Uniforms and Appearance

U.S. DEPARTMENT OF HEALTH COMMISSIONED CORPS INSTRUCTION

AND HUMAN SERVICES

CCI 412.01

EFFECTIVE DATE: 8 August 2022

By Order of the Assistant Secretary for Health:

ADM Rachel L. Levine, M.D.

SUBJECT: Uniforms and Appearance

1. PURPOSE: This Instruction prescribes the official policy governing uniform regulations for officers

of the U.S. Public Health Service (USPHS) Commissioned Corps. This Instruction provides

information of a general or miscellaneous nature, while other uniform related Instructions deal with

certain specific uniform topics.

2. APPLICABILITY: This Instruction applies to all officers on active duty, and applicants to the Regular

Corps and Ready Reserve Corps of the USPHS Commissioned Corps.

3. AUTHORITY:

3-1. 42 U.S.C. § 216(a)

, "Regulations"

3-2. 42 U.S.C. § 217

, “Use of Service in Time of War or Emergency”

3-3. 42 U.S.C. § 238g

, “Wearing of Uniforms”

3-4. 18 U.S.C. § 702

, "Uniform of Armed Forces and Public Health Service"

3-5. Executive Order 11140

, "Delegating Certain Functions of the President Relating to the

Public Health Service"

3-6. 68 FR 70507

, "Statements of Organizations, Functions, and Delegations of Authority"

3-7. Commissioned Corps Directive (CCD) 131.01

, "Uniform Regulations"

4. PROPONENT: The proponent of this Instruction is the Assistant Secretary for Health (ASH). The

Surgeon General (SG) is responsible for providing supervision of activities relating to the day-to-

day operations of the USPHS Commissioned Corps. The Director, Commissioned Corps

Headquarters (CCHQ), provides overall management of USPHS Commissioned Corps personnel

operations and processes.

5. SUMMARY OF REVISIONS AND UPDATES: This is the seventh issuance of this Instruction within

the electronic Commissioned Corps Issuance System (eCCIS) and replaces Commissioned Corps

Instruction (CCI) 412.01, “Uniforms and Appearance,” dated 29 July 2020. This version:

CCI 412.01 Uniforms and Appearance 8 August 2022

5-1. Provides updates to the limitations/requirements related to tattoos and moves such

guidance from Section 6-8.l. to its own Section 6-9.;

5-2. Adds a sentence that “PHS officers should use discretion and good judgement regarding

the application and display of tattoos”;

5-3. Removes the restriction on tattoo size;

5-4. States that this policy applies to ultra-violet tattoos;

5-5. Adds language so list of extremist tattoos to forbid tattoos advocating discrimination against

sexual orientation and gender identity, advocating terrorism, or supporting the overthrow

of the U.S. Government. It also now forbids obscene or indecent tattoos;

5-6. Modifies permitted locations for tattoos to include chest and back (although these must be

covered), and lower arm. The policy does not forbid tattoos on the leg or foot;

5-7. Adds new sections on applicants and officers including an optional advance content review

for officers before they get a new tattoo. Both applicants and officers must complete

Appendix B listing their tattoos;

5-8. Allows the Director, CCHQ, or designee to approve tattoos;

5-9. Removes tattoo waivers;

5-10. Removes the requirement in Appendix B that the Director, CCHQ, approve all new tattoos

on exposed skin; and

5-11. Changed the maximum ponytail length in Section 6-8.a.

CCI 412.01 Uniforms and Appearance 8 August 2022

6. POLICY:

6-1. Purpose. The uniform, with its various insignia and devices, is designed primarily to enable

people to identify officers on sight. It also indicates at a glance the wearer's grade. It serves

as a visual indication of the authority and responsibility imposed by law on a commissioned

officer.

Except as may be authorized by regulations of the President, only a commissioned officer

of the Service can wear the insignia, devices, and uniforms of the USPHS Commissioned

Corps, or any distinctive part of such uniform.

a. Definitions:

(1) Conspicuous. Obvious to the eye, attracting attention, striking, bright in

color. Officers should avoid being conspicuous and instead blend with (not

stand out from) a professional appearance in uniform. What is

conspicuous on one person may not be noticeable on another. If attention

is naturally drawn to or detracts from the professional appearance, it is

conspicuous.

(2) Conservative. Not conspicuous or detracting from the professional

appearance while in uniform.

(3) Faddish. A style followed for a short period of time with exaggerated zeal.

Styles are enduring; fads are generally short in duration and frequently

started by an individual or event in the civilian community. Fads are

generally conspicuous and detract from a professional appearance.

(4) Complements Skin Tone. A conservative color which contributes to the

wearer's natural skin tone. Conservative colors are generally

inconspicuous and do not detract from a professional appearance in

uniform.

6-2. Authorized Uniforms Worn. All officers in uniform must wear:

a. Only the uniform and rank insignia appropriate to the officer’s pay grade, as

annotated in their official personnel orders;

b. Only authorized and regulation uniform items; and

c. No badges, ribbons, medals, insignia, or other accoutrements not specifically

authorized for the officer in accordance with USPHS Commissioned Corps

policies, or those that have not been annotated in an officer’s electronic Official

Personnel Folder (eOPF).

6-3. National Uniform Authority (NUA).

The SG is the NUA for all Regular Corps and Ready Reserve Corps officers on active duty.

The SG may further delegate this uniform authority to a Local Uniform Authority (LUA), as

appropriate.

a. This includes officers on detail or deployment under orders from the Office of the

Surgeon General (OSG) and Ready Reserve Corps officers serving on tours of

extended active duty and short tours of duty.

CCI 412.01 Uniforms and Appearance 8 August 2022

b. This does not include officers on extended active duty who are in the

Commissioned Officer Student Training and Extern Program (COSTEP), full-time

students and faculty of the Uniformed Services University of the Health Sciences

(USUHS), officers assigned to the U.S. Coast Guard (USCG), or officers detailed

to any Department of Defense (DoD) component.

6-4. Unauthorized Wearing of the Uniform. Wearing the USPHS Commissioned Corps uniform

is prohibited under any of the following circumstances:

a. At any meeting or demonstration which is a function of, or sponsored by an

organization, association, movement, group, or combination of persons which the

Attorney General of the United States has designated, pursuant to

Executive Order

10450 as amended, as totalitarian, fascist, communist, or subversive, or as having

adopted a policy of advocating or approving the commission of acts of force or

violence to deny others their rights under the Constitution of the United States by

unconstitutional means or to violently overthrow the United States government;

b. During or in connection with political activities, private employment, or commercial

interest when wearing the uniform could be interpreted as official sponsorship by

the USPHS Commissioned Corps of the activity or interest. Officers are expected

to follow the guidelines and regulations in 45 C.F.R. Part 73

, as amended;

c. When participating in activities which are not part of an officer’s official duties such

as picket lines, marches, rallies, or any public demonstration when wearing the

uniform could be interpreted as USPHS Commissioned Corps support of the

principles of the demonstration or activity (unless authorized in advance by the SG

or designee);

d. When wearing the uniform would discredit any or all of the Uniformed Services,

the Federal Government, and/or the Department of Health and Human Services

(Department or HHS);

e. Using the inherent prestige and traditions represented by the uniform to promote

privately held convictions on public issues or for personal gain; and

f. While attending or participating in a demonstration, assembly, or activity knowing

that a purpose of attending the demonstration, assembly, or activity is to support

personal or partisan views on political, social, economic, or religious issues.

Exceptions are:

(1) When the activity is authorized in advance by the SG or designee; and

(2) When incident to attending or participating in a bona fide religious service

or observance.

6-5. Officers' Appearance.

a. General. The primary consideration is for officers to present a neatly groomed

appearance while wearing USPHS Commissioned Corps uniforms. The USPHS

Commissioned Corps bases its grooming standards on several elements

including: neatness, cleanliness, safety, image, and appearance. The standards

established here are not intended to be overly restrictive nor are they designed to

isolate officers from society. This Instruction sets reasonable limits and ensure that

personal appearance contributes to a favorable uniformed image. The difference

between men’s and women’s grooming policies recognizes the difference between

the sexes; including sideburns for men and different hairstyles and cosmetics for

CCI 412.01 Uniforms and Appearance 8 August 2022

women. Establishing identical grooming and personal appearance standards for

men and women would not be in the USPHS Commissioned Corps’ best interest

and would not be a factor in the assurance of equal opportunity. Because it is

impossible to provide examples of every appropriate or unacceptable hairstyle or

of “conservative” or “eccentric” grooming and personal appearance, good

judgment of leaders at all levels is key to enforcement of this Instruction. Therefore,

it should suffice to state that officers’ hair/grooming/personal appearance while in

uniform must present a neat, professional appearance.

b. Smartness and Image. USPHS Commissioned Corps personnel must set and

maintain high standards of smartness in uniform appearance. The Uniformed

Service image reflected by attention to detail while wearing the uniform is a key

element in the public image of the USPHS Commissioned Corps. With the

exception of the Coveralls and the Operational Dress Uniform (ODU), sleeves of

any long sleeved shirt or sweater must be worn down at all times. Shirt or sweater

sleeves must not be scrunched or pushed up from the wrist area.

(1) While walking in uniform, officers must not eat, drink, or chew gum.

(2) Officers must not place hands in their pockets of any uniform component

except when obtaining or storing an item.

(3) Officers must not store items in pockets if they produce a bulky

appearance.

c. Cleanliness. Officers must keep uniforms scrupulously clean, with lace, devices,

and insignia bright and free from tarnish and corrosion. All uniforms must be in a

serviceable condition at all times. A uniform is unserviceable if it has: missing

buttons, defective zippers, broken laces, obvious stains, tears, holes, pilling of

uniform material, rips, or other flaws.

d. Military Creases. Military creases on shirts are an individual option. The USPHS

Commissioned Corps does not authorize the use of sewn-in creases added by the

officer. Military creases are formed on the shirt by pressing two vertical creases on

the front of the shirt, midline of the front pockets, and three evenly spaced vertical

creases on the back of the shirt.

e. Tailoring of the Uniforms. Officers may tailor uniforms to provide a well-fitting,

professional uniformed or military appearance. But they must not alter them to the

extent of detracting from a uniform or military appearance, nor beyond the point of

presenting a tight or form fit.

f. Care of the Uniform. Officers can obtain the longest service from the various

uniform articles only by proper care and maintenance. This information is

presented to help officers prolong the useful life and distinguished appearance of

USPHS Commissioned Corps’ uniforms and equipment. Even new, properly fitted

uniforms will not continue to look their best or keep their shape unless cared for

properly. For instance:

(1) Carrying large or heavy objects in pockets will quickly destroy the shape

of the best uniform.

(2) Uniforms should be stored on hangers.

CCI 412.01 Uniforms and Appearance 8 August 2022

(3) If uniforms are to be stored for a long time, they should be cleaned

thoroughly, and then packed away in a cloth garment bag with a packet of

desiccant (drying agent) for maximum preservation.

(4) Dry cleaning and/or machine-washing of uniforms should occur frequently.

(5) A highly pressed uniform looks best.

(6) Uniforms should never be worn with visible stains.

(7) Embroidered insignia may be kept bright by occasional scrubbing with a

nailbrush and a diluted ammonia solution. This should be done as soon as

a tarnished look is noted. Metal insignia should be cleaned with regular

soap to look bright.

(8) Uniforms that have a “shiny” appearance due to over-starching or being

ironed or dry cleaned at the improper temperature are unserviceable.

g. Lanyards or other identification card/badge holders must be conservative and

inconspicuous in nature. Lanyards must not display a commercial logo (e.g.,

pharmaceutical brand name or logo, logo of a government contractor, etc.) that

may give the appearance of an endorsement of a product or service by the federal

government. Lanyards may be constructed in a manner to allow for an easy “break-

away” clasp or tab.

h. Waivers for wear. If an officer has a medical waiver to not wear a specific uniform

component, to wear a modified component, or to not wear a uniform (e.g., shoe

waiver, medical waiver due to cast or splint, etc.) the officer must ensure the waiver

is on file with the Medical Affairs Branch (MAB), Commissioned Corps

Headquarters (CCHQ). The officer must also produce a copy of the waiver upon

request. The USPHS Commissioned Corps will not consider allergies to any or all

uniform materials as sufficient reason for requesting a waiver.

6-6. Uniform Allowance.

a. An officer serving on active duty status is eligible for the one-time $250 uniform

and equipment allowance when required to wear the uniform.

b. A officer is not eligible to receive the uniform and equipment allowance in the

following circumstances:

(1) When he/she has been paid such allowance previously by the USPHS

Commissioned Corps thus precluding any further allowance any time

thereafter, this includes previous calls to active duty within the USPHS

Commissioned Corps;

(2) After a form PHS-1373

, "Separation of Commissioned Officer," has been

submitted; and/or

(3) After the first 30 days of a Commissioned Officer Student Training and

Extern Program (COSTEP) tour of duty.

6-7. Articles.

a. Officers must not allow any articles to protrude from or be visible through the

uniform, including such items as electronic pagers, cellular phones, or personal

CCI 412.01 Uniforms and Appearance 8 August 2022

digital assistants (communication devices). This also includes, other items such as

pencils, pens, watch chains, key chain fobs, pins, jewelry, combs, large wallets,

cigars, cigarettes, pipes, or any other visible items. (Note: Jewelry, tie clasps, cuff

links, shirt studs, and earrings must be worn as prescribed.)

When an officer in uniform wears a communication device, it must be worn neatly,

be conservative in color and design, and not be a distraction from the appearance

of the uniform. When wearing a service or working uniform, the officer must wear

any device on either side of the hip behind the elbow so that it is not visible from

the front. When wearing a dress uniform, the officer must ensure that devices are

not visible (i.e., bulging or protruding) by observers. In addition, the wear and use

of these devices must not interfere with proper rendering of military courtesies and

honors, nor violate local, state, or federal laws. When the officer is not wearing or

using a device, the officer must keep the device at the side of the left leg or in the

left hand when rendering salutes or proper military courtesies or honors.

Unless an officer is in a response or emergency preparedness billet, officers are

restricted to the wear of only one electronic device. If multiple communication

devices are authorized by the NUA, the officer must not wear more than two

electronic devices. Officers must not talk, text, or otherwise use their

communication device while walking, except in performance of official duties and

in a safe manner (i.e., not while crossing the street, operating a motor vehicle or

machinery, etc.)

The use of an earpiece, Bluetooth technology, headsets, or other hands-free

devices while in uniform is prohibited unless specifically authorized for the

execution of official duties. However, the USPHS Commissioned Corps allows

uniformed officers to use hands-free devices in a vehicle when authorized/required

by local, state, and federal law. Use of hands-free devices may be further restricted

at the local duty station level or at the discretion of military installation

commanders. DoD regulations requires hands-free devices when driving on a

military installation.

b. Bags. Bags (e.g., briefcases, gym bags, backpacks, laptop bags, lunch bags,

suitcases, and garment bags, etc. (but not women’s handbags or purses)) must be

hand carried with the following exceptions:

(1) Officers may wear bags when riding a bicycle or motorcycle;

(2) Officers may wear bags on the left shoulder when wearing service or

working uniforms;

(3) Officers must not wear the case or bag with the strap and bag on opposite

sides of the body (diagonally); and

(4) Officers may wear backpacks over both or either shoulder when wearing

service or working uniforms. Officers will carry backpacks in their left hand

when in a dress uniform (i.e., Service/Full Dress Blue, Service/Full Dress

White).

All hand-carried bags and other bags, including luggage, when possible, must be

carried or placed on the officer’s left side to facilitate saluting. All bags must be

closed with their contents not visible (officers in correctional settings are excluded

if local policy dictates differently) and be in a serviceable condition. All bags must

be black, brown (optional when wearing a khaki uniform), or navy blue, except for

the olive drab GI Duffel Bag. The USPHS Commissioned Corps does not allow

CCI 412.01 Uniforms and Appearance 8 August 2022

any ornamentation on the bags except for an official USPHS Commissioned Corps

logo in yellow or the bag manufacturer’s logo (provided the bag manufacturer’s

logo is small and does not detract from the uniform). The USPHS Commissioned

Corps does not authorize logos from commercial and HHS OPDIV/

STAFFDIV/non-HHS organizations to which officers are assigned except that

officers can carry a bag issued by the Commissioned Officers Association of the

U.S. Public Health Service, the Association of Military Surgeons of the United

States, Society of American Military Engineers, or the Reserve Officers

Association to their annual meetings only, but not on a routine daily basis. All bags

used while in dress uniform must be hand carried. Officers must carry women’s

handbags over the left shoulder or forearm, placing the top of the handbag at waist

level with all uniforms (see CCI 421.02

, “Uniforms for Female Officers,” for

handbag description).

c. Glasses. The USPHS Commissioned Corps does not permit eccentric or faddish

glasses. Retainer straps are authorized for foreign object damage (FOD) risk and

safety only. If retainer straps are required, they must be plain, black, and worn

snugly against the back of the head.

d. Sunglasses. Conservative sunglasses are permitted, except indoors, or in

organized formations (with exceptions for medical reasons, in which case

documentation must be on file with MAB, CCHQ). The USPHS Commissioned

Corps authorizes retainer straps for FOD risk and safety only. If retainer straps are

required, they must be plain, black, and worn snugly against the back of the head.

e. Contact lenses. Tinted contact lenses must be of a natural eye color (blue, green,

brown, etc.). The USPHS Commissioned Corps does not authorize designs,

faddish colors, or ornamentation of the lenses.

f. Undergarments. Officers must wear appropriate undergarments to preserve the

dignity and appearance of the uniform. When wearing a white uniform, an officer

must wear white or the wearer’s skin-toned undergarments. Undergarments must

be plain and design free.

6-8. Personal Appearance.

a. Hair. Because it is impossible to provide examples of every appropriate or

unacceptable hairstyle or of “conservative” or “eccentric” grooming and personal

appearance, the good judgment of leaders at all levels is key to enforcement of

the grooming policy. Therefore, an officer’s hair/grooming/personal appearance

while in uniform must present a neat, professional appearance.

(1) Men. Male officers must keep hair neat, clean, and well groomed. Hair

above the ears and around the neck must be tapered from the lower

natural hairline upwards at least 3/4 inch and outward not greater than 3/4

inch to blend with hairstyle. Hair must be kept no longer than four inches

and may not touch the ears, collar, extend below eyebrows when

headgear is removed, show under front edge of headgear, or interfere with

properly wearing military headgear. No portion of the bulk of the hair can

exceed approximately two inches in depth as measured from the scalp,

and hair on the back of the neck must not touch the collar. Hair coloring

must look natural and complement the individual. Varying hairstyles are

permitted if these styles meet the criteria of maximum length and bulk,

tapered neck and sides, and do not interfere with properly wearing military

headgear. Officers must keep sideburns neatly trimmed and tailored in the

same manner as the haircut. Sideburns must not extend below a point

CCI 412.01 Uniforms and Appearance 8 August 2022

level with the middle of the ear, be of even width (not flared), and end with

a clean shaven horizontal line.

(2) Women. Female officers must keep hair neat, clean, and well

groomed. Hair coloring must look natural and complement the individual.

Haircuts and styles must present a balanced appearance. The USPHS

Commissioned Corps does not permit pigtails, widely spaced individual

hanging locks, and braids which protrude from the head. The USPHS

Commissioned Corps authorizes multiple braids. Braided hairstyles must

be conservative and conform to the guidelines listed herein. When an

officer wears a hairstyle of multiple braids, her braids must be of uniform

dimension, small in diameter (approx. 1/4 inch), and tightly interwoven to

present a neat, professional, well-groomed appearance. Officers must not

braid foreign material (i.e., beads, decorative items) into the hair. The

appropriateness of a hairstyle also will be judged by its appearance when

headgear is worn. All headgear should fit snugly and comfortably around

the largest part of the head without distortion or excessive gaps. Hair must

not show from under the front of authorized covers. When in uniform, the

hair may touch, but not fall below a horizontal line level with the lower edge

of the back of the collar. However, the USPHS Commissioned Corps

authorizes female officers to wear their hair below the lower edge of the

collar of the blouse, jacket, or coat of the Dinner Dress Uniform. No portion

of the bulk of the hair can exceed approximately two inches in depth as

measured from the scalp. A maximum of two small barrettes/combs/clips,

similar to hair color, may be used in the hair. Additional bobby pins or

rubber bands matching hair color may be used to hold hair in place, if

necessary.

(a) Ponytail - A ponytail is a hairstyle in which the hair on the head is

pulled away from the face, gathered, and secured at the back of

the head with an approved accessory. Hair extending beyond the

securing accessory may be braided or allowed to extend naturally.

The following criteria pertain to the wearing of ponytail hairstyles

while wearing the USPHS Commissioned Corps’ uniform. Ponytail

hairstyles must not interfere with the proper wearing of military

headwear and equipment nor extend below a horizontal line

running between the top of each sleeve inseam at the under arm

through the shoulder blades. Additionally, ponytails must not

extend outward more than three inches behind the head as

measured from the securing accessory nor can the width exceed

the width of the back of the head or be visible from the front. The

wear of a single braid, French braid, or a single ponytail is

authorized in Service, Working, and physical training (PT)

uniforms. The initial accessory for the ponytail must not be visible

when facing forward. Authorized accessory devices must be

consistent with the color of the hair. In spaces or environments

where there are operational hazards such as rotating gear, etc.,

the hair may not be worn below the bottom of the collar.

(b) Locs Hairstyle – Locs (also known as dreads or dreadlocs)

consists of one section of hair that twists from or near the root to

the end of the hair and creates a uniform ringlet or cord-like

appearance. Locs may be loose (free-hanging where no hair is

added to the loc once it is started other than hair extensions that

are attached to natural hair). Officers may wear faux locs provided

the hairstyle complies with female hair grooming requirements.

CCI 412.01 Uniforms and Appearance 8 August 2022

Officers may not wear locs in combination with other hair styles

(e.g., twists, braids). For the purpose of grooming standards,

officers may wear the loc hairstyle in short, medium, and long hair

lengths in the following manner:

(i) Locs must continue from the root to the end of the hair in

one direction (no zig-zagging, curving, or ending before

the end of the loc to dangle as a wisp or loose hair) and

should encompass the whole head. Loc partings must be

square or rectangle in shape in order to maintain a neat

and professional appearance.

(ii) Locs can be loose (free-hanging where no hair is added

to the loc once it is started other than hair extensions that

are attached at the end of the natural hair). When worn

loose, locs must be spaced no more than 3/8 of an inch

apart, the diameter/width must not exceed 3/8 of an inch,

and must be tightly interlaced to present a neat and

professional military appearance. Officers may also wear

locs in a bun provided all hair grooming requirements are

met.

(iii) New growth (defined as hair that naturally grows from the

scalp and has not yet been locked) must not exceed 1/2

inch at any time.

(iv) Locs that do not meet the above standards and do not

present a neat and professional military appearance must

not be worn in uniform. Supervisors are responsible for

determining when hairstyles are eccentric, faddish, or out

of standards.

or extend beyond the width of the back of the head. The USPHS

Commissioned Corps authorizes female officers wearing a bun

hairstyle with a command ball cap to position the bun through the

rear opening of the ball cap if the design of the ball cap allows for

wearing the hair and cap in that fashion.

b. Facial Hair. All officers are expected to be either clean shaven or be free of all

extraneous facial hair while in uniform.

(1) Unless a waiver that states the officer may have facial hair for medical

reasons is obtained from the officer’s medical provider and is on file in

MA/CCHQ, the face must be free of facial hair at all times while in uniform.

A copy of the shaving waiver must be kept with the officer and presented

for inspection upon request.

(2) Authorized facial hair, for male officers only, is a mustache.

(a) If a mustache is worn, it must be neatly and closely trimmed.

(b) No portion of the mustache can extend beyond the lip line of the

upper lip.

CCI 412.01 Uniforms and Appearance 8 August 2022

across the corners of the mouth, and no more than ¼ inch beyond

a vertical line drawn from the corner of the mouth.

(d) The length of a mustache must not exceed ½ inch.

(3) Handlebars, goatees, or other eccentric or faddish facial hairstyles are not

permitted at any time.

(4) If a shaving waiver is authorized, no facial/neck hair can be shaved,

neither manicured or outlined, nor exceed ¼ inch in length.

c. Hairpieces. Wigs or hairpieces must be of good quality and fit, natural in

appearance, and conform to the male or female natural hair grooming standards

set forth in this Instruction. They must not interfere with the proper performance of

duty nor present a safety or FOD risk hazard.

Officers in uniform may wear wigs or hairpieces for cosmetic reasons to cover

natural baldness or physical disfigurements.

d. Cosmetics.

(1) Men. Cosmetics are not authorized for men.

(2) Women. Cosmetics may be applied in good taste so that colors blend with

natural skin tone and enhance natural features. The USPHS

Commissioned Corps does not authorize the wearing of exaggerated or

faddish cosmetic styles, including cosmetic or body glitter, with the

uniform. Officers should avoid an artificial appearance and only use

conservative lipstick colors that complement the individual skin tone.

Officers cannot wear long false eyelashes while in uniform.

(a) Cosmetic Permanent Makeup. The USPHS Commissioned Corps

authorizes cosmetic permanent makeup for eyebrows, eyeliner,

lipstick, and lip liner only. Permanent makeup must be in good

taste and blend naturally with the skin tone to enhance a natural

appearance. The USPHS Commissioned Corps does not

authorize exaggerated or faddish cosmetic styles. Approved

permanent makeup colors vary depending on the location.

Eyebrows can be shades of black, brown, blonde, or red that

match the individual’s natural hair color. Eyeliner can be shades of

black, brown, blue, or green that matches the individual’s natural

eye color and must not extend past the natural corner of the eye.

Lip liner and lipstick must be the color of the natural lip or shades

of pink and moderate reds only. Lip liner and lipstick must be the

color of the natural lip or shades of pink and moderate reds

only. The USPHS Commissioned Corps considers permanent

makeup an elective medical procedure that is accomplished by

qualified medical professionals to enhance natural features and

that requires careful planning and consideration of associated

risks and liabilities to the officer.

(b) Requesting Procedures for Cosmetic Permanent Makeup. A

female officer must submit a special request to MAB,CCHQ

expressing her desire to obtain permanent makeup. Along with

the special request form, she must include a description of the

CCI 412.01 Uniforms and Appearance 8 August 2022

procedure facility and the desired feature enhancements. As this

is an elective procedure, the requesting officer may have to pay

the cost of the procedure.

e. Fingernails.

(1) Men. Fingernails for men must not extend past fingertips and must be kept

clean. The tips of the nails may be round to align with the contour of the

fingertip. While the USPHS Commissioned Corps authorizes buffed nails

or clear coat nail polish, it does not authorize colored nail polish for men.

(2) Women. Fingernails must not exceed ¼ inch, measured from the

fingertips, and must be kept clean. The tips of the nails may be round,

almond/oval or square in shape. Officers may wear nail polish, but colors

must be conservative and inconspicuous. A conservative color is one

which contributes to the wearer’s natural skin tone. Conservative colors

are generally inconspicuous and do not detract from the professional

appearance while in uniform. The USPHS Commissioned Corps does not

authorize white, black, red, yellow, orange, green, purple, grey, glitter,

striped or any sort of pattern/decorative nail polish. However, French and

American manicures (white and off-white tips with neutral base color only)

are permitted. The USPHS Commissioned Corps does not authorize

ornate decoration or ornamentation of the fingernail polish.

(a) The USPHS Commissioned Corps authorizes artificial nails as

long as they meet the natural fingernail criteria.

(b) However, the USPHS Commissioned Corps may restrict artificial

nails if infection control or other safety issues are a concern.

f. Jewelry. The USPHS Commissioned Corps authorizes conservative jewelry in

good taste for all personnel while in uniform. Eccentricities, items which draw

undue attention, or faddishness are not permitted. Jewelry must not present a

safety, health, or FOD risk hazard.

g. Hand Rings. While in uniform, rings must be conservative and in good taste. The

USPHS Commissioned Corps does not authorize eccentric or faddish rings. Rings

must consist of natural materials (e.g., metals, stones, or wood) or fabricated

materials (e.g., plastic or silicone) and may be gold, silver, copper, grey, tan,

brown, black, white, or light pink in color. Only one ring per hand is authorized,

plus a wedding/engagement ring set. The USPHS Commissioned Corps

authorizes the double stacking of wedding rings with military academy or

educational institution rings on one hand. Rings must not present a safety, or FOD

hazard. The USPHS Commissioned Corps does not authorize thumb rings.

h. Earrings.

(1) Men. The USPHS Commissioned Corps does not authorize earrings for

men while in uniform, while in civilian attire when in a duty status, or while

participating in any organized USPHS Commissioned Corps activity.

Earrings are not permitted while in/aboard any ship, craft, aircraft, or in

any military vehicle, or visiting any base or other place under military

jurisdiction while in a duty status.

(2) Women. The USPHS Commissioned Corps authorizes female officers to

wear one gold ball earring per ear (centered on the earlobe) while in

CCI 412.01 Uniforms and Appearance 8 August 2022

uniform. Earrings must be 4mm-6mm (approximately 1/8-1/4 inch), plain

with shiny or brushed matte finish, screw-on or with posts. The USPHS

Commissioned Corps authorizes single white pearl earrings or diamond

earrings for wear with Dinner Dress or Service Dress uniforms in lieu of

gold ball earrings; the dimensions for the pearl or diamond earring remain

the same.

i. Body Piercing/Jewelry. Not authorized while in uniform. No articles, other than the

earrings for women specified in Subsection 6-6.h., can be attached to or through

the ear, nose, tongue, eyebrow, or any other visible body part. The USPHS

Commissioned Corps does not authorize body piercing/jewelry even in civilian

attire while in a duty status or while participating in any organized USPHS

Commissioned Corps activity. In addition, body piercing/jewelry is not permitted

while in/aboard any ship, craft, aircraft, or in any military vehicle, or within any base

or other place under military jurisdiction, or visiting any base or other place under

military jurisdiction while in a duty status.

j. Necklaces/Choker. While in uniform, an officer may wear only one necklace and it

must not be visible through the uniform.

k. Wristwatch/Bracelets. While in uniform, the officers can only wear

wristwatches/bracelets that are conservative and in good taste. The USPHS

Commissioned Corps does not authorize eccentric or faddish

wristwatches/bracelets. Bracelets may consist of natural materials (such as

metals, stones, leather, and wood) or fabricated materials (i.e., plastic or silicone)

and may be gold, silver, copper, grey, tan, brown, black, white, or light pink in color.

Officers may only wear one watch and one bracelet simultaneously (one on each

wrist) while in uniform. The USPHS Commissioned Corps does not authorize

officers to wear ankle bracelets while they are in uniform. Wristwatches/bracelets

must not present a safety or FOD hazard.

l. Mutilation. Intentional body mutilations, piercing/branding/intentional scarring or

adding decorative implants on the head, face, neck, scalp, tongue, or exposed skin

are prohibited. Some examples are:

(1) Split or forked tongue;

(2) Foreign objects inserted under the skin to create a design or pattern;

(3) Enlarged or stretched out holes on ears (other than a normal piercing);

(4) Intentional body mutilation, piercing/branding/intentional scarring that is

visible through or outside the uniform clothing such as but not limited to

the scalp, neck, or face; and

(5) Intentional burning/branding creating a design or pattern.

Officers may request waivers from the Director, CCHQ, for prior service and

existing body mutilation, piercing/branding/intentional scarring, or decorative

implants.

m. Dental Ornamentation. The USPHS Commissioned Corps prohibits the use of

gold, platinum, other veneers, or caps for purposes of ornamentation. Teeth,

whether natural, capped, or veneer, must not be ornamented with designs, jewels,

initials, etc. Officers may request waivers from the Director, CCHQ for prior service

and existing dental ornamentation.

CCI 412.01 Uniforms and Appearance 8 August 2022

6-9. Tattoos/Body Art. The USPHS Commissioned Corps recognizes the importance of

self-expression and personal values. The USPHS Commissioned Corps does not prohibit

officers and applicants from having tattoos; however, they must adhere to this Instruction

in order to maintain a professional and uniformed service appearance. PHS officers should

use discretion and good judgement regarding the application and display of tattoos. Unless

specifically addressed elsewhere in this Instruction, this section applies to all tattoos

(including those only visible or apparent with the use of ultra-violet light), as well as all other

forms of body art such as scarification, branding, subdermal implants, and scalpelling.

a. Limitations. The USPHS Commissioned Corps does not limit the number or size

of tattoos that an officer or applicant may have provided they meet the

requirements listed below. However, though there is no limit on the size of tattoos

an officer may have on their body, at all times when in uniform, officers with tattoos

that exceed the length/width dimensions of a dollar bill (6.14 x 2.61 inches) must

wear authorized uniform components that cover any such tattoo.

(1)

Content. The USPHS Commissioned Corps prohibits tattoos that are

prejudicial to good order, discipline, and morale or are of a nature that

could bring discredit upon the USPHS Commissioned Corps. These

include, but not limited to, tattoos that are illegal drug-related, gang-

related, extremist, obscene or indecent, sexist, or racist, as further defined

below:

(a)

Extremist. Extremist tattoos are those associated with, depicting,

or symbolizing extremist philosophies, organizations, or activities.

Extremist philosophies, organizations, and activities are those that

advocate racial, gender, or ethnic hatred or intolerance; advocate,

create, or engage in unlawful discrimination based on race, color,

gender, ethnicity, religion, national origin, sexual orientation, or

gender identity; advocate violence or other unlawful means of

depriving individuals of their rights under the U.S. Constitution and

federal or state law; advocate, engage in, or support terrorism;

advocate, engage in, or support the forceful, violent,

unconstitutional, or otherwise unlawful overthrow of the

government of the United States, any state, commonwealth,

district, or territory of the United States; or advocates, engages in,

or encourages others to violate laws or disobey lawful orders or

regulation for the purpose of disrupting uniformed service

activities.

(b)

Obscene or Indecent. Obscene or indecent tattoos are those that

are grossly offensive to modesty, decency, propriety, or

professionalism; or those that reflect a form of immorality relating

to sexual impurity which is grossly vulgar, obscene, and repugnant

to common propriety, or whose appearance tend to excite sexual

desire or deprave morals with respect to sexual relations.

(c)

Sexist. Sexist tattoos are those that degrade or demean a person

based on gender.

(d)

Racist. Racist tattoos are those that degrade or demean a person

based on race, ethnicity, or national origin.

(2)

Location. The USPHS Commissioned Corps prohibits officers from having

tattoos on body parts outlined in this section.

CCI 412.01 Uniforms and Appearance 8 August 2022

(a)

On or above the neck. The USPHS Commissioned Corps

prohibits any tattoo on or above the neck or on the head, including

on the scalp (even if covered by the officer or applicant’s hair), and

including in or around the mouth. For the purposes of this

Instruction, the neck is defined as the portion of the body above

the collarbone in the front area and above the seventh cervical

vertebrae (C7) in the back area.

(b)

Chest or Back Tattoos. The USPHS Commissioned Corps

prohibits tattoos on the chest or back that are above the

collarbone and seventh cervical vertebrae (C7). Permitted tattoos

on the chest or back must be covered by wearing a properly fitting

crew-neck t-shirt with no portion of the tattoo showing. If a tattoo

is visible in the “V” area created by the open collar of the uniform

(below the collarbone), the officer must wear a crew-neck t-shirt

to cover it.

(c)

Hand and Lower Arm. The USPHS Commissioned Corps prohibits

tattoos on the hand. Tattoos on the lower arm are permissible, so

long as they extend down no further than an inch above the hand

and meets the other requirements of Section 6-9.

(d)

Finger. The USPHS Commissioned Corps prohibits tattoos on the

fingers, with the exception of a single band tattoo, not to exceed

3/8 inch in width, on one finger.

Applicants. Applicants to the USPHS Commissioned Corps who have any tattoo(s)

must complete Appendix B of this Instruction, “Tattoo/Body

Art/Brand/Piercing/Dental Ornamentation Statement of Understanding.”

(1)

The Director, CCHQ, or designee will review all such submissions for any

violations of this Instruction.

(2)

The USPHS Commissioned Corps will not consider applicants with

tattoos(s) that violate Section 6-9.a. for appointment. The USPHS

Commissioned Corps will give applicants the option of removing the tattoo

and then reapplying.

Officers. Commissioned officers, including officers of the Ready Reserve Corps,

must continuously comply with the requirements of Section 6-9.

(1)

Optional Advance Content Review. Officers who wish to get a new tattoo

may request an advance content review from the Director, CCHQ, or

designee. Officers seeking an advance content review must submit a

description and rendering of the proposed tattoo and any supporting

documentation.

(2)

Officers must complete Appendix B of this Instruction for any new tattoo

they get, even if they choose to request an advance content review

pursuant to Section 6-9.c.(1).

No Coverings for Submissions. When completing Appendix B, applicants and

officers must not use any articles of clothing, bandages, jewelry, or any other

accessories to cover tattoos that would otherwise be visible.

CCI 412.01 Uniforms and Appearance 8 August 2022

Cosmetic Tattoos. The USPHS Commissioned Corps authorizes cosmetic

tattooing to correct conditions requiring such treatment. Cosmetic tattooing refers

to medical or surgical procedures conducted by licensed, qualified medical

personnel. The officer or applicant must retain documentation proving these

tattoos corrected medical conditions and provide a copy to the USPHS

Commissioned Corps.

Accountability. Officers who violate this policy may be subject to disciplinary action

and/or other administrative proceedings, including involuntary separation from the

USPHS Commissioned Corps.

6-10. Wear of the Uniform by Retired Officers and Ready Reserve Corps Officers.

a. Retired officers and Ready Reserve Corps officers not on active duty or inactive

duty for training (or similar duty) may wear the prescribed uniform of the rank held

on the retired or ready reserve/inactive list:

(1) On occasions of ceremony, military funerals, memorial services,

weddings, and inaugurals;

(2) Patriotic parades or ceremonies in which any active or reserve Uniformed

Service is taking part; and

(3) When attending the USPHS Scientific and Training Symposium, or any

other professional conference where members of the USPHS

Commissioned Corps typically attend and the majority of attendees are

uniformed service members.

(4) Wearing the uniform does not entitle the retired or Ready Reserve Corps

officer to any change in duty status, entitlements, benefits, compensation,

or privileges.

(5) Wearing of the uniform for other purposes is prohibited unless the Director,

CCHQ, without further delegation, authorizes the wear of the uniform in

specific circumstances. In all cases, see the restrictions on wearing the

uniform outside the United States in Subsection 6-13.

b. The uniform worn by retired officers and Ready Reserve Corps officers must

conform to current regulations or to the regulations that were in effect at the time

of the officer’s retirement. However, this does not include personal appearance or

grooming standards. Retired officers and Ready Reserve Corps who choose to

wear a uniform in situations as described in subsection 6-9.a.(1-3) must comply

with current personal appearance and grooming standards (e.g., beards are not

authorized unless as described in subsection 6-8.b.). Retired officers and Ready

Reserve Corps officers called to active duty must wear the appropriate uniform,

accoutrements, and/or articles as directed by the NUA or LUA, and must abide by

the current uniform regulations as of the date of activation.

6-11. Officers Assigned to Other Uniformed Services.

a. Officers assigned to the USCG for extended active duty (i.e., duty other than

temporary duty) must wear the uniform prescribed for wear by USCG officers as

required by USCG directives, regulations, and memorandums of agreement or

understanding; the insignia and distinctive markings of the USCG uniforms include:

(1) USPHS shoulder boards or marks;

CCI 412.01 Uniforms and Appearance 8 August 2022

(2) USPHS cap and USPHS Commissioned Corps devices;

(3) USPHS sleeve insignia; and

(4) USPHS buttons on the uniform jacket and cover.

Ready Reserve Corps officers, who participate in USCG activities by invitation

from the USCG and with the permission of the OSG, may wear the USCG uniform

as described above when so participating.

b. Officers detailed or assigned to a Uniformed Service other than the USCG for

extended active duty (i.e., duty other than temporary duty) must, if required under

the provisions of the detail agreement, wear the uniform of that service which is

appropriate to the officer’s grade. In this instance, the officer must wear the uniform

as prescribed in the regulations of the assigned service.

If the detail agreement does not specifically provide that the officer is not to wear

the USPHS Commissioned Corps uniform or the uniform of the service to which

the officer is assigned, the officer can wear the USPHS Commissioned Corps

uniform that most closely corresponds to the type of uniform prescribed for wear

by officers of that service in similar assignments.

6-12. Wear of Civilian Clothing on Military Installations. When visiting military installations

(including facilities of the USCG and the National Oceanic and Atmospheric

Administration), whether on official business or on personal business, officers not wearing

a uniform must wear neat, tasteful clothing appropriate to the activity. Except when

participating in sporting or exercise activities, officers should not wear gym shorts, exercise

suits, tank tops, and similar clothing while on military installations.

6-13. Travel Uniform.

a. Travel by Non-Military Conveyances. For official travel within the United States, an

officer may wear the uniform prescribed in Subsection 6-12., or appropriate civilian

attire. For official travel outside the United States, officers will normally wear

appropriate civilian attire (see Subsection 6-13.).

b. Travel by Military Conveyance. While the USPHS Commissioned Corps authorizes

active duty officers traveling in military-owned or military-controlled conveyances

to wear civilian clothing, they strongly encourage active duty officers to wear the

USPHS Commissioned Corps uniform, as prescribed in Subsection 6-12., except

in the following circumstances:

(1) The officer must not wear the uniform when military officials advise that

entry requirements into a foreign area of destination prohibit wearing the

uniform (officers should contact the local Air Mobility Command terminal

for the status of the country, as given in the Air Force Foreign Clearance

Guide);

(2) The officer must not wear the uniform when military officials or the U.S.

Department of State advise that the traveler will be passing through high-

risk areas with respect to terrorist activities or social or political unrest;

(3) The officer must wear the uniform when the service that is providing the

conveyance require its travelers to travel in uniform; or,

CCI 412.01 Uniforms and Appearance 8 August 2022

(4) Officers must wear the uniform when the officer in charge of a group (two

or more) of USPHS Commissioned Corps officers traveling together

specifies, in accordance with all rules and regulations, that the uniform will

be worn.

6-14. Prescribed Uniforms.

a. Official Travel. Service Dress Blue (SDB) or as specified in orders (see CCI 712.05

“Space-Required Travel on Military Aircraft”).

b. Unofficial Travel.

(1) SDB, or

(2) USPHS Commissioned Corps uniform of the day for the area of

destination.

6-15. Wear of Uniform Outside the United States. In accordance with international agreements

on the status of forces, officers are generally not permitted to wear the uniform outside the

United States unless they are assigned to another Uniformed Service whose regulations

permit wearing the uniform. However, the SG may authorize officers to wear the USPHS

Commissioned Corps uniform outside the United States under certain circumstances.

Authorization must be obtained in advance by writing to:

Office of the Surgeon General

1101 Wootton Parkway, Suite 300

Rockville, MD 20852

The request for authorization should include:

a. The identification of the officer(s) involved;

b. The nature of the assignment;

c. The places and dates the uniform is to be worn; and

d. The reasons why wearing the uniform would be helpful in the performance of duties

or otherwise appropriate.

6-16. Tobacco. The use of tobacco and/or tobacco products is prohibited while in uniform.

a. Tobacco and tobacco products include, but are not limited to, cigars, cigarettes,

electronic cigarettes (e-cigarettes), stem pipes, water pipes, hookahs, and

smokeless products that are chewed, dipped, or snuffed.

b. Officers must abide by the regulations of the Department, HHS OPDIV,

STAFFDIV, non-HHS organization to which assigned, or other Uniformed Services

when on an installation, base, post, station, military medical treatment facility, or

other Federal, State, Local, Tribal, Department of Defense, Department of

Homeland Security, or Department of Commerce controlled activity in regards to

tobacco use and designated tobacco use areas when not in uniform.

c. Information on how to stop smoking or using tobacco products can be found on

the Surgeon General’s webpage at: http://www.surgeongeneral.gov

7. RESPONSIBILITIES:

CCI 412.01 Uniforms and Appearance 8 August 2022

7-1. The ASH is responsible for establishing policies related to uniforms.

7-2. The SG is responsible for the day-to-day operations of the USPHS Commissioned Corps

and may issue Personnel Operations Memorandums (POM), as necessary, to clarify this

Instruction.

7-3. All officials of HHS OPDIVs/STAFFDIVs/non-HHS organizations to which officers are

assigned, having responsibility for the supervision of Officers, must ensure that officers

under their direction wear the uniform, wear it properly, and adhere to the grooming

standards contained herein.

7-4. All officers are responsible for adhering to the USPHS Commissioned Corps’ uniform

policies and procedures. Officers who wear the uniform improperly, or who exhibit a

careless attitude toward their personal appearance bringing discredit to themselves, to the

Department, and to the USPHS Commissioned Corps, are subject to disciplinary action,

including involuntary separation. Therefore, individual officers and officials should exert

their personal influence, where necessary, as a means of encouraging fellow officers to

wear the uniform properly.

8. PROCEDURES:

8-1. Guidance to Local Uniform Authorities (LUA). The SG is the NUA and may designate LUAs

as appropriate.

a. LUAs operate within the limitations of USPHS Commissioned Corps’ rules

involving uniforms, and the LUA operates within the framework of the NUA’s

Uniform of the Day listing. Each LUA will designate uniforms from the NUA’s

Uniform of the Day listing that are appropriate for the associated climate, and the

types of work conducted in that LUAs area of authority.

b. Uniform authority is to be exercised on a regional basis, ensuring that no officer

comes under the authority of more than one LUA within the same regional area.

c. The LUA determines policy for all HHS OPDIV/STAFFDIV/non-HHS organizations

and officers within the assigned area. If a LUA’s area includes multiple towns or

installations in different environmental areas, the LUA may prescribe different

requirements for the various areas involved.

d. In all cases, the NUA retains final authority in the designation of uniforms, and

uniform wear for the USPHS Commissioned Corps.

e. Supervisors at the local field level may petition the LUA, through the USPHS

Commissioned Corps Liaison, for specific uniform requests or needs for a limited

fixed period of time for a specific event or occasion.

8-2. Selection of Uniforms.

a. Generally, the LUA chooses one uniform of the day for each duty station location.

The LUA must select the uniform of the day from among the “General Purpose

Service Uniforms”. This will be the uniform used for general office work and travel

within the local area. The SDB is always acceptable in a normal office setting. The

NUA determines when a shift is made between the summer and a winter uniform,

if a shift is appropriate for the area involved. The USPHS Commissioned Corps

uses the Dinner Dress, and Ceremonial uniforms on an occasional basis and the

LUA may designate functions at which these uniforms are prescribed.

CCI 412.01 Uniforms and Appearance 8 August 2022

b. A LUA may not prohibit the wearing of the SDB in normal office settings but may

prohibit optional items of that uniform.

c. When selecting uniforms and determining policy in regard to prescribable and

optional items, the LUA should consider climate, working conditions, and

appropriateness of appearance. The LUA will select a uniform of the day and as

many additional working uniforms as are needed, but will not authorize more

uniforms than necessary. The objective is to have the fewest number of uniforms

within a given area that will satisfy requirements, bearing in mind that each officer

must own and maintain all required components of the SDB and ODU.

8-3. Designation of Covered Areas. LUAs may determine those areas, such as a specific area

of connected or adjacent buildings and grounds not including parking areas, which officers

may transit out-of-doors but consider themselves indoors for purposes of meeting uniform

requirements and/or extending service courtesy such as saluting.

a. However, the USPHS Commissioned Corps does not permit LUAs to designate

entire areas, including: campuses, complexes, installations, institutions, research

facilities or parking areas/decks, in which interaction with the general public or

other Uniformed Service members is likely, as covered areas.

b. During evacuations of Federal buildings, whether for a drill or an actual emergency,

all building employees and visitors need to exit in a safe, orderly, and efficient

manner. To facilitate this evacuation, the USPHS Commissioned Corps

designates emergency evacuation assembly points located outside of Federal

buildings as “covered areas” during an evacuation or emergency egress status.

During these times, the USPHS Commissioned Corps does not require officers to

wear a cover while assembled outside Federal buildings.

8-4. Obtaining Uniforms and Accessories.

a. The various USPHS Commissioned Corps uniforms are comprised of the same

articles of clothing as the corresponding uniforms of the U.S. Navy (with the

exception of some optional items and special-purpose/working uniforms). Articles

made for and meeting specifications for U.S. Navy officers may be worn unless

specifically excluded by the applicable Instruction. USPHS Commissioned Corps

uniforms are made distinctive by the wearing of unique USPHS Commissioned

Corps insignia. These include the USPHS Commissioned Corps device, cap chin

strap, cap device, shoulder boards, and buttons. The insignia are described in CCI

431.01

, “Insignia and Devices.”

b. Many Navy Exchange (NEX) retail stores have a uniform shop. The basic articles

of uniform clothing are usually available in these shops. However, the unique

USPHS Commissioned Corps insignia and buttons are typically not stocked in

NEX uniform shops except in the Washington, D.C. area. Insignia, as well as

complete uniforms, may be ordered by mail from the Navy Uniform Support Center,

Chesapeake, VA. An officer may order directly from the Uniform Support Center

Web site (https://www.mynavyexchange.com/

), or by calling 1-800-368-4088.

c. When purchasing uniform clothing items from sources outside of official military

supply sources, officers must make sure each item has a military specification

(milspec) label certifying that the item meets Navy requirements, unless another

Uniformed Service is specified for the particular item, then a milspec label from

that Service must be attached. Shoes and/or boots may not have a specific milspec

label but must meet the criteria of the milspec (e.g., color, heel, style).

CCI 412.01 Uniforms and Appearance 8 August 2022

d. Uniform items may be obtained from any source, provided the items carry a Military

Specification and/or a certification label, except the following which must be

obtained from the indicated official Uniformed Service distribution sources:

(1) Navy.

(a) Shoes, Dress, Brown.

(b) Shoes, Service, Brown.

(d) Sweater, Navy V-neck.

(2) Coast Guard. Operational Dress Uniform and accoutrements.

(3) Army. Cardigan Sweater.

8-5. Application for the Uniform and Equipment Allowance

a. An officer who meets the requirements set forth in Section 6-6. may apply for the

uniform and equipment allowance by submitting a memorandum certifying that

he/she has been directed to wear a uniform and that he/she has not previously

received a uniform allowance from the USPHS Commissioned Corps. The

memorandum should be submitted to:

Financial Services Branch

Commissioned Corps Headquarters

1101 Wootton Parkway, Suite 300

Rockville, MD 20852

b. An officer required to wear a uniform by a special directive, i.e., an assignment not

designated in CCI 411.01

, will submit a copy of the special directive with his/her

certification memorandum.

9. HISTORY: This is the seventh issuance of this Instruction within the eCCIS.

9-1. CCI 412.01, “Uniforms and Appearance,” dated 29 July 2020

9-2. CCI 412.01, “Uniforms and Appearance,” dated 1 May 2018, CCI 612.03, “Uniform and

Equipment Allowance,” and POM 821.01, “Uniform Cover – Emergency Assembly Areas.”

9-3. CCI 412.01, “Uniforms and Appearance,” dated 21 June 2013.

9-4. Commissioned Corps Personnel Manual (CCPM) CC26.3.1, “Uniforms and Appearance,”

dated 2 February 2010.

9-5. CCPM CC26.3.1, “Uniforms and Appearance,” dated 1 March 2009.

9-6. CCPM CC26.3.1, “Uniforms and Appearance,” dated 20 July 2005.

CCI 412.01 Uniforms and Appearance 8 August 2022

Appendix A

Fabric Chart

UNIFORM

COMPONENTS

AUTHORIZED FABRICS

Dinner Dress Blue

Jacket (M and F)

Jacket, Trousers, Skirt

55% Polyester/45% Wool Gabardine, 11.0 oz.

55% Polyester/45% Wool Tropical, 9.0 oz.

100% Wool Gabardine, 11.0 oz.

100% Wool Serge, 12.0 oz.

100% Wool Serge, 15.0 oz.

100% Wool Tropical, 9.0 oz.

Dinner Dress White Jacket

(M and F)

Jacket (Trousers, Skirt

same as Dinner Dress

Blue Jacket)

100% Polyester/Certified Navy Twill, 6.7 oz.

65% Polyester/35% Rayon Gabardine, 8.0 oz.

Dinner Dress Blue (M and F)

Service Dress Blue (M and F)

Coat, Trousers,

Slacks, Skirt

55% Polyester/45% Wool Gabardine, 11.0 oz.

55% Polyester/45% Wool Tropical, 9.0 oz.

100% Wool Gabardine, 11.0 oz.

100% Wool Serge, 12.0 oz.

100% Wool Serge, 15.0 oz.

100% Wool Tropical, 9.0 oz.

Dinner Dress White (M)

Service Dress White (M)

Coat, Trousers

100% Polyester, Certified Navy Twill, 6.7 oz.

Dinner Dress White (F)

Service Dress White (F)

Coat, Slacks, Shirt,

Skirt

100% Polyester, Certified Navy Twill, 6.7 oz.

65% Polyester/35% Rayon Gabardine, 8.0 oz.

Service Khaki (M and F)

Shirt, Trousers,

Slacks, Skirt, Belt,

Cap

100% Polyester, Certified Navy Twill, 6.7 oz.

75% Polyester/25% Wool Tropical, 10 oz.

Summer White (M and F)

Shirt, Trousers,

Slacks, Skirt, Belt

100% Polyester, Certified Navy Twill, 6.7 oz.

Shirt

65% Polyester/35% Cotton Poplin, 4.2 oz.

Trousers, Slacks, Skirt

65% Polyester/35% Cotton Twill, 6.5 oz.

CCI 412.01 Uniforms and Appearance 8 August 2022

Appendix A (continued)

Fabric Chart

UNIFORM

COMPONENTS

AUTHORIZED FABRICS

All Authorized Uniforms

Reefer

Authorized Fabric Utilized by Navy

Gloves, White

Authorized Uniform Gloves Used by Navy

Ear Flaps (band or no

band)

Plain Black Fabric (any), no markings

ODU

All components

Authorized Fabric Utilized by the USCG

CCI 412.01 Uniforms and Appearance 8 August 2022

Appendix B: Cover Sheet

DEPARTMENT OF HEALTH AND HUMAN SERVICES Public Health Service

Commissioned Corps Headquarters

Office of the Surgeon General

1101 Wootton Parkway, Suite 300

Rockville, MD 20852

Call to Duty and Recruitment Branch

Tattoo/Body Art/Brand/Piercing/Dental Ornamentation Statement of Understanding

Do you have any tattoos/body art/brands? Yes  No 

Do you have any body piercings? Yes  No 

Do you have any dental ornamentation? Yes  No 

All candidates seeking appointment to the USPHS Commissioned Corps and presently-

commissioned PHS officers must meet all applicable uniform and appearance requirements

contained in Commissioned Corps Instruction (CCI)

412.01, "Uniforms and Appearance." This

includes, but is not limited to, limitations regarding tattoos, body art/brands, mutilation, dental

ornamentation, and a willingness to comply with the

appearance standards.

The USPHS Commissioned Corps does not permit tattoos on the head (including the scalp),

face, neck, or hands. Tattoos elsewhere on the body that are prejudicial to good order,

discipline, and morale or are of

a nature to bring discredit upon the USPHS Commissioned

Corps are prohibited. (See CCI 412.01, “Uniforms and Appearance”).

Commissioned Officers: Commissioned officers must conform to the requirements of CCI

412.01, “Uniforms and Appearance.” Officers must submit this form whenever they get any new

tattoo(s). Officers who violate this

policy may be subject to disciplinary action and/or other

administrative proceedings that may include involuntary separation from the USPHS

Commissioned Corps. (See CCI 412.01, “Uniforms and Appearance”). At all times while in

uniform, officers with any tattoo that exceeds the length/width dimensions of a U.S. dollar bill

(6.14 x 2.61 inches) must wear authorized uniform components to cover any such tattoo.

Applicants to the USPHS Commissioned Corps: New applicants must report all tattoo(s),

body art, branding, piercing(s) or dental ornamentation. Applicants must submit two color

photographs (one close

up view; one full body view) of all tattoo(s), body art, brand, piercing

or dental ornamentation. A detailed description of the meaning and/or significance of all tattoos

must be included with the photographs. For tattoos located on the wrist, a ruler measurement

must be taken that demonstrates the tattoo(s) are at least an inch from the base of the hand. At

all times while in uniform, officers with any tattoo that exceeds the length/width dimensions of a

U.S. dollar bill (6.14 x 2.61 inches) must wear authorized uniform components to cover any such

tattoo.

Applicants must submit photos while wearing an appropriately sized white crew neck t-shirt and

shorts that do not exceed below the knee using the attached photos as a guide. For all tattoo(s),

body art or branding exposed beyond the limits of the t-shirt the applicant must submit pictures

from a closer angle (with a dollar bill) to ensure it does not violate Section 6-9. of this Instruction

and to document which tattoos must be covered by an authorized uniform component.

CCI 412.01 Uniforms and Appearance 8 August 2022

In addition to the reporting requirements noted in this form, it is also the candidate's

responsibility to

ensure that any tattoo, body art, brand, or piercing is documented at the time of

the examination by

the healthcare provider on DD FORM 2808,“Report of Medical Examination.”

Applicants and commissioned officers must be aware that at all times while in uniform, an officer with any

tattoo that exceeds the length/width dimensions of a U.S. dollar bill (6.14 x 2.61 inches) must wear

authorized uniform components to cover any such tattoo.

I understand that the falsification or other nondisclosure of information may result in the immediate close

out of my application. After commissioning, officers who violate this policy may be subject to disciplinary

action and/or administrative proceedings that may include involuntary separation from the USPHS

Commissioned Corps.

Your signature below documents that the information you have provided is current and correct and

that you have read and understand the paragraphs ·above regarding the consequences of

falsification/non-disclosure of information submitted.

Applicant/Officer Signature: _________________________________________

Applicant/Officer Printed Name: _________________________________________

Date: ______________________________

Please upload this signed and dated Tattoo(s)/Body Art/Brand/Piercing/Dental Ornamentation

Cover Sheet with your complete photographs and the description and meaning of each tattoo (in

PDF format) to your Applicant Enrollment System (AES) account. Officers should submit this

information via the email below.

All questions regarding Tattoo(s)/Body Art/Brand(s)/Piercing(s)/Dental Ornamentation should

sent to: PHSAES@hhs.gov.