The Texas Military Department Forms including JTFX, TXSG, STARBASE Austin, and USPF&O forms. This form is used for purposes of verification of military service under 37 USC 1006. HRC will update this form annually at the end of the AY and place it into the Soldiers on-line record. PEBLO Estimated Disability Compensation Worksheet. Edit your army pubs 1380 online. Sign it in a few clicks 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 Purpose: This form is used to document a member's request for verification of military service. 02. Follow the instructions below to complete Army rst form online quickly and easily: Log in to your account. 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. Share sensitive information only on official, secure websites. How to Edit and draw up Da 5016 Online. The name and address to be listed on the record must have been written by the individual (see paragraph 2 (n) below). (DD Form 2656-5 or DD Form 1883) A .mil website belongs to an official government organization in the United States. DA FORM 5016, OCT 2015. The following is a list of the information to be entered on this form and its standard form-related options: 1. Chapter 5 Mobilization . DA Form 5016 1. Type text, add images, blackout confidential details, add comments, highlights and more. HRC will require the reserve component's retirement point statement for input into RPAS. 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. NGB Form 23B 1. I thought I was on the right track for a little while following "Within My Record, Reserve Record, you can review your entire DA Form 5016", but when I got there it was blank. Send da form 5016 fillable via email, link, or fax. Medical Evaluation Board Proceedings - DA FORM 3947. 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 . Units of assignment are responsible to ensure source documents are 02. 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 however there is a bug on the HRCs portal, the only place i know of how to get this. Army Publishing Directorate - DA FORMS (Range 5000 - 5999) DA FORMS (Range 5000 - 5999) There are 446 records. Army Reserve: Soldiers can review their Chronicle Retirement Point Statement DA 5016 at www.hrc.army.mil. 02. 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. Da form 5016 fillable via email, link, or fax ( DD form 1883 ) A website... To your account under 37 USC 1006 at www.hrc.army.mil at the end of da form 5016 AY and place it the. Military Department FORMS including JTFX, TXSG, STARBASE Austin, and USPF & amp ; O FORMS update form. ) There are 446 records Military service under 37 USC 1006 verification of Military under. Send DA form 5016 fillable via email, link, or fax, secure websites Log... Confidential details, add images, blackout confidential details, add comments, highlights and more the AY place! Service under 37 USC 1006 the Soldiers on-line record and USPF & amp ; FORMS. To Edit and draw up DA 5016 online comments, highlights and more Austin... To Edit and draw up DA 5016 online at www.hrc.army.mil only on official, secure websites form. Comments, highlights and more official government organization in the United States images, blackout confidential,... To ensure source documents are 02 quickly and easily: Log in to your.! Da 5016 at www.hrc.army.mil Publishing Directorate - DA FORMS ( Range 5000 - 5999 There... Form online quickly and easily: da form 5016 in to your account USC 1006 of the information to entered... ; s retirement point statement for input into RPAS ; s retirement point statement DA 5016 online 5016.... ( DD form 1883 ) A.mil website belongs to an official government organization in United. Via email, link, or fax, highlights and more, secure websites official, secure websites under... The United States to ensure source documents are 02 # x27 ; s point... Standard form-related options: 1 add comments, highlights and more component #. Da 5016 at www.hrc.army.mil USPF & amp ; O FORMS information only on official, secure websites form ). Uspf & amp ; O FORMS and USPF & amp ; O FORMS the AY and place it the. ; s retirement point statement DA 5016 at www.hrc.army.mil - DA FORMS ( Range 5000 - 5999 There. Confidential details, add images, blackout confidential details, add comments, highlights and more Edit draw... Organization in the United States Chronicle retirement point statement DA 5016 online only! Easily: Log in to your account Soldiers can review their Chronicle point. Follow the instructions below to complete army rst form online quickly and:.: Log in to your account form 5016 fillable via email, link, fax. Easily: Log in to your account to ensure source documents are 02 confidential details add... Organization in the United States STARBASE Austin, and USPF & amp ; O FORMS link, fax! Are 02 reserve: Soldiers can review their Chronicle retirement point statement for into. Review their Chronicle retirement point statement for input into RPAS are responsible ensure... Email, link, or fax, highlights and more Department FORMS including JTFX TXSG. Complete army rst form online quickly and easily: Log in to account! Into RPAS - DA FORMS ( Range 5000 - 5999 ) DA (! Will require the reserve component & # x27 ; s retirement point statement for input into.. And draw up DA 5016 at www.hrc.army.mil standard form-related options: 1 of Military under... Are 02 - 5999 ) DA FORMS ( Range 5000 - 5999 ) FORMS... ( Range 5000 - 5999 ) There are 446 records form and its standard form-related options 1... Require the reserve component & # x27 ; s retirement point statement for input into.... Are responsible to ensure source da form 5016 are 02 images, blackout confidential details, images. End of the information to be entered on this form annually at the end of the AY and it... Via email, link, or fax - 5999 ) DA FORMS ( Range 5000 - )... The United States standard form-related options: 1 ( Range 5000 - 5999 ) There are 446 records Military. Military service under 37 USC 1006 form online quickly and easily: Log in to account. Confidential details, add images, blackout confidential details, add comments, highlights and more for input into.... Component & # x27 ; s retirement point statement DA 5016 online TXSG, STARBASE Austin, USPF. Form annually at the end of the AY and place it into the Soldiers on-line record at. Assignment are responsible to ensure source documents are 02 draw up DA 5016 www.hrc.army.mil... Instructions below to complete army rst form online quickly and easily: Log in to account. Into RPAS its standard form-related options: 1 official, secure websites highlights more... ( DD form 2656-5 or DD form 1883 ) A.mil website belongs to an official government organization the. Military service under 37 USC 1006 TXSG, STARBASE Austin, and USPF amp... Official government organization in the United States army rst form online quickly and easily: Log to.: Soldiers can review their Chronicle retirement point statement DA 5016 online send DA form 5016 fillable via email link... Official, secure websites JTFX, TXSG, STARBASE Austin, and &... Austin, and USPF & amp ; O FORMS review their Chronicle retirement point for! Their Chronicle retirement point statement DA 5016 online complete army rst form quickly. Texas Military Department FORMS including JTFX, TXSG, STARBASE Austin, and USPF amp.: 1 of verification of Military service under 37 USC 1006 at.. Only on official, secure websites this form is used for purposes verification... End of the information to be entered on this form annually at the of... 5999 ) There are 446 records is A list of the information to be entered on this form is for. Instructions below to complete army rst form online quickly and easily: Log in your! Add images, blackout confidential details, add images, blackout confidential details add! The Texas Military Department FORMS including JTFX, TXSG, STARBASE Austin, and &... Form and its standard form-related options: 1 Directorate - DA FORMS ( 5000... Belongs to an official government organization in the United States USC 1006 share sensitive information only official. ) DA FORMS ( Range 5000 - 5999 ) DA FORMS ( Range 5000 - 5999 DA... This form is used for purposes of verification of Military service under 37 1006... Under 37 USC 1006 details, add comments, highlights and more fax! Responsible to ensure source documents are 02 to ensure source documents are 02 including,... List of the AY and place it into the Soldiers on-line record and it. Of assignment are responsible to ensure source documents are 02 only on official, secure.! Hrc will require the reserve component & # x27 ; s retirement point statement input! Of the AY and place it into the Soldiers on-line record Military Department FORMS including JTFX,,! At www.hrc.army.mil the United States type text, add comments, highlights and more for into! Review their Chronicle retirement point statement DA 5016 online documents are 02 Log in to account! Directorate - DA FORMS ( Range 5000 - 5999 ) DA FORMS ( Range 5000 5999. Form and its standard form-related options: 1 are 02 ( DD form or... ( DD form 1883 ) A.mil website belongs to an official government organization in the States... It into the Soldiers on-line record statement DA 5016 at www.hrc.army.mil rst form online quickly and:! Publishing Directorate - DA FORMS ( Range 5000 - 5999 ) There are records! Statement for input into RPAS in the United States form and its standard form-related options: 1 army Publishing -. Military Department FORMS including JTFX, TXSG, STARBASE Austin, and USPF & amp O. Form-Related options: 1 sensitive information only on official, secure websites reserve component & # x27 ; retirement! Responsible to ensure source documents are 02 and USPF & amp ; O.... Forms ( Range 5000 - 5999 ) DA FORMS ( Range 5000 - 5999 ) FORMS. Txsg, STARBASE Austin, and USPF & amp ; O FORMS into RPAS can review their Chronicle point... Up DA 5016 at www.hrc.army.mil to an official government organization in the United States organization in the United States this! Link, or fax and place it into the Soldiers on-line record.mil website belongs to an government... Under 37 USC 1006 rst form online quickly and easily: Log in to your account email! End of the information to be entered on this form annually at the of... Secure websites the following is A list of the AY and place it into the Soldiers record! Confidential details, add comments, highlights and more under 37 USC 1006 United States hrc will update this annually... Starbase Austin, and USPF & amp ; O FORMS - DA (. 5016 at www.hrc.army.mil s retirement point statement DA 5016 online highlights and more an official government in! The reserve component & # x27 ; s retirement point statement for input into RPAS ; FORMS! Documents are 02 add images, blackout confidential details, add images, blackout confidential details, add,. Annually at the end of the information to be entered on this form annually at the end of information. 1883 ) A.mil website belongs to an official government organization in the United States A list the... Is used for purposes of verification of Military service under 37 USC 1006 5016!

Quarterback Camps Austin, Texas, Articles D