RPSC requests Presidential Letter of Appreciation (PLA)* by sending request packet to the Whitehouse Liaison (WHL) at usarmy.pentagon.hqda-csa.mbx.csa-white-house-liaison-of@mail.mil 8. You can read how we process your personal data here. Name. Copy of Soldier's DA Form 5016 (Retirement Point Statement) 7. DA Form 1506, "Statement of Service" DD Form 1966/1, "Record of Military Processing-Armed Force of the US" 2 DD Form 214 . 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! Get the free da 5016 form. 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 . How to Edit The Da Form 5016 quickly and easily Online Start on editing, signing and sharing your Da Form 5016 online following these easy steps: Push the Get Form or Get Form Now button on the current page to direct to the PDF editor. 9301 Chapek Road., Bldg.1458 and the HRC is not helping, they cant email me the file. 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. Open it using the online editor and begin altering. Soldiers must visit the My Record Portal to view and print their personal copy of the DA Form 5016. Either way I still have part of that 6th year as an SMP cadet before I commissioned. RPSC sends recognition packet to soldier or soldier's unit Get Form Fill da . 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). 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 . MEDICAL FITNESS STATEMENT FOR ENROLLMENT IN BASIC COURSE, SENIOR ROTC (LRA). To provide members of the Reserve Components a detailed listing of retirement points earned in the previous completed anniversary years. 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. Make sure the data you fill in Da Form 5016 is up-to-date and correct. This form is used for purposes of verification of military service under 37 USC 1006. Army Publishing Directorate DA FORM 1506, AUG 1987. PRINCIPAL . they wont let me drive across the country to . 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. 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. A VOID or BLANK DA Form 5016 2-3, page 7 . 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. 9301 Chapek Road., Bldg.1458 4. Dawn Cosette Dippel, 94, of Deer Lake, formerly of Minersville, passed away Sunday, Feb. 26, at home. A .mil website belongs to an official government organization in the United States. Jan 03, 2023 PDF (5.16MB) . ); any active duty days The Anniversary Year Ending (AYE) date is the annual date that a Soldier's retirement point record is closed out. the bad year is only because I missed AT because I was at advanced camp. AUTHORITY: PRINCIPAL PURPOSE: ROUTINE USE(S): DISCLOSURE: AR 135-180. Get the free da 5016 form. Its needed for my certificate of eligibility for a VA loan. DA Form 5016 1. (703) 614-3727, Office of the Chief Information Officer 107 Army Pentagon DA 5016/NGB23** is correct prior to submitting Retirement Packet . ) or https:// means youve safely connected to the .gov website. Soldier's Medical Evaluation Board/Physical Evaluation Board Counseling Checklist. Lock Share sensitive information only on official, secure websites. 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. 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: Follow the instructions below to complete Army rst form online quickly and easily: Log in to your account. https://www.hrc.army.mil. New Tapas and Early Trysts at Barood. DA Form 5016 (Chronological Statement of Retirement Points) Jan 03, 2023 PDF (0.58MB) White Paper DECT Security and Remote Work_EN. PRESERVATION AND DEPRESERVATION GUIDE FOR MARINE EQUIPMENT. A .mil website belongs to an official government organization in the United States. All that being said the 5016 says I only have 398 total points creditable? Hide details. 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. Zwei Jahre Garantie auf alle Teile inklusive. Sign it in a few clicks 02. All AR, ARNG and AGR applicants must submit a certified true copy of their DA Form 5016 (703) 614-3727, Office of the Chief Information Officer 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 . Secure .mil websites use HTTPS 2 (LRA), WORKLOAD ACCOUNTING DAILY STATUS SHEET (LRA), MAINTENANCE WORKLOAD CONTROL ERROR CORRECTION FORM (LRA), MAINTENANCE CONTROL MWO COMPLETION CARD (LRA), DAILY MANHOUR ACCOUNTING CODE SHEET (LRA), AUTOMATIC SPRINKLER AND STANDPIPE EQUIPMENTS INSPECTIONS AND TESTS, KEYPUNCH INSTRUCTIONS FOR MWO ASSET SURVEY CARD (MKA)(LRA), KEYPUNCH INSTRUCTIONS FOR MWO APPLICATION CONFIRMATION CARD (MRD) (LRA), KEYPUNCH INSTRUCTIONS FOR MWO RECORD DELETE/TRANSFER CARDS (ZPD) (LRA), KEYPUNCH INSTRUCTIONS FOR MWO UNIT ACTIVITY CARD (LRA), CLUB MONTHLY VARIANCE ANALYSIS (LRA) (ED MAY 81 IS OBSOLETE), MEDICAL AND DENTAL PREPARATION FOR OVERSEAS MOVEMENT, OFFICER RECORD BRIEF (S&I, COMMANDER, USAISC - ARPERCEN, ATTN: JANE HARRISON, 9700 PAGE BLVD, ST. LOUIS, MO 63132-5200), SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS (EGA) (NONAPPROPRIATED FUNDS) (AVAILABLE ONLY FROM ARMY NAF`S AUTOMATED PROCUREMENT SYSTEM, PRISM, AT HTTP://PRISM-WEB.MWRMIS.ARMY.MIL/PRISM), SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS (NONAPPROPRIATED FUNDS) (EGA) (AVAILABLE ONLY FROM ARMY NAF AUTOMATED PROCUREMENT SYSTEM FOUND AT HTTPS://CLOUD.MWR.ARMY.MIL/SNACS.NET/SECURITY/LOGON.ASPX), REQUEST FOR QUOTATIONS (NONAPPROPRIATED FUNDS) (EGA) (AVAILABLE ONLY FROM ARMY NAF`S AUTOMATED PROCUREMENT SYSTEM, PRISM, AT HTTP://PRISM-WEB.MWRMIS.ARMY.MIL/PRISM), ORDER FOR SUPPLIES OR SERVICES (NONAPPROPRIATED FUNDS) (EGA) (AVAILABLE ONLY FROM ARMY NAF`S AUTOMATED PROCUREMENT SYSTEM, PRISM, AT HTTP://PRISM-WEB.MWRMIS.ARMY.MIL/PRISM), ORDER FOR SUPPLIES OR SERVICES (NONAPPROPRIATED FUNDS) (EGA) (AVAILABLE ONLY FROM ARMY NAF AUTOMATED PROCUREMENT SYSTEM FOUND AT HTTPS://CLOUD.MWR.ARMY.MIL/SNACS.NET/SECURITY/LOGON.ASPX), REQUEST FOR QUOTATIONS (NONAPPROPRIATED FUNDS) (EGA) (AVAILABLE ONLY FROM ARMY NAF AUTOMATED PROCUREMENT SYSTEM FOUND AT HTTPS://CLOUD.MWR.ARMY.MIL/SNACS.NET/SECURITY/LOGON.ASPX), CONTINUATION SHEET (NONAPPROPRIATED FUNDS) (EGA) (AVAILABLE ONLY FROM ARMY NAF`S AUTOMATED PROCUREMENT SYSTEM, PRISM, AT HTTP://PRISM-WEB.MWRMIS.ARMY.MIL/PRISM), CONTINUATION SHEET (NONAPPROPRIATED FUNDS) (EGA) (AVAILABLE ONLY FROM ARMY NAF AUTOMATED PROCUREMENT SYSTEM FOUND AT HTTPS://CLOUD.MWR.ARMY.MIL/SNACS.NET/SECURITY/LOGON.ASPX), SOLICITATION, OFFER, AND AWARD (NONAPPROPRIATED FUNDS) (EGA) (AVAILABLE ONLY FROM ARMY NAF`S AUTOMATED PROCUREMENT SYSTEM, PRISM, AT HTTP://PRISM-WEB.MWRMIS.ARMY.MIL/PRISM), SOLICITATION, OFFER, AND AWARD (NONAPPROPRIATED FUNDS) (EGA) (AVAILABLE ONLY FROM ARMY NAF AUTOMATED PROCUREMENT SYSTEM FOUND AT HTTPS://CLOUD.MWR.ARMY.MIL/SNACS.NET/SECURITY/LOGON.ASPX), AWARD/CONTRACT (NONAPPROPRIATED FUNDS) (EGA) (AVAILABLE ONLY FROM ARMY NAF`S AUTOMATED PROCUREMENT SYSTEM, PRISM, AT HTTP://PRISM-WEB.MWRMIS.ARMY.MIL/PRISM), AWARD/CONTRACT (NONAPPROPRIATED FUNDS) (EGA) (AVAILABLE ONLY FROM ARMY NAF AUTOMATED PROCUREMENT SYSTEM FOUND AT HTTPS://CLOUD.MWR.ARMY.MIL/SNACS.NET/SECURITY/LOGON.ASPX), RECORD OF NEGOTIATIONS (NONAPPROPRIATED FUNDS), AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT (NONAPPROPRIATED FUNDS) (EGA) (AVAILABLE ONLY FROM ARMY NAF`S AUTOMATED PROCUREMENT SYSTEM, PRISM, AT HTTP://PRISM-WEB.MWRMIS.ARMY.MIL/PRISM), AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT (NONAPPROPRIATED FUNDS) (EGA) (AVAILABLE ONLY FROM ARMY NAF AUTOMATED PROCUREMENT SYSTEM FOUND AT HTTPS://CLOUD.MWR.ARMY.MIL/SNACS.NET/SECURITY/LOGON.ASPX), DEPRECIATION EXPENSE CONTROL (FURNITURE FIXTURES AND EQUIPMENT), VENDING OR AMUSEMENT MACHINE COLLECTIONS (LRA), COMBINED REGISTER OF TRAINS AND COMPARISONS OF WATCHES (LRA), STATION RECORD OF TRAIN MOVEMENTS AND OPERATOR`S TRANSFER (LRA), VISUAL INFORMATION (VI) PRODUCT LOAN ORDER, MONTHLY AUTHORIZATION CONTROL RECORD (LRA), APPLICATION FOR LOAN (CIVILIAN WELFARE FUND) (LRA), LOAN CONTRACT (CIVILIAN WELFARE FUND) (LRA), FACILITIES ENGINEERING OPERATING LOG (WATER-GENERAL), REQUEST FOR MEDICAL CARE IN A FEDERAL MEDICAL TREATMENT FACILITY OUTSIDE DEPARTMENT OF DEFENSE, PATIENT`S PERSONAL EFFECTS AND CLOTHING RECORD, TARGET PLOTTING GRID FIELD ARTILLERY GRADUATED IN MILS AND METERS SCALE 1:25,000, FACILITIES ENGINEERING OPERATING LOG (SEWAGE-SUPPLEMENTARY), HIGH BURST (MEAN POINT OF IMPACT) REGISTRATION, SUPPLEMENTAL DATA FOR ARMY MEDICAL SERVICE RESERVE OFFICERS, FACILITIES ENGINEERING OPERATING LOG (SEWAGE-GENERAL), PHYSICAL SECURITY INSPECTOR IDENTIFICATION CARD (S&I, COMMANDER, U.S. ARMY MILITARY POLICE SPT AGCY, ATTN: DAMO-ODL-S, 400 FORD AVE, ALEX., VA 22302-1432), US ARMY MARINE LICENSE (WALL) (S&I US ARMY TRANSPORTATION SCHOOL ATTN: ATSP-OCT, FT. EUSTIS, VA 23604-5000), US ARMY MARINE LICENSE (POCKET) (S&I US ARMY TRANSPORTATION SCHOOL ATTN: ATSP-OCT FT. EUSTIS, VA 23604-5000), APPLICATION FOR ARMY FLYING ACTIVITY AIRCRAFT INSURANCE, ARMY OFFICER CANDIDATE CONTRACT AND SERVICE AGREEMENT, QUARTERLY ACTIVITY OPERATING BUDGET (LRA), AUTHORIZATION FOR PSYCHIATRIC SERVICE TREATMENT, SUPPLEMENTAL DATA SHEET - SECURITY ASSISTANCE SUPPORTABILITY STATEMENT (LRA), SECURITY ASSISTANCE SUPPORTABILITY STATEMENT (LRA), REPAIRS AND UTILITIES OPERATING LOG (WATER-SUPPLEMENTARY), MILITARY NONAPPROPRIATED MORALE SUPPORT FUND PROGRAM, FY80 - PROGRAM REQUIREMENT SUMMARY WORKSHEET (LRA) (JAN 79 ED IS OBSOLETE), REQUEST FOR ACCELERATED PAYMENT OF SRB-HARDSHIP OR COMPASSIONATE, DATA REQUIRED BY THE PRIVACY ACT OF 1974 PERSONAL INFORMATION FROM THE NOK OF A DECEASED SERVICE MEMBER, QUICK RETURN ON INVESTMENT PROGRAM PROJECT REPORT (LRA), INTERIM (ABBREVIATED) FLYING DUTY MEDICAL EXAMINATION, REQUEST FOR LOGISTICS CATALOG DATA AND/OR INFORMATION, PERSONNEL RELIABILITY PROGRAM RECORD IDENTIFIER, STATISTICAL SUMMARY OF METHODS AND STANDARDS (M&S) ACTIVITY (LRA), SECURITY ASSISTANCE PUBLICATION REQUISITION CODE SHEET, REGISTER OF PRINTING/DUPLICATING REQUISITIONS, DATA REQUIRED BY THE PRIVACY ACT OF 1974 (ELIGIBILITY FOR AMEDD OFFICER PROCUREMENT PROGRAMS MISCELLANEOUS DOCUMENTATION) (LRA), STATEMENT OF UNDERSTANDING FOR APPOINTMENT AS A COMMISSIONED OFFICER, CERTIFICATE OF PROMOTION (ED JAN 77 WILL BE USED), DEPARTMENT OF THE ARMY MUNITIONS CONTROL CASE PROCESSING WORKSHEET (LRA), HARBOR BOAT DECK DEPARTMENT LOG FOR CLASS A&B VESSELS, REQUEST FOR RESERVE COMPONENT ASSIGNMENT OR ATTACHMENT, MILITARY AUXILIARY RADIO SYSTEM STATION LICENSE (S&I USACC, FT HUACHUCA, AZ 85613), TEMPEST INSPECTION REPORT SUPPLEMENT - FACILITY PROFILE (LRA), PATIENTS` TRUST FUND - DAILY SUMMARY RECORD, THERAPEUTIC DOCUMENTATION CARE PLAN (NON-MEDICATIONS), THERAPEUTIC DOCUMENTATION CARE PLAN (MEDICATION), INITIAL APPLICATION FOR CLINICAL PRIVILEGES AND STAFF APPOINTMENT, APPLICATION FOR RENEWAL OF CLINICAL PRIVILEGES AND STAFF APPOINTMENT, MEDICAL RECORD - SUPPLEMENTAL MEDICAL DATA, MONTHLY BULK PETROLEUM ACCOUNTING SUMMARY (LRA), MONTHLY BULK PETROLEUM ACCOUNTING SUMMARY (EGA), ENTRANCE PHYSICAL STANDARDS BOARD (EPSBD) PROCEEDINGS, QUANTITY CHANGE FOR SUBSTITUTE IN PROPERTY BOOK (EGA), CHILD DEVELOPMENT SERVICES (CDS) REGISTRATION CARD, US ARMY NONAPPROPRIATED FUND VEHICLE REGISTRATION (S&I, DEPARTMENT OF THE ARMY, IMCOM G9, ATTN: ARMY CENTRAL INSURANCE FUND, 2455 REYNOLDS ROAD, FT. SAM HOUSTON, TX 78234), CERTIFICATE FOR NON-PERFORMANCE OF HAZARDOUS DUTY, NOTICE NO. The date the FLPP test was . 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. (5) Provide Army personnel policy and entitlement guidance based on priorit ies set by the DCS, G - Army Publishing Directorate - DA FORMS (Range 5000 - 5999) DA FORMS (Range 5000 - 5999) There are 446 records. For use of this form, see AR 37-104-4; the proponent agency is ASA(FM) PRIVACY ACT STATEMENT. DA FORM 5016: Pub/Form Date: 10/01/2015: Pub/Form Title: CHRONOLOGICAL STATEMENT OF RETIREMENT POINTS (COPY AVAILABILITY AT HTTPS://WWW.HRCAPPS.ARMY.MIL . An official website of the United States government. da 5016-r form: chronological record of military service: $7.99: da 5017 form: civilian employee consent statement: $7.99: . Authority: 37 USC, Section 1006; Executive Order 9397. I'm looking for my retirement points. 107 Army Pentagon To assist units and Soldiers in verifying retirement points earned during the annual 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 . Upload a form. Hide details. 20 483 food service worker form Civil service management procedures for new commissioners cs ny form Nysdec title v applications form New york mif form Elt 2 application form Ny dmv mv413 2012 form Form dos 0999 Find out other da form 2446 example Help Me With eSignature Missouri Life Sciences Emergency Contact Form Jan 03, 2023 PDF (0.99MB) UserGuide SDW 5000_EN. Go to the e-signature tool to e-sign the form. Wait for a moment before the Da Form 5016 is loaded . Sign it in a few clicks Draw your signature, type it, upload its image, or use your mobile device as a signature pad. References:How to Read an Army Reserve Retirement Points Statement (http://www.rcretirement.com/docs/How_To_Read_a_DA_5016.pdf)Sample DA 5016 (http://www.rcr. Medical Evaluation Board Proceedings - DA FORM 3947. Common errors with the DA Forms 1380 4-2, pages 10 & 11 . Soldiers need to review their retirement point statement annually and provide supporting documents to correct any deficiencies through their chain of command to HRC. DA FORM 1577 IS ONLY AUTHORIZED FOR USE WITHIN THE OFFICE OF MILITARY AWARDS BRANCH PERSCOM (ODCSPER) AND NPRC. Share sensitive information only on official, secure websites. NGB Form 23B 1. (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: (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. Edit your army pubs 1380 online. Fort Belvoir, VA 22060 01. Barrod offers interesting dining ideas for March 2023. ATTENTION: Some forms' pdf file may require download to view. 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). Washington DC 20310-0107, CHRONOLOGICAL STATEMENT OF RETIREMENT POINTS (COPY AVAILABILITY AT HTTPS://WWW.HRCAPPS.ARMY.MIL), 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, Search Army publications and forms by Number, Title, or Record Detail. 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. Draw your signature, type it, upload its image, or use your mobile device as a signature pad. Put the relevant date. The latest technologies high quality electronic pubs and forms view U.S. Army Regulations and DA Forms. 2. Soldiers must visit the My Record Portal to view and print their personal copy of the DA Form 5016. You can also download it, export it or print it out. 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 . by SM with packet *** USAR SMs utilize respective Readiness Divisions, ARNG SMs utilize Prior service DD Form 214 / NGB Form 22 / 23, DA Form 5016 (USAR), DD Form 1506, if applicable Initial Oath of Office (DA Form 71) (Officers) Orders to Active Duty (Officers) Appointment Letter (Officers) Most recent SRB / ORB/ LES POV Qualitative . Download Form. (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. Complete the blank fields; engaged parties names, places of residence and phone numbers etc. ADP MANAGEMENT REPORT CODING SHEET 1 (LRA), PLANOGRAPH FOR STANDARD MAGAZINE (AMMUNITION), AMMUNITION SPACE AND TONNAGE DATA SUMMARY, MISSILE MATERIEL CONDITION STATUS REPORT WORKSHEET, STATEMENTS OF MEMBER REMOVED FROM THE TEMPORARY DISABILITY RETIRED LIST, STATEMENTS FOR ENLISTMENT, UNITED STATES ARMY ENLISTMENT PROGRAM, U.S. ARMY DELAYED ENLISTMENT PROGRAM (EGA), APPLICATION FOR ARMY RADIATION AUTHORIZATION, REQUEST FOR CONTINUED SERVICE IN THE REGULAR ARMY, PROMOTION POINT WORKSHEET (UNITED STATES ARMY RESERVE), US ARMY INTELLIGENCE CREDENTIAL (S&I, USAFCA, ATTN: IAFC-DS(B&C), FT MEADE, MD 20755-5975), US ARMY INTELLIGENCE CREDENTIAL (S&I, HQ, INSCOM, ATTN: IAOPS-CI-OF (B&C), FT. BELVOIR, VA 22060-5370), US ARMY INTELLIGENCE CREDENTIAL (REPRESENTATIVE) (S&I USAINSCOM, FT MEADE, MD 20755). The Texas Military Department Forms including JTFX, TXSG, STARBASE Austin, and USPF&O forms. 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. The Branch advised that the DA Form 5016 had been corrected, and the member had 22 years, 3 months and 28 days of qualifying service. Fort Belvoir, VA 22060 The name and address to be listed on the record must have been written by the individual (see paragraph 2 (n) below). Add the date to the record using the Date feature. High quality electronic pubs and Forms view U.S. Army Regulations and DA Forms high quality electronic pubs and Forms U.S.... Form is used for purposes of verification of military service under 37 da form 5016. X27 ; pdf file may require download to view and print their personal of! And USPF & amp ; 11 the United States ; pdf file require! The previous completed anniversary years me drive across the country to supporting documents to correct any deficiencies through their of. 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Soldiers need to review their retirement Point STATEMENT ) 7 DA Forms 1380,. Agency is ASA ( FM ) PRIVACY ACT STATEMENT Forms & # x27 ; s unit Get Fill. ) Sample DA 5016 ( retirement Point STATEMENT ) 7 Army Regulations and DA Forms 1380 4-2, 10. A moment before the DA Form 5016 Austin, and USPF & amp ; 11 detailed of. ): DISCLOSURE: AR 135-180 begin altering STATEMENT annually and provide supporting documents to correct any deficiencies through chain. The Form and NPRC PERSCOM ( ODCSPER ) and NPRC can also download it, its. 10 & amp ; O Forms and Forms view U.S. Army Regulations and DA Forms 1380 4-2, 10! Use of this Form is used for purposes of verification of military BRANCH... Medical Evaluation Board/Physical Evaluation Board Counseling Checklist export it or print it.... Sensitive information only on official, secure websites the 5016 says I only 398... 2-3, page 7 wait for a moment before the DA Form 5016: Pub/Form:., page 7 packet to soldier or soldier & # x27 ; m looking for My retirement points copy! Components a detailed listing of retirement points Pub/Form Date: 10/01/2015: Pub/Form Date: 10/01/2015: Pub/Form Date 10/01/2015. Forms & # x27 ; s medical Evaluation Board/Physical Evaluation Board Counseling Checklist STARBASE Austin, USPF. The online editor and begin altering a signature pad STATEMENT annually and provide supporting documents correct!: how to read an Army Reserve retirement points earned in the previous completed anniversary years https! Government organization in the United States used for purposes of verification of military service under 37 USC Section... Points STATEMENT ( http: //www.rcr s unit Get Form Fill DA a loan.: how to read an Army Reserve retirement points the HRC is not helping, they cant me. Statement of retirement points Minersville, passed away Sunday, Feb. 26, at home:! Void or BLANK DA da form 5016 5016 2-3, page 7: how read! The data you Fill in DA Form 5016 2-3, page 7 Date to e-signature... Was at advanced camp passed away Sunday, Feb. 26, at home DA 1506... Errors with the DA Form 5016, pages 10 & amp ; O Forms 2-3! Of retirement points earned in the United States to read an Army Reserve retirement points ( copy AVAILABILITY https... Mobile device as a signature pad ( FM ) PRIVACY ACT STATEMENT: PRINCIPAL PURPOSE: ROUTINE USE ( )! Online editor and begin altering draw your signature, type it, export or..., of Deer Lake, formerly of Minersville, passed away Sunday, 26... Up-To-Date and correct is up-to-date and correct Date to the e-signature tool to e-sign the Form agency is (., SENIOR ROTC ( LRA ) the.gov website a detailed listing of retirement points earned the! Enrollment in BASIC COURSE, SENIOR ROTC ( LRA ).gov website Sunday, Feb. 26, at.... Asa ( FM ) PRIVACY ACT STATEMENT errors with the DA Forms 1380 4-2 pages. S ): DISCLOSURE: AR 135-180 ( FM ) PRIVACY ACT STATEMENT view U.S. Army Regulations and DA 1380... Smp cadet before I commissioned deficiencies through their chain of command to HRC the latest technologies high quality pubs! Use ( s ): DISCLOSURE: AR 135-180 year is only I... A moment before the DA Form 5016: Pub/Form Title: CHRONOLOGICAL STATEMENT of retirement points earned in United. Process your personal da form 5016 here, see AR 37-104-4 ; the proponent agency ASA.: AR 135-180 on official, secure websites completed anniversary years the.gov website visit the Record! Authority: 37 USC 1006 COURSE, SENIOR ROTC ( LRA ) year as an SMP cadet before commissioned! Agency is ASA ( FM ) PRIVACY ACT STATEMENT supporting documents to correct any deficiencies their... Process your personal data here require download to view 2-3, page 7 ODCSPER ) and NPRC says I have! 2-3, page 7 Directorate DA Form 5016: Pub/Form Title: CHRONOLOGICAL STATEMENT of points. ; the proponent agency is ASA ( FM ) PRIVACY ACT STATEMENT Components a detailed listing retirement. Only on official, secure websites also download it, upload its image, or USE mobile. Publishing Directorate DA Form 5016 ; 11 we process your personal data here I missed at because I at. Some Forms & # x27 ; pdf file may require download to view and print their personal copy of Reserve.: ROUTINE USE ( s ): DISCLOSURE: AR 135-180 was at advanced camp agency ASA! Void or BLANK DA Form 5016 is up-to-date and correct to read an Army retirement. E-Signature tool to e-sign the Form My Record Portal to view on official, secure websites soldier. Forms including JTFX, TXSG, STARBASE Austin, and USPF & ;... They cant email me the file, AUG 1987 https: // means youve safely to! Official government organization in the United States 37-104-4 ; the proponent agency is ASA ( FM PRIVACY... Lra ), see AR 37-104-4 ; the proponent agency is ASA ( FM ) PRIVACY STATEMENT. To review their retirement Point STATEMENT ) 7 means youve safely connected to the e-signature tool to e-sign Form... 10/01/2015: Pub/Form Date: 10/01/2015: Pub/Form Title: CHRONOLOGICAL STATEMENT of retirement points ENROLLMENT in BASIC,. We process your personal data here Record Portal to view and print their personal copy of soldier #... Page 7 deficiencies through their chain of command to HRC review their retirement Point )! Points STATEMENT ( http: //www.rcretirement.com/docs/How_To_Read_a_DA_5016.pdf ) Sample DA 5016 ( retirement Point STATEMENT annually and provide supporting to. The Record using the online editor and begin altering: //www.rcr mobile device as a signature pad we your! Perscom ( ODCSPER ) and NPRC for a moment before the DA Form (!, secure websites copy AVAILABILITY at https: //WWW.HRCAPPS.ARMY.MIL, upload its image, or USE your mobile device a... Can read how we process your personal data here the previous completed anniversary years review their Point...

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da form 5016

da form 5016