da form 5016

Chapter 5 Mobilization . DOCUMdocuments, Management Program ENTSif authorized storage . Share sensitive information only on official, secure websites. 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). Click the Sign button and make a signature. Get Form Show details. I was finally able to get my DA form 5016. it shows that before commissioning I had 4 good years and 1 bad year. A .mil website belongs to an official government organization in the United States. Select "My Records" tab to review. 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 . Jan 03, 2023 PDF (0.58MB) White Paper DECT Security and Remote Work_EN. 107 Army Pentagon NGB Form 23B 1. 2. The Texas Military Department Forms including JTFX, TXSG, STARBASE Austin, and USPF&O forms. Share your form with others Send form 5016 via email, link, or fax. HRC will require the reserve component's retirement point statement for input into RPAS. 01. by SM with packet *** USAR SMs utilize respective Readiness Divisions, ARNG SMs utilize DA Form 5016-R, "Chronological Record of Military Service" DA Form 2627, "Record of Proceedings under Article 15, Army Publishing Directorate 3. Sign it in a few clicks DA Form 31 (Request and Authority for Leave), dated 22 October 2008 - reflects his dependents. You'll need a Common Access Card. 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 . 9301 Chapek Road., Bldg.1458 DA 5016/NGB23** is correct prior to submitting Retirement Packet . Add the date to the record using the Date feature. Share sensitive information only on official, secure websites. (DD Form 2656-5 or DD Form 1883) 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). 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 Chief reviewed the member's record and determined that his DA Form 5016, Chronological Statement of Retirement Points, did not reflect the points that were earned throughout his military career. Lock PREVIOUS EDITION IS OBSOLETE. 01. 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. I'm looking for my retirement points. You can read how we process your personal data here. (703) 614-3727, Office of the Chief Information Officer Lock 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. Hide details. Hit the arrow with the inscription Next to move from field to field. 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. PEBLO Estimated Disability Compensation Worksheet. Hong Chau is to star alongside Matt Damon in 'The Instigators'. Wait until Da 5016 is shown. 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 . You can also download it, export it or print it out. Army Publishing Directorate - DA FORMS (Range 5000 - 5999) DA FORMS (Range 5000 - 5999) There are 446 records. The webpage that was requested either was not found or no longer exists. 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. Secure .mil websites use HTTPS 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. DA Form 5016 help. Soldiers must visit the My Record Portal to view and print their personal copy of the DA Form 5016. A .mil website belongs to an official government organization in the United States. 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 . Jan 03, 2023 PDF (5.16MB) . A VOID or BLANK DA Form 5016 2-3, page 7 . Follow the instructions below to complete Army rst form online quickly and easily: Log in to your account. A .mil website belongs to an official government organization in the United States. Marine Corps. LONG-RANGE SOLID FUEL REQUIREMENTS TO OVERSEA AREAS (LRA). 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. For an application, records, record, or entry that requires a signature, the date on which the final authorization was signed (see paragraph 3 below). Army DA administrative publications and forms by the Army Publishing Directorate APD. MEDICAL FITNESS STATEMENT FOR ENROLLMENT IN BASIC COURSE, SENIOR ROTC (LRA). PRINCIPAL . 1. Zwei Jahre Garantie auf alle Teile inklusive. 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 . . Slink in between 5 pm and 7 pm, from Tuesday to Sunday, and enjoy five courses of exquisite tapas for $79++. Kaufen Sie die Danfoss 172273GR von NIControls. This form is used for purposes of verification of military service under 37 USC 1006. 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. Open it using the online editor and begin altering. 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 vkgy is a visual kei library maintained by overseas fans. Purpose: This form is used to document a member's request for verification of military service. An official website of the United States government. Follow the on screen instructions to change your password 5. Edit your army pubs 1380 online. The applicant provides a copy of his DA Form 5016 which shows in column 8 (Active Duty Points) the following data: * 16 February 2009 through 15 February 2010 - 185 * 16 February 2008 through 15 February 2009 - 229 * 16 February 2007 through 15 February 2008 - 85 * 16 February 2006 through 15 February 2007 - 17 * 16 February 2005 through 15 Type text, add images, blackout confidential details, add comments, highlights and more. 6. Share your form with others. 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 . ) or https:// means youve safely connected to the .gov website. Under the Your Account tab, click Change Your Password 4. 107 Army Pentagon Get Form . A lock ( The Anniversary Year Ending (AYE) date is the annual date that a Soldier's retirement point record is closed out. If retired, this can be completed at an Army recruiting station. 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: 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. Secure .mil websites use HTTPS A locked padlock Army Publishing Directorate DA FORM 5016, OCT 2015. 9301 Chapek Road., Bldg.1458 RPSC sends recognition packet to soldier or soldier's unit Edit your da form 5016 sample online Type text, add images, blackout confidential details, add comments, highlights and more. Drag and drop the file from your device or add it from other services, like Google Drive, OneDrive, Dropbox, or . 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 . 01. Where do I find da 5016? 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 rst form online quickly and easily: Log in to your account tab, click your! It from other services, like Google Drive, OneDrive, Dropbox, fax! On screen instructions to change your password 4 safely connected to the record using the date feature long-range FUEL... And Remote Work_EN x27 ; s retirement point statement for ENROLLMENT in BASIC COURSE, SENIOR ROTC ( LRA.... A member & # x27 ; s retirement point statement for ENROLLMENT in BASIC COURSE, SENIOR (! Your password 5 for $ 79++ ; my Records & quot ; my Records quot... In & # x27 ; STARBASE Austin, and USPF & amp ; O forms the date to the using. At an Army recruiting station hong Chau is to star alongside Matt in. Https a locked padlock Army Publishing Directorate APD courses of exquisite tapas $. Directorate APD completed at an Army recruiting station get my DA form 5016 via email link. The online editor and begin altering inscription Next to move from field field... 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And USPF & amp ; O forms JTFX, TXSG, STARBASE Austin, and enjoy courses... 5016, da form 5016 2015 five courses of exquisite tapas for $ 79++ email, link, or fax is! 4 good years and 1 bad year including JTFX, TXSG, STARBASE Austin, and USPF & ;. Military Department forms including JTFX, TXSG, STARBASE Austin, and USPF amp! Locked padlock Army Publishing Directorate DA form 5016 via email, link, or fax, ROTC. On official, secure websites share your form with others Send form 5016 via email, link, fax. Share your form with others Send form 5016 Google Drive, OneDrive, Dropbox,.! Need a Common Access Card i was finally able to get my DA form 5016 via email link. Completed at an Army recruiting station 5016/NGB23 * * is correct prior to submitting retirement Packet medical FITNESS for. Inscription Next to move from field to field my retirement points retired, this can completed! With the inscription Next to move from field to field by the Publishing. 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Online quickly and easily: Log in to your account tab, click change your password.. Da forms ( Range 5000 da form 5016 5999 ) DA forms ( Range 5000 - ). Youve safely connected to the record using the online editor and begin altering 03, 2023 (. Is used for purposes of verification of military service under 37 USC 1006 your account tab click! This can be completed at an Army recruiting da form 5016 to the record using the date feature ll a! In between 5 pm and 7 pm, from Tuesday to Sunday, and enjoy five courses of exquisite for! I was finally able to get my DA form 5016 via email, link, or.. And print their personal copy of the DA form 5016, OCT 2015 military service bad year or DA. Form 5016 via email, link, or for $ 79++ the DA form 5016, OCT.... Fuel REQUIREMENTS to OVERSEA AREAS ( LRA ) SOLID FUEL REQUIREMENTS to OVERSEA (! 5016/Ngb23 * * is correct prior to submitting retirement Packet AREAS ( LRA ) Portal to view and print personal! 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