Authority: 37 USC, Section 1006; Executive Order 9397. Select "My Records" tab to review. . Hong Chau is to star alongside Matt Damon in 'The Instigators'. Complete the blank fields; engaged parties names, places of residence and phone numbers etc. ) or https:// means youve safely connected to the .gov website. 3. 4. 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). Washington DC 20310-0107, ADRP - Army Doctrine References Publications, ATTP - Army Tactics, Techniques, and Procedures, FY Publication Status Report (CAC required for access), Publishing Resources (CAC required for access), PC/PCO/FMO/EPCO Directory (CAC required for access), usarmy.pentagon.hqda-apd.mbx.customer-service@army.mil, DEPARTMENT OF THE ARMY CERTIFICATION FOR AUTHENTICATION OF RECORDS, ARMY STAFFING FORM (FOR COMMAND USE ONLY), FLOOD PREDICTION - LOCAL, REGIONAL, CENTRAL, CENTRALIZED MATERIEL SECTION - NON-EXPENDABLE TECHNICAL EQUIPMENT CHARGEOUT RECORD, INDUSTRIAL STORAGE BATTERY SERVICE RECORD, INTERNAL CONTROL EVALUATION CERTIFICATION, REQUEST FOR ESTABLISHMENT OF A PUBLICATIONS ACCOUNT, INITIAL DISTRIBUTION REQUIREMENTS FOR PUBLICATIONS, REQUISITION FOR PUBLICATIONS AND BLANK FORMS, REQUISITION FOR PUBLICATIONS AND BLANK FORMS (CONTINUATION SHEET), COMPANY GRADE PLATE (O1 - O3; WO1 - CW2) OFFICER EVALUATION REPORT, FIELD GRADE PLATE (O4 - O5; CW3 - CW5) OFFICER EVALUATION REPORT, STRATEGIC GRADE PLATE (O6) OFFICER EVALUATION REPORT, STRATEGIC GRADE PLATE GENERAL OFFICER EVALUATION REPORT, MILITARY TRAINING CERTIFICATE - RESERVE OFFICERS` TRAINING CORPS, ARMY LAW ENFORCEMENT REPORTING AND TRACKING SYSTEM (ALERTS), INFORMAL PHYSICAL EVALUATION BOARD (PEB) PROCEEDINGS, FORMAL PHYSICAL EVALUATION BOARD (PEB) PROCEEDINGS, REVISED PHYSICAL EVALUATION BOARD (PEB) PROCEEDINGS, MILITARY TRAINING CERTIFICATE - NATIONAL DEFENSE CADET CORPS, REQUEST FOR PUBLISHING - DA ADMINISTRATIVE PUBLICATIONS, REQUEST FOR PUBLISHING - DA TRAINING, DOCTRINAL, TECHNICAL AND EQUIPMENT PUBLICATIONS, REPORT TO SUSPEND FAVORABLE PERSONNEL ACTIONS (FLAG), REGISTER OF VOUCHERS TO STOCK RECORD ACCOUNT, TECHNICAL REPORT OF U.S. ARMY GROUND ACCIDENT, TECHNICAL REPORT OF U.S. ARMY GROUND ACCIDENT INDEX A, U.S. ARMY ABBREVIATED GROUND ACCIDENT REPORT (AGAR), TECHNICAL REPORT OF U.S. ARMY GROUND ACCIDENT INDEX B, TECHNICAL REPORT OF U.S. ARMY GROUND ACCIDENT STATEMENT OF REVIEWING OFFICIALS, TECHNICAL REPORT OF U.S. ARMY GROUND ACCIDENT SUMMARY OF WITNESS INTERVIEW, APPLICATION FOR APPROVAL OF MANAGEMENT INFORMATION REQUIREMENT (LRA), REQUEST FOR APPROVAL OF DISPOSAL OF BUILDINGS AND IMPROVEMENTS, EQUIPMENT OPERATOR`S QUALIFICATION RECORD (EXCEPT AIRCRAFT), PUBLICATION AND BLANK FORM STOCK RECORD CARD (VERTICAL FILE), PUBLICATION AND BLANK FORM STOCK RECORD CARD (VISIBLE FILE), REQUEST FOR ISSUE AND TURN-IN OF AMMUNITION, REQUEST FOR ISSUE AND TURN-IN OF AMMUNITION CONTINUATION SHEET, APPLICATION FOR INITIAL (EDUCATIONAL) DELAY FROM ENTRY ON ACTIVE DUTY AND SUPPLEMENTAL AGREEMENT, ROTC SUPPLEMENTAL SERVICE AGREEMENT (INITIAL EDUCATIONAL DELAY), ECP STUDENT SUPPLEMENTAL SERVICE AGREEMENT (POST-GRADUATE DELAY) (LRA), ROTC SUPPLEMENTAL SERVICE AGREEMENT FOR SPECIAL MEDICAL PROGRAM PARTICIPANTS, ROTC SUPPLEMENTAL SERVICE AGREEMENT (ARMY CHAPLAINCY) (TO ROTC CONTRACTS EXECUTED ON AND AFTER 1 JUNE 1984), ARMY SENIOR RESERVE OFFICERS` TRAINING CORPS (ROTC) NONSCHOLARSHIP CADET CONTRACT, ACKNOWLEDGEMENT OF UNDERSTANDING, NONSCHOLARSHIP TWO YEAR PROGRAM, ARMY SENIOR RESERVE OFFICERS` TRAINING CORPS (ROTC) SCHOLARSHIP CADET CONTRACT, STRATEGIC AND CRITICAL MATERIAL STORED IN ARMY INSTALLATIONS, INTELLIGENCE CONTINGENCY FUND CASH BLOTTER, INDIVIDUAL FLIGHT RECORD AND FLIGHT CREW CERTIFICATE-ARMY (FLIGHT HOURS), INDIVIDUAL FLIGHT RECORD AND FLIGHT CERTIFICATE-ARMY (AIRCRAFT CLOSEOUT), INDIVIDUAL FLIGHT RECORDS AND FLIGHT CERTIFICATE-ARMY (FLYING HOURS WORK SHEET), INDIVIDUAL FLIGHT RECORDS AND FLIGHT CERTIFICATE-ARMY (FLIGHT PAY WORK SHEET), REQUISITION FOR INDIVIDUAL OFFICER PERSONNEL, APPLICATION FOR ESTABLISHMENT OF AN ARMY SENIOR RESERVE OFFICERS` TRAINING CORPS UNIT (S&I HQDA, ATTN: TAPC-OPP-P, ALEXANDRIA, VA 22332-0418), AGREEMENT FOR ESTABLISHMENT AND MAINTENANCE OF AN ARMY SENIOR RESERVE OFFICERS' TRAINING CORPS UNIT, AMENDMENT TO APPLICATION AND AGREEMENT FOR ESTABLISHMENT OF AN ARMY RESERVE OFFICERS TRAINING CORPS UNIT (S&I, HQDA, ATTN: TAPC-OPP-P 200 STOVALL ST, ALEXANDRIA, VA 22332-0418), CERTIFICATE OF TRANSFER TO RETIRED RESERVE, CERTIFICATE OF TRANSFER TO RETIRED RESERVE (S&I RCPAC), APPLICATION FOR ACTIVE DUTY FOR TRAINING, ACTIVE DUTY FOR OPERATIONAL SUPPORT, AND ANNUAL TRAINING FOR SOLDIERS OF THE ARMY NATIONAL GUARD AND U.S. ARMY RESERVE, SERVICE SCHOOL ACADEMIC EVALUATION REPORT, CIVILIAN INSTITUTION ACADEMIC EVALUATION REPORT, SENIOR SERVICE AND COMMAND AND GENERAL STAFF COLLEGE ACADEMIC EVALUATION REPORT, INDIVIDUAL RECEIPT VOUCHER PERSONAL DEPOSIT FUND (BOOK, CONSISTING OF 150 THREE-PART SETS), PETTY CASH VOUCHER - PERSONAL DEPOSIT FUND (PAD, CONSISTING OF 120 THREE-PART SETS), RECORD OF PRISONERS` PERSONAL DEPOSIT FUND (LRA), PRISONER PERSONAL PROPERTY SHIPPING REQUEST, REQUEST FOR WITHDRAWAL OF PERSONAL PROPERTY (LRA), SUMMARY ACCOUNTING TRANSFER RECORD OF SUPPLY ITEM, PROGRAM/FUND AUTHORIZATION SCHEDULE (S&I, OCRD), ARMY AIRCRAFT INVENTORY, STATUS AND FLYING TIME, US ARMY RESERVE COMPONENTS UNIT RECORD OF RESERVE TRAINING, RECORD OF INDIVIDUAL PERFORMANCE OF RESERVE DUTY TRAINING, ANNUAL OR TERMINAL STATEMENT OF RETIREMENT POINTS, STATEMENT OF SERVICE (CONTINUATION SHEET), REPORT OF PROCEEDINGS BY INVESTIGATING OFFICER, REPORT OF PROCEEDINGS BY BOARD OF OFFICERS, AUTHORIZATION FOR ISSUANCE OF AWARDS [NOTE: THIS FORM IS NOT AVAILABLE ON THE APD WEBSITE. 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. Find EPOS reseller . by SM with packet *** USAR SMs utilize respective Readiness Divisions, ARNG SMs utilize Wait until Da 5016 is shown. Make sure the data you fill in Da Form 5016 is up-to-date and correct. however there is a bug on the HRCs portal, the only place i know of how to get this. da 5016-r form: chronological record of military service: $7.99: da 5017 form: civilian employee consent statement: $7.99: . Official DA photo (4x6 or 5x7 only) DA Form 705 (PT Scorecard - last 3 scores with most recent being after 1 OCT) DA 5500 or 5501 if body fat measurement is required Letter of Intent 3 Letters of Recommendation (First line supervisor, Commander, Army PA) o 80 shadowing hours with PA must be documented on USAREC Form 601-37.11 in the Chronological Points Statement (AHRC 249E/DA 5016, NGB 238) o If points are missing from your Chronological Points Statement, include supportingdocuments for missing time (mailto:usarmy.knox.hrc.mbx.rpmd-ord-retirement-points@army.mil . Follow the instructions below to complete Army rst form online quickly and easily: Log in to your account. (703) 614-3727, Office of the Chief Information Officer If retired, this can be completed at an Army recruiting station. Official websites use .mil 02. A lock ( Navigate to: https://icamportal.us.army.mil/ 2. USMC, etc. CHRONOLOGICAL STATEMENT OF RETIREMENT POINTS DATE For use of this form, see AR 135180; the proponent agency is DCS, G1 19MAR2017 DATA REQUIRED BY THE PRIVACY ACT OF 1974 AUTHORITY: AR 135180. Maintain Retirement Points Business Rules 4-4, page 7 . Upload a form. the bad year is only because I missed AT because I was at advanced camp. Click LOG IN 3. Army Publishing Directorate To provide members of the Reserve Components a detailed listing of retirement points earned in the previous completed anniversary years. Official websites use .mil (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. 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 . Purpose: This form is used to document a member's request for verification of military service. I'm looking for my retirement points. ) or https:// means youve safely connected to the .gov website. HRC will require the reserve component's retirement point statement for input into RPAS. 03. ], 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). DA Form 5016 help. A VOID or BLANK DA Form 5016 2-3, page 7 . Get Form Show details. Alter your file. You can also download it, export it or print it out. PRESERVATION AND DEPRESERVATION GUIDE FOR MARINE EQUIPMENT. Units of assignment are responsible to ensure source documents are Share sensitive information only on official, secure websites. The tips below will allow you to complete Da 5016 Example easily and quickly: Open the form in the full-fledged online editing tool by hitting Get form. Sign it in a few clicks Draw your signature, type it, upload its image, or use your mobile device as a signature pad. Jan 03, 2023 PDF (0.58MB) White Paper DECT Security and Remote Work_EN. Send da form 5016 fillable via email, link, or fax. DA Form 5016 1. To assist units and Soldiers in verifying retirement points earned during the annual 02. Share sensitive information only on official, secure websites. 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. da form 5016 pdf dd form 2892 dd form 2495 lower extremity functional scale military form beachbody military coach application form military fingerprint waiver new revision pdf form resume template military form dd form 117 1 2 3 Purpose of a military form A military form is kind of a document used for different military purposes. SHORT- AND LONG-RANGE TRANSPORTATION REQUIREMENTS REPORT - MANUAL (LRA) (JUN 73 ED WILL BE USED TIL EXHAUSTED), IMPROVED HAWK LOCATION/STATUS REPORT (LRA), RIGHTS WARNING PROCEDURE/WAIVER CERTIFICATE, NURSING DEPARTMENT - ARMY NURSE CORPS DATA, MEDICAL RECORD - NURSING HISTORY AND ASSESSMENT, MEDICAL RECORD - NURSING DISCHARGE SUMMARY, NURSING UNIT 24-HOUR REPORT - CONTINUATION SHEET, BILLS REGISTER SUPPLIES AND SERVICES NONPERSONAL, MULTI-MEDIA/VISUAL INFORMATION (M/VI) WORK ORDER, DAILY LOG OF TRUCK TRIPS FOR REFUSE COLLECTION AND DISPOSAL, MSA - ACCOUNTS RECEIVABLE REGISTER AND CONTROL LEDGER, CERTIFICATE OF APPRECIATION (FOR ACTIVE RESERVE SERVICE), ANNUAL DRY PIPE VALVE INSPECTION AND TRIPPING TEST, MEDICAL EVALUATION BOARD PROCEEDINGS - CONTINUATION PAGE, CLASSIFIED DOCUMENT ACCOUNTABILITY RECORD, NARCOTICS OR EXPLOSIVES DETECTOR DOG TRAINING AND UTILIZATION RECORD, ABSTRACT OF LAUNDRY WORK ACCOMPLISHED FOR INDIVIDUAL PATRONS, MAINTENANCE WORKLOAD CONTROL FORM NO. PREVIOUS EDITION IS OBSOLETE. A lock ( Philadelphia 76ers' James Harden plays during an NBA basketball game, Monday, Feb. 27, 2023, in Philadelphia. 01. Download your finished form and share it as you needed. The Official Military Personnel File (OMPF) is primarily an administrative record, containing information about the subject's service history such as: date and type of enlistment/appointment; duty stations and assignments; training, qualifications, performance; awards and decorations received; disciplinary actions; insurance; emergency data; 4905, 5TH AVE. FORT RUCKER, AL 36362), CERTIFICATE - LOST OR DAMAGED CLASS 5 AMMUNITION ITEMS, POL CREDIT CARD/AV FUEL IDENTAPLATE CONTROL LOG (LRA), PACKAGED PETROLEUM, OILS, AND LUBRICANTS SUBMISSION LOG (LRA), CERTIFICATE OF ACCEPTANCE AS GUARDIAN OR ESCORT, EXCEPTIONAL FAMILY MEMBER PROGRAM INFORMATION SHEET, SCREENING OF FAMILY MEMBERS IN REMOTE OCONUS AREAS, ACKNOWLEDGEMENT OF NOTIFICATION OF FORMAL PHYSICAL EVALUATION BOARD HEARING, SOLDIER`S MEDICAL EVALUATION BOARD/PHYSICAL EVALUATION BOARD COUNSELING CHECKLIST, ARMY COMMUNITY SERVICE (ACS) CLIENT CASE RECORD, ARMY COMMUNITY SERVICE (ACS) GROUP SESSIONS LOG, TOTAL PACKAGE APPROACH (TPA) CHECK LIST (LRA), BASIC ALLOWANCE FOR HOUSING (BAH) AUTHORIZATION AND DEPENDENCY DECLARATION, BASIS OF ISSUE FOR CLOTHING AND INDIVIDUAL EQUIPMENT (CIE), SECTION CHIEF`S REPORT (FOR 105-MM AND 155-MM HOWITZERS), EQUIPMENT OPERATOR QUALIFICATION RECORD (EGA), EQUIPMENT MAINTENANCE AND INSPECTION WORKSHEET (EGA), DELEGATION OF AUTHORITY - ARMY MILITARY CLOTHING STORES, SPECIAL MISSION CREDENTIALS (PART 1) (S&I, USA SPECIAL OPERATIONS, ATTN: MOSO-ODF, WASHINGTON, DC 20310-0440), SPECIAL MISSION WEAPONS CREDENTIALS (S&I, G-3 SPECIAL OPERATIONS, HQDA, 400 ARMY PENTAGON WASHINGTON, DC 20310-0440), SPECIAL MISSION CREDENTIALS (PART 2) (S&I, G-3 SPECIAL OPERATIONS, HQDA, 400 ARMY PENTAGON WASHINGTON, DC 20310-0440), SPECIAL MISSION MEDICAL CREDENTIALS (S&I, G-3 SPECIAL OPERATIONS, HQDA, 400 ARMY PENTAGON WASHINGTON, DC 20310-0440), SPECIAL MISSION MEDICAL CREDENTIALS (PART 2) (S&I, G-3 SPECIAL OPERATIONS, HQDA, 400 ARMY PENTAGON WASHINGTON, DC 20310-0440), SPECIAL MISSION SUPPORT CREDENTIALS (S&I, G-3 SPECIAL OPERATIONS, HQDA, 400 ARMY PENTAGON WASHINGTON, DC 20310-0440), FOREIGN LANGUAGE SPECIAL MISSION CREDENTIALS - GERMAN (PART 2) (S&I, USA SPECIAL OPERATIONS, ATTN: MOSO-ODF, WASHINGTON, DC 20310-0440), ADDENDUM TO CERTIFICATE OF ACKNOWLEDGEMENT OF SERVICE REQUIREMENTS (DA FORM 3540) FOR ENLISTMENT INTO THE USAR STAR PROGRAM (LRA), DECORATION FOR EXCEPTIONAL CIVILIAN SERVICE (WITH AASA SIGNATURE BLOCK) (S&I ODCS, G-1, ATTN: DAPE-CPS-ES, HOFFMAN 1, 2461 EISENHOWER AVE., ALEXANDRIA, VA 22331-0300), DECORATION FOR DISTINGUISHED CIVILIAN SERVICE (ACTING), CREW MEMBER TASK PERFORMANCE AND EVALUATION REQUIREMENTS, CREW MEMBER TASK PERFORMANCE AND EVALUATION REQUIREMENTS REMARKS AND CERTIFICATION, SECRETARY OF THE ARMY`S AWARD FOR OUTSTANDING ACHIEVEMENT IN MATERIEL ACQUISITION W/SA SIGNATURE (S&I, HQDA (ODCSPER), ATTN: DAPE-CPL, RM 2B652, WASH, DC 20310-0300), ARMY ACQUISITION CORPS CERTIFICATE (S&I, ACQUISITION SUPPORT CENTER, NATIONAL CAPITAL REGION ATTN: SAFE-NCR (CHONG KILROY), 9900 BELVOIR RD, SUITE 101 FT. BELVOIR, VA 22060-5567), TROOP ISSUE SUBSISTENCE MANAGEMENT REPORT, APPLICATION TO PERFORM LEGAL ASSISTANCE WORK FOR RETIREMENT POINTS AND TO BE LISTED IN THE JAGC OFFICER LEGAL ASSISTANCE DIRECTORY, MISSILE FIRING DATA REPORT (DRAGON & TOW) (LRA), APPLICANT ACKNOWLEDGEMENT OF EMPLOYER OBLIGATION, LETTER TO STATE CRIMINAL HISTORY REPOSITORY (EGA), ADVANCE DEPOSIT TRUST ACCOUNT (ADTA) WORKSHEET, EXCEPTIONAL FAMILY MEMBER PROGRAM (EFMP) SCREENING QUESTIONNAIRE, CERTIFICATE AND ACKNOWLEDGMENT OF SERVICE REQUIREMENTS AND METHODS OF FULFILLMENT FOR INDIVIDUALS ENLISTING OR TRANSFERRING INTO UNITS OF THE ARMY NATIONAL GUARD UPON REFRAD/DISCHARGE FROM ACTIVE ARMY SERVICE, ARMY FAMILY ACTION PLAN PROGRAM MANAGEMENT REPORT (AVAILABLE AT HTTP://WWW.GOACS.COM), CHECKLIST FOR ROUTINE INSPECTION OF SWIMMING POOLS (LRA), ACCESS AGREEMENT FOR ORAL HISTORY MATERIALS, EQUAL OPPORTUNITY AND HARASSMENT COMPLAINT FORM, EQUAL OPPORTUNITY AND HARASSMENT COMPLAINT RESOLUTION ASSESSMENT FORM, COMMAND ORIENTED ARMS, AMMUNITION, AND EXPLOSIVES (AA&E) SECURITY SCREENING AND EVALUATION RECORD, OFFICER SERVICE COMPUTATION FOR RETIREMENT (LRA), WORKSHEET FOR TELEPHONIC NOTIFICATION OF AVIATION ACCIDENT/INCIDENT, WORKSHEET FOR TELEPHONIC NOTIFICATION OF GROUND ACCIDENT, COST ESTIMATING WORKSHEET-FACILITY ALTERATION (LRA), CHILD DEVELOPMENT CENTER PLAY AREA SAFETY INSPECTION SUMMARY (LRA), CHILD DEVELOPMENT CENTER (CDC) PLAY AREA INVENTORY (LRA), CHILD DEVELOPMENT (CDC) PLAY AREA CHECKLIST FORM (LRA), CHILD ABUSE/SAFETY VIOLATION HOTLINE INTAKE INFORMATION, CHILD ABUSE/SAFETY VIOLATION HOTLINE 7-DAY FOLLOW-UP INFORMATION, CHILD ABUSE/SAFETY VIOLATION HOTLINE 90-DAY FOLLOW-UP INFORMATION, INITIAL REPORT OF CHILD ABUSE IN DOD OPERATED OR SANCTIONED ACTIVITIES, FOLLOW-UP/INTERIM REPORT OF CHILD ABUSE IN DOD OPERATED OR SANCTIONED ACTIVITIES, CLOSE OUT REPORT FOR REPORTS OF CHILD ABUSE IN DOD OPERATED OR SANCTIONED ACTIVITIES, INITIAL MEDICAL REVIEW - ANNUAL MEDICAL CERTIFICATE, EXCEPTIONAL FAMILY MEMBER PROGRAM (EFMP) ASSESSMENT GUIDE, CHAPLAINS` FUND PRIMARY ACCOUNT SUB-LEDGER, COMMAND MASTER RELIGIOUS PLAN CHAPLAINCY SUPPORT ACTIVITY (CSA) WORKSHEET, COMMAND MASTER RELIGIOUS PLAN PROGRAM REVIEW WORKSHEET, COMMAND MASTER RELIGIOUS PLAN CHAPLAINCY SUPPORT ACTIVITY (CSA) CONSOLIDATED WORKSHEET, COMMAND MASTER RELIGIOUS PLAN ROLL-UP WORKSHEET, SUPERIOR PUBLIC SERVICE MEDAL (S&I ASSISTANT G-1 FOR CIVILIAN PERSONNEL, 6010 6TH STREET, BLDG 1465, ROOM 104, FT. BELVOIR, VA 22060-5595), CAUTION ORDER (ELECTRICAL FACILITIES) (LRA), EVALUATION WORKSHEET POTENTIAL ARMY JUNIOR ROTC PROGRAM, CONDITION OF EMPLOYMENT FOR CERTAIN CIVILIAN POSITIONS IDENTIFIED SAFETY-SENSITIVE UNDER THE DEPARTMENT OF TRANSPORTATION, FEDERAL HIGHWAY ADMINISTRATION RULES ON DRUG AND ALCOHOL TESTING, EXCEPTIONAL FAMILY MEMBER PROGRAM (EFMP) ASSIGNMENT COORDINATION SHEET, EXCEPTIONAL FAMILY MEMBER PROGRAM (EFMP) QUERYING SHEET, ARMY COMMUNITY SERVICE ACCREDITATION REPORT, ARMY COMMUNITY SERVICE (ACS) ACCREDITATION CHECKLIST, MATERIAL RECLAMATION MOVEMENT REQUEST/RETURN, ANNUAL PERSONNEL RELIABILITY PROGRAM (PRP) STATUS REPORT, SENSITIVE DUTY ASSIGNMENT ELIGIBILITY QUESTIONNAIRE, APPLICATION FOR USANAF EMPLOYEE 401(K) SAVINGS PLAN ENROLLMENT FORM, NONAPPROPRIATED FUND INPROCESSING AND OUTPROCESSING CHECKLIST, NONAPPROPRIATED FUND SUPERVISOR'S ORIENTATION CHECKLIST, SERGEANTS MAJOR COURSE ADMINISTRATIVE DATA SHEET, PRIVACY ACT INFORMATION RELEASE STATEMENT, APPLICATION FOR US ARMY MARINE CERTIFICATION INSTALLATIONS, PRELIMINARY REPORT OF MISHAP (PROM) INSTALLATIONS, FOOD ESTABLISHMENT RISK ASSESSMENT SURVEY (LRA), HAZARD ANALYSIS CRITICAL CONTROL POINT (CCP) MONITORING REPORT (LRA), M2 CALIBER .50 HEAVY BARREL MACHINE GUN FIRING TABLE I, DAY PRACTICE SCORECARD (MOUNTED OR DISMOUNTED, PRONE OR FIGHTING POSITION), M2 CALIBER .50 HEAVY BARREL MACHINE GUN FIRING TABLE II, DAY QUALIFICATION SCORECARD (MOUTNED OR DISMOUNTED PRONE OR FIGHTING POSITION), M2 CALIBER .50 HEAVY BARREL, MACHINE GUN FIRING TABLES III(A) AND III(B), NIGHT PRACTICES SCORECARDS (MOUNTED OR DISMOUNTED, PRONE OR FIGHTING POSITION), M2 CALIBER .50 HEAVY BARREL MACHINE GUN FIRING TABLES IV (A) AND IV (B), NIGHT QUALIFICATION SCORECARDS (MOUNTED OR DISMOUNTED, PRONE OR FIGHITING POSITION), GROUND FAULT PROTECTION SUBSYSTEM CHECKLIST FOR NEW FACILITIES (LRA), LIGHTING PROTECTION GROUNDING SUBSYSTEM CHECKLIST FOR NEW FACILITEIS (LRA), SIGNAL GROUND REFERENCE SUBSYSTEM CHECKLIST FOR NEW FACILITIES (LRA), EARTH ELECTRODE SUBSYSTEM CHECKLIST FOR EXISTING FACILITIES (LRA), GROUNDING AND BONDING CONNECTION CHECKLIST FOR EXISTING FACILITIES (LRA), LIGHTNING PROTECTION GROUNDING SUBSYSTEM CHECKLIST FOR EXISTING FACILITIES (LRA), GROUND FAULT PROTECTION SUBSYSTEM CHECKLIST FOR EXISTING FACILITIES (LRA), SIGNAL GROUND REFERENCE SUBSYSTEM CHECKLIST FOR EXISTING FACILITIES (LRA), SHIELDING SUBSYSTEM CHECKLIST FOR EXISTING FACILITIES (LRA), EARTH GROUND ELECTRODE SUBSYSTEM CHECKLIST FOR NEW FACILITIES (LRA), FACILITY TECHNICAL THREAT ASSESSMENT (FTTA) WORKSHEET, CIRCUIT SWITCHER INSPECTION CHECKLIST (LRA), ENGINE GENERATOR SET INSPECTION CHECKLIST (LRA), UTILITY AND GENERATOR CIRCUIT BREAKER INSPECTION CHECKLIST (LRA), BACK-UP POWER SYSTEM INSPECTION CHECKLIST (LRA), TRANSFER SWITCH INSPECTION CHECKLIST (LRA), UNINTERRUPTIBLE POWER SUPPLY (UPS) INSPECTION CHECKLIST (LRA), UNINTERRUPTIBLE POWER SUPPLY (UPS) SWITCHBOARD INSPECTION CHECKLIST (LRA), UNINTERRUPTIBLE POWER SUPPLY (UPS) SYSTEM INSPECTION CHECKLIST (LRA), HEATING WATER SYSTEM INSPECTION CHECKLIST (LRA), CHILLED WATER SYSTEM INSPECTION CHECKLIST (LRA), VENTILATION SYSTEM INSPECTION CHECKLIST (LRA), DIESEL FUEL SYSTEM INSPECTION CHECKLIST (LRA), LUBE OIL SYSTEM INSPECTION CHECKLIST (LRA), COMPRESSED AIR SYSTEM INSPECTION CHECKLIST (LRA), WET PIPE SPRINKLER SYSTEM AND FIRE DETECTION SYSTEM INSPECTION CHECKLIST (LRA), LIFTING AND MOVING DEVICES SYS INSPECTION CHECKLIST (LRA), HIGH ALTITUDE ELECTROMAGNETIC PULSE (HEMP) PROTECTION OF MECHANICAL SYSTEMS INSPECTION CHECKLIST (LRA), WATER SUPPLY AND TREATMENT SYSTEM INSPECTION CHECKLIST (LRA), SEWAGE TREATMENT SYSTEMS INSPECTION CHECKLIST (LRA), NIGHT FIRE, ASSISTED, RIFLE MARKSMANSHIP SCORECARD, TEST INCIDENT REPORT (AVAILABLE ONLY IN THE ARMY TEST INCIDENT REPORTING SYSTEM (ATIRS) AT HTTPS://VISION.ATC.ARMY.MIL), SECRETARY OF THE ARMY AWARD FOR VALOR W/ACTING SA SIG BLOCK, SECRETARY OF DEFENSE MEDAL FOR THE DEFENSE OF FREEDOM (S&I, ODCS, G-1, ATTN: DAPE-CPS-ES, HOFFMAN BUILDING 1, RM 476, 2461 EISENHOWER AVE, ALEXANDRIA, VA 22331), SECRETARY OF DEFENSE MEDAL FOR THE DEFENSE OF FREEDOM (WITH ASA SIGNATURE BLOCK) (S&I ODCS, G-1, ATTN: DAPE-CPS-ES, HOFFMAN 1, RM 476, 2461 EISENHOWER AVE., ALEXANDRIA, VA 22331-0300), SECRETARY OF DEFENSE MEDAL FOR THE DEFENSE OF FREEDOM (BLANK), ARMY COMMUNITY SERVICE (ACS) ACCREDITATION SCORE SHEET, MK 19, 40-MM GRENADE MACHINE GUN, MOD 3 FIRING TABLE I DAY PRACTICE AND QUALIFICATION WITH HULL TARGETS SCORBOARD, MK 19, 40-MM GRENDADE MACHINE GUN, MOD 3 FIRING TABLE IV NIGHT PRACTICE AND QUALIFICATION WITH POP-UP TARGETS SCOREBOARD, MK 19, 40-MM GRENADE MACHINE GUN, MOD 3 FIRING TABLE III DAY PRACTICE AND QUALIFICATION WITH POP-UP TARGETS SCOREBOARD, MK 19, 40-MM GRENADE MACHINE GUN, MOD 3 FIRING TABLE IV NIGHT PRACTICE AND QUALIFICATION WITH POP-UP TARGETS SCOREBOARD, CHECKLIST AND TRACKING DOCUMENT FOR FINANCIAL LIABILITY INVESTIGATIONS OF PROPERTY LOSS, OVERSEAS DEPLOYMENT TRAINING COORDINATION WORKSHEET, REQUEST FOR VETERINARY LABORATORY TESTING & FOOD SAMPLE RECORD, M41 IMPROVED TARGET ACQUISITION SYSTEM (ITAS) GUNNERS SKILL TEST, SCORECARD FOR PART 1, M41 IMPROVED TARGET ACQUISITION SYSTEM (ITAS) GUNNERS SKILL TEST, SCORECARD FOR PART 2, SCORECARD FOR M41 IMPROVED TARGET ACQUISITION SYSTEM (ITAS) GUNNERY: TABLES 1 AND 2, SCORECARD FOR M41 IMPROVED TARGET ACQUISITION SYSTEM (ITAS) GUNNERY: TABLE 3, CREW BASELINE, SCORECARD FOR M41 IMPROVED TARGET ACQUISITION SYSTEM (ITAS) GUNNERY: TABLE 4, ADVANCED CREW BASELINE, SCORECARD FOR M41 IMPROVED TARGET ACQUISITION SYSTEM (ITAS) GUNNERY: TABLE 5, SQUAD PRACTICE, SCORECARD FOR M41 IMPROVED TARGET ACQUISITION SYSTEM (ITAS) GUNNERY: TABLE 6, SQUAD QUALIFICATION, SCORECARD FOR M41 IMPROVED TARGET ACQUISITION SYSTEM (ITAS) GUNNERY: TABLE 7, SECTION BASELINE, SCORECARD FOR M41 IMPROVED TARGET ACQUISITION SYSTEM (ITAS) GUNNERY: TABLE 8, SECTION ADVANCED BASELINE, SCORECARD FOR M41 IMPROVED TARGET ACQUISITION SYSTEM (ITAS) GUNNERY: TABLE 9, SECTION PRACTICE, SCORECARD FOR M41 IMPROVED TARGET ACQUISITION SYSTEM (ITAS) GUNNERY: TABLE 10, SECTION QUALIFICATION, SCORECARD FOR M41 IMPROVED TARGET ACQUISITION SYSTEM (ITAS) GUNNERY: TABLE 11, PLATOON PRACTICE, SCORECARD FOR M41 IMPROVED TARGET ACQUISITION SYSTEM (ITAS) GUNNERY: TABLE 12, PLATOON QUALIFICATION, HBCT GUNNERY SKILLS TEST (GST) INDIVIDUAL ROLL-UP, SPECIAL REPAIR AUTHORITY (SRA) APPROVAL/DISAPPROVAL SHEET, ARMY VICTIM/WITNESS LIAISON PROGRAM EVALUATION, REQUEST AND CERTIFICATION FOR INCAPACITATION PAY, UNIT DEMILITARIZATION CERTIFICATION AND VERIFICATION CERTIFICATE, DEMILITARIZATION CERTIFICATION AND VERIFICATION CERTIFICATE, MK 19, 40-MM GRENADE MACHINE GUN, MOD 3 ADVANCED CREW GUNNERY; TABLE 1, DAY AND NIGHT SCORE CARD, MK 19, 40-MM GRENADE MACHINE GUN, MOD 3 ADVANCED CREW GUNNERY; TABLE 2, DAY AND NIGHT SCORE CARD, MK 19, 40-MM GRENADE MACHINE GUN, MOD 3 ADVANCED CREW GUNNERY; TABLE 3, DAY AND NIGHT SCORE CARD, MK 19, 40-MM GRENADE MACHINE GUN, MOD 3 ADVANCED CREW GUNNERY; TABLE 4, DAY AND NIGHT SCORE CARD, MK 19, 40-MM GRENADE MACHINE GUN, MOD 3 ADVANCED CREW GUNNERY; TABLE 5, DAY AND NIGHT SCORE CARD, MK 19, 40-MM GRENADE MACHINE GUN, MOD 3 ADVANCED CREW GUNNERY; TABLE 6, DAY AND NIGHT SCORE CARD, MK 19, 40-MM GRENADE MACHINE GUN, MOD 3 ADVANCED CREW GUNNERY; TABLE 7, DAY AND NIGHT SCORE CARD, MK 19, 40-MM GRENADE MACHINE GUN, MOD 3 ADVANCED CREW GUNNERY; TABLE 8, DAY AND NIGHT SCORE CARD, SUBSISTENCE VENDOR CONTRACT DISCREPANCY REPORT, MODIFICATION WORK ORDER FIELDING PLAN (MWOFP), MODIFICATION WORK ORDER (MWO) EXHIBIT OF CONCURRENCE, DEPARTMENT OF THE DEFENSE MILITARY WORKING DOG VETERINARY SERVICE REFERRAL INFORMATION FORM, DEPARTMENT OF THE ARMY POLICE OFFICER (S&I, ENLISTED PERSONNEL MANAGEMENT DIRECTORATE, U.S. ARMY HUMAN RESOURCES COMMAND, ATTN: AHRC-EPB-M (ASI V5 ASSIGNMENT MANAGER) 2461 EISENHOWER AVENUE, ALEXANDRIA, VA 22331-0450), PATRIOT RADAR LOCATION AND ALIGNMENT DATA, PATRIOT RADAR SUPPLEMENTAL ROLL AND CROSSROLL, PATRIOT LAUNCHER LOCATION AND ALIGNMENT DATA (UNSURVEYED SITE), PATRIOT LAUNCHER LOCATION AND ALIGNMENT DATA (SURVEYED SITE), PATRIOT LAUNCHER SUPPLEMENTAL ROLL AND CROSSROLL, MAJOR FIRE REPORT FROM INSTALLATION/GARRISON THRU REGIONS TO TO HIGHER HEADQUARTERS, ARMY CHILD AND YOUTH SERVICES HEALTH SCREENING TOOL, ARMY CHILD AND YOUTH SERVICES PROGRAM PLACEMENT CHECKLIST, SPECIAL NEEDS ACCOMMODATION PROCESS (SNAP) TEAM CARE PLAN, DEPARTMENT OF THE ARMY LAW ENFORCEMENT ESCORT CREDENTIAL (S&I, HQDA, OPMG, ATTN: DAPM-MPD-LE, 2800 ARMY PENTAGON, WASHINGTON, DC 20310-2800), DEVIATION APPROVAL AND RISK ACCEPTANCE DOCUMENT (DARAD), ARMY PERSONNEL TESTING MATERIAL CHECK-IN AND CHECK-OUT LOG, U.S. ARMY WOOD PACKAGING MATERIAL (WPM) SITE SELF-CERTIFICATION AUDITOR`S CHECKLIST, MILITARY SKETCH PANORAMIC AND TOPOGRAPHIC VIEWS, CERTIFICATE FOR THE GLOBAL WAR ON TERRORISM, QUARTERLY AIRCRAFT PROGRAMMING AND UTILIZATION FLYING HOUR REPORT, SNIPER TARGET DATA SHEET STATIONARY TARGET, DISABILITY EVALUATION SYSTEM (DES) COMMANDER'S PERFORMANCE AND FUNCTIONAL STATEMENT, VERIFICATION OF CLINICAL COMPETENCIES FOR CRITICAL CARE NURSING SKILL IDENTIFIER (SI 8A), VERIFICATION OF CLINICAL COMPETENCIES FOR EMERGENCY NURSING SKILL IDENTIFIER (SI M5), ARMED FORCES EYE AND VISION READINESS SUMMARY, TACTICAL COMBAT CASUALTY CARE (TCCC) CARD, GUNNERY TABLES X, XI, XII SCORESHEET (PLATOON QUALIFICATION), GUNNERY TABLES VII, VIII, IX SCORESHEET (SECTION QUALIFICATION), HBCT GUNNERY TABLE I - CREW CRITICAL SKILLS TEST PLATOON ROLL-UP, HBCT GUNNERY TABLE I - CREW CRITICAL SKILLS TEST COMPANY ROLL-UP, HBCT GUNNERY SKILLS TEST (GST) PLATOON ROLL-UP, HBCT GUNNERY TABLE I - CREW CRITICAL SKILLS TEST SCORESHEET, HBCT GUNNERY SKILLS TEST (GST) COMPANY ROLL-UP, DAY AND NIGHT FIRE M141 BDM (BDM SUBCALIBER TRAINING LAUNCHER), DAY AND NIGHT FIRE M136 AT4 (M287 SUBCALIBER TRAINING LAUNCHER), DAY AND NIGHT FIRE M72 (M72AS 21-MM SUBCALIBER TRAINING LAUNCHER), M320/M320A1 40-MM GRENADE LAUNCHER SCORECARD, SUBVOUCHER FOR DISBURSEMENT FROM CONTINGENCY LIMITATION .0015 FUNDS, SPECIAL PROVISIONS G(S) HOT WATER SERVICE, SPECIAL PROVISIONS I(S) COMPRESSED AIR SERVICE, SPECIAL PROVISIONS K(S) CHILLED WATER SERVICE, SPECIAL PROVISIONS L(S) LIQUEFIED PROPANE GAS SERVICE, BIOASSAY INFORMATION SUMMARY SHEET (BISS), FIRST CLASS DIVER QUALIFICATION WORKSHEET, COMMANDER'S PERFORMANCE AND CAPABILITY CHECKLIST, UNIT MAIL ROOM (UMR), CONSOLIDATED MAIL ROOM (CMR), AND POSTAL SERVICE CENTER (PSC) INSPECTION CHECKLIST, FAMILY ASSISTANCE CENTER (FAC) SITUATION REPORT (SITREP), PERSONNEL RELIABILITY SCREENING AND EVALUATION, MAINTENANCE EXPENDITURE LIMIT (MEL) WAIVER, MARKSMAN/OBSERVER INDIVIDUAL OBSERVATION LOG, EXEMPTION REQUEST FOR MATERIEL READINESS REPORTING, MATERIEL DEVELOPER S WARRANTY SUMMARY AND ASSESSMENT, ARMY WARRANTY PROGRAM SUMMARY AND ASSESSMENT, GENERAL LIBRARY INFORMATION SYSTEM (GLIS) REGISTRATION FORM, SEXUAL HARASSMENT COMPLAINT RESOLUTION ASSESSMENT, COMMANDERS SUSPECTED SUICIDE EVENT REPORT, EMERGENCY GLOBAL POSITIONING SYSTEM APPROACH CARD, LOGISTICS INTEGRATED DATABASE BASIS OF ISSUE PLAN FEEDER DATA, ARMY UNMANNED AIRCRAFT SYSTEMS INVENTORY, STATUS AND FLYING, DAILY UNMANNED AIRCRAFT SYSTEMS COMPONENT STATUS RECORD, DAILY UNMANNED AIRCRAFT SYSTEMS COMPONENT STATUS WORKSHEET, GUNNERY SKILLS TEST (GST) INDIVIDUAL ROLL-UP, UNITED STATES ARMY EXPLOSIVE ORDNANCE DISPOSAL (EOD) INTERVIEW CHECKLIST, MEDICAL CLINIC CLEARANCE FOR RESPIRATOR USE, NUCLEAR PERSONNEL SCREENING AND EVALUATION RECORD - STATEMENT OF UNDERSTANDING, NUCLEAR PERSONNEL SCREENING AND EVALUATION RECORD, ARMY MUSICIAN PROFICIENCY ASSESSMENT (AMPA) (TRUMPET), ARMY MUSICIAN PROFICIENCY ASSESSMENT (AMPA) (EUPHONIUM), ARMY MUSICIAN PROFICIENCY ASSESSMENT (AMPA) (FRENCH HORN), ARMY MUSICIAN PROFICIENCY ASSESSMENT (AMPA) (TROMBONE), ARMY MUSICIAN PROFICIENCY ASSESSMENT (AMPA) (TUBA), ARMY MUSICIAN PROFICIENCY ASSESSMENT (AMPA) (FLUTE), ARMY MUSICIAN PROFICIENCY ASSESSMENT (AMPA) (OBOE), ARMY MUSICIAN PROFICIENCY ASSESSMENT (AMPA) (CLARINET), ARMY MUSICIAN PROFICIENCY ASSESSMENT (AMPA) (BASSOON), ARMY MUSICIAN PROFICIENCY ASSESSMENT (AMPA) (SAXOPHONE), ARMY MUSICIAN PROFICIENCY ASSESSMENT (AMPA) (PERCUSSION), ARMY MUSICIAN PROFICIENCY ASSESSMENT (AMPA) (KEYBOARD), ARMY MUSICIAN PROFICIENCY ASSESSMENT (AMPA) (GUITAR), ARMY MUSICIAN PROFICIENCY ASSESSMENT (AMPA) (ELECTRIC BASS GUITAR), ARMY MUSICIAN PROFICIENCY ASSESSMENT (AMPA) (VOCALIST), ARMY MUSICIAN PROFICIENCY ASSESSMENT (AMPA) (MUSIC PRODUCTION TECHNICIAN), ARMY DISASTER PERSONNEL ACCOUNTABILITY AND ASSESSMENT SYSTEM, COMMAND OFFICER REPRESENTATIVE ACCESS REQUEST, ARMY DISASTER PERSONNEL ACCOUNTABILITY AND ASSESSMENT SYSTEM, EVENT REQUEST, ARMY DISASTER PERSONNEL ACCOUNTABILITY AND ASSESSMENT SYSTEM, NEEDS ASSESSMENT SURVEY, FOREIGN GOVERNMENT EMPLOYMENT APPLICATION, ENLISTED BEHAVIORAL-HEALTH RELATED ADMINISTRATIVE SEPARATION CHECKLIST, PROMOTION QUALIFICATION AND VERIFICATION STATEMENT, LINEAGE AND HONORS CERTIFICATE (CONTINUATION SHEET), ARMY RESERVE REENLISTMENT ELIGIBILITY WORKSHEET, CENTER FOR INITIAL MILITARY TRAINING GRADUATION CERTIFICATE, RISK ANALYSIS PROCEDURE FOR BIOLOGICAL/CHEMICAL RDT&E FACILITIES - WORSHEET, MISSION COMMAND INFORMATION SYSTEM TRAINING TABLES VI FOR DIGITAL CREW (MCIS-2), MISSION COMMAND INFORMATION SYSTEMS TRAINING TABLES VII-X FOR DIGITAL CREW (MCIS-3), U.S. ARMY NONAPPROPRIATED FUND PRE-APPOINTMENT CERTIFICATION STATEMENT FOR SELECTIVE SERVICE REGISTRATION, WRITTEN SERVICE AGREEMENT AND MANDATORY DISCLOSURE STATEMENT, DOD EXECUTIVE AGENT RESPONSIBILITIES ASSIGNED TO THE SECRETARY OF THE ARMY DATA CALL, PRIVILEGED ACCESS AGREEMENT (PAA) AND ACKNOWLEDGMENT OF RESPONSIBILITIES, AUTOMATED INFORMATION SYSTEMS (AIS) QUESTIONNAIRE, REQUEST FOR APPROVAL OF INFORMATION MANAGEMENT REQUIREMENT, RISK MANAGEMENT DATA LOG COOKING-HOLDING-COOLING-REHEATING, RIFLE, CARBINE, AND AUTOMATIC RIFLE MARKSMANSHIP SCORECARD, INDUSTRIAL MOBILIZATION CAPACITY (IMC) REQUIREMENTS FOR AMMUNITION STORAGE FACILITIES, INDUSTRIAL MOBILIZATION CAPACITY (IMC) REQUIREMENTS FOR AMMUNITION PRODUCTION FACILITIES, INDUSTRIAL MOBILIZATION CAPACITY (IMC) REQUIREMENTS FOR MAINTENANCE FACILITIES, IINDUSTRIAL MOBILIZATION CAPACITY (IMC) REQUIREMENTS FOR MANUFACTURING FACILITIES, OVERHEAD POOL DATA FOR INDUSTRIAL MOBILIZATION CAPACITY (IMC) REQUIREMENTS USE EXCEL, JUSTIFICATION FOR INDUSTRIAL MOBILIZATION CAPACITY (IMC) - ELIGIBLE WORKSTATIONS, SUMMARY OF CARE BY NON-MILITARY MEDICAL PROVIDER, LAW ENFORCEMENT DAY PISTOL QUALIFICATION SCORECARD, LAW ENFORCEMENT LOW-VISIBILITY PISTOL QUALIFICATION SCORECARD, LAW ENFORCEMENT CBRN PISTOL QUALIFICATION SCORECARD, LAW ENFORCEMENT DAY RIFLE/CARBINE QUALIFICATION SCORECARD, LAW ENFORCEMENT LOW-VISIBILITY RIFLE/CARBINE QUALIFICATION SCORECARD, LAW ENFORCEMENT CBRN RIFLE/CARBINE QUALIFICAATION SCORCARD, SPECIAL REACTION TEAM PISTOL QUALIFICATION SCORECARD, SPECIAL REACTION TEAM RIFLE/CARBINE QUALIFICATION SCORECARD, BEAUTY FACILITY RISK ASSESSMENT WORKSHEET, CHILD/YOUTH/SCHOOL FACILITY SANITATION AND FOOD SAFETY INSPECTION, FCC HOME: ENVIRONMENTAL HEALTH SANITATION INSPECTION, FITNESS FACILITY RISK ASSESSMENT WORKSHEET, INDIVIDUAL READY RESERVE (IRR) STATEMENT OF UNDERSTANDING (SOU), MISSILE FIRING DATA REPORT (GUIDED ROCKETS), SCORECARD FOR ALL SOURCE PRODUCTION CREW MI TRAINING STRATEGY TIER 3, SCORECARD FOR COLLECTION MANAGEMENT CREW MI TRAINING STRATEGY TIER 3, SCORECARD FOR TARGETING CREW MI TRAINING STRATEGY TIER 3, SCORECARD FOR OPERATIONAL MANAGEMENT TEAM MI TRAINING STRATEGY: TIER 3, TABLE VI, CREW CERTIFICATION, SCORECARD FOR HUMINT COLLECTION TEAM MI TRAINING STRATEGY TIER 3, SCORECARD FOR CRYPTOLOGIC SUPPORT TEAM MI TRAINING STRATEGY TIER 3, SCORECARD FOR SIGINT COLLECTION TEAM MI TRAINING STRATEGY TIER 3, SCORECARD FOR INTELLIGENCE PROCESSING CREW MI TRAINING STRATEGY TIER 3, SCORECARD FOR INTELLIGENCE ELECTRONIC WARFARE CREW MI TRAINING STRATEGY TIER 3, SCORECARD FOR ALL SOURCE MI TRAINING STRATEGY TIER 4, SCORECARD FOR GEOINT MI TRAINING STRATEGY TIER 4, SCORECARD FOR HUMINT MI TRAINING STRATEGY TIER 4, SCORECARD FOR SIGINT (35N) MI TRAINING STRATEGY TIER 4, SCORECARD FOR SIGINT (35P) MI TRAINING STRATEGY TIER 4, SCORECARD FOR MAINTENANCE MI TRAINING STRATEGY TIER 4, MINIMUM ALTITUDE/MINIMUM VECTORING ALTITUDE OBSTRUCTION DOCUMENTATION, COMMANDER'S TASK LIST AIRFIELD MANAGEMENT, ARMYWIDE-STAFFING COMMENT RESOLUTION MATRIX, ELECTRONIC KEY MANAGEMENT DISPOSITION RECORD, OCCUPATIONAL PHYSICAL ASSESSMENT TEST SCORECARD, DECLARATION OF RETIRED PAY BENEFITS RECEIVED AND WAIVERS, MILITARY PAYROLL SYSTEM SUBSTANTIATING DOCUMENT WORKSHEET, SEA-BASED GUNNERY QUALIFICATION SCORECARD, RECORDS MANAGEMENT PROGRAM ASSESSMENT CHECKLIST, ACKNOWLEDGMENT OF RECEIPT OF LEGAL HOLD/RECORDS FREEZE, ARMY AVIATION TIME DISTANCE AND HEADING CARD, ASAP TRIAGE INSTRUMENT (FOR UNSCHEDULED PATIENTS), COMMAND REFERRAL FOR A SUBSTANCE USE DISORDER (SUD) EVALUATION, ARMY SUSTANCE ABUSE PROGRAM (ASAP) OUTPATIENT MEDICAL RECORDS - PRIVACY ACT INFORMATION, MOSQUITO SURVEILLANCE LIGHT TRAP COLLECTIONS (LRA), MOSQUITO SURVEILLANCE LARVAL COLLECTIONS (LRA), TICK SURVEY DATA, CARBON DIOXIDE TRAP DATA (LRA), U.S. ARMY RESERVE BAR TO CONTINUED SERVICES CERTIFICATE, THE LIEUTENANT GENERAL RICHARD G. TREFRY LIFETIME OF SERVICE AWARD, Search Army publications and forms by Number, Title, or Record Detail. Quot ; tab to review, Section 1006 ; Executive Order 9397 document a member & x27. Get this, this can be completed at an Army recruiting station Office!, page 7 of retirement points Business Rules 4-4, page 7 VOID or Da... ( 703 ) 614-3727, Office of the Chief information Officer If retired, can... Looking for My retirement points earned during the annual 02 be completed at Army. ( Navigate to: https: // means youve safely connected to.gov! Components a detailed listing of retirement points., link, or fax looking for My retirement points Rules.: // means youve safely connected to the.gov website SM with packet * * USAR SMs Wait! X27 ; s request for verification of military service ensure source documents are share information... Or fax your finished form and share it as you needed respective Divisions! 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