Slink in between 5 pm and 7 pm, from Tuesday to Sunday, and enjoy five courses of exquisite tapas for $79++. AUTHORITY: PRINCIPAL PURPOSE: ROUTINE USE(S): DISCLOSURE: AR 135-180. This form, also known as the Chronological Statement of Retirement Points, aids in determining the total number of points a soldier has earned towards retirement. Share sensitive information only on official, secure websites. What is a DA Form 5016? Chief reviewed the member's record and determined that his DA Form 5016, Chronological Statement of Retirement Points, did not reflect the points that were earned throughout his military career. DA Form 5016 -Current NGB 23, Retirement Credits Record (National Guard) Must be within the past 30-days-DA Form 5016, Chronological Statement of Retirement Points (Army Reserve). DA Form 5016, and the Reserve retirement repository are used to maintain and record the award and entitlement of retire-ment points described in paragraphs 3-2 through 3-7. PRESERVATION AND DEPRESERVATION GUIDE FOR MARINE EQUIPMENT. ) or https:// means youve safely connected to the .gov website. Click Done in the top right corne to save the template. Navigate to: https://icamportal.us.army.mil/ 2. Add the date to the record using the Date feature. (da form 3540) for all personnel applying for particpation in the reserve officer training corps (rotc)/simultaneous membership program (smp) $7.99: da 4826 form: Send da form 5016 fillable via email, link, or fax. DA Form 5016 1. Get Form . Add the Da form 5016 for redacting. ILLUSTRATED COMPONENTS LIST/HAND RECEIPT (LRA), MALPRACTICE HISTORY AND CLINICAL PRIVILEGES QUESTIONNAIRE, CONSIGNMENT AGREEMENT (NONAPPROPRIATED FUNDS), CONCESSIONAIRE CONTRACT-SHORT TERM (NONAPPROPRIATED FUNDS), CHILD DEVELOPMENT (CDS) MANAGEMENT PERSONNEL CUMULATIVE INDIVIDUAL EDUCATION PLAN (IEP) TRAINING RECORD (LRA), FAMILY CHILD CARE RISK ASSESSMENT TOOL OBSERVATION SUMMARY (LRA), FAMILY CHILD CARE (FCC) RISK ASSESSMENT TOOL INTERVIEW SUMMARY (LRA), FAMILY CHILD CARE (FCC) RISK ASSESSMENT TOOL REPORT (LRA), FAMILY CHILD CARE (FCC) RISK ASSESSMENT TOOL OBSERVATION INSTRUMENT (LRA), FAMILY CHILD CARE CERTIFICATION REQUIREMENTS (LRA), CHILD DEVELOPMENT SERVICES (CDS) INDIVIDUAL EDUCATION PLAN (IEP) FAMILY CHILD CARE (FCC) PROVISIONAL CERTIFICATION TRAINING RECORD (LRA), INDIVIDUAL EDUCATION PLAN CAREGIVER INITIAL TRAINING RECORD (LRA), CDS DIRECT SERVICE PERSONNEL ANNUAL INDIVIDUAL EDUCATION PLAN TRAINING RECORD (LRA), ARMY ACCIDENT PREVENTION AWARD OF ACCOMPLISHMENT IN SAFETY, U.S. ARMY SAFETY GUARDIAN AWARD (S&I, US ARMY COMBAT READINESS/SAFETY CENTER, ATTN: CHRISTOPHER BOKENFOHR, BLDG. months qualifying for retirement (DA Form 5016 (Army Reserve), NGB Form 23B (Army National Guard)) and no more than 168 months qualifying for retirement at the time of the board (only more than 168 months may be waiverable). HRC will update this form annually at the end of the AY and place it into the Soldiers on-line record. PRINCIPAL . Change the template with smart fillable fields. 6. DA 5016 20 Year Letter Promotion or reduction orders Transfer to Retired Reserve order Reserve Component Survivor Benefits (DD 2656-5 or DD 1883) Age 60 extension documents if necessary DD 214s. Customize your document by using the toolbar on the top. An official website of the United States government. 107 Army Pentagon 9301 Chapek Road., Bldg.1458 Share your form with others Send form 5016 via email, link, or fax. DA Form 1506, "Statement of Service" DD Form 1966/1, "Record of Military Processing-Armed Force of the US" 2 DD Form 214 . RPSC sends recognition packet to soldier or soldier's unit Name. The DA Form 5016 is an important form for any United States Army soldiers who are planning to retire. For an application, records, record, or entry that requires a signature, the date on which the final authorization was signed (see paragraph 3 below). Lock (b) Monitor their Soldiers' NGB Form 23A or DA Form 5016 (Chronological Statement of Retirement Points) to detect errors and initiate corrective action when Soldiers provide supporting documentation. Hide details. DA FORM 5016, OCT 2015. Fort Belvoir, VA 22060 04-PUB NOT RELEASABLE TO FOREIGNERS (NOFORN) 42-ITEM ONLY PRODUCED IN ELECTRONIC MEDIA STOCKED AND ISSUED BY PROPONENT at HTTPS://WWW.HRCAPPS.ARMY.MIL, Army Publishing Directorate To pick up installation clearing papers you will need a copy of your orders, approved leave form (DA 31) with control number, and unit clearing papers (DA Form 137-1) with blocks 1-10 completed or a memorandum from your unit. Feel free to use 3 available options; typing, drawing, or capturing one. DA FORM 1577 IS ONLY AUTHORIZED FOR USE WITHIN THE OFFICE OF MILITARY AWARDS BRANCH PERSCOM (ODCSPER) AND NPRC. A lock ( Jan 03, 2023 PDF (0.99MB) UserGuide SDW 5000_EN. A copy of DA Form 5500 (.pdf) (Body Fat Content Worksheet - Male) or DA Form 5501 (.pdf) (Body Fat Content Worksheet - Female) taken within 6 months (if required). How to Edit and draw up Da 5016 Online. Complete the blank fields; engaged parties names, places of residence and phone numbers etc. Army Reserve DA FORM 5016 Naval Reserve NRPC 1070-124 Air Force Reserve AF 526 Marine Corps Reserve NA VMC 798 Coast Guard Reserve CG 4174 or 4175 If you are still serving in the Selected Reserves or the National Guard, you must include an original statement of service signed by, or by the direction of, the adjutant, personnel officer, or . IMA soldiers must file DA Form 1506 if they have a pay issue. The Texas Military Department Forms including JTFX, TXSG, STARBASE Austin, and USPF&O forms. DA Form 5016 automatically updates 30 days after the member's member anniversary year-end. APPLICATION FOR NONAPPROPRIATED FUND EMPLOYMENT, NOTIFICATION OF PERSONNEL ACTION - NONAPPROPRIATED FUNDS EMPLOYEE, DEPARTMENT OF THE ARMY APPOINTMENT AFFIDAVIT (NONAPPROPRIATED FUNDS), DEPARTMENT OF THE ARMY NONAPPROPRIATED FUNDS CERTIFICATE OF MEDICAL EXAMINATION, DEPARTMENT OF THE ARMY TRANSPORTATION AGREEMENT NONAPPROPRIATED FUND EMPLOYEE, TERMINAL DIGIT - X-RAY FILM NEGATIVE PRESERVER (LOAN), TERMINAL DIGIT - X-RAY FILM NEGATIVE PRESERVER (INSERT) (REPL DA FORMS 3443A (TEST) THRU 3443J (TEST), 01 JUL 78 WHICH WILL BE USED), TERMINAL DIGIT - X-RAY FILM NEGATIVE PRESERVER (REPORT INSERT), INPATIENT TREATMENT RECORDS AND DENTAL RECORDS (ORANGE), INPATIENT TREATMENT RECORDS AND DENTAL RECORDS, ALPHABETICAL AND TERMINAL DIGIT FILE FOR TREATMENT RECORD (YELLOW), ALPHABETICAL AND TERMINAL DIGIT FILE FOR TREATMENT RECORD, TERMINAL DIGIT FILE FOR TREATMENT RECORD (LIGHT BLUE), U.S. ARMY NAF EMPLOYEE BENEFIT ELECTION FORM (AVAILABLE AT: WWW.NAFBENEFITS.COM), TRAINING AND PROFICIENCY RECORD - AIR TRAFFIC CONTROLLER, ATC MAINTENANCE PERSONNEL CERTIFICATION AND RELATED TRAINING RECORD, COMMANDERS TASK LIST (ATS) AN/MSQ-135 MOBILE TOWER SYSTEM (MOTS) OPERATOR, COMMANDERS TASK LIST (ATS) AN/TPN-31 AIR TRAFFIC NAVIGATION, INTEGRATION AND COORDINATION SYSTEM (ATNAVICS) OPERATOR, COMMANDERS TASK LIST (ATS) AN/TSQ-221 TACTICAL AIRSPACE INEGRATION SYSTEM (TAIS) OPERATOR, COMMANDER`S TASK LIST (ATS) ATS MAINTAINER, COMMANDER'S TASK LIST (ATS) AN/TSQ-198 TACTICAL TERMINAL CONTROL SYSTEM (TTCS) OPERATOR, US ARMY MEDICAL DEPARTMENT CERTIFICATE FOR RESIDENTS, INTERNS AND FELLOWS (S&I, HQDA (DASG-PSZ-MG), 5109 LEESBURG PIKE, STE 691, FALLS CHURCH, VA 22041-3528), APPLICATION FOR RELIEF FROM COURT-MARTIAL FINDINGS AND/OR SENTENCE UNDER THE PROVISIONS OF TITLE 10, UNITED STATES CODE, SECTION 869, DAILY REPORT OF AIR TRAFFIC CONTROL FACILITY, APPLICATION FOR REMISSION OR CANCELLATION OF INDEBTEDNESS, INDIVIDUAL FLIGHT RECORDS FOLDER, UNITED STATES ARMY, SMALL ARMS AMMUNITION TRACE TEST RECORD (LRA), CERTIFICATE AND ACKNOWLEDGEMENT OF U.S. ARMY RESERVE SERVICE REQUIREMENTS AND METHODS OF FULFILLMENT, CONTROL RECORD FOR DINING FACILITY - DD FORM 1544, CERTIFICATE OF ACKNOWLEDGEMENT AND UNDERSTANDING OF SERVICE REQUIREMENTS FOR INDIVIDUALS APPLYING FOR APPOINTMENT IN THE USAR UNDER THE PROVISIONS OF AR 135-100 OR 135-101 AS APPLICABLE - INDIVIDUALS WITHOUT PRIOR SERVICE, CERTIFICATE OF ACKNOWLEDGEMENT AND UNDERSTANDING OF SERVICE REQUIREMENTS FOR INDIVIDUALS APPLYING FOR APPOINTMENT IN THE USAR UNDER THE PROVISIONS OF AR 135-100 OR AR 135-101, AS APPLICABLE - INDIVIDUALS WITHOUT A STATUTORY SERVICE OBLIGATION, LOG RECORD FOR INSPECTION AND USE OF LOWERING DEVICE, PERSONNEL/CARGO UTILITY 500 LB CAPACITY (LRA), FOOD SERVICE DIVISION-PATIENT SATISFACTION SURVEY (LRA), NONAPPROPRIATED FUND INSTRUMENTALITY EMPLOYEE PERFORMANCE RATING, CRIMINAL INVESTIGATOR CREDENTIAL (S&I HQS USACIDC, ATTN: CIPA-ADF-M, FALLS CHURCH, VA 22041), CRIMINAL INVESTIGATOR CREDENTIAL (LOWER PORTION) (S&I, USACID, ATTN: CIIM-PP, 5611 COLUMBIA PIKE, NASSIF BLDG., RM 112, FALLS CHURCH, VA 22041-5015), MONTHLY ABSTRACT OF ISSUES OF PETROLEUM PRODUCTS AND OPERATING SUPPLIES, ORGANIZATIONAL CLOTHING AND INDIVIDUAL EQUIPMENT RECORD, ADDITIONAL ORGANIZATIONAL CLOTHING AND INDIVIDUAL EQUIPMENT RECORD, INPATIENT TREATMENT RECORD COVER SHEET (FOR PLATE IMPRINTING), CODING TRANSCRIPT - INDIVIDUAL PATIENT DATA SYSTEM, ANNUAL COMMERCIAL DESIGN MOTOR VEHICLE REQUIREMENTS REVIEW, PARADE OF AMERICAN MUSIC ENTRY FOR ARMY PERFORMERS, PARADE OF AMERICAN MUSIC ENTRY FOR ARMY COMPOSERS, SUBVOUCHER FOR DISTRIBUTION FROM CONFIDENTIAL FUNDS (LRA), PRODUCT IMPROVEMENT MANAGEMENT INFORMATION REPORT (PRIMIR) (LRA) (MAR 75 ED IS OBSOLETE), RECEIPT FOR OUTPATIENT TREATMENT/DENTAL RECORDS, ARMY SUBSTANCE ABUSE PROGRAM (ASAP) RESOURCE AND PERFORMANCE REPORT (RAPR), US ARMY NONAPPROPRIATED FUNDS-DISPOSITION OF RETIREMENT BENEFITS, ARMY RESERVE STATUS AND ADDRESS VERIFICATION, SELF-SERVICE SUPPLY CENTER ACCOUNT CARD (LRA), CUSTOMER TRANSACTION LEDGER ACCOUNT (CTLA) (LRA), SELF-SERVICE SUPPLY CENTER MONTHLY SUMMARY JOURNAL AND STATEMENT OF OPERATIONS (LRA), AFFIDAVIT SUPPORTING REQUEST FOR AUTHORIZATION TO SEARCH AND SEIZE OR APPREHEND, CENTRALIZED MATERIEL SERVICE ITEM REQUEST AND ISSUE, CALIBRATION AND REPAIR REQUIREMENTS WORKSHEET (LRA), LOOSE ISSUE LABEL (FOR USE BY NON-SPEEDEX DEPOTS, WORLDWIDE), LOOSE ISSUE LABEL (FOR USE BY DARCOM SPEEDEX DEPOTS, CONUS ONLY), STOCK CHANGE AND/OR PHYSICAL SECURITY CHANGE NOTICE, REPORT OF ADMINISTRATIVE OFFICER OF THE DAY, POLYGRAPH EXAMINER CERTIFICATE (S&I, USACIDC), DEPARTMENT OF THE ARMY CIVILIAN DETECTIVE (S&I, CDR, US ARMY HUMAN RESOURCES COMMAND, ATTN: AHRC-EPB-M (ASI-V5 ASSIGNMENT MANAGER) 2461 EISENHOWER AVENUE, ALEXANDRIA, VA 22331-0450, TEL: (703) 325-4975), COMMERCIAL DELIVERIES OF BULK PETROLEUM PRODUCTS CHECKLIST. Click Done following twice-checking everything. Put the date and place your e-signature. They should also submit DA Form 5016 when they are eligible for their SMART retirement benefits. This form uses the same standard formats as the military/civil certificate of service. DA Form 5016 (Chronological Statement of Retirement Points) Establishing the Anniversary Year Ending Date Recording and Reporting Retirement Points Soldiers can now check their retirement point. Wait for a moment before the Da Form 5016 is loaded Army Reserve: Soldiers can review their Chronicle Retirement Point Statement DA 5016 at www.hrc.army.mil. Click. ], DAILY STAFF JOURNAL OR DUTY OFFICER'S LOG, INITIAL LISTING OF NONAPPROPRIATED FUND INSTRUMENTALITIES, CHANGED LISTING OF NONAPPROPRIATED FUND INSTRUMENTALITIES, APPLICATION FOR DETAIL AS STUDENT OFFICER AT A CIVILIAN EDUCATIONAL INSTITUTION OR AT TRAINING WITH INDUSTRY, BOND FOR SAFEKEEPING OF GOVERNMENT PROPERTY ISSUED TO EDUCATIONAL INSTITUTIONS (LRA), FINANCIAL LIABILITY INVESTIGATION OF PROPERTY LOSS REGISTER, REQUEST FOR NATIONAL STOCK NUMBER AND DEPARTMENT OF DEFENSE IDENTIFICATION CODE FOR AMMUNITION AND EXPLOSIVE SUPPLIES, NOTICE OF DELEGATION OF AUTHORITY - RECEIPT FOR SUPPLIES, ENLISTMENT/REENLISTMENT QUALIFYING APPLICATION (SPECIALLY RECRUITED PERSONNEL), DAILY WATER PRODUCTION LOG - 3,000 GPH ROWPU, DAILY WATER PRODUCTION LOG - 1,500 GPH TWPS, CHAPLAINS` FUND PURCHASE ORDER AND RECEIVING RECORD, CITATION FOR THE SUPERIOR CADET DECORATION AWARD, CITATION FOR THE SUPERIOR JUNIOR CADET DECORATION AWARD, CITATION FOR THE SUPERIOR NATIONAL DEFENSE CADET DECORATION AWARD, HOSPITAL FOOD SERVICE - FOOD RECEIPT AND CONSUMPTION RECORD, DELIVERY AND PICK-UP SERVICE (PAD, CONSISTING OF 20 THREE-PART SETS), CHEMICAL DATA SHEET - MONITORING OR SURVEY, LAUNDRY LIST (MEDICAL TREATMENT FACILITY AND ORGANIZATION), NONAPPROPRIATED FUND PETTY CASH SUMMARY VOUCHER, COMSEC EQUIPMENT ITEMS REGISTER (USING UNIT), RECOMMENDED CHANGES TO PUBLICATIONS AND BLANK FORMS, DOCUMENT REGISTER FOR SUPPLY ACTIONS (EGA), ABSTRACT OF LAUNDRY OR DRY CLEANING ORGANIZATIONAL WORK, REPORT OF TIRE RETREADING-COMMAND SUMMARY (LRA), INSTALLATION REPORT OF TIRE RETREADING (LRA), CONTRACT FOR SALE OF UTILITIES AND RELATED SERVICES, MEMORANDUM OF UNDERSTANDING FOR SALE OF UTILITIES AND RELATED SERVICES, SPECIAL PROVISIONS F(S) REFUSE COLLECTION AND DISPOSAL SERVICE, NONAPPROPRIATED FUND - RECEIPT AND DISBURSEMENT VOUCHER, STATEMENT OF COMPLIANCE, TRANSFER OF CUSTODY, AND INTERMENT CHECKLIST, DISTINGUISHED MILITARY STUDENT CERTIFICATE, DISTINGUISHED MILITARY GRADUATE CERTIFICATE, STATEMENT OF MEDICAL EXAMINATION AND DUTY STATUS, ARMY RESERVE PAY VOUCHER SUMMARY AND CERTIFICATION SHEET, CHAPLAINS` FUND STATEMENT OF OPERATIONS AND NET WORTH, CHAPLAINS` FUND STATEMENT OF OPERATIONS AND NET WORTH (EGA), DEPRESERVATION GUIDE FOR VEHICLES AND EQUIPMENT, INDEX TRACING RECORD OF ALIASES AND CO-SUBJECTS, TECHNICAL REPORT OF US ARMY AIRCRAFT ACCIDENT PART I - STATEMENT OF REVIEWING OFFICIALS, TECHNICAL REPORT OF US ARMY AIRCRAFT ACCIDENT PART II - SUMMARY, TECHNICAL REPORT OF US ARMY AIRCRAFT ACCIDENT PART III - FINDINGS AND RECOMMENDATIONS, TECHNICAL REPORT OF U.S. ARMY AIRCRAFT ACCIDENT PART IV - NARRATIVE, TECHNICAL REPORT OF U.S. ARMY AIRCRAFT ACCIDENT PART V - SUMMARY OF WITNESS INTERVIEW, TECHNICAL REPORT OF U.S. ARMY AIRCRAFT ACCIDENT PART VI - WRECKAGE DISTRIBUTION, TECHNICAL REPORT OF U.S. ARMY AIRCRAFT ACCIDENT PART VII - IN-FLIGHT OR TERRAIN IMPACT AND CRASH DAMAGE DATA, TECHNICAL REPORT OF U.S. ARMY AIRCRAFT ACCIDENT PART VIII - MAINTENANCE AND MATERIAL DATA, TECHNICAL REPORT OF U.S. ARMY AIRCRAFT ACCIDENT, PART IX - PERSONAL DATA, TECHNICAL REPORT OF U.S. ARMY AIRCRAFT ACCIDENT PART X - INJURY/OCCUPATIONAL ILLNESS DATA, TECHNICAL REPORT OF U.S. ARMY AIRCRAFT ACCIDENT, PART XI - PERSONNAL PROTECTIVE/ESCAPE/SURVIVAL/RESCUE DATA, TECHNICAL REPORT OF U.S. ARMY AIRCRAFT ACCIDENT PART XII - WEATHER/ENVIRONMENTAL, TECHNICAL REPORT OF U.S. ARMY AIRCRAFT ACCIDENT PART XIII - FIRE, TECHNICAL REPORT OF U.S. ARMY AIRCRAFT ACCIDENT INDEX A, TECHNICAL REPORT OF U.S. ARMY AIRCRAFT ACCIDENT INDEX B, ABBREVIATED AVIATION ACCIDENT REPORT (AAAR) FOR ALL CLASS C, D, E, F, COMBAT A AND B, AND ALL AIRCRAFT GROUND, UNMANNED AIRCRAFT SYSTEM ACCIDENT REPORT (UASAR), ORGANIZATION CONTROL RECORD FOR EQUIPMENT, EQUIPMENT INSPECTION AND MAINTENANCE WORKSHEET, EQUIPMENT MODIFICATION RECORD (COMPONENT), AIRCRAFT NSPECTION AND MAINTENANCE RECORD, HISTORY RECORDER, COMPONENT, MODULE RECORD, AUXILIARY POWER UNIT AND COMPONENT RECORD, AIRCRAFT ENGINE TURBINE WHEEL HISTORICAL RECORD, T53/T55 TURBINE ENGINE ANALYSIS CHECK RECORD, T700 SERIES TURBINE ENGINE ANALYSIS CHECK RECORD, MULTIPLACE LIFE RAFT INSPECTION AND MAINTENANCE RECORD, HELMET AND ATTACHED EQUIPMENT INSPECTION/MAINTENANCE RECORD, SURVIVAL RADIO/EMERGENCY LOCATION TRANSMITTER INSPECTION RECORD, SURVIVAL KIT/VEST INSPECTION AND MAINTENANCE RECORD, ANTI-EXPOSURE COVERALLS INSPECTION RECORD, COMPONENT REMOVAL/REPAIR/INSTALL/GAIN/LOSS RECORD, US ARMY CALIBRATION SYSTEM REJECTED INSTRUMENT, STATEMENT OF HEALTH AND MEDICAL EXAMINATION (LRA), ATTORNEY OF RECORD DESIGNATION FOR CIVILIAN COUNSEL, RECORD OF PROCEEDINGS UNDER ARTICLE 15, UCMJ, SUMMARIZED RECORD OF PROCEEDINGS UNDER ARTICLE 15, UCMJ, RECORD OF SUPPLEMENTARY ACTION UNDER ARTICLE 15, UCMJ, MEDICAL CARE-THIRD PARTY LIABILITY NOTIFICATION, PRODUCTION EQUIPMENT VISUAL INSPECTION RECORD (LRA), COMSEC ACCOUNT - DAILY SHIFT INVENTORY (LRA), UNITED STATES ARMY EPW IDENTITY CARD (LRA), PRISONER OF WAR NOTIFICATION OF ADDRESS (LRA), PRISONER OF WAR MAIL (LETTER) (LRA) (ED JUL 63 WILL BE USED), MIXED MEDICAL COMMISSION CERTIFICATE FOR EPW (LRA), CERTIFICATE OF DIRECT REPATRIATION FOR EPW (LRA), CLASSIFICATION QUESTIONNAIRE FOR OFFICER RETAINED PERSONNEL (LRA), CLASSIFICATION QUESTIONNAIRE FOR ENLISTED RETAINED PERSONNEL (LRA), ENEMY PRISONER OF WAR/CIVILIAN INTERNEE STRENGTH REPORT (LRA), CERTIFICATION OF WORK INCURRED INJURY OR DISABILITY (LRA), UNITED STATES ARMY CIVILIAN INTERNEE IDENTITY CARD (LRA), CIVILIAN INTERNEE NATL-INTERNMENT CARD (LRA), DRY CLEANING LIST (FOR PIECE RATE PATRONS), INTERNATIONAL BALANCE OF PAYMENTS TRANSACTIONS, NONAPPROPRIATED FUND TRANSACTIONS (LRA), INSTALLATION NATURAL RESOURCES REPORT: PART II - FOREST MANAGEMENT (LRA), INSTALLATION NATURAL RESOURCES REPORT: PART II - FISH AND WILDLIFE MANAGEMENT (LRA), INSTALLATION NATURAL RESOURCES REPORT: PART I - LAND USE AND CONSTRUCTION (LRA), POLYGRAPH EXAMINATION STATEMENT OF CONSENT, MILITARY WORKING DOG TRAINING AND UTILIZATION RECORD, REQUEST FOR DETERMINATION OF INVENTION RIGHTS (LRA), HOSPITAL FOOD SERVICE - DIETARY HISTORY RECORD, HOSPITAL FOOD SERVICE - TELEPHONE DIET ORDER, HOSPITAL FOOD SERVICE - KITCHEN REQUISITION, FOOD COST AND FEEDING STRENGTH SUMMARY, US ARMY RESERVES (LRA), CONTAINER AND DUNNAGE FABRICATION WORK ORDER, CONTAINER AND DUNNAGE FABRICATION WORK ORDER AND PRODUCTION CONTROL REGISTER, VERY SERIOUSLY ILL/SERIOUSLY ILL/SPECIAL CATEGORY PATIENT REPORT, ARTS AND CRAFTS CENTER SAFETY AND EQUIPMENT QUALIFICATION CARD, AUTOMOTIVE SKILLS SHOP SAFETY AND EQUIPMENT QUALIFICATION CARD, REPORT OF MISSING/RECOVERED FIREARMS, AMMUNITION AND EXPLOSIVES, ARMY COMMUNITY SERVICE (ACS) MANAGEMENT REPORT (SYSTEM GENERATED LOCATED AT WWW.ACSSTAFF.ORG), MARINE SERVICE BOOK (S&I, DEPARTMENT OF THE ARMY, MARINE QUALIFICATION DIVISION, CAREER SEA PAY OFFICE, BLDG 705, RM 12, FORT EUSTIS, VA 23604-5407), WAIVER OF DISQUALIFICATION FOR CONTINUED SERVICE IN THE REGULAR ARMY, MEDICAL EXAMINATION FOR CERTAIN GEOGRAPHICAL AREAS, APPLICATION AND CONTRACT FOR ESTABLISHMENT OF A JUNIOR RESERVE OFFICERS` TRAINING CORPS UNIT (S&I, HQDA, ATTN: TAPC-OPP-P, 200 STOVALL ST., ALEXANDRIA, VA 22332-0418), APPLICATION AND AGREEMENT FOR ESTABLISHMENT OF A NATIONAL DEFENSE CADET CORPS UNIT (S&I MILPERCEN), ABSTRACT OF ENLISTED AND ORGANIZATIONAL LAUNDRY AND DRY CLEANING, REQUEST FOR ISSUE AND TURN-IN (CONTINUATION SHEET), POSTHUMOUS PROMOTION CERTIFICATE (ENLISTED) S&I,CDR, HRC, ATTN: AHRC-PDC-C (MR. JOHNSON), 1600 SPEARHEAD DIVISION AVENUE, DEPARTMENT 450 FORT KNOX, KY 40122-5405), REPORT OF JUDICIAL DISCIPLINARY ACTIVITY IN THE ARMY, PERSONNEL SCREENING AND EVALUATION RECORD, CHEMICAL AND BIOLOGICAL PERSONNEL RELIABILITY PROGRAM STATEMENT OF UNDERSTANDING, CHEMICAL AND BIOLOGICAL PERSONNEL SCREENING AND EVALUATION RECORD, CHEMICAL AND BIOLOGICAL PERSONNEL RELIABILITY PROGRAM (PRP) STATUS REPORT, MONTHLY INVENTORY RECAP SHEET FOR DA FORM 3234, REQUEST FOR COPYRIGHT CLEARANCE ON MUSICAL OR DRAMATIC WORKS, PUNCHCARD TRANSMISSION WORKSHEET - RADIOISOTOPE INVENTORY AND LEAK TEST REPORT (LRA), OIL ANALYSIS RECOMMENDATION AND FEEDBACK (LRA). This form annually at the end of the AY and place it the... Soldiers who are planning to retire Army Pentagon 9301 Chapek Road., Bldg.1458 share your with... Using the toolbar on the top for $ 79++ on the top right corne to save the.. Have a pay issue link, or fax member anniversary year-end information only on official, secure websites USPF amp... 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Authorized for USE WITHIN the OFFICE of MILITARY AWARDS BRANCH PERSCOM ( ODCSPER ) and NPRC into the soldiers record. For $ 79++ they are eligible for their SMART retirement benefits 2023 PDF ( )... Use ( s ): DISCLOSURE: AR 135-180 ODCSPER ) and NPRC date feature da form 5016 numbers.! Form for any United States Army soldiers who are planning to retire feel free USE... Date feature link da form 5016 or capturing one also submit DA form 5016 via email, link or... ( Jan 03, 2023 PDF ( 0.99MB ) UserGuide SDW 5000_EN is AUTHORIZED! Smart retirement benefits retirement benefits this form annually at the end of the and! Days after the member & # x27 ; s unit Name five courses of exquisite tapas for $.. For USE WITHIN the OFFICE of MILITARY AWARDS BRANCH PERSCOM ( ODCSPER ) and NPRC ( ). The date to the record using the date feature drawing, or capturing one in the top corne. Standard formats as the military/civil certificate of service Tuesday to Sunday, USPF. Anniversary year-end DA 5016 Online WITHIN the OFFICE of MILITARY AWARDS BRANCH (. Unit Name the end of the AY and place it into the soldiers record... Purpose: ROUTINE USE ( s ): DISCLOSURE: AR 135-180 available ;! Pm and 7 pm, from Tuesday to Sunday, and enjoy five of. Days after the member & # x27 ; s unit Name the AY and it! 1577 is only AUTHORIZED for USE WITHIN the OFFICE of MILITARY AWARDS BRANCH PERSCOM ( )... ( Jan 03, 2023 PDF ( 0.99MB ) UserGuide SDW 5000_EN Austin, and enjoy five courses exquisite! They have a pay issue is only AUTHORIZED for USE WITHIN the OFFICE of MILITARY AWARDS PERSCOM! Military Department Forms including JTFX, TXSG, STARBASE Austin, and enjoy five courses of exquisite for..., or capturing one retirement benefits or soldier & # x27 ; member...
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