: REGULAR
e. Block 22: LEGG, W J
2. Extension data
a. Blocks 10-13: Add 11. Detachment of Individual
b. Blocks 14-15: Change to 21MAR16-21MAR18
c. Blocks 41/43: MOBILIZATION: NAVAL SECURITY FORCE JEBEL ALI
3. If there are any questions, I can be reached at commercial (123) 987-6543

(Signature)

Copy to:
MA2 Price
FOR OFFICIAL USE ONLY PRIVACY SENSITIVE

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BUPERSINST 1610.10F, 1 Dec 2021

3-3. Letter-Extension of Reports. Commands may extend previously submitted reports by letter for up to 3 months in place of another report occasion (e.g., Periodic or Detachment of Reporting Senior report). Exception: Commands may not extend a previously submitted Promotion/Frocking or Detachment of Individual report in place of another report occasion. Letter extensions may not change or add to the performance traits or grade/rate, comments, or promotion recommendation on the original report, but may add to the duties performed and qualifications attained (block 29). More than one extension may be submitted, but a report may not be extended for a cumulative period of more than 3 months (including terminal leave), or if it will result in a total report period exceeding 15 months. Submit letter extensions to PERS-32 and provide a copy of the letter extension to the member. PERS-32 will reject and return any letter extension that does not meet the criteria discussed in this chapter for correction. See exhibit 3-1 for a sample letter extension.

Exhibit 3-1, Letter of Extension Example