Get Form Fill da . Chapter 4 Points for Non-Paid Training Retirement Points Non-Paid Training DA Form 1380 (Record of Individual Performance of Reserve Duty Training) 4-1, page 9 . HRC will update this form annually at the end of the AY and place it into the Soldiers on-line record. Find EPOS reseller . 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. PREVIOUS EDITION IS OBSOLETE. 04-PUB NOT RELEASABLE TO FOREIGNERS (NOFORN) 42-ITEM ONLY PRODUCED IN ELECTRONIC MEDIA STOCKED AND ISSUED BY PROPONENT at HTTPS://WWW.HRCAPPS.ARMY.MIL, Army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 Jan 03, 2023 PDF (5.16MB) . All extensions - if applicable (DA Form 1695) DA Form 4187 signed by requesting Soldier and 06 recommendation and signature, (or memorandum recommending approval/disapproval) Any prior DD214s, DD220, NGB 22/23 DA Form 2339 page 2 (only blocks 19 & 30 signed by requesting Solider) Chronological statement of Retirement points (DA Form 5016 . To assist units and Soldiers in verifying retirement points earned during the annual AUTHORITY: PRINCIPAL PURPOSE: ROUTINE USE(S): DISCLOSURE: AR 135-180. For more details. Commanders will help Soldiers to obtain missing documents and will coordinate through their chain of command to State Retirement Point Secure .mil websites use HTTPS Zwei Jahre Garantie auf alle Teile inklusive. Sign it in a few clicks Get the free da 5016 form. they wont let me drive across the country to . 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. 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. da form 5016: active: 10/1/2015: chronological statement of retirement points (copy availability at https://www.hrcapps.army.mil) g-1: da form 5017: active: 11/1/2001: civilian employee consent statement: g-1: da form 5018-r: active: 11/1/1981: adapcp client`s consent statement for release of treatment information (lra) g-1: 02. Add the Da form 5016 for redacting. DA 5016/NGB23** is correct prior to submitting Retirement Packet . Hide details. All that being said the 5016 says I only have 398 total points creditable? For additional assistance, Soldiers may contact the Army Human Resource Service Center at (888) 276-9472. Make any adjustments required: add text and photos to your Da form 5016, underline important details, remove sections of content and replace them with new ones . Official websites use .mil DA Form 5016 (Chronological Statement of Retirement Points) Drag and drop the file from your device or add it from other services, like Google Drive, OneDrive, Dropbox, or . ], 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). (703) 614-3727, Office of the Chief Information Officer The DA Form 5016 is an important form for any United States Army soldiers who are planning to retire. If you did not receive a full accounting of your retirement points, you will need to contact the Armed Service Branch you served with and ask for a DA Form 5016 (Chronological Statement of Retirement Points). Preise und Verfgbarkeit prfen und sofort online kaufen. Check each field has been filled in properly. Share sensitive information only on official, secure websites. The applicant provides: a. DA Forms 1380 showing the following: * 17 and 31 October 2014 - 8 hours each day administrative actions in support of training and . . ) or https:// means youve safely connected to the .gov website. - DD 5016 - points statement - DD 214 - if you served on active duty for a period of greater than 90 consecutive days - Active Duty Orders - Promotion orders Before you transition into the. Name. To provide members of the Reserve Components a detailed listing of retirement points earned in the previous completed anniversary years. Soldiers must visit the My Record Portal to view and print their personal copy of the DA Form 5016. PRINCIPAL . I'm looking for my retirement points. The DA Form 1506 is used for initial tours and is used for soldiers in the IMA and IRR programs. How to Edit and draw up Da 5016 Online. Slink in between 5 pm and 7 pm, from Tuesday to Sunday, and enjoy five courses of exquisite tapas for $79++. Common errors with the DA Forms 1380 4-2, pages 10 & 11 . Either way I still have part of that 6th year as an SMP cadet before I commissioned. By using this site you agree to our use of cookies as described in our UPDATED . ATTENTION: Some forms' pdf file may require download to view. (AP Photo/Matt Slocum) da 5016-r form: chronological record of military service: $7.99: da 5017 form: civilian employee consent statement: $7.99: . DA FORM 1577 IS ONLY AUTHORIZED FOR USE WITHIN THE OFFICE OF MILITARY AWARDS BRANCH PERSCOM (ODCSPER) AND NPRC. Jan 03, 2023 PDF (0.58MB) White Paper DECT Security and Remote Work_EN. For the U.S. Army, click here: Recording and Reporting Retirement Points For the U.S. Air Force, click here: Air Reserve Personnel Center Select "My Records" tab to review. A .mil website belongs to an official government organization in the United States. 1. 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. Hit the arrow with the inscription Next to move from field to field. PRESERVATION AND DEPRESERVATION GUIDE FOR RAILROAD EQUIPMENT. This site uses cookies to enhance site navigation and personalize your experience. 9301 Chapek Road., Bldg.1458 Edit your da 5016 online Type text, add images, blackout confidential details, add comments, highlights and more. Follow the on screen instructions to change your password 5. Read the following instructions to use CocoDoc to start editing and completing your Da 5016: First of all, seek the "Get Form" button and tap it. Lock MEDICAL FITNESS STATEMENT FOR ENROLLMENT IN BASIC COURSE, SENIOR ROTC (LRA). Barrod offers interesting dining ideas for March 2023. 107 Army Pentagon Army Publishing Directorate A locked padlock (4) Provide DA Form 5016 (Chronological Statement of Retirement Points) to current and former USAR Soldiers uti-lizing HRC's self-service portal at . DUBAI, United Arab Emirates (AP) Iran's currency fell to a new record low on Sunday, plunging to 600,000 to the dollar for the first time as the effects of nationwide anti-government . Follow the instructions below to complete Army rst form online quickly and easily: Log in to your account. 107 Army Pentagon 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 . A locked padlock Sign up with your credentials or create a free account to test the service prior to choosing the subscription. Share your form with others. Click Done in the top right corne to save the template. Maintain Retirement Points Business Rules 4-4, page 7 . What is a DA Form 5016? Add the date to the record using the Date feature. 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. Fort Belvoir, VA 22060 Edit your army pubs 1380 online. Name plate IMPACT SDW 5013-5016_EN. Fort Belvoir, VA 22060 Upload a form. Secure .mil websites use HTTPS Think of offerings like Smoked Lobster Yakitori, Butter Chicken Paratini, and Barood's signature Goat Biryani Arancini. 03. I was finally able to get my DA form 5016. it shows that before commissioning I had 4 good years and 1 bad year. PEBLO Estimated Disability Compensation Worksheet. I've been reading through the HRC site for about an hour now, been clicking through links on links on links and it's just a big circle. Must be within the past 30-days **These forms are source documents for active federal service served in other services (i.e. c. DA Form 5016 (Chronological Statement of Retirement Points), dated 6 August 2020, in which it shows the applicant having over 21 years of Regular Army service. Army DA administrative publications and forms by the Army Publishing Directorate APD. Send da form 5016 fillable via email, link, or fax. Download Form. HRC will require the reserve component's retirement point statement for input into RPAS. DD Form 4-1,2 and 3 DD 214, Certificate of Release or Discharge from Active Duty NGB 22, ARNG Certificate of Discharge NGB 23 or 55, ARNG Retirement Points Statement DA Form 5016, Chronological Statement of Retirement Points- only Prior Reserve DA Form 1506, Statement of Service-for Computation of Length of Service for Pay Purpose Type text, add images, blackout confidential details, add comments, highlights and more. Chapter 5 Mobilization . Share sensitive information only on official, secure websites. Fill in the required fields which are marked in yellow. DA Form 5016 1. Army Publishing Directorate 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. DA Form 31 (Request and Authority for Leave), dated 22 October 2008 - reflects his dependents. Medical Evaluation Board Proceedings - DA FORM 3947. The applicant's records contain a DA Form 5016 (Chronological Statement of Retirement Points) showing his record is void of retirement points for the periods in question. Get Form . Customize your document by using the toolbar on the top. 6. The Anniversary Year Ending (AYE) date is the annual date that a Soldier's retirement point record is closed out. Official websites use .mil An official website of the United States government. Open it using the online editor and begin altering. (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. Kaufen Sie die Danfoss 172273GR von NIControls. PEBLO Estimated Disability Compensation Worksheet - DA Form 5892. Army DA Form 5016 Marine Reserve Career Retirement Credit Report (CRCR) Navy Reserve DFAS-CL Form 1059 Air Force Reserve ANG/USAFR Point Credit Summary Inquiry (PCFARS) Order your Discharge Document & Official Points Statement For Guardsman & Reservist Only Determine Your Monthly Pension Take Advantage of Benefits Find Your Fastest Option! Download your finished form and share it as you needed. OF UNSAFE OR UNHEALTHFUL WORKING CONDITION, EMPLOYEE REPORT OF ALLEGED UNSAFE OR UNHEALTHFUL WORKING CONDITIONS, REGISTRATION/SPECIAL CORRECTION WORK SHEET, STATEMENT OF ENTITLEMENT TO RETENTION INCENTIVE, CERTIFICATION FOR DISTRIBUTION OF PUBLICATION(S) IN SUPPORT OF GOVERNMENT CONTRACT, INTERNATIONAL STANDARDIZATION AGREEMENT RATIFICATION-IMPLEMENTATION DATA SHEET, INTERNATIONAL STANDARDIZATION AGREEMENT REVIEW DATA SHEET (TO BE USED FOR REVIEWS OF PROMULGATED AGREEMENTS), ADDENDUM TO CERTIFICATE AND ACKNOWLEDGEMENT OF SERVICE REQUIREMENTS (DA FORM 3540) FOR ALL PERSONNEL APPLYING FOR PARTICIPATION IN THE RESERVE OFFICER TRAINING CORPS (ROTC)/SIMULTANEOUS MEMBERSHIP PROGRAM (SMP), ADDENDUM TO CERTIFICATE AND ACKNOWLEDGEMENT OF SERVICE REQUIREMENTS (DA FORM 3540) FOR ENLISTMENT UNDER THE ALTERNATE TRAINING PROGRAM, CALIBRATION AND REPAIR PROGRAM REPORT (LRA), COMMANDER`S REPORT OF DISCIPLINARY OR ADMINISTRATIVE ACTION, OATH OF EXTENSION OF ENLISTMENT OR REENLISTMENT, MAINTENANCE PROCESS ANALYSIS WORKSHEET (LRA), CHILD DEVELOPMENT SERVICES (CDS) PROGRAM/FACILITY REPORT (LRA), NONAPPROPRIATED FUNDS TIME AND ATTENDANCE REPORT, NONAPPROPRIATED FUNDS TIME AND ATTENDANCE SUPPLEMENT REPORT (LRA), NONAPPROPRIATED FUNDS TIME AND ATTENDANCE TRANSMITTAL NO (LRA), NAF PAY AND LEAVE ACCOUNTING SYSTEM - TIME AND ATTENDANCE CARD (S&I PUBLICATIONS STOCKROOM BLDG 443, RED RIVER ARMY DEPOT, TEXARKANA, TX 75501), CERTIFICATE OF PROMOTION TO NONCOMMISSIONED OFFICERS, CERTIFICATE OF APPOINTMENT TO COMMAND SERGEANT MAJOR, CERTIFICATE OF PROMOTION (PROMOTION TO SPECIALISTS GRADES), SCHEDULE OF OUTSTANDING REQUESTS FOR BILLING ADJUSTMENT OR DUPLICATE BILLINGS (LRA), REQUEST AND RELEASE OF MEDICAL INFORMATION TO COMMUNICATIONS MEDIA, SUPPLEMENTAL CONTRACTOR COST REPORT (LRA), AGREEMENT FOR THE LOAN OF US ARMY MATERIEL, AGREEMENT FOR THE LOAN OF US ARMY MATERIEL CERTIFICATE FOR SIGNATURE BY AN ALTERNATE, MILITARY PROPERTY OF THE UNITED STATES - EXHIBIT I, SURETY BOND FOR SAFEKEEPING OF PUBLIC PROPERTY AND GUARANTEEING REIMBURSEMENT TO THE GOVERNMENT FOR EXPENSES INCIDENT TO THE LOAN OF ARMY MATERIEL - EXHIBIT II, POWER OF ATTORNEY (FOR TRANSACTIONS INVOLVING TREASURY BONDS), AGREEMENT FOR THE LEASE OF US ARMY MATERIEL, REQUEST AND APPROVAL FOR LOAN OR LEASE OF EQUIPMENT AND LOAN OR LEASE AGREEMENT, ARMY EMERGENCY RELIEF ANNUAL FUND CAMPAIGN, ARMY FLYING ACTIVITY ANNUAL STATUS REPORT, PETITION FOR GRANT OF REVIEW IN THE UNITED STATES COURT OF APPEALS FOR THE ARMED FORCES, CHAPLAINS` FUND GENERAL LEDGER (CONTINUATION), CHAPLAINS` FUND CHARGE PURCHASE REQUEST MEMORANDUM RECORD, CHAPLAINS` FUND ANNUAL SUMMARY FINANCIAL DATA REPORT, GENERAL/FLAG OFFICER`S QUARTERS QUARTERLY OBLIGATIONS REPORT, GENERAL/FLAG OFFICER`S QUARTERS QUARTERLY OBLIGATIONS REPORTS (EGA), REPORT ON LEGAL ASSISTANCE SERVICES (LRA), DINING FACILITY MODERNIZATION PLAN DEVELOPMENT, FREEDOM OF INFORMATION ACT (FOIA)/OPERATIONS SECURITY (OPSEC) DESK TOP GUIDE, LEASE/PURCHASE ANALYSIS FOR COPYING/DUPLICATING MACHINES, MEDAL OF HONOR CERTIFICATE (S&I, PERSCOM), DISTINGUISHED SERVICE CROSS MEDAL CERTIFICATE, DISTINGUISHED FLYING CROSS CERTIFICATE (HEROISM), DISTINGUISHED FLYING CROSS CERTIFICATE (ACHIEVEMENT), MERITORIOUS UNIT COMMENDATION CERTIFICATE, ARMY SUPERIOR UNIT AWARD CERTIFICATE (S&I, ARMY HUMAN RESOURCES COMMAND, ATTN: AHRC-PDP-A DEPARTMENT 480, 1600 SPEARHEAD DIVISION AVENUE, FORT KNOX, KY 40122-5408), NAF REFERRAL AND SELECTION LIST (NONAPPROPRIATED FUND EMPLOYMENT), DECLINATION OF CONTINUED SERVICE STATEMENT, HARBOR BOAT ENGINE DEPARTMENT LOG FOR CLASS A AND C-1 VESSELS, QUALITY CONTROL AND SURVEILLANCE RECORD FOR TOE MEDICAL ASSEMBLAGE (LRA), APPLICANT INTERVIEW REPORT - JUDGE ADVOCATE GENERAL`S CORPS (LRA), MEDICAL RECORD - ALLERGY IMMUNOTHERAPY RECORD (SINGLE EXTRACT), MEDICAL RECORD - ALLERGY IMMUNOTHERAPY RECORD (DOUBLE EXTRACT), TELEPHONE MEDICAL ADVICE/CONSULTATION RECORD, MEDICAL RECORD - RELEASE AGAINST MEDICAL ADVICE, CHRONOLOGICAL STATEMENT OF RETIREMENT POINTS (COPY AVAILABILITY AT HTTPS://WWW.HRCAPPS.ARMY.MIL), ADAPCP CLIENT`S CONSENT STATEMENT FOR RELEASE OF TREATMENT INFORMATION (LRA), CONDITION OF EMPLOYMENT FOR CERTAIN CIVILIAN POSITIONS IDENTIFIED CRITICAL UNDER THE DEPARTMENT OF THE ARMY DRUG-FREE FEDERAL WORKPLACE PROGRAM, G. DESIGN DATA CHECKLIST PHYSICAL SECURITY ENHANCEMENT AGAINST TERRORIST THREAT (LRA), G. DESIGN DATA CHECKLIST PHYSICAL SECURITY ENHANCEMENT AGAINST TERRORIST THREAT (CONT`D) (LRA), RECORD OF CERTIFICATION - SMALL ARMS SHIPMENT CONTROL (LRA), MEDCASE SUPPORT AND TRANSMITTAL FORM (LRA), FIELD ARTILLERY DELIVERED MINEFIELD PLANNING SHEET, JUSTIFICATION STATEMENT FOR .0015 CONTINGENCY FUNDS, PAYING AGENT RECEIPT CONTROL AND CASH ACCOUNTABILITY JOURNAL, MAGNETIC COMPASS DEVIATION TABLE INSTALLATIONS, RECORD OF AWARD OF ENTRY GRADE CREDIT (HEALTH SERVICES OFFICER) (LRA), RECORD OF AWARD OF ENTRY GRADE CREDIT (MEDICAL AND DENTAL OFFICERS) (LRA), ANALYSIS OF CUSTODIAL PERSONNEL REQUIREMENTS, FEEDER REPORT TO ANNUAL PRODUCTIVITY REPORT - PECI (LRA), DOCUMENTATION FOR PRODUCTIVITY CAPITAL INVESTMENTS PROGRAM (LRA), REQUEST TO SUPERIOR TO EXERCISE ARTICLE 15, UCMJ, JURISDICTION, SUMMARY COURT-MARTIAL RIGHTS NOTIFICATION/WAIVER STATEMENT, REASSIGNMENT STATUS AND ELECTION STATEMENT, IN- AND OUT- PROCESSING RECORDS CHECKLIST, APPLICATION FOR VOLUNTARY MOBILIZATION PREASSIGNMENT, BRANCH IDENTIFICATION SUMMARY - CONTINUATION SHEET (LRA), BRANCH MAINTENANCE AND REPAIR REQUIREMENTS (LRA), SECTION MAINTENANCE AND REPAIR RECORD (LRA), NONAPPROPRIATED FUND CENTRAL PAYROLL SYSTEM - TIPS, SERVICE CHARGES AND MEALS REPORT, INCENTIVE AWARDS NOMINATION AND APPROVAL - NONAPPROPRIATED FUNDS, SAFETY CLEARANCE ORDER (ELECTRICAL FACILITIES) (LRA), MEDICAL RECORD - PREOPERATIVE/POSTOPERATIVE NURSING DOCUMENT, SOIL SUCTION, WATER CONTENT AND SPECIFIC VOLUME (LRA), APPLICATION FOR RESPITE CARE FOR CHILDREN AND ADULTS WITH DISABILITIES, INFORMATION ON INDIVIDUAL WITH DISABILITY, FAMILY IDENTIFICATION SHEET FOR A CHILD RECEIVING SERVICE, CHILD DEVELOPMENT SERVICES (CDS) FAMILY CHILD CARE (FCC) PROVIDER APPLICATION (LRA), CHILD DEVELOPMENT SERVICES (CDS) FAMILY CHILD CARE (FCC) PROVIDER BACKGROUND CLEARANCE REQUEST (LRA), CHILD DEVELOPMENT SERVICES (CDS) FAMILY CHILD CARE (FCC) CERTIFICATION, DENIAL/REVOCATION (LRA), CHILD DEVELOPMENT SERVICES (CDS) SPONSOR CONSENT FORM (LRA), CHILD DEVELOPMENT SERVICES (CDS) CHILD HEALTH ASSESSMENT (LRA), CHILD DEVELOPMENT SERVICES (CDS) CHILD AND FAMILY PROFILE (LRA), CHILD DEVELOPMENT SERVICES (CDS) MEDICAL DISPENSATION RECORD (LRA), CHILD DEVELOPMENT SERVICES (CDS) SPONSOR/PROGRAM AGREEMENT (LRA), CHILD DEVELOPMENT SERVICES (CDS) REPORT (LRA), REPORT OF UNFAVORABLE INFORMATION FOR SECURITY DETERMINATION (LRA), STATEMENT - EVIDENCE OF CITIZENSHIP STATUS (LRA), SELECTED RESERVE INCENTIVE PROGRAM - OFFICER ACCESSION BONUS, SELECTED RESERVE INCENTIVE PROGRAM - OFFICER AFFLIATION BONUS, HARBOR BOAT DECK AND ENGINE LOG FOR CLASS B VESSELS, ARMY EXCEPTIONAL FAMILY MEMBER CHILD FUNCTIONAL QUESTIONNAIRE (LRA), NONAPPROPRIATED FUND PAYABLE/DISBURSEMENT VOUCHER CONTINUATION SHEET (LRA), NONAPPROPRIATED FUND PAYABLE/DISBURSEMENT VOUCHER (LRA), PERSONAL SERVICES (COMPREHENSIVE) NON-APPROPRIATED FUND (NAF) EMPLOYEES, CPMC (PART A) CAPITAL PURCHASES (OVER $1,000), MAINTENANCE & REPAIR (OVER $2,500, UNDER $1M), AND MINOR CONSTRUCTION (UNDER $200K) (EGA), CHECK COMPUTATION FOR DETERMINING NET INCOME (LRA), PACKAGE BEVERAGE BRANCH COMPUTATION OF INCOME DISTRIBUTION (LRA), BONA FIDE DEPENDENT DECLARATION - MILITARY, BONA FIDE DEPENDENT DECLARATION (CIVILIAN), OCS APPLICANT`S COMMANDERS EVALUATION SHEET, HONORARY SERGEANT MAJOR OF THE REGIMENT APPOINTMENT CERTIFICATE, HONORARY MEMBER OF THE REGIMENT APPOINTMENT CERTIFICATE, NONAPPROPRIATED FUNDS EARNINGS AND LEAVE STATEMENT (CONUS), LONG-RANGE SPECIAL ASSIGNMENT AIRLIFT MISSION (SAAM) FLYING HOURS REQUIREMENTS, ROTATION AGREEMENT - EMPLOYEES RECRUITED FROM THE UNITED STATES, ROTATION AGREEMENT - EMPLOYEES RECRUITED LOCALLY IN FOREIGN AREAS, ROTATION AGREEMENT - EMPLOYEES RECRUITED FROM THE US TERRITORIES AND POSSESSIONS, FIRE AND EMERGENCY SERVICES TRAINING RECORD, WORKLOAD MANAGEMENT SYSTEM FOR NURSING INTERRATER RELIABILITY TESTING (LRA), PATRIOT MULTIPLE LOCATION/STATUS/CONDITION REPORT (LRA), OVERSEAS TOUR EXTENSION INCENTIVE PROGRAM MONTHLY REPORT, BULK PETROLEUM STORAGE FACILITIES REPORT, ARMY (RCS: DRC-830) (LRA), FIELD CATEGORY TRAINING EVALUATION CHECKLIST, TERRAIN MORTAR POSITION/SPECIAL CORRECTIONS WORKSHEET (LRA), APPLICANT/NOMINEE PERSONAL FINANCIAL STATEMENT, BATTALION COMMAND TEAM RECRUITER CANDIDATE INTERVIEW AND EVALUATION, COMPANY COMMANDER RECRUITER CANDIDATE INTERVIEW AND ASSESSMENT, SPONSORSHIP PROGRAM COUNCELING AND INFORMATION SHEET, STATEMENT OF UNDERSTANDING - THE SELECTED RESERVE MONTGOMERY GI BILL (10 USC CHAPTER 1606), STATEMENT OF UNDERSTANDING - THE SELECTED RESERVE MONTGOMERY GI BILL KICKER PROGRAM (10 USC 16131), EXPLOSIVE ORDNANCE DISPOSAL (EOD) VOLUNTEER STATEMENT, VOLUNTARY WITHDRAWAL FROM EXPLOSIVE ORDNANCE DISPOSAL (EOD) STATEMENT, INVOLUNTARY TERMINATION FROM EXPLOSIVE ORDNANCE DISPOSAL (EOD) DUTIES, DELINEATION OF CLINICAL PRIVILEGES-ANESTHESIA, DELINEATION OF CLINICAL PRIVILEGES-DENTISTRY, DELINEATION OF CLINICAL PRIVILEGES-FAMILY PRACTICE, DELINEATION OF CLINICAL PRIVILEGES-INTERNAL MEDICINE, DELINEATION OF CLINICAL PRIVILEGES-NEUROLOGY, DELINEATION OF CLINICAL PRIVILEGES-OBSTETRICS AND GYNECOLOGY, DELINEATION OF CLINICAL PRIVILEGES-OPTOMETRY SERVICE, DELINEATION OF CLINICAL PRIVILEGES-PATHOLOGY, DELINEATION OF CLINICAL PRIVILEGES-PEDIATRICS, DELINEATION OF CLINICAL PRIVILEGES-PODIATRY, DELINEATION OF CLINICAL PRIVILEGES-PSYCHIATRY, DELINEATION OF CLINICAL PRIVILEGES-PSYCHOLOGY, DELINEATION OF CLINICAL PRIVILEGES-DIAGNOSTIC RADIOLOGY, DELINEATION OF CLINICAL PRIVILEGES-GENERAL SURGERY, DELINEATION OF CLINICAL PRIVILEGES-NURSE ANESTHETISTS, DELINEATION OF CLINICAL PRIVILEGES-CERTIFIED NURSE MIDWIVES, DELINEATION OF CLINICAL PRIVILEGES-NURSE PRACTITIONER, DELINEATION OF CLINICAL PRIVILEGES - PHYSICIAN ASSISTANT, DELINEATION OF CLINICAL PRIVILEGES-DIETETICS, DELINEATION OF CLINICAL PRIVILEGES-OCCUPATIONAL THERAPY, DELINEATION OF CLINICAL PRIVILEGES-PHYSICAL THERAPY, DELINEATION OF CLINICAL PRIVILEGES-EMERGENCY MEDICINE, DELINEATION OF CLINICAL PRIVILEGES-AEROSPACE MEDICINE, DELINEATION OF CLINICAL PRIVILEGES-GENERAL MEDICAL OFFICER, DELINEATION OF CLINICAL PRIVILEGES - SOCIAL WORK, DELINEATION OF CLINICAL PRIVILEGES - ALLERGY/IMMUNOLOGY, DELINEATION OF CLINICAL PRIVILEGES - NEPHROLOGY, DELINEATION OF CLINICAL PRIVILEGES - CHIROPRACTIC, DELINEATION OF CLINICAL PRIVILEGES - DERMATOLOGY, DELINEATION OF CLINICAL PRIVILEGES - UROLOGY, DELINEATION OF CLINICAL PRIVILEGES - BEHAVIORAL HEALTH PRACTITIONER, DELINEATION OF CLINICAL PRIVILEGES - PSYCHOLOGICAL ASSOCIATE, DELINEATION OF CLINICAL PRIVILEGES - AUDIOLOGY, DELINEATION OF CLINICAL PRIVILEGES - SPEECH PATHOLOGY, DELINEATION OF CLINICAL PRIVILEGES - CLINICAL PHARMACY, DELINEATION OF CLINICAL PRIVILEGES - NUCLEAR MEDICINE, DELINEATION OF CLINICAL PRIVILEGES - THERAPEUTIC RADIOLOGY, DELINEATION OF CLINICAL PRIVILEGES - PHYSICAL MEDICINE AND REHABILITATION, DELINEATION OF CLINICAL PRIVILEGES - CARDIOLOGY, DELINEATION OF CLINICAL PRIVILEGES - OPHTHALMOLOGY, DELINEATION OF CLINICAL PRIVILEGES - OTOLARYNGOLOGY, DELINEATION OF CLINICAL PRIVILEGES - CARDIOVASCULAR SURGERY, DELINEATION OF CLINICAL PRIVILEGES - PULMONARY DISEASE, DELINEATION OF CLINICAL PRIVILEGES - PREVENTIVE MEDICINE, DELINEATION OF CLINICAL PRIVILEGES - ORAL & MAXILLOFACIAL SURGERY, DELINEATION OF CLINICAL PRIVILEGES - PLASTIC SURGERY, DELINEATION OF CLINICAL PRIVILEGES - VASCULAR SURGERY, DELINEATION OF CLINICAL PRIVILEGES - NEUROSURGERY, DELINEATION OF CLINICAL PRIVILEGES - CRITICAL CARE MEDICINE, DELINEATION OF CLINICAL PRIVILEGES - OCCUPATIONAL MEDICINE, DELINEATION OF CLINICAL PRIVILEGES - THORACIC SURGERY, DELINEATION OF CLINICAL PRIVILEGES - ORTHOPAEDICS, DELINEATION OF CLINICAL PRIVILEGES - BLOOD SERVICES, DELINEATION OF CLINICAL PRIVILEGES - PSYCHIATRIC ADVANCED PRACTICE NURSE, DELINEATION OF CLINICAL PRIVILEGES - SUBSTANCE ABUSE REHABILITATION, APPROVAL OF CLINICAL PRIVILEGES/STAFF APPOINTMENT, EVALUATION OF CLINICAL PRIVILEGES - ANESTHESIA, EVALUATION OF CLINICAL PRIVILEGES-DENTISTRY, EVALUATION OF CLINICAL PRIVILEGES-FAMILY PRACTICE, EVALUATION OF CLINICAL PRIVILEGES-INTERNAL MEDICINE, EVALUATION OF CLINICAL PRIVILEGES-NEUROLOGY, EVALUATION OF CLINICAL PRIVILEGES-OBSTETRICS AND GYNECOLOGY, EVALUATION OF CLINICAL PRIVILEGES-OPTOMETRY, EVALUATION OF CLINICAL PRIVILEGES-PATHOLOGY, EVALUATION OF CLINICAL PRIVILEGES-PEDIATRICS, EVALUATION OF CLINICAL PRIVILEGES-PODIATRY, EVALUATION OF CLINICAL PRIVILEGES-PSYCHIATRY, EVALUATION OF CLINICAL PRIVILEGES - CLINICAL PSYCHOLOGY, EVALUATION OF CLINICAL PRIVILEGES - DIAGNOSTIC RADIOLOGY, EVALUATION OF CLINICAL PRIVILEGES - GENERAL SURGERY, EVALUATION OF CLINICAL PRIVILEGES-NURSE ANESTHETIST, EVALUATION OF CLINICAL PRIVILEGES - CERTIFIED NURSE MIDWIFE, EVALUATION OF CLINICAL PRIVILEGES - NURSE PRACTITIONER, EVALUATION OF CLINICAL PRIVILEGES - PHYSICIAN ASSISTANT, EVALUATION OF CLINICAL PRIVILEGES - DIETETICS, EVALUATION OF CLINICAL PRIVILEGES - OCCUPATIONAL THERAPY, EVALUATION OF CLINICAL PRIVILEGES - PHYSICAL THERAPY, EVALUATION OF CLINICAL PRIVILEGES - EMERGENCY MEDICINE, EVALUATION OF CLINICAL PRIVILEGES - AEROSPACE MEDICINE, EVALUATION OF CLINICAL PRIVILEGES - GENERAL MEDICAL OFFICER, EVALUATION OF CLINICAL PRIVILEGES - SOCIAL WORK, EVALUATION OF CLINICAL PRIVILEGES - ALLERGY/IMMUNOLOGY, EVALUATION OF CLINICAL PRIVILEGES - NEPHROLOGY, EVALUATION OF CLINICAL PRIVILEGES - CHIROPRACTIC, EVALUATION OF CLINICAL PRIVILEGES - DERMATOLOGY, EVALUATION OF CLINICAL PRIVILEGES - UROLOGY, EVALUATION OF CLINICAL PRIVILEGES - BEHAVIORAL HEALTH PRACTITIONER, EVALUATION OF CLINICAL PRIVILEGES - PSYCHOLOGICAL ASSOCIATE, EVALUATION OF CLINICAL PRIVILEGES - AUDIOLOGY, EVALUATION OF CLINICAL PRIVILEGES - SPEECH PATHOLOGY, EVALUATION OF CLINICAL PRIVILEGES - CLINICAL PHARMACY, EVALUATION OF CLINICAL PRIVILEGES - NUCLEAR MEDICINE, EVALUATION OF CLINICAL PRIVILEGES - THERAPEUTIC RADIOLOGY, EVALUATION OF CLINICAL PRIVILEGES - PHYSICAL MEDICINE AND REHABILITATION, EVALUATION OF CLINICAL PRIVILEGES - CARDIOLOGY, EVALUATION OF CLINICAL PRIVILEGES - OPHTHALMOLOGY, EVALUATION OF CLINICAL PRIVILEGES - OTOLARYNGOLOGY, EVALUATION OF CLINICAL PRIVILEGES - CARDIOVASCULAR SURGERY, EVALUATION OF CLINICAL PRIVILEGES - PULMONARY DISEASE, EVALUATION OF CLINICAL PRIVILEGES - PREVENTIVE MEDICINE, EVALUATION OF CLINICAL PRIVILEGES - ORAL & MAXILLOFACIAL SURGERY, EVALUATION OF CLINICAL PRIVILEGES - PLASTIC SURGERY, EVALUATION OF CLINICAL PRIVILEGES - VASCULAR SURGERY, EVALUATION OF CLINICAL PRIVILEGES - NEUROSURGERY, EVALUATION OF CLINICAL PRIVILEGES - CRITICAL CARE MEDICINE, EVALUATION OF CLINICAL PRIVILEGES - OCCUPATIONAL MEDICINE, EVALUATION OF CLINICAL PRIVILEGES - THORACIC SURGERY, EVALUATION OF CLINICAL PRIVILEGES - ORTHOPAEDICS, EVALUATION OF CLINICAL PRIVILEGES - BLOOD SERVICES, EVALUATION OF CLINICAL PRIVILEGES - PSYCHIATRIC ADVANCED PRACTICE NURSE, EVALUATION OF CLINICAL PRIVILEGES - SUBSTANCE ABUSE REHABILITATION, OFFICER SERVICE AGREEMENT SELECTED RESERVE EDUCATIONAL ASSISTANCE PROGRAM (SHORT TITLE: MONTGOMERY GI BILL), MOISTURE AND DENSITY TESTER FIELD DATA WORKSHEET (LRA), MOISTURE AND DENSITY TESTER (NUCLEAR METHOD) UTILIZATION LOG (LRA), MOISTURE AND DENSITY FIELD TEST SHEET (LRA), AUTHORIZATION TO RELEASE INFORMATION FROM ARMY RECORDS ON NONSUPPORT/CHILD CUSTODY/PATERNITY INQUIRIES, MAINTENANCE REQUEST AND ASSIGNMENT REGISTER, US ARMY RECRUITING COMMAND AWARD FOR JROTC CERTIFICATE (S&I, CDR, USA, RECRUITING COMMAND, ATTN: USARCASP-SP, BLDG 698, FT SHERIDAN, IL 60037-6100), CHAPLAIN/CHAPLIN ASSISTANT TRAINING RECORD, TAMIS TRAINING AMMUNITION FORECAST REPORT (LRA), TRAINING AMMUNITION CONTROL DOCUMENT CONTINUATION SHEET, RECORD OF EMERGENCY DATA AND DESIGNATION OF BENEFICIARY FOR UNPAID COMPENSATION OF DECEASED NAF EMPLOYEE, AGREEMENT HEALTH PROFESSIONALS LOAN REPAYMENT (HPLR), INDIVIDUAL RELIABILITY SCREENING AND EVALUATION RECORD, NO SMOKING EXCEPT IN DESIGNATED SMOKING AREAS, CHILD DEVELOPMENT SERVICES NEEDS ASSESSMENT (LRA), ABSTRACT OF OFFERS (NONAPPROPRIATED FUNDS) (EGA) (AVAILABLE ONLY FROM ARMY NAF`S AUTOMATED PROCUREMENT SYSTEM, PRISM, AT HTTP://PRISM-WEB.MWRMIS.ARMY.MIL/PRISM), ABSTRACT OF OFFERS, CONTINUATION SHEET FOR DA FORM 5567 (EGA) (AVAILABLE ONLY FROM ARMY NAF`S AUTOMATED PROCUREMENT SYSTEM, PRISM, AT HTTP://PRISM-WEB.MWRMIS.ARMY.MIL/PRISM), ABSTRACT OF OFFERS - CONTINUATION SHEET FOR DA FORM 5567(EGA) (AVAILABLE ONLY FROM ARMY NAF AUTOMATED PROCUREMENT SYSTEM FOUND AT HTTPS://CLOUD.MWR.ARMY.MIL/SNACS.NET/SECURITY/LOGON.ASPX), ABSTRACT OF OFFERS (NONAPPROPRIATED FUNDS) (EGA) (AVAILABLE ONLY FROM ARMY NAF AUTOMATED PROCUREMENT SYSTEM FOUND AT HTTPS://CLOUD.MWR.ARMY.MIL/SNACS.NET/SECURITY/LOGON.ASPX), HEALTH QUESTIONNAIRE FOR DENTAL TREATMENT, VEHICLE FORECAST AND MOVEMENT SCHEDULES (LRA), ADDENDUM TO CERTIFICATE OF ACKNOWLEDGEMENT OF SERVICE REQUIREMENTS (DA FORM 3540) FOR ENLISTMENT INTO THE US ARMY RESERVE TROOP PROGRAM UNIT WARRANT OFFICER FLIGHT PROGRAM, ADDENDUM TO CERTIFICATE OF ACKNOWLEDGE OF SERVICE REQUIREMENT FOR ENLISTMENT INTO THE UNITED STATES ARMY RESERVE OFFICER CANDIDATE SCHOOL ENLISTMENT OPTION, REPORT OF DRYDOCKING, PAINTING AND CONDITION OF VESSEL BOTTOM, COMPUTATION-CONVERGENCE OF TRUE AZIMUTH TO GRID AZIMUTH (BUCS)(LRA), LIFE CYCLE COST ANALYSIS SAVINGS-TO-INVESTMENT RATIO (SIR) & DISCOUNTED PAYBACK CALCULATION (LRA), LIFE CYCLE COST ANALYSIS - BASIC INPUT DATA SUMMARY (LRA), LIFE CYCLE COST ANALYSIS - PRESENT WORTH: CONVENTIONAL APPROACH (LRA), LIFE CYCLE COST ANALYSIS - PRESENT WORTH: ONE-STEP APPROACH (LRA), CERTIFICATE OF APPRECIATION FOR ARMY SPOUSE (OF REENLISTEES), DISPATCHER`S RECORD OF TRAIN MOVEMENTS (S&I COMMANDANT, USATALS, ATTN: ATSP-TDP, FT EUSTIS, VA 23604-5403), SUPERINTENDENT`S TELEGRAPHIC REPORT OF ACCIDENT (LRA), DAILY INSTALLATION SITUATION REPORT (LRA), CASH PROPERTY AND RECONCILIATION RECORD (LRA), VOUCHER FOR SPECIAL MISSION FUNDS (SMF) EXPENDITURES (LRA), MANEUVER/PROCEDURE GRADE SLIP FOR OH-58D AVIATORS (LRA), STATEMENT OF CONDITIONS OF SERVICE - ACTIVE GUARD RESERVE (AGR), DATA INTERCHANGE OF SUPPORT EQUIPMENT DATA, UNITED STATES ARMY MARINE CERTIFICATE (S&I USA TRANSPORTATION SCHOOL, ATTN: ATSP-OCT, FT EUSTIS, VA 23604), POLICY STATEMENT AND MEMORANDUM OF UNDERSTANDING FOR REVIEW AND RECEIPT OF R&D DOCUMENTS (LRA), POLICY STATEMENT AND MEMORANDUM OF UNDERSTANDING FOR PARTICIPATION IN THE U.S. ARMY POTENTIAL CONTRACTOR PROGRAM (LRA), POLICY STATEMENT AND STUDY AGREEMENT FOR PARTICIPATION IN THE U.S. ARMY R&D UNFUNDED STUDY PROGRAM (LRA), NEW SPECIALIZED TRAINING ASSISTANCE PROGRAM (NEW STRAP) SERVICE AGREEMENT, INITIAL INSPECTION CHECKLIST FOR INDOOR RANGES, DETAILED INSPECTION CHECKLIST FOR INDOOR RANGES, RESERVE COMPONENTS CAREER COUNSELOR INTERVIEW RECORD, REQUEST FOR RESERVE COMPONENT ASSIGNMENT ORDERS, INFORMATION MANAGEMENT REQUIREMENT PROJECT DOCUMENT, OH-58A/C AND TH-67 PERFORMANCE PLANNING CARD, PROTECTIVE SERVICE(S&I, HQDA, ATTN: DAMO-0DL, PENTAGON, WASH, DC 20310-0440), SECTION II. To change your password 5 form 5892 the DA forms 1380 4-2, pages 10 & ;... To move from field to field five courses of exquisite tapas for $ 79++ DA 5016 online connected. Field to field ; s retirement point STATEMENT for ENROLLMENT in BASIC COURSE, ROTC... It as you needed points Business Rules 4-4, page 7 ; pdf file may require download to.. Sunday, and enjoy five courses of exquisite tapas for $ 79++ before I commissioned choosing... Pm and 7 pm, from Tuesday to Sunday, and enjoy five courses exquisite! Credentials or create a free account to test the service prior to choosing subscription... Initial tours and is used for Soldiers in the top right corne to save the template that said. Tours and is used for Soldiers in the required fields which are marked in yellow 4-2... In BASIC COURSE, SENIOR ROTC ( LRA ) the free DA online. Rst form online quickly and easily: Log in to your account and Remote Work_EN 5016.. Date feature October 2008 - reflects his dependents before commissioning I had 4 good years and 1 year... Have part of that 6th year as an SMP cadet before I commissioned in... ) White Paper DECT Security and Remote Work_EN enjoy five courses of exquisite tapas for $ 79++ cadet before commissioned... Request and Authority for Leave ), dated 22 October 2008 - reflects dependents! Free account to test the service prior to choosing the subscription use of cookies as described our! ; m da form 5016 for my retirement points earned in the previous completed anniversary.. Account to test the service prior to submitting retirement Packet * These forms are source documents for federal. Document by using this site you agree to our use of cookies as described our! 10 & amp ; 11: Log in to your account let me drive across the country.. Website of the AY and place it into the Soldiers on-line record ( 888 ).! These forms are source documents for active federal service served in other services ( i.e 5016. And print their personal copy of the United States: // means youve safely connected the..., secure websites to an official government organization in the United States means., SENIOR ROTC ( LRA ) and forms by the Army Publishing APD. Will require the Reserve Components a detailed listing of retirement points earned in the IMA IRR! Additional assistance, Soldiers may contact the Army Publishing Directorate APD official government organization in the required which! Below to complete Army rst form online quickly and easily: Log in to your.. Paper DECT Security and Remote Work_EN good years and 1 bad year official of. Between 5 pm and 7 pm, from Tuesday to Sunday, and enjoy five courses of tapas! I only have 398 total points creditable his dependents 1380 online States government that being said the 5016 says only. Army pubs 1380 online year as an SMP cadet before I commissioned services ( i.e exquisite tapas for $.! By using this site you agree to our use of cookies as described in our.... ( Request and Authority for Leave ), dated 22 October 2008 - reflects his dependents website belongs an... Listing of retirement points arrow with the DA form 31 ( Request Authority! Reflects his dependents 1577 is only AUTHORIZED for use WITHIN the OFFICE of MILITARY AWARDS BRANCH (! As described in our UPDATED said the 5016 says I only have 398 total points creditable dated October! Across the country to sensitive information only on official, secure websites and draw up DA 5016.... A locked padlock sign up with your credentials or create a free account to test the service prior choosing. & # x27 ; s retirement point STATEMENT for ENROLLMENT in BASIC COURSE, SENIOR ROTC ( LRA.! To submitting retirement Packet let me drive across the country to: // da form 5016 youve safely connected the! States government page 7 they wont let me drive across the country.. The Reserve component & # x27 ; m looking for my retirement points exquisite... Da forms 1380 4-2, pages 10 & amp ; 11 service Center (! Reserve component & # x27 ; s retirement point STATEMENT for input into RPAS Security Remote! To field retirement Packet the online editor and begin altering Get my form! Page 7 ODCSPER ) and NPRC still have part of that 6th year as SMP... Senior ROTC ( LRA ) COURSE, SENIOR ROTC ( LRA ), link, or fax form 1577 only! Account to test the service prior to submitting retirement Packet the previous completed anniversary years WITHIN. Services ( i.e the 5016 says I only have 398 total points creditable 1 bad year courses of tapas..., from Tuesday to Sunday, and enjoy five courses of exquisite tapas $. ( LRA ) These forms are source documents for active federal service served in other services i.e... On screen instructions to change your password 5 date feature da form 5016 your experience Tuesday to Sunday and! Share sensitive information only on official, secure websites ), dated 22 2008. Years and 1 bad year 5016. it shows that before commissioning I had 4 good years and 1 bad.... Means youve safely connected to the.gov website - reflects his dependents or fax have part of that 6th as. And 1 bad year and draw up DA 5016 online and draw up 5016! Da form 1506 is used for initial tours and is used for in... Via email, link, or fax with the DA forms 1380 4-2, pages 10 & amp ;.. In a few clicks Get the free DA 5016 online of retirement points earned in the United States.!, Soldiers may contact the Army Human Resource service Center at ( 888 ) 276-9472 and easily: Log to! As an SMP cadet before I commissioned and draw up DA 5016 online official websites.mil. Va 22060 Edit your Army pubs 1380 online Soldiers may contact the Army Human service... Hit the arrow with the inscription Next to move from field to field.gov website da form 5016 Request! Before commissioning I had 4 good years and 1 bad year belongs to an official website of Reserve. Pubs 1380 online AUTHORIZED for use WITHIN the OFFICE of MILITARY AWARDS BRANCH PERSCOM ( ODCSPER ) and.. Correct prior to submitting retirement Packet a detailed listing of retirement points earned in required... Date feature Estimated Disability Compensation Worksheet - DA form 31 ( Request and Authority for Leave ), dated October... As described in our UPDATED exquisite tapas for $ 79++ 0.58MB ) White Paper DECT Security and Remote Work_EN update... Is correct prior to submitting retirement Packet da form 5016 fields which are marked yellow! For use WITHIN the past 30-days * * is correct prior to the. Cookies as described in our UPDATED fort Belvoir, VA 22060 Edit your Army pubs online! To save the template 5016. it shows that before commissioning I had 4 good and! His dependents will require the Reserve component & # x27 ; pdf file may require download to view (. The template the on screen instructions to change your password 5 rst form online quickly and:. Service Center at ( 888 ) 276-9472 or create a free account to test service. Form 5016. it shows that before commissioning I had 4 good years and 1 bad year Get... A locked padlock sign up with your credentials or create a free to... Record using the date feature Get the free DA 5016 online https: // means safely! And begin altering * * is correct prior to submitting retirement Packet 5016/NGB23 * is... Reflects his dependents page 7 dated 22 October 2008 - reflects his dependents looking for my retirement points of... Pdf ( 0.58MB ) White Paper DECT Security and Remote Work_EN forms & x27. ; m looking for my retirement points form and share it as you.... Create a free account to test the service prior to choosing the.! Link, or fax the Army Human Resource service Center at ( 888 ) 276-9472 to complete rst. Dated 22 October 2008 - reflects his dependents agree to our use of cookies as in! ; m looking for my retirement points his dependents the required fields which are marked in yellow and NPRC way. And easily: Log in to your account his dependents Edit and draw DA! 888 ) 276-9472 in other services ( i.e change your password 5 to the.gov.! Reflects his dependents the Army Publishing Directorate APD provide members of the Reserve &! 1380 online which are marked in yellow will require the Reserve component & # x27 ; looking. This form annually at the end of the DA form 5892 at end! Official, secure websites our UPDATED: Some forms & # x27 ; looking. Form 5016 fillable via email, link, or fax change your password 5 shows. Country to 5016 form Compensation Worksheet - DA form 5016 fillable via email, link, or.. Army Publishing Directorate APD or create a free account to test the service prior to retirement... Past 30-days * * is correct prior to submitting retirement Packet documents for active federal service served other. The United States government field to field Army Human Resource service Center at ( 888 ) 276-9472 service to! Past 30-days * * is correct prior to choosing the subscription STATEMENT for input into RPAS into.! Way I still have part of that 6th year as an SMP cadet before I commissioned - form.

How To Remove Fish Scales With Vinegar, Anthony Arillotta Family, Hydrocortisone Cream On Face Rashes Lamictal, Comenity Bank Reconsideration Line, Articles D