Lock Open it using the online editor and begin altering. 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. 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), Search Army publications and forms by Number, Title, or Record Detail. . What is a DA Form 5016? Secure .mil websites use HTTPS HRC will update this form annually at the end of the AY and place it into the Soldiers on-line record. For more details. Accept Terms By submitting this form, you accept the Terms and Conditions. https://www.hrc.army.mil. 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). Fort Belvoir, VA 22060 2. Army Publishing Directorate and the HRC is not helping, they cant email me the file. 02. Sign it in a few clicks Draw your signature, type it, upload its image, or use your mobile device as a signature pad. Complete the blank fields; engaged parties names, places of residence and phone numbers etc. 03. 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. Lock Copy of Soldier's DA Form 5016 (Retirement Point Statement) 7. Follow the on screen instructions to change your password 5. Wait until Da 5016 is shown. Jan 03, 2023 PDF (5.16MB) . PRINCIPAL . 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 . Hit the arrow with the inscription Next to move from field to field. Type text, add images, blackout confidential details, add comments, highlights and more. (AP Photo/Matt Slocum) 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. You'll need a Common Access Card. Share your form with others. ) or https:// means youve safely connected to the .gov website. 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. 9301 Chapek Road., Bldg.1458 DA FORM 1506, AUG 1987. Fill in the required fields which are marked in yellow. G. For periods of omitted prior reserve service, provide copies of the DA Form 1383, AGUZ Form 115, DARP Form 249, DARP Form 249-2-E, ARPC Form 249-E, AHRC Form 249-2-E,NGB Form 23, AF Form 526, NAVPERS Form 1070-611, NAVMC Form 798, or CG HQ Form 4973. Check each field has been filled in properly. DA 5016 20 Year Letter Promotion or reduction orders Transfer to Retired Reserve order Reserve Component Survivor Benefits (DD 2656-5 or DD 1883) Age 60 extension documents if necessary DD 214s. Draw your signature, type it, upload its image, or use your mobile device as a signature pad. The latest technologies high quality electronic pubs and forms view U.S. Army Regulations and DA Forms. Fort Belvoir, VA 22060 Soldiers must visit the My Record Portal to view and print their personal copy of the DA Form 5016. Put the date and place your e-signature. Sign up with your credentials or create a free account to test the service prior to choosing the subscription. 01. How to Edit and draw up Da 5016 Online. A lock ( I was finally able to get my DA form 5016. it shows that before commissioning I had 4 good years and 1 bad year. (703) 614-3727, Office of the Chief Information Officer Add the Da form 5016 for redacting. For additional assistance, Soldiers may contact the Army Human Resource Service Center at (888) 276-9472. Army Publishing Directorate - DA FORMS (Range 5000 - 5999) DA FORMS (Range 5000 - 5999) There are 446 records. An official website of the United States government. A locked padlock Get Form . vkgy 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. (703) 614-3727, Office of the Chief Information Officer DOCUMdocuments, Management Program ENTSif authorized storage . Get Form Fill da . 02. Go to the e-signature tool to e-sign the form. 9301 Chapek Road., Bldg.1458 DA Form 5016-R, "Chronological Record of Military Service" DA Form 2627, "Record of Proceedings under Article 15, 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 . Purpose: This form is used to document a member's request for verification of military service. Edit your army pubs 1380 online. Alter your file. Name plate IMPACT SDW 5013-5016_EN. Wait for a moment before the Da Form 5016 is loaded Secure .mil websites use HTTPS A locked padlock The webpage that was requested either was not found or no longer exists. 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). PRINCIPAL . Put the relevant date. 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