Looking for help now? Contact your local Health Safety & Work Life Regional Practice or Military OneSource for military members and their families or Federal Occupational Health for civilian employees and their families.

Office of Work-Life Programs : Ombudsman Program - Forms and Sample Documents

Attachment	Document Name
Attach 1	COMDTINST 1750.4 (series)
Attach 2	Sample Waiver Request
Attach 3	Leadership Spouses Role
Attach 4	Qualities of an Ombudsman
Attach 5	Sample Flyer
Attach 6	Application Form CG-6078
Attach 7	Position Description
Attach 8	Sample Interview Questions
Attach 9	Family Check-in Form for Ombudsmen CG-1750.4
Attach 10	Sample Appointment Memo
Attach 11	Volunteer Agreement DD Form 2793
Attach 12	Invitational Travel Order (under development)
Attach 13	Sample Newsletter
Attach 14	Coast Guard Social Media Handbook (v.2015)
Attach 15	Role of Ombudsman in Crisis or Disaster
Attach 16	Ombudsman Registry Guide for Commanders/Command Designees
Attach 17	Orientation Meeting
Attach 18	Sample Termination for Cause Memo
Attach 19	Sample Appreciation Letter
Attach 20	Appreciation Certificate
Attach 21	Ombudsman Registry User Guide for Ombudsmen
Attach 22	Ombudsman Program Brochure (for personalization) - Word (.docx)
Attach 23	Ombudsman Checklist for Command Cadre
Attach 24	Claim for Reimbursement for Expenditures on Official Business, OF 1164