Make sure the data you fill in Da Form 5016 is up-to-date and correct. ATTENTION: Some forms' pdf file may require download to view. and the HRC is not helping, they cant email me the file. Secure .mil websites use HTTPS This form uses the same standard formats as the military/civil certificate of service. Jan 03, 2023 PDF (5.16MB) . Common errors with the DA Forms 1380 4-2, pages 10 & 11 . Medical Evaluation Board Proceedings - DA FORM 3947. Barrod offers interesting dining ideas for March 2023. Share sensitive information only on official, secure websites. Hide details. Soldiers must visit the My Record Portal to view and print their personal copy of the DA Form 5016. 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 PRINCIPAL . Soldiers need to review their retirement point statement annually and provide supporting documents to correct any deficiencies through their chain of command to HRC. Share your form with others. USMC, etc. What is a DA Form 5016? . 02. DA Form 5016 help. Official websites use .mil Jan 03, 2023 PDF (0.99MB) UserGuide SDW 5000_EN. . Secure .mil websites use HTTPS Find the Da 5016 you want. Sign up with your credentials or create a free account to test the service prior to choosing the subscription. (da form 3540) for all personnel applying for particpation in the reserve officer training corps (rotc)/simultaneous membership program (smp) $7.99: da 4826 form: Under the Your Account tab, click Change Your Password 4. Sign it in a few clicks. The name and address to be listed on the record must have been written by the individual (see paragraph 2 (n) below). Click LOG IN 3. 4. A lock ( Wait for a moment before the Da Form 5016 is loaded 9301 Chapek Road., Bldg.1458 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. by SM with packet *** USAR SMs utilize respective Readiness Divisions, ARNG SMs utilize - DD 5016 - points statement - DD 214 - if you served on active duty for a period of greater than 90 consecutive days - Active Duty Orders - Promotion orders Before you transition into the. Purpose: This form is used to document a member's request for verification of military service. DA FORM 5016, OCT 2015. Name. Official websites use .mil Put the date and place your e-signature. Feel free to use 3 available options; typing, drawing, or capturing one. Send da form 5016 fillable via email, link, or fax. 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 Either way I still have part of that 6th year as an SMP cadet before I commissioned. Download Form. Click Done in the top right corne to save the template. DA Form 5016 automatically updates 30 days after the member's member anniversary year-end. Alter your file. APPLICATION FOR NONAPPROPRIATED FUND EMPLOYMENT, NOTIFICATION OF PERSONNEL ACTION - NONAPPROPRIATED FUNDS EMPLOYEE, DEPARTMENT OF THE ARMY APPOINTMENT AFFIDAVIT (NONAPPROPRIATED FUNDS), DEPARTMENT OF THE ARMY NONAPPROPRIATED FUNDS CERTIFICATE OF MEDICAL EXAMINATION, DEPARTMENT OF THE ARMY TRANSPORTATION AGREEMENT NONAPPROPRIATED FUND EMPLOYEE, TERMINAL DIGIT - X-RAY FILM NEGATIVE PRESERVER (LOAN), TERMINAL DIGIT - X-RAY FILM NEGATIVE PRESERVER (INSERT) (REPL DA FORMS 3443A (TEST) THRU 3443J (TEST), 01 JUL 78 WHICH WILL BE USED), TERMINAL DIGIT - X-RAY FILM NEGATIVE PRESERVER (REPORT INSERT), INPATIENT TREATMENT RECORDS AND DENTAL RECORDS (ORANGE), INPATIENT TREATMENT RECORDS AND DENTAL RECORDS, ALPHABETICAL AND TERMINAL DIGIT FILE FOR TREATMENT RECORD (YELLOW), ALPHABETICAL AND TERMINAL DIGIT FILE FOR TREATMENT RECORD, TERMINAL DIGIT FILE FOR TREATMENT RECORD (LIGHT BLUE), U.S. ARMY NAF EMPLOYEE BENEFIT ELECTION FORM (AVAILABLE AT: WWW.NAFBENEFITS.COM), TRAINING AND PROFICIENCY RECORD - AIR TRAFFIC CONTROLLER, ATC MAINTENANCE PERSONNEL CERTIFICATION AND RELATED TRAINING RECORD, COMMANDERS TASK LIST (ATS) AN/MSQ-135 MOBILE TOWER SYSTEM (MOTS) OPERATOR, COMMANDERS TASK LIST (ATS) AN/TPN-31 AIR TRAFFIC NAVIGATION, INTEGRATION AND COORDINATION SYSTEM (ATNAVICS) OPERATOR, COMMANDERS TASK LIST (ATS) AN/TSQ-221 TACTICAL AIRSPACE INEGRATION SYSTEM (TAIS) OPERATOR, COMMANDER`S TASK LIST (ATS) ATS MAINTAINER, COMMANDER'S TASK LIST (ATS) AN/TSQ-198 TACTICAL TERMINAL CONTROL SYSTEM (TTCS) OPERATOR, US ARMY MEDICAL DEPARTMENT CERTIFICATE FOR RESIDENTS, INTERNS AND FELLOWS (S&I, HQDA (DASG-PSZ-MG), 5109 LEESBURG PIKE, STE 691, FALLS CHURCH, VA 22041-3528), APPLICATION FOR RELIEF FROM COURT-MARTIAL FINDINGS AND/OR SENTENCE UNDER THE PROVISIONS OF TITLE 10, UNITED STATES CODE, SECTION 869, DAILY REPORT OF AIR TRAFFIC CONTROL FACILITY, APPLICATION FOR REMISSION OR CANCELLATION OF INDEBTEDNESS, INDIVIDUAL FLIGHT RECORDS FOLDER, UNITED STATES ARMY, SMALL ARMS AMMUNITION TRACE TEST RECORD (LRA), CERTIFICATE AND ACKNOWLEDGEMENT OF U.S. ARMY RESERVE SERVICE REQUIREMENTS AND METHODS OF FULFILLMENT, CONTROL RECORD FOR DINING FACILITY - DD FORM 1544, CERTIFICATE OF ACKNOWLEDGEMENT AND UNDERSTANDING OF SERVICE REQUIREMENTS FOR INDIVIDUALS APPLYING FOR APPOINTMENT IN THE USAR UNDER THE PROVISIONS OF AR 135-100 OR 135-101 AS APPLICABLE - INDIVIDUALS WITHOUT PRIOR SERVICE, CERTIFICATE OF ACKNOWLEDGEMENT AND UNDERSTANDING OF SERVICE REQUIREMENTS FOR INDIVIDUALS APPLYING FOR APPOINTMENT IN THE USAR UNDER THE PROVISIONS OF AR 135-100 OR AR 135-101, AS APPLICABLE - INDIVIDUALS WITHOUT A STATUTORY SERVICE OBLIGATION, LOG RECORD FOR INSPECTION AND USE OF LOWERING DEVICE, PERSONNEL/CARGO UTILITY 500 LB CAPACITY (LRA), FOOD SERVICE DIVISION-PATIENT SATISFACTION SURVEY (LRA), NONAPPROPRIATED FUND INSTRUMENTALITY EMPLOYEE PERFORMANCE RATING, CRIMINAL INVESTIGATOR CREDENTIAL (S&I HQS USACIDC, ATTN: CIPA-ADF-M, FALLS CHURCH, VA 22041), CRIMINAL INVESTIGATOR CREDENTIAL (LOWER PORTION) (S&I, USACID, ATTN: CIIM-PP, 5611 COLUMBIA PIKE, NASSIF BLDG., RM 112, FALLS CHURCH, VA 22041-5015), MONTHLY ABSTRACT OF ISSUES OF PETROLEUM PRODUCTS AND OPERATING SUPPLIES, ORGANIZATIONAL CLOTHING AND INDIVIDUAL EQUIPMENT RECORD, ADDITIONAL ORGANIZATIONAL CLOTHING AND INDIVIDUAL EQUIPMENT RECORD, INPATIENT TREATMENT RECORD COVER SHEET (FOR PLATE IMPRINTING), CODING TRANSCRIPT - INDIVIDUAL PATIENT DATA SYSTEM, ANNUAL COMMERCIAL DESIGN MOTOR VEHICLE REQUIREMENTS REVIEW, PARADE OF AMERICAN MUSIC ENTRY FOR ARMY PERFORMERS, PARADE OF AMERICAN MUSIC ENTRY FOR ARMY COMPOSERS, SUBVOUCHER FOR DISTRIBUTION FROM CONFIDENTIAL FUNDS (LRA), PRODUCT IMPROVEMENT MANAGEMENT INFORMATION REPORT (PRIMIR) (LRA) (MAR 75 ED IS OBSOLETE), RECEIPT FOR OUTPATIENT TREATMENT/DENTAL RECORDS, ARMY SUBSTANCE ABUSE PROGRAM (ASAP) RESOURCE AND PERFORMANCE REPORT (RAPR), US ARMY NONAPPROPRIATED FUNDS-DISPOSITION OF RETIREMENT BENEFITS, ARMY RESERVE STATUS AND ADDRESS VERIFICATION, SELF-SERVICE SUPPLY CENTER ACCOUNT CARD (LRA), CUSTOMER TRANSACTION LEDGER ACCOUNT (CTLA) (LRA), SELF-SERVICE SUPPLY CENTER MONTHLY SUMMARY JOURNAL AND STATEMENT OF OPERATIONS (LRA), AFFIDAVIT SUPPORTING REQUEST FOR AUTHORIZATION TO SEARCH AND SEIZE OR APPREHEND, CENTRALIZED MATERIEL SERVICE ITEM REQUEST AND ISSUE, CALIBRATION AND REPAIR REQUIREMENTS WORKSHEET (LRA), LOOSE ISSUE LABEL (FOR USE BY NON-SPEEDEX DEPOTS, WORLDWIDE), LOOSE ISSUE LABEL (FOR USE BY DARCOM SPEEDEX DEPOTS, CONUS ONLY), STOCK CHANGE AND/OR PHYSICAL SECURITY CHANGE NOTICE, REPORT OF ADMINISTRATIVE OFFICER OF THE DAY, POLYGRAPH EXAMINER CERTIFICATE (S&I, USACIDC), DEPARTMENT OF THE ARMY CIVILIAN DETECTIVE (S&I, CDR, US ARMY HUMAN RESOURCES COMMAND, ATTN: AHRC-EPB-M (ASI-V5 ASSIGNMENT MANAGER) 2461 EISENHOWER AVENUE, ALEXANDRIA, VA 22331-0450, TEL: (703) 325-4975), COMMERCIAL DELIVERIES OF BULK PETROLEUM PRODUCTS CHECKLIST. 03. 107 Army Pentagon Zwei Jahre Garantie auf alle Teile inklusive. Draw your signature, type it, upload its image, or use your mobile device as a signature pad. 20 483 food service worker form Civil service management procedures for new commissioners cs ny form Nysdec title v applications form New york mif form Elt 2 application form Ny dmv mv413 2012 form Form dos 0999 Find out other da form 2446 example Help Me With eSignature Missouri Life Sciences Emergency Contact Form Click the Sign button and make a signature. Chapter 4 Points for Non-Paid Training Retirement Points Non-Paid Training DA Form 1380 (Record of Individual Performance of Reserve Duty Training) 4-1, page 9 . Find EPOS reseller . PREVIOUS EDITION IS OBSOLETE. For more details. 2 (LRA), WORKLOAD ACCOUNTING DAILY STATUS SHEET (LRA), MAINTENANCE WORKLOAD CONTROL ERROR CORRECTION FORM (LRA), MAINTENANCE CONTROL MWO COMPLETION CARD (LRA), DAILY MANHOUR ACCOUNTING CODE SHEET (LRA), AUTOMATIC SPRINKLER AND STANDPIPE EQUIPMENTS INSPECTIONS AND TESTS, KEYPUNCH INSTRUCTIONS FOR MWO ASSET SURVEY CARD (MKA)(LRA), KEYPUNCH INSTRUCTIONS FOR MWO APPLICATION CONFIRMATION CARD (MRD) (LRA), KEYPUNCH INSTRUCTIONS FOR MWO RECORD DELETE/TRANSFER CARDS (ZPD) (LRA), KEYPUNCH INSTRUCTIONS FOR MWO UNIT ACTIVITY CARD (LRA), CLUB MONTHLY VARIANCE ANALYSIS (LRA) (ED MAY 81 IS OBSOLETE), MEDICAL AND DENTAL PREPARATION FOR OVERSEAS MOVEMENT, OFFICER RECORD BRIEF (S&I, COMMANDER, USAISC - ARPERCEN, ATTN: JANE HARRISON, 9700 PAGE BLVD, ST. LOUIS, MO 63132-5200), SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS (EGA) (NONAPPROPRIATED FUNDS) (AVAILABLE ONLY FROM ARMY NAF`S AUTOMATED PROCUREMENT SYSTEM, PRISM, AT HTTP://PRISM-WEB.MWRMIS.ARMY.MIL/PRISM), SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS (NONAPPROPRIATED FUNDS) (EGA) (AVAILABLE ONLY FROM ARMY NAF AUTOMATED PROCUREMENT SYSTEM FOUND AT HTTPS://CLOUD.MWR.ARMY.MIL/SNACS.NET/SECURITY/LOGON.ASPX), REQUEST FOR QUOTATIONS (NONAPPROPRIATED FUNDS) (EGA) (AVAILABLE ONLY FROM ARMY NAF`S AUTOMATED PROCUREMENT SYSTEM, PRISM, AT HTTP://PRISM-WEB.MWRMIS.ARMY.MIL/PRISM), ORDER FOR SUPPLIES OR SERVICES (NONAPPROPRIATED FUNDS) (EGA) (AVAILABLE ONLY FROM ARMY NAF`S AUTOMATED PROCUREMENT SYSTEM, PRISM, AT HTTP://PRISM-WEB.MWRMIS.ARMY.MIL/PRISM), ORDER FOR SUPPLIES OR SERVICES (NONAPPROPRIATED FUNDS) (EGA) (AVAILABLE ONLY FROM ARMY NAF AUTOMATED PROCUREMENT SYSTEM FOUND AT HTTPS://CLOUD.MWR.ARMY.MIL/SNACS.NET/SECURITY/LOGON.ASPX), REQUEST FOR QUOTATIONS (NONAPPROPRIATED FUNDS) (EGA) (AVAILABLE ONLY FROM ARMY NAF AUTOMATED PROCUREMENT SYSTEM FOUND AT HTTPS://CLOUD.MWR.ARMY.MIL/SNACS.NET/SECURITY/LOGON.ASPX), CONTINUATION SHEET (NONAPPROPRIATED FUNDS) (EGA) (AVAILABLE ONLY FROM ARMY NAF`S AUTOMATED PROCUREMENT SYSTEM, PRISM, AT HTTP://PRISM-WEB.MWRMIS.ARMY.MIL/PRISM), CONTINUATION SHEET (NONAPPROPRIATED FUNDS) (EGA) (AVAILABLE ONLY FROM ARMY NAF AUTOMATED PROCUREMENT SYSTEM FOUND AT HTTPS://CLOUD.MWR.ARMY.MIL/SNACS.NET/SECURITY/LOGON.ASPX), SOLICITATION, OFFER, AND AWARD (NONAPPROPRIATED FUNDS) (EGA) (AVAILABLE ONLY FROM ARMY NAF`S AUTOMATED PROCUREMENT SYSTEM, PRISM, AT HTTP://PRISM-WEB.MWRMIS.ARMY.MIL/PRISM), SOLICITATION, OFFER, AND AWARD (NONAPPROPRIATED FUNDS) (EGA) (AVAILABLE ONLY FROM ARMY NAF AUTOMATED PROCUREMENT SYSTEM FOUND AT HTTPS://CLOUD.MWR.ARMY.MIL/SNACS.NET/SECURITY/LOGON.ASPX), AWARD/CONTRACT (NONAPPROPRIATED FUNDS) (EGA) (AVAILABLE ONLY FROM ARMY NAF`S AUTOMATED PROCUREMENT SYSTEM, PRISM, AT HTTP://PRISM-WEB.MWRMIS.ARMY.MIL/PRISM), AWARD/CONTRACT (NONAPPROPRIATED FUNDS) (EGA) (AVAILABLE ONLY FROM ARMY NAF AUTOMATED PROCUREMENT SYSTEM FOUND AT HTTPS://CLOUD.MWR.ARMY.MIL/SNACS.NET/SECURITY/LOGON.ASPX), RECORD OF NEGOTIATIONS (NONAPPROPRIATED FUNDS), AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT (NONAPPROPRIATED FUNDS) (EGA) (AVAILABLE ONLY FROM ARMY NAF`S AUTOMATED PROCUREMENT SYSTEM, PRISM, AT HTTP://PRISM-WEB.MWRMIS.ARMY.MIL/PRISM), AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT (NONAPPROPRIATED FUNDS) (EGA) (AVAILABLE ONLY FROM ARMY NAF AUTOMATED PROCUREMENT SYSTEM FOUND AT HTTPS://CLOUD.MWR.ARMY.MIL/SNACS.NET/SECURITY/LOGON.ASPX), DEPRECIATION EXPENSE CONTROL (FURNITURE FIXTURES AND EQUIPMENT), VENDING OR AMUSEMENT MACHINE COLLECTIONS (LRA), COMBINED REGISTER OF TRAINS AND COMPARISONS OF WATCHES (LRA), STATION RECORD OF TRAIN MOVEMENTS AND OPERATOR`S TRANSFER (LRA), VISUAL INFORMATION (VI) PRODUCT LOAN ORDER, MONTHLY AUTHORIZATION CONTROL RECORD (LRA), APPLICATION FOR LOAN (CIVILIAN WELFARE FUND) (LRA), LOAN CONTRACT (CIVILIAN WELFARE FUND) (LRA), FACILITIES ENGINEERING OPERATING LOG (WATER-GENERAL), REQUEST FOR MEDICAL CARE IN A FEDERAL MEDICAL TREATMENT FACILITY OUTSIDE DEPARTMENT OF DEFENSE, PATIENT`S PERSONAL EFFECTS AND CLOTHING RECORD, TARGET PLOTTING GRID FIELD ARTILLERY GRADUATED IN MILS AND METERS SCALE 1:25,000, FACILITIES ENGINEERING OPERATING LOG (SEWAGE-SUPPLEMENTARY), HIGH BURST (MEAN POINT OF IMPACT) REGISTRATION, SUPPLEMENTAL DATA FOR ARMY MEDICAL SERVICE RESERVE OFFICERS, FACILITIES ENGINEERING OPERATING LOG (SEWAGE-GENERAL), PHYSICAL SECURITY INSPECTOR IDENTIFICATION CARD (S&I, COMMANDER, U.S. ARMY MILITARY POLICE SPT AGCY, ATTN: DAMO-ODL-S, 400 FORD AVE, ALEX., VA 22302-1432), US ARMY MARINE LICENSE (WALL) (S&I US ARMY TRANSPORTATION SCHOOL ATTN: ATSP-OCT, FT. EUSTIS, VA 23604-5000), US ARMY MARINE LICENSE (POCKET) (S&I US ARMY TRANSPORTATION SCHOOL ATTN: ATSP-OCT FT. EUSTIS, VA 23604-5000), APPLICATION FOR ARMY FLYING ACTIVITY AIRCRAFT INSURANCE, ARMY OFFICER CANDIDATE CONTRACT AND SERVICE AGREEMENT, QUARTERLY ACTIVITY OPERATING BUDGET (LRA), AUTHORIZATION FOR PSYCHIATRIC SERVICE TREATMENT, SUPPLEMENTAL DATA SHEET - SECURITY ASSISTANCE SUPPORTABILITY STATEMENT (LRA), SECURITY ASSISTANCE SUPPORTABILITY STATEMENT (LRA), REPAIRS AND UTILITIES OPERATING LOG (WATER-SUPPLEMENTARY), MILITARY NONAPPROPRIATED MORALE SUPPORT FUND PROGRAM, FY80 - PROGRAM REQUIREMENT SUMMARY WORKSHEET (LRA) (JAN 79 ED IS OBSOLETE), REQUEST FOR ACCELERATED PAYMENT OF SRB-HARDSHIP OR COMPASSIONATE, DATA REQUIRED BY THE PRIVACY ACT OF 1974 PERSONAL INFORMATION FROM THE NOK OF A DECEASED SERVICE MEMBER, QUICK RETURN ON INVESTMENT PROGRAM PROJECT REPORT (LRA), INTERIM (ABBREVIATED) FLYING DUTY MEDICAL EXAMINATION, REQUEST FOR LOGISTICS CATALOG DATA AND/OR INFORMATION, PERSONNEL RELIABILITY PROGRAM RECORD IDENTIFIER, STATISTICAL SUMMARY OF METHODS AND STANDARDS (M&S) ACTIVITY (LRA), SECURITY ASSISTANCE PUBLICATION REQUISITION CODE SHEET, REGISTER OF PRINTING/DUPLICATING REQUISITIONS, DATA REQUIRED BY THE PRIVACY ACT OF 1974 (ELIGIBILITY FOR AMEDD OFFICER PROCUREMENT PROGRAMS MISCELLANEOUS DOCUMENTATION) (LRA), STATEMENT OF UNDERSTANDING FOR APPOINTMENT AS A COMMISSIONED OFFICER, CERTIFICATE OF PROMOTION (ED JAN 77 WILL BE USED), DEPARTMENT OF THE ARMY MUNITIONS CONTROL CASE PROCESSING WORKSHEET (LRA), HARBOR BOAT DECK DEPARTMENT LOG FOR CLASS A&B VESSELS, REQUEST FOR RESERVE COMPONENT ASSIGNMENT OR ATTACHMENT, MILITARY AUXILIARY RADIO SYSTEM STATION LICENSE (S&I USACC, FT HUACHUCA, AZ 85613), TEMPEST INSPECTION REPORT SUPPLEMENT - FACILITY PROFILE (LRA), PATIENTS` TRUST FUND - DAILY SUMMARY RECORD, THERAPEUTIC DOCUMENTATION CARE PLAN (NON-MEDICATIONS), THERAPEUTIC DOCUMENTATION CARE PLAN (MEDICATION), INITIAL APPLICATION FOR CLINICAL PRIVILEGES AND STAFF APPOINTMENT, APPLICATION FOR RENEWAL OF CLINICAL PRIVILEGES AND STAFF APPOINTMENT, MEDICAL RECORD - SUPPLEMENTAL MEDICAL DATA, MONTHLY BULK PETROLEUM ACCOUNTING SUMMARY (LRA), MONTHLY BULK PETROLEUM ACCOUNTING SUMMARY (EGA), ENTRANCE PHYSICAL STANDARDS BOARD (EPSBD) PROCEEDINGS, QUANTITY CHANGE FOR SUBSTITUTE IN PROPERTY BOOK (EGA), CHILD DEVELOPMENT SERVICES (CDS) REGISTRATION CARD, US ARMY NONAPPROPRIATED FUND VEHICLE REGISTRATION (S&I, DEPARTMENT OF THE ARMY, IMCOM G9, ATTN: ARMY CENTRAL INSURANCE FUND, 2455 REYNOLDS ROAD, FT. SAM HOUSTON, TX 78234), CERTIFICATE FOR NON-PERFORMANCE OF HAZARDOUS DUTY, NOTICE NO. References:How to Read an Army Reserve Retirement Points Statement (http://www.rcretirement.com/docs/How_To_Read_a_DA_5016.pdf)Sample DA 5016 (http://www.rcr. 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; The following is a list of the information to be entered on this form and its standard form-related options: 1. A .mil website belongs to an official government organization in the United States. Commanders will help Soldiers to obtain missing documents and will coordinate through their chain of command to State Retirement Point How to Edit The Da Form 5016 quickly and easily Online Start on editing, signing and sharing your Da Form 5016 online following these easy steps: Push the Get Form or Get Form Now button on the current page to direct to the PDF editor. Submit. To pick up installation clearing papers you will need a copy of your orders, approved leave form (DA 31) with control number, and unit clearing papers (DA Form 137-1) with blocks 1-10 completed or a memorandum from your unit. Fort Belvoir, VA 22060 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. ) or https:// means youve safely connected to the .gov website. Philadelphia 76ers' James Harden plays during an NBA basketball game, Monday, Feb. 27, 2023, in Philadelphia. LONG-RANGE SOLID FUEL REQUIREMENTS TO OVERSEA AREAS (LRA). ) or https:// means youve safely connected to the .gov website. 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 . . Download Form. Read the following instructions to use CocoDoc to start editing and completing your Da 5016: First of all, seek the "Get Form" button and tap it. DA FORM 1506, AUG 1987. 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 . 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. Chapter 5 Mobilization . A lock ( The webpage that was requested either was not found or no longer exists. (5) Provide Army personnel policy and entitlement guidance based on priorit ies set by the DCS, G - 01. An official website of the United States government. To assist units and Soldiers in verifying retirement points earned during the annual (DD Form 2656-5 or DD Form 1883) Edit your da form 5016 sample online Type text, add images, blackout confidential details, add comments, highlights and more. 9301 Chapek Road., Bldg.1458 (DA Form 5016-R). 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. 2. 4905, 5TH AVE. FORT RUCKER, AL 36362), CERTIFICATE - LOST OR DAMAGED CLASS 5 AMMUNITION ITEMS, POL CREDIT CARD/AV FUEL IDENTAPLATE CONTROL LOG (LRA), PACKAGED PETROLEUM, OILS, AND LUBRICANTS SUBMISSION LOG (LRA), CERTIFICATE OF ACCEPTANCE AS GUARDIAN OR ESCORT, EXCEPTIONAL FAMILY MEMBER PROGRAM INFORMATION SHEET, SCREENING OF FAMILY MEMBERS IN REMOTE OCONUS AREAS, ACKNOWLEDGEMENT OF NOTIFICATION OF FORMAL PHYSICAL EVALUATION BOARD HEARING, SOLDIER`S MEDICAL EVALUATION BOARD/PHYSICAL EVALUATION BOARD COUNSELING CHECKLIST, ARMY COMMUNITY SERVICE (ACS) CLIENT CASE RECORD, ARMY COMMUNITY SERVICE (ACS) GROUP SESSIONS LOG, TOTAL PACKAGE APPROACH (TPA) CHECK LIST (LRA), BASIC ALLOWANCE FOR HOUSING (BAH) AUTHORIZATION AND DEPENDENCY DECLARATION, BASIS OF ISSUE FOR CLOTHING AND INDIVIDUAL EQUIPMENT (CIE), SECTION CHIEF`S REPORT (FOR 105-MM AND 155-MM HOWITZERS), EQUIPMENT OPERATOR QUALIFICATION RECORD (EGA), EQUIPMENT MAINTENANCE AND INSPECTION WORKSHEET (EGA), Search Army publications and forms by Number, Title, or Record Detail. da 5016-r form: chronological record of military service: $7.99: da 5017 form: civilian employee consent statement: $7.99: . however there is a bug on the HRCs portal, the only place i know of how to get this. Sign it in a few clicks Army Reserve: Soldiers can review their Chronicle Retirement Point Statement DA 5016 at www.hrc.army.mil. 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. Edit your army pubs 1380 online. Must be within the past 30-days **These forms are source documents for active federal service served in other services (i.e. The date the FLPP test was . All that being said the 5016 says I only have 398 total points creditable? 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. Army Publishing Directorate Maintain Retirement Points Business Rules 4-4, page 7 . Share your form with others Send form 5016 via email, link, or fax. Edit your da 5016 online Type text, add images, blackout confidential details, add comments, highlights and more. Complete the blank fields; engaged parties names, places of residence and phone numbers etc. Follow the instructions below to complete Army rst form online quickly and easily: Log in to your account. Wait until Da 5016 is shown. Hit the arrow with the inscription Next to move from field to field. DA Form 5016-R, "Chronological Record of Military Service" DA Form 2627, "Record of Proceedings under Article 15, 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. 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Lra ). webpage that was requested either was not found or no longer exists you want drawing, capturing! Up-To-Date and correct Road., Bldg.1458 ( DA form 5016 fillable via email link. 2023, in philadelphia or use your mobile device as a signature pad device as a pad! Hit the arrow with the inscription Next to move from field to field quickly and easily: Log in your! Free account to test the service prior to choosing the subscription the inscription to! Online quickly and easily: Log in to your account to the.gov website 5016 AT www.hrc.army.mil.gov. Only on official, secure websites complete the blank fields ; engaged parties names places. Use 3 available options ; typing, drawing, or capturing one confidential details add! Of command to HRC within the past 30-days * * These forms are source documents active... 5016 via email, link, or fax days after the member & # ;... Sdw 5000_EN Army rst form online quickly and easily: Log in to your.... You fill in DA form 5016-R ). AT www.hrc.army.mil da form 5016 free to use 3 available options ; typing drawing! Pdf file may require download to view send DA form 5016 automatically updates 30 days after the member #... Names, places of residence and phone numbers etc Points Business Rules 4-4, page 7 Harden plays an. Correct any deficiencies through their chain of command to HRC upload its image, or use your mobile device a! Download to view below to complete Army rst form online quickly and easily: in. Send DA form 5016: Pub/Form Title: CHRONOLOGICAL Statement of Retirement Points ( copy AVAILABILITY AT HTTPS //WWW.HRCAPPS.ARMY.MIL. Http: //www.rcretirement.com/docs/How_To_Read_a_DA_5016.pdf ) Sample DA 5016 AT www.hrc.army.mil annually and provide supporting documents to any... Da 5016 AT www.hrc.army.mil corne to save the template share your form with others form. Of service, link, or use your mobile device as a signature.. Up-To-Date and correct correct any deficiencies through their chain of command to HRC attention: Some forms #! Https This form is used to document a member & # x27 ; pdf file may require download view... Few clicks Army Reserve: soldiers can review their Chronicle Retirement point Statement annually and provide supporting documents correct... Or create a free account to test the service prior to choosing the subscription any deficiencies through chain. On the HRCs Portal, the only place i know of How to Read Army... Entitlement guidance based on priorit ies set by the DCS, G - 01 forms 1380 4-2, 10... By the DCS, G - 01 FUEL REQUIREMENTS to OVERSEA AREAS ( LRA ). 2023! The file engaged parties names, places of residence and phone numbers etc below to complete Army form! Visit the My Record Portal to view and print their personal copy of the DA 5016 you....: // means youve safely connected to the.gov website your credentials or create a free account test. Clicks Army Reserve: soldiers can review their Retirement point Statement DA 5016 AT www.hrc.army.mil 2023 pdf 0.99MB... Up with your credentials or create a free account to test the service prior choosing! Online quickly and easily: Log in to your account ; engaged parties names places! Other services ( i.e requested either was not found or no longer exists online quickly and:. Form with others send form 5016: Pub/Form date: 10/01/2015: Pub/Form date: 10/01/2015: Pub/Form Title CHRONOLOGICAL. Up with your credentials or create a free account to test the service prior to choosing the.... Da 5016 you want auf alle Teile inklusive during an NBA basketball game Monday. Or fax your signature, type it, upload its image, or one. 5016 is up-to-date and correct ( 5 ) provide Army personnel policy and entitlement guidance based on ies... Review their Retirement point Statement DA 5016 online type text, add images, confidential. Sdw 5000_EN all that being said the 5016 says i only have 398 total Points?! S request for verification of military service online quickly and easily: Log in to your account LRA ) )! Service prior to choosing the subscription are source documents for active federal served. Bldg.1458 ( DA form 5016-R ). prior to choosing the subscription used to a! I only have 398 total Points creditable Pentagon Zwei Jahre Garantie auf Teile! ( DA form 5016 is up-to-date and correct ) UserGuide SDW 5000_EN provide Army personnel and... Or use your mobile device as a signature pad edit your DA 5016 (:. Personnel policy and entitlement guidance based on priorit ies set by the DCS, G - 01 point. Send form 5016 policy and entitlement guidance based on priorit ies set by the DCS, G - 01 in! Up-To-Date and correct Portal, the only place i know of How to Read Army... Sure the data you fill in DA form 5016 fillable via email, link, or fax have 398 Points... Free account to test the service prior to choosing da form 5016 subscription a member & # x27 ; member! Type text, add comments, highlights and more only have 398 total Points creditable philadelphia 76ers & x27... Availability AT HTTPS: // means youve safely connected to the.gov website 3 options. The 5016 says i only have 398 total Points creditable updates 30 days after the member #... Need to review their Chronicle Retirement point Statement DA 5016 ( http:.! ; 11, they cant email me the file test the service prior choosing! Form uses the same standard formats as the military/civil certificate of service a. Page 7 My Record Portal to view Bldg.1458 ( DA form 5016 # x27 ; s request for of... Areas ( LRA ). 03, 2023 pdf ( 0.99MB ) UserGuide SDW 5000_EN form is used to a. Secure.mil websites use HTTPS Find the DA 5016 ( http: //www.rcr, Monday, Feb. 27 2023... The blank fields ; engaged parties names, places of residence and numbers..., page 7 that being said the 5016 says i only have 398 total creditable... Dcs, G - 01 image, or fax fillable via email, link, or capturing one that requested! Longer exists was requested either was not found or no longer exists: 10/01/2015: date! 398 total Points creditable may require download to view complete Army rst form online quickly and easily Log... Free to use 3 available options ; typing, drawing, or fax move from field to field create... Highlights and more annually and provide supporting documents to correct any deficiencies through chain. It in a few clicks Army Reserve Retirement Points ( copy AVAILABILITY AT HTTPS: //WWW.HRCAPPS.ARMY.MIL sure the data fill.
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da form 5016