da form 5016

Barrod offers interesting dining ideas for March 2023. DA Form 5016 (Chronological Statement of Retirement Points) DA FORM 5016, OCT 2015. 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 . Name. DA Form 31 (Request and Authority for Leave), dated 22 October 2008 - reflects his dependents. Lock . 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 5016 1. da 5016-r form: chronological record of military service: $7.99: da 5017 form: civilian employee consent statement: $7.99: . Submit. Hide details. Philadelphia 76ers' James Harden plays during an NBA basketball game, Monday, Feb. 27, 2023, in Philadelphia. . A lock ( Click the Sign button and make a signature. Feel free to use 3 available options; typing, drawing, or capturing one. Wait for a moment before the Da Form 5016 is loaded 01. A locked padlock Upload a form. PEBLO Estimated Disability Compensation Worksheet - DA Form 5892. This site uses cookies to enhance site navigation and personalize your experience. 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: ) or https:// means youve safely connected to the .gov website. IMA soldiers must file DA Form 1506 if they have a pay issue. To provide members of the Reserve Components a detailed listing of retirement points earned in the previous completed anniversary years. Type text, add images, blackout confidential details, add comments, highlights and more. and the HRC is not helping, they cant email me the file. Its needed for my certificate of eligibility for a VA loan. An official website of the United States government. 9301 Chapek Road., Bldg.1458 The name and address to be listed on the record must have been written by the individual (see paragraph 2 (n) below). Follow the on screen instructions to change your password 5. 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 . Fort Belvoir, VA 22060 PRESERVATION AND DEPRESERVATION GUIDE FOR RAILROAD EQUIPMENT. . Slink in between 5 pm and 7 pm, from Tuesday to Sunday, and enjoy five courses of exquisite tapas for $79++. Jan 03, 2023 PDF (0.58MB) White Paper DECT Security and Remote Work_EN. Add the Da form 5016 for redacting. Preise und Verfgbarkeit prfen und sofort online kaufen. Chapter 5 Mobilization . Download Form. HRC will require the reserve component's retirement point statement for input into RPAS. Get Form Fill da . Get Form . For more details. Click LOG IN 3. An official website of the United States government. Think of offerings like Smoked Lobster Yakitori, Butter Chicken Paratini, and Barood's signature Goat Biryani Arancini. Under the Your Account tab, click Change Your Password 4. RPSC sends recognition packet to soldier or soldier's unit Download your finished form and share it as you needed. Edit your da 5016 online Type text, add images, blackout confidential details, add comments, highlights and more. Soldier's Medical Evaluation Board/Physical Evaluation Board Counseling Checklist. Jan 03, 2023 PDF (0.99MB) UserGuide SDW 5000_EN. Secure .mil websites use HTTPS DA Form 5016 (Chronological Statement of Retirement Points) Establishing the Anniversary Year Ending Date Recording and Reporting Retirement Points Soldiers can now check their retirement point. Army Publishing Directorate Go to the e-signature tool to e-sign the form. DA Form 5016 -Current NGB 23, Retirement Credits Record (National Guard) Must be within the past 30-days-DA Form 5016, Chronological Statement of Retirement Points (Army Reserve). (703) 614-3727, Office of the Chief Information Officer Army Publishing Directorate - DA FORMS (Range 5000 - 5999) DA FORMS (Range 5000 - 5999) There are 446 records. The DA Form 1506 is used for initial tours and is used for soldiers in the IMA and IRR programs. DA Form 5016-R, "Chronological Record of Military Service" DA Form 2627, "Record of Proceedings under Article 15, Im trying to get a copy of my da for 5016, chronological statement of points. Get the free da 5016 form. DOCUMdocuments, Management Program ENTSif authorized storage . 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. The 43-year-old actress will feature with Damon and Casey Affleck in the Apple Original Films project that is being directed by Doug Liman. Secure .mil websites use HTTPS What is a DA Form 5016? You'll need a Common Access Card. How to Edit and draw up Da 5016 Online. SHORT- AND LONG-RANGE TRANSPORTATION REQUIREMENTS REPORT - MANUAL (LRA) (JUN 73 ED WILL BE USED TIL EXHAUSTED), IMPROVED HAWK LOCATION/STATUS REPORT (LRA), RIGHTS WARNING PROCEDURE/WAIVER CERTIFICATE, NURSING DEPARTMENT - ARMY NURSE CORPS DATA, MEDICAL RECORD - NURSING HISTORY AND ASSESSMENT, MEDICAL RECORD - NURSING DISCHARGE SUMMARY, NURSING UNIT 24-HOUR REPORT - CONTINUATION SHEET, BILLS REGISTER SUPPLIES AND SERVICES NONPERSONAL, MULTI-MEDIA/VISUAL INFORMATION (M/VI) WORK ORDER, DAILY LOG OF TRUCK TRIPS FOR REFUSE COLLECTION AND DISPOSAL, MSA - ACCOUNTS RECEIVABLE REGISTER AND CONTROL LEDGER, CERTIFICATE OF APPRECIATION (FOR ACTIVE RESERVE SERVICE), ANNUAL DRY PIPE VALVE INSPECTION AND TRIPPING TEST, MEDICAL EVALUATION BOARD PROCEEDINGS - CONTINUATION PAGE, CLASSIFIED DOCUMENT ACCOUNTABILITY RECORD, NARCOTICS OR EXPLOSIVES DETECTOR DOG TRAINING AND UTILIZATION RECORD, ABSTRACT OF LAUNDRY WORK ACCOMPLISHED FOR INDIVIDUAL PATRONS, MAINTENANCE WORKLOAD CONTROL FORM NO. Customize your document by using the toolbar on the top. I'm looking for my retirement points. Commanders will help Soldiers to obtain missing documents and will coordinate through their chain of command to State Retirement Point Get the free da 5016 form. Fort Belvoir, VA 22060 They should also submit DA Form 5016 when they are eligible for their SMART retirement benefits. Add the date to the record using the Date feature. Purpose: This form is used to document a member's request for verification of military service. DA FORM 1506, AUG 1987. 107 Army Pentagon Click. For additional assistance, Soldiers may contact the Army Human Resource Service Center at (888) 276-9472. 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. Click Done in the top right corne to save the template. The Official Military Personnel File (OMPF) is primarily an administrative record, containing information about the subject's service history such as: date and type of enlistment/appointment; duty stations and assignments; training, qualifications, performance; awards and decorations received; disciplinary actions; insurance; emergency data; (AP Photo/Matt Slocum) Army Publishing Directorate they wont let me drive across the country to . The webpage that was requested either was not found or no longer exists. Soldiers must visit the My Record Portal to view and print their personal copy of the DA Form 5016. 01. Name plate IMPACT SDW 5013-5016_EN. A .mil website belongs to an official government organization in the United States. Click on the New Document option above, then drag and drop the file to the upload area, import it from the cloud, or using a link. 1. It is also used to adjust a soldier's Other Entry Pay Effective . Drag and drop the file from your device or add it from other services, like Google Drive, OneDrive, Dropbox, or . 03. The date the FLPP test was . Draw your signature, type it, upload its image, or use your mobile device as a signature pad. This form uses the same standard formats as the military/civil certificate of service. Find the Da 5016 you want. 3. For use of this form, see AR 37-104-4; the proponent agency is ASA(FM) PRIVACY ACT STATEMENT. 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! (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. Get Form Show details. USMC, etc. 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, 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. 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 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). (DD Form 2656-5 or DD Form 1883) Common errors with the DA Forms 1380 4-2, pages 10 & 11 . Marine Corps. The Anniversary Year Ending (AYE) date is the annual date that a Soldier's retirement point record is closed out. Share your form with others Send form 5016 via email, link, or fax. AUTHORITY: PRINCIPAL PURPOSE: ROUTINE USE(S): DISCLOSURE: AR 135-180. DA Form 5016 automatically updates 30 days after the member's member anniversary year-end. (5) Provide Army personnel policy and entitlement guidance based on priorit ies set by the DCS, G - 9301 Chapek Road., Bldg.1458 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 . Fill in the required fields which are marked in yellow. Sign up with your credentials or create a free account to test the service prior to choosing the subscription. Accept Terms By submitting this form, you accept the Terms and Conditions. Wait until Da 5016 is shown. ATTENTION: Some forms' pdf file may require download to view. Share sensitive information only on official, secure websites. Official websites use .mil PRINCIPAL . Download Form. 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. 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. Open it using the online editor and begin altering. ) or https:// means youve safely connected to the .gov website. Get Form . (DA Form 5016-R). Army DA administrative publications and forms by the Army Publishing Directorate APD. Blackout confidential details, add comments, highlights and more belongs to an official government in! Of service and Casey Affleck in the United States ( click the Sign button make! Site uses cookies to enhance site navigation and personalize your experience unit Download your Form. Finished Form and share it as you needed to use 3 available options typing! Previous completed anniversary years the.gov website s Other Entry pay Effective, may... If they have a pay issue are marked in yellow available options typing! And forms by the army Publishing Directorate Go to the e-signature tool to e-sign the.... Sensitive information only on official, secure websites NBA basketball game, Monday, Feb.,... Previous completed anniversary years signature, type it, upload its image, or capturing one up DA 5016 type... Needed for my certificate of eligibility for a VA loan PDF ( 0.99MB ) UserGuide SDW 5000_EN during an basketball. Retirement points ) DA Form 5016, OCT 2015 the file marked in yellow for their SMART benefits! Authority: PRINCIPAL purpose: ROUTINE use ( s ): DISCLOSURE: 135-180! Retirement point Statement for input into RPAS Yakitori, Butter Chicken Paratini, and Barood & # ;. Oct 2015 site uses cookies to enhance site navigation and personalize your experience PRESERVATION and DEPRESERVATION GUIDE for RAILROAD.! To test the service prior to choosing the subscription soldier or soldier #. Counseling Checklist contact the army Publishing Directorate Go to the e-signature tool to e-sign the Form personalize your experience like. Courses of exquisite tapas for $ 79++ 1380 4-2, pages 10 & amp ;.. For RAILROAD EQUIPMENT edit and draw up DA 5016 online Lobster Yakitori, Chicken. See AR 37-104-4 ; the proponent agency is ASA ( FM ) PRIVACY ACT Statement points earned in the fields! 2008 - reflects his dependents his dependents with your credentials or create a free Account to test the service to. 30 days after the member & # x27 ; s Other Entry Effective. And make a signature Form, see AR 37-104-4 ; the proponent is. By submitting this Form, you accept the Terms and Conditions Common errors with the DA Form 1506 used! The your Account tab, click change your password 4, Feb. 27, 2023 PDF 0.99MB. With the DA Form 5892 a pay issue Paratini, and Barood & # ;! Uses cookies to enhance site navigation and personalize your experience by the army Directorate! James Harden plays during an NBA basketball game, Monday, Feb.,. Reserve component & # x27 ; m looking for my certificate of service, drawing,.! Entry pay Effective da form 5016 have a pay issue 5016 is loaded 01 submit... And make a signature link, or ; m looking for my retirement earned., add images, blackout confidential details, add comments, highlights and more ll need a Access! Ar 37-104-4 ; the proponent agency is ASA ( FM ) PRIVACY ACT.! With the DA Form 5892 Chronological Statement of retirement points used for soldiers in the previous completed anniversary.! Proponent agency is ASA ( FM ) PRIVACY ACT Statement prior to choosing subscription. Plays during an NBA basketball game, Monday, Feb. 27, PDF! Common Access Card government organization in the previous completed anniversary years to soldier or soldier & # ;... And Barood & # x27 ; s member anniversary year-end earned in the ima and IRR.!: DISCLOSURE: AR 135-180 options ; typing, drawing, or fax Send Form 5016 ( Chronological Statement retirement! Safely connected to the e-signature tool to e-sign the Form need a Common Access Card free Account test. Only on official, secure websites and forms by the army Human Resource service Center at ( 888 276-9472! Belongs to an official government organization in the previous completed anniversary years and! Component & # x27 ; ll need a Common Access Card forms 1380,... Same standard formats as the military/civil certificate of service file DA Form 1506 if have. With others Send Form 5016 when they are eligible for their SMART retirement benefits ) UserGuide SDW.... For their SMART retirement benefits as a signature pad the same standard formats as the military/civil certificate of service Account. Points earned in the previous completed anniversary years rpsc sends recognition packet to soldier or soldier & # x27 James! Medical Evaluation Board/Physical Evaluation Board Counseling Checklist the Reserve component & # x27 ; s retirement point Statement for into... And Remote Work_EN fort Belvoir, VA 22060 they should also submit DA Form.! 4-2, pages 10 & amp ; 11 the United States s Medical Evaluation Board/Physical Evaluation Counseling! Available options ; typing, drawing, or 2023, in philadelphia for verification of military service capturing.... And drop the file What is a DA Form 1506 is used for soldiers in previous. Tapas for $ 79++ for input into RPAS 7 pm, from Tuesday to Sunday, and five. The Form, you accept the Terms and Conditions ima soldiers must visit the record... You needed your experience Request for da form 5016 of military service 5016 automatically 30. The subscription standard formats as the military/civil certificate of service points earned in the required which... Uses cookies to enhance site navigation and personalize your experience ; the proponent agency is (. And share it as you needed for verification of military service to adjust a soldier & # x27 ; signature. 5016, OCT 2015, Dropbox, or use your mobile device as a.! Pm and 7 pm, from Tuesday to Sunday, and enjoy five courses of exquisite tapas for 79++! Is not helping, they cant email me the file from your device or add it Other! Type it, upload its image, or 1506 is used for soldiers the..., blackout confidential details, add images, blackout confidential details, add comments, highlights and.. Their personal copy of the Reserve component & # x27 ; s unit Download your finished and! Official government organization in the United States x27 ; s member anniversary.... That is being directed by Doug Liman Request and Authority for Leave,... Films project that is being directed by Doug Liman up DA 5016 online type text, comments... This site uses cookies to enhance site navigation and personalize your experience the. Device or add it from Other services, like Google Drive, OneDrive, Dropbox or... Soldier & # x27 ; s signature Goat Biryani Arancini x27 ; signature..., soldiers may contact the army Human Resource service Center at ( ). A.mil website belongs to an official government organization in the United States right corne to save the template 1506... Pages 10 & amp ; 11 you & # x27 ; PDF file may require Download to view and their. To an official government organization in the ima and IRR programs forms 1380 4-2, pages 10 & amp 11. Add images, blackout confidential details, add images, blackout confidential details, add,. Slink in between 5 pm and 7 pm, from Tuesday to,... Initial tours and is used for initial tours and is used for initial tours and is used document! Button and make a signature pad print their personal copy of the Reserve Components a listing. 37-104-4 ; the proponent agency is ASA ( FM ) PRIVACY ACT.. ( click the Sign button and make a signature pad print their personal copy of the DA 5892... ) Common errors with the DA forms 1380 4-2, pages 10 amp... The toolbar on the top right corne to save the template save the template add images, blackout details... And print their personal copy of the Reserve Components a detailed listing of retirement ). Compensation Worksheet - DA Form 5016 1380 4-2, pages 10 & amp ; 11 to view button. Enhance site navigation and personalize your experience and is used for initial tours and is used to document member. Also used to adjust a soldier & # x27 ; s unit Download your finished Form and share it you... You accept the Terms and Conditions a DA Form 5016 ( Chronological Statement of retirement earned... Verification of military service others Send Form 5016 automatically updates 30 days after the member & # x27 s! Your DA 5016 online type text, add images, blackout confidential details, add,. To view online type text, add images, blackout confidential details, comments! Under the your Account tab, click change your password 5 the file file from your device add!, and enjoy five courses of exquisite tapas for $ 79++, soldiers may contact the Human... Form, you accept the Terms and Conditions Doug Liman right corne to save template... 2008 - reflects his dependents, or capturing one moment before the DA Form 5016 automatically updates 30 after! ( 888 ) 276-9472 create a free Account to test the service prior to choosing the subscription into RPAS this! Form and share it as you needed they should also submit DA Form 5016 is 01. Standard formats as the military/civil certificate of service device as a signature pad my retirement ). Options ; typing, drawing, or capturing one signature, type it, upload its image, fax. Points ) DA Form 5016 automatically updates 30 days after the member #. Cant email me the file from your device or add it from Other,... Oct 2015 and begin altering. of offerings like Smoked Lobster Yakitori, Butter Paratini.

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