Washington DC 20310-0107, CHRONOLOGICAL STATEMENT OF RETIREMENT POINTS (COPY AVAILABILITY AT HTTPS://WWW.HRCAPPS.ARMY.MIL), 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, Search Army publications and forms by Number, Title, or Record Detail. 02. 107 Army Pentagon 03. You'll need a Common Access Card. The DA Form 1506 is used for initial tours and is used for soldiers in the IMA and IRR programs. Find the Da 5016 you want. A locked padlock The latest technologies high quality electronic pubs and forms view U.S. Army Regulations and DA Forms. 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 (DD Form 2656-5 or DD Form 1883) PRESERVATION AND DEPRESERVATION GUIDE FOR RAILROAD EQUIPMENT. PRESERVATION AND DEPRESERVATION GUIDE FOR MARINE EQUIPMENT. Click LOG IN 3. For an application, records, record, or entry that requires a signature, the date on which the final authorization was signed (see paragraph 3 below). Either way I still have part of that 6th year as an SMP cadet before I commissioned. 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. Lock Hide details. Wait until Da 5016 is shown. What is a DA Form 5016? Dawn Cosette Dippel, 94, of Deer Lake, formerly of Minersville, passed away Sunday, Feb. 26, at home. How do I get DA Form 5016? Authority: 37 USC, Section 1006; Executive Order 9397. 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. Army Publishing Directorate - DA FORMS (Range 5000 - 5999) DA FORMS (Range 5000 - 5999) There are 446 records. 107 Army Pentagon LONG-RANGE SOLID FUEL REQUIREMENTS TO OVERSEA AREAS (LRA). Follow the instructions below to complete Army rst form online quickly and easily: Log in to your account. Edit your da form 5016 sample online Type text, add images, blackout confidential details, add comments, highlights and more. DA FORM 1506, AUG 1987. I'm looking for my retirement points. 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. This site uses cookies to enhance site navigation and personalize your experience. Hide details. HRC will update this form annually at the end of the AY and place it into the Soldiers on-line record. Sign it in a few clicks. Check each field has been filled in properly. https://www.hrc.army.mil. ); any active duty days 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), DELEGATION OF AUTHORITY - ARMY MILITARY CLOTHING STORES, SPECIAL MISSION CREDENTIALS (PART 1) (S&I, USA SPECIAL OPERATIONS, ATTN: MOSO-ODF, WASHINGTON, DC 20310-0440), SPECIAL MISSION WEAPONS CREDENTIALS (S&I, G-3 SPECIAL OPERATIONS, HQDA, 400 ARMY PENTAGON WASHINGTON, DC 20310-0440), SPECIAL MISSION CREDENTIALS (PART 2) (S&I, G-3 SPECIAL OPERATIONS, HQDA, 400 ARMY PENTAGON WASHINGTON, DC 20310-0440), SPECIAL MISSION MEDICAL CREDENTIALS (S&I, G-3 SPECIAL OPERATIONS, HQDA, 400 ARMY PENTAGON WASHINGTON, DC 20310-0440), SPECIAL MISSION MEDICAL CREDENTIALS (PART 2) (S&I, G-3 SPECIAL OPERATIONS, HQDA, 400 ARMY PENTAGON WASHINGTON, DC 20310-0440), SPECIAL MISSION SUPPORT CREDENTIALS (S&I, G-3 SPECIAL OPERATIONS, HQDA, 400 ARMY PENTAGON WASHINGTON, DC 20310-0440), FOREIGN LANGUAGE SPECIAL MISSION CREDENTIALS - GERMAN (PART 2) (S&I, USA SPECIAL OPERATIONS, ATTN: MOSO-ODF, WASHINGTON, DC 20310-0440), ADDENDUM TO CERTIFICATE OF ACKNOWLEDGEMENT OF SERVICE REQUIREMENTS (DA FORM 3540) FOR ENLISTMENT INTO THE USAR STAR PROGRAM (LRA), DECORATION FOR EXCEPTIONAL CIVILIAN SERVICE (WITH AASA SIGNATURE BLOCK) (S&I ODCS, G-1, ATTN: DAPE-CPS-ES, HOFFMAN 1, 2461 EISENHOWER AVE., ALEXANDRIA, VA 22331-0300), DECORATION FOR DISTINGUISHED CIVILIAN SERVICE (ACTING), CREW MEMBER TASK PERFORMANCE AND EVALUATION REQUIREMENTS, CREW MEMBER TASK PERFORMANCE AND EVALUATION REQUIREMENTS REMARKS AND CERTIFICATION, SECRETARY OF THE ARMY`S AWARD FOR OUTSTANDING ACHIEVEMENT IN MATERIEL ACQUISITION W/SA SIGNATURE (S&I, HQDA (ODCSPER), ATTN: DAPE-CPL, RM 2B652, WASH, DC 20310-0300), ARMY ACQUISITION CORPS CERTIFICATE (S&I, ACQUISITION SUPPORT CENTER, NATIONAL CAPITAL REGION ATTN: SAFE-NCR (CHONG KILROY), 9900 BELVOIR RD, SUITE 101 FT. BELVOIR, VA 22060-5567), TROOP ISSUE SUBSISTENCE MANAGEMENT REPORT, APPLICATION TO PERFORM LEGAL ASSISTANCE WORK FOR RETIREMENT POINTS AND TO BE LISTED IN THE JAGC OFFICER LEGAL ASSISTANCE DIRECTORY, MISSILE FIRING DATA REPORT (DRAGON & TOW) (LRA), APPLICANT ACKNOWLEDGEMENT OF EMPLOYER OBLIGATION, LETTER TO STATE CRIMINAL HISTORY REPOSITORY (EGA), ADVANCE DEPOSIT TRUST ACCOUNT (ADTA) WORKSHEET, EXCEPTIONAL FAMILY MEMBER PROGRAM (EFMP) SCREENING QUESTIONNAIRE, CERTIFICATE AND ACKNOWLEDGMENT OF SERVICE REQUIREMENTS AND METHODS OF FULFILLMENT FOR INDIVIDUALS ENLISTING OR TRANSFERRING INTO UNITS OF THE ARMY NATIONAL GUARD UPON REFRAD/DISCHARGE FROM ACTIVE ARMY SERVICE, ARMY FAMILY ACTION PLAN PROGRAM MANAGEMENT REPORT (AVAILABLE AT HTTP://WWW.GOACS.COM), CHECKLIST FOR ROUTINE INSPECTION OF SWIMMING POOLS (LRA), ACCESS AGREEMENT FOR ORAL HISTORY MATERIALS, EQUAL OPPORTUNITY AND HARASSMENT COMPLAINT FORM, EQUAL OPPORTUNITY AND HARASSMENT COMPLAINT RESOLUTION ASSESSMENT FORM, COMMAND ORIENTED ARMS, AMMUNITION, AND EXPLOSIVES (AA&E) SECURITY SCREENING AND EVALUATION RECORD, OFFICER SERVICE COMPUTATION FOR RETIREMENT (LRA), WORKSHEET FOR TELEPHONIC NOTIFICATION OF AVIATION ACCIDENT/INCIDENT, WORKSHEET FOR TELEPHONIC NOTIFICATION OF GROUND ACCIDENT, COST ESTIMATING WORKSHEET-FACILITY ALTERATION (LRA), CHILD DEVELOPMENT CENTER PLAY AREA SAFETY INSPECTION SUMMARY (LRA), CHILD DEVELOPMENT CENTER (CDC) PLAY AREA INVENTORY (LRA), CHILD DEVELOPMENT (CDC) PLAY AREA CHECKLIST FORM (LRA), CHILD ABUSE/SAFETY VIOLATION HOTLINE INTAKE INFORMATION, CHILD ABUSE/SAFETY VIOLATION HOTLINE 7-DAY FOLLOW-UP INFORMATION, CHILD ABUSE/SAFETY VIOLATION HOTLINE 90-DAY FOLLOW-UP INFORMATION, INITIAL REPORT OF CHILD ABUSE IN DOD OPERATED OR SANCTIONED ACTIVITIES, FOLLOW-UP/INTERIM REPORT OF CHILD ABUSE IN DOD OPERATED OR SANCTIONED ACTIVITIES, CLOSE OUT REPORT FOR REPORTS OF CHILD ABUSE IN DOD OPERATED OR SANCTIONED ACTIVITIES, INITIAL MEDICAL REVIEW - ANNUAL MEDICAL CERTIFICATE, EXCEPTIONAL FAMILY MEMBER PROGRAM (EFMP) ASSESSMENT GUIDE, CHAPLAINS` FUND PRIMARY ACCOUNT SUB-LEDGER, COMMAND MASTER RELIGIOUS PLAN CHAPLAINCY SUPPORT ACTIVITY (CSA) WORKSHEET, COMMAND MASTER RELIGIOUS PLAN PROGRAM REVIEW WORKSHEET, COMMAND MASTER RELIGIOUS PLAN CHAPLAINCY SUPPORT ACTIVITY (CSA) CONSOLIDATED WORKSHEET, COMMAND MASTER RELIGIOUS PLAN ROLL-UP WORKSHEET, SUPERIOR PUBLIC SERVICE MEDAL (S&I ASSISTANT G-1 FOR CIVILIAN PERSONNEL, 6010 6TH STREET, BLDG 1465, ROOM 104, FT. BELVOIR, VA 22060-5595), CAUTION ORDER (ELECTRICAL FACILITIES) (LRA), EVALUATION WORKSHEET POTENTIAL ARMY JUNIOR ROTC PROGRAM, CONDITION OF EMPLOYMENT FOR CERTAIN CIVILIAN POSITIONS IDENTIFIED SAFETY-SENSITIVE UNDER THE DEPARTMENT OF TRANSPORTATION, FEDERAL HIGHWAY ADMINISTRATION RULES ON DRUG AND ALCOHOL TESTING, EXCEPTIONAL FAMILY MEMBER PROGRAM (EFMP) ASSIGNMENT COORDINATION SHEET, EXCEPTIONAL FAMILY MEMBER PROGRAM (EFMP) QUERYING SHEET, ARMY COMMUNITY SERVICE ACCREDITATION REPORT, ARMY COMMUNITY SERVICE (ACS) ACCREDITATION CHECKLIST, MATERIAL RECLAMATION MOVEMENT REQUEST/RETURN, ANNUAL PERSONNEL RELIABILITY PROGRAM (PRP) STATUS REPORT, SENSITIVE DUTY ASSIGNMENT ELIGIBILITY QUESTIONNAIRE, APPLICATION FOR USANAF EMPLOYEE 401(K) SAVINGS PLAN ENROLLMENT FORM, NONAPPROPRIATED FUND INPROCESSING AND OUTPROCESSING CHECKLIST, NONAPPROPRIATED FUND SUPERVISOR'S ORIENTATION CHECKLIST, SERGEANTS MAJOR COURSE ADMINISTRATIVE DATA SHEET, PRIVACY ACT INFORMATION RELEASE STATEMENT, APPLICATION FOR US ARMY MARINE CERTIFICATION INSTALLATIONS, PRELIMINARY REPORT OF MISHAP (PROM) INSTALLATIONS, FOOD ESTABLISHMENT RISK ASSESSMENT SURVEY (LRA), HAZARD ANALYSIS CRITICAL CONTROL POINT (CCP) MONITORING REPORT (LRA), M2 CALIBER .50 HEAVY BARREL MACHINE GUN FIRING TABLE I, DAY PRACTICE SCORECARD (MOUNTED OR DISMOUNTED, PRONE OR FIGHTING POSITION), M2 CALIBER .50 HEAVY BARREL MACHINE GUN FIRING TABLE II, DAY QUALIFICATION SCORECARD (MOUTNED OR DISMOUNTED PRONE OR FIGHTING POSITION), M2 CALIBER .50 HEAVY BARREL, MACHINE GUN FIRING TABLES III(A) AND III(B), NIGHT PRACTICES SCORECARDS (MOUNTED OR DISMOUNTED, PRONE OR FIGHTING POSITION), M2 CALIBER .50 HEAVY BARREL MACHINE GUN FIRING TABLES IV (A) AND IV (B), NIGHT QUALIFICATION SCORECARDS (MOUNTED OR DISMOUNTED, PRONE OR FIGHITING POSITION), GROUND FAULT PROTECTION SUBSYSTEM CHECKLIST FOR NEW FACILITIES (LRA), LIGHTING PROTECTION GROUNDING SUBSYSTEM CHECKLIST FOR NEW FACILITEIS (LRA), SIGNAL GROUND REFERENCE SUBSYSTEM CHECKLIST FOR NEW FACILITIES (LRA), EARTH ELECTRODE SUBSYSTEM CHECKLIST FOR EXISTING FACILITIES (LRA), GROUNDING AND BONDING CONNECTION CHECKLIST FOR EXISTING FACILITIES (LRA), LIGHTNING PROTECTION GROUNDING SUBSYSTEM CHECKLIST FOR EXISTING FACILITIES (LRA), GROUND FAULT PROTECTION SUBSYSTEM CHECKLIST FOR EXISTING FACILITIES (LRA), SIGNAL GROUND REFERENCE SUBSYSTEM CHECKLIST FOR EXISTING FACILITIES (LRA), SHIELDING SUBSYSTEM CHECKLIST FOR EXISTING FACILITIES (LRA), EARTH GROUND ELECTRODE SUBSYSTEM CHECKLIST FOR NEW FACILITIES (LRA), FACILITY TECHNICAL THREAT ASSESSMENT (FTTA) WORKSHEET, CIRCUIT SWITCHER INSPECTION CHECKLIST (LRA), ENGINE GENERATOR SET INSPECTION CHECKLIST (LRA), UTILITY AND GENERATOR CIRCUIT BREAKER INSPECTION CHECKLIST (LRA), BACK-UP POWER SYSTEM INSPECTION CHECKLIST (LRA), TRANSFER SWITCH INSPECTION CHECKLIST (LRA), UNINTERRUPTIBLE POWER SUPPLY (UPS) INSPECTION CHECKLIST (LRA), UNINTERRUPTIBLE POWER SUPPLY (UPS) SWITCHBOARD INSPECTION CHECKLIST (LRA), UNINTERRUPTIBLE POWER SUPPLY (UPS) SYSTEM INSPECTION CHECKLIST (LRA), HEATING WATER SYSTEM INSPECTION CHECKLIST (LRA), CHILLED WATER SYSTEM INSPECTION CHECKLIST (LRA), VENTILATION SYSTEM INSPECTION CHECKLIST (LRA), DIESEL FUEL SYSTEM INSPECTION CHECKLIST (LRA), LUBE OIL SYSTEM INSPECTION CHECKLIST (LRA), COMPRESSED AIR SYSTEM INSPECTION CHECKLIST (LRA), WET PIPE SPRINKLER SYSTEM AND FIRE DETECTION SYSTEM INSPECTION CHECKLIST (LRA), LIFTING AND MOVING DEVICES SYS INSPECTION CHECKLIST (LRA), HIGH ALTITUDE ELECTROMAGNETIC PULSE (HEMP) PROTECTION OF MECHANICAL SYSTEMS INSPECTION CHECKLIST (LRA), WATER SUPPLY AND TREATMENT SYSTEM INSPECTION CHECKLIST (LRA), SEWAGE TREATMENT SYSTEMS INSPECTION CHECKLIST (LRA), NIGHT FIRE, ASSISTED, RIFLE MARKSMANSHIP SCORECARD, TEST INCIDENT REPORT (AVAILABLE ONLY IN THE ARMY TEST INCIDENT REPORTING SYSTEM (ATIRS) AT HTTPS://VISION.ATC.ARMY.MIL), SECRETARY OF THE ARMY AWARD FOR VALOR W/ACTING SA SIG BLOCK, SECRETARY OF DEFENSE MEDAL FOR THE DEFENSE OF FREEDOM (S&I, ODCS, G-1, ATTN: DAPE-CPS-ES, HOFFMAN BUILDING 1, RM 476, 2461 EISENHOWER AVE, ALEXANDRIA, VA 22331), SECRETARY OF DEFENSE MEDAL FOR THE DEFENSE OF FREEDOM (WITH ASA SIGNATURE BLOCK) (S&I ODCS, G-1, ATTN: DAPE-CPS-ES, HOFFMAN 1, RM 476, 2461 EISENHOWER AVE., ALEXANDRIA, VA 22331-0300), SECRETARY OF DEFENSE MEDAL FOR THE DEFENSE OF FREEDOM (BLANK), ARMY COMMUNITY SERVICE (ACS) ACCREDITATION SCORE SHEET, MK 19, 40-MM GRENADE MACHINE GUN, MOD 3 FIRING TABLE I DAY PRACTICE AND QUALIFICATION WITH HULL TARGETS SCORBOARD, MK 19, 40-MM GRENDADE MACHINE GUN, MOD 3 FIRING TABLE IV NIGHT PRACTICE AND QUALIFICATION WITH POP-UP TARGETS SCOREBOARD, MK 19, 40-MM GRENADE MACHINE GUN, MOD 3 FIRING TABLE III DAY PRACTICE AND QUALIFICATION WITH POP-UP TARGETS SCOREBOARD, MK 19, 40-MM GRENADE MACHINE GUN, MOD 3 FIRING TABLE IV NIGHT PRACTICE AND QUALIFICATION WITH POP-UP TARGETS SCOREBOARD, CHECKLIST AND TRACKING DOCUMENT FOR FINANCIAL LIABILITY INVESTIGATIONS OF PROPERTY LOSS, OVERSEAS DEPLOYMENT TRAINING COORDINATION WORKSHEET, REQUEST FOR VETERINARY LABORATORY TESTING & FOOD SAMPLE RECORD, M41 IMPROVED TARGET ACQUISITION SYSTEM (ITAS) GUNNERS SKILL TEST, SCORECARD FOR PART 1, M41 IMPROVED TARGET ACQUISITION SYSTEM (ITAS) GUNNERS SKILL TEST, SCORECARD FOR PART 2, SCORECARD FOR M41 IMPROVED TARGET ACQUISITION SYSTEM (ITAS) GUNNERY: TABLES 1 AND 2, SCORECARD FOR M41 IMPROVED TARGET ACQUISITION SYSTEM (ITAS) GUNNERY: TABLE 3, CREW BASELINE, SCORECARD FOR M41 IMPROVED TARGET ACQUISITION SYSTEM (ITAS) GUNNERY: TABLE 4, ADVANCED CREW BASELINE, SCORECARD FOR M41 IMPROVED TARGET ACQUISITION SYSTEM (ITAS) GUNNERY: TABLE 5, SQUAD PRACTICE, SCORECARD FOR M41 IMPROVED TARGET ACQUISITION SYSTEM (ITAS) GUNNERY: TABLE 6, SQUAD QUALIFICATION, SCORECARD FOR M41 IMPROVED TARGET ACQUISITION SYSTEM (ITAS) GUNNERY: TABLE 7, SECTION BASELINE, SCORECARD FOR M41 IMPROVED TARGET ACQUISITION SYSTEM (ITAS) GUNNERY: TABLE 8, SECTION ADVANCED BASELINE, SCORECARD FOR M41 IMPROVED TARGET ACQUISITION SYSTEM (ITAS) GUNNERY: TABLE 9, SECTION PRACTICE, SCORECARD FOR M41 IMPROVED TARGET ACQUISITION SYSTEM (ITAS) GUNNERY: TABLE 10, SECTION QUALIFICATION, SCORECARD FOR M41 IMPROVED TARGET ACQUISITION SYSTEM (ITAS) GUNNERY: TABLE 11, PLATOON PRACTICE, SCORECARD FOR M41 IMPROVED TARGET ACQUISITION SYSTEM (ITAS) GUNNERY: TABLE 12, PLATOON QUALIFICATION, HBCT GUNNERY SKILLS TEST (GST) INDIVIDUAL ROLL-UP, SPECIAL REPAIR AUTHORITY (SRA) APPROVAL/DISAPPROVAL SHEET, ARMY VICTIM/WITNESS LIAISON PROGRAM EVALUATION, REQUEST AND CERTIFICATION FOR INCAPACITATION PAY, UNIT DEMILITARIZATION CERTIFICATION AND VERIFICATION CERTIFICATE, DEMILITARIZATION CERTIFICATION AND VERIFICATION CERTIFICATE, MK 19, 40-MM GRENADE MACHINE GUN, MOD 3 ADVANCED CREW GUNNERY; TABLE 1, DAY AND NIGHT SCORE CARD, MK 19, 40-MM GRENADE MACHINE GUN, MOD 3 ADVANCED CREW GUNNERY; TABLE 2, DAY AND NIGHT SCORE CARD, MK 19, 40-MM GRENADE MACHINE GUN, MOD 3 ADVANCED CREW GUNNERY; TABLE 3, DAY AND NIGHT SCORE CARD, MK 19, 40-MM GRENADE MACHINE GUN, MOD 3 ADVANCED CREW GUNNERY; TABLE 4, DAY AND NIGHT SCORE CARD, MK 19, 40-MM GRENADE MACHINE GUN, MOD 3 ADVANCED CREW GUNNERY; TABLE 5, DAY AND NIGHT SCORE CARD, MK 19, 40-MM GRENADE MACHINE GUN, MOD 3 ADVANCED CREW GUNNERY; TABLE 6, DAY AND NIGHT SCORE CARD, MK 19, 40-MM GRENADE MACHINE GUN, MOD 3 ADVANCED CREW GUNNERY; TABLE 7, DAY AND NIGHT SCORE CARD, MK 19, 40-MM GRENADE MACHINE GUN, MOD 3 ADVANCED CREW GUNNERY; TABLE 8, DAY AND NIGHT SCORE CARD, SUBSISTENCE VENDOR CONTRACT DISCREPANCY REPORT, MODIFICATION WORK ORDER FIELDING PLAN (MWOFP), MODIFICATION WORK ORDER (MWO) EXHIBIT OF CONCURRENCE, DEPARTMENT OF THE DEFENSE MILITARY WORKING DOG VETERINARY SERVICE REFERRAL INFORMATION FORM, DEPARTMENT OF THE ARMY POLICE OFFICER (S&I, ENLISTED PERSONNEL MANAGEMENT DIRECTORATE, U.S. ARMY HUMAN RESOURCES COMMAND, ATTN: AHRC-EPB-M (ASI V5 ASSIGNMENT MANAGER) 2461 EISENHOWER AVENUE, ALEXANDRIA, VA 22331-0450), PATRIOT RADAR LOCATION AND ALIGNMENT DATA, PATRIOT RADAR SUPPLEMENTAL ROLL AND CROSSROLL, PATRIOT LAUNCHER LOCATION AND ALIGNMENT DATA (UNSURVEYED SITE), PATRIOT LAUNCHER LOCATION AND ALIGNMENT DATA (SURVEYED SITE), PATRIOT LAUNCHER SUPPLEMENTAL ROLL AND CROSSROLL, MAJOR FIRE REPORT FROM INSTALLATION/GARRISON THRU REGIONS TO TO HIGHER HEADQUARTERS, ARMY CHILD AND YOUTH SERVICES HEALTH SCREENING TOOL, ARMY CHILD AND YOUTH SERVICES PROGRAM PLACEMENT CHECKLIST, SPECIAL NEEDS ACCOMMODATION PROCESS (SNAP) TEAM CARE PLAN, DEPARTMENT OF THE ARMY LAW ENFORCEMENT ESCORT CREDENTIAL (S&I, HQDA, OPMG, ATTN: DAPM-MPD-LE, 2800 ARMY PENTAGON, WASHINGTON, DC 20310-2800), DEVIATION APPROVAL AND RISK ACCEPTANCE DOCUMENT (DARAD), ARMY PERSONNEL TESTING MATERIAL CHECK-IN AND CHECK-OUT LOG, U.S. ARMY WOOD PACKAGING MATERIAL (WPM) SITE SELF-CERTIFICATION AUDITOR`S CHECKLIST, MILITARY SKETCH PANORAMIC AND TOPOGRAPHIC VIEWS, CERTIFICATE FOR THE GLOBAL WAR ON TERRORISM, QUARTERLY AIRCRAFT PROGRAMMING AND UTILIZATION FLYING HOUR REPORT, SNIPER TARGET DATA SHEET STATIONARY TARGET, DISABILITY EVALUATION SYSTEM (DES) COMMANDER'S PERFORMANCE AND FUNCTIONAL STATEMENT, VERIFICATION OF CLINICAL COMPETENCIES FOR CRITICAL CARE NURSING SKILL IDENTIFIER (SI 8A), VERIFICATION OF CLINICAL COMPETENCIES FOR EMERGENCY NURSING SKILL IDENTIFIER (SI M5), ARMED FORCES EYE AND VISION READINESS SUMMARY, TACTICAL COMBAT CASUALTY CARE (TCCC) CARD, GUNNERY TABLES X, XI, XII SCORESHEET (PLATOON QUALIFICATION), GUNNERY TABLES VII, VIII, IX SCORESHEET (SECTION QUALIFICATION), HBCT GUNNERY TABLE I - CREW CRITICAL SKILLS TEST PLATOON ROLL-UP, HBCT GUNNERY TABLE I - CREW CRITICAL SKILLS TEST COMPANY ROLL-UP, HBCT GUNNERY SKILLS TEST (GST) PLATOON ROLL-UP, HBCT GUNNERY TABLE I - CREW CRITICAL SKILLS TEST SCORESHEET, HBCT GUNNERY SKILLS TEST (GST) COMPANY ROLL-UP, DAY AND NIGHT FIRE M141 BDM (BDM SUBCALIBER TRAINING LAUNCHER), DAY AND NIGHT FIRE M136 AT4 (M287 SUBCALIBER TRAINING LAUNCHER), DAY AND NIGHT FIRE M72 (M72AS 21-MM SUBCALIBER TRAINING LAUNCHER), M320/M320A1 40-MM GRENADE LAUNCHER SCORECARD, SUBVOUCHER FOR DISBURSEMENT FROM CONTINGENCY LIMITATION .0015 FUNDS, SPECIAL PROVISIONS G(S) HOT WATER SERVICE, SPECIAL PROVISIONS I(S) COMPRESSED AIR SERVICE, SPECIAL PROVISIONS K(S) CHILLED WATER SERVICE, SPECIAL PROVISIONS L(S) LIQUEFIED PROPANE GAS SERVICE, BIOASSAY INFORMATION SUMMARY SHEET (BISS), FIRST CLASS DIVER QUALIFICATION WORKSHEET, COMMANDER'S PERFORMANCE AND CAPABILITY CHECKLIST, UNIT MAIL ROOM (UMR), CONSOLIDATED MAIL ROOM (CMR), AND POSTAL SERVICE CENTER (PSC) INSPECTION CHECKLIST, FAMILY ASSISTANCE CENTER (FAC) SITUATION REPORT (SITREP), PERSONNEL RELIABILITY SCREENING AND EVALUATION, MAINTENANCE EXPENDITURE LIMIT (MEL) WAIVER, MARKSMAN/OBSERVER INDIVIDUAL OBSERVATION LOG, EXEMPTION REQUEST FOR MATERIEL READINESS REPORTING, MATERIEL DEVELOPER S WARRANTY SUMMARY AND ASSESSMENT, ARMY WARRANTY PROGRAM SUMMARY AND ASSESSMENT, GENERAL LIBRARY INFORMATION SYSTEM (GLIS) REGISTRATION FORM, SEXUAL HARASSMENT COMPLAINT RESOLUTION ASSESSMENT, COMMANDERS SUSPECTED SUICIDE EVENT REPORT, EMERGENCY GLOBAL POSITIONING SYSTEM APPROACH CARD, LOGISTICS INTEGRATED DATABASE BASIS OF ISSUE PLAN FEEDER DATA, ARMY UNMANNED AIRCRAFT SYSTEMS INVENTORY, STATUS AND FLYING, DAILY UNMANNED AIRCRAFT SYSTEMS COMPONENT STATUS RECORD, DAILY UNMANNED AIRCRAFT SYSTEMS COMPONENT STATUS WORKSHEET, GUNNERY SKILLS TEST (GST) INDIVIDUAL ROLL-UP, UNITED STATES ARMY EXPLOSIVE ORDNANCE DISPOSAL (EOD) INTERVIEW CHECKLIST, MEDICAL CLINIC CLEARANCE FOR RESPIRATOR USE, NUCLEAR PERSONNEL SCREENING AND EVALUATION RECORD - STATEMENT OF UNDERSTANDING, NUCLEAR PERSONNEL SCREENING AND EVALUATION RECORD, ARMY MUSICIAN PROFICIENCY ASSESSMENT (AMPA) (TRUMPET), ARMY MUSICIAN PROFICIENCY ASSESSMENT (AMPA) (EUPHONIUM), ARMY MUSICIAN PROFICIENCY ASSESSMENT (AMPA) (FRENCH HORN), ARMY MUSICIAN PROFICIENCY ASSESSMENT (AMPA) (TROMBONE), ARMY MUSICIAN PROFICIENCY ASSESSMENT (AMPA) (TUBA), ARMY MUSICIAN PROFICIENCY ASSESSMENT (AMPA) (FLUTE), ARMY MUSICIAN PROFICIENCY ASSESSMENT (AMPA) (OBOE), ARMY MUSICIAN PROFICIENCY ASSESSMENT (AMPA) (CLARINET), ARMY MUSICIAN PROFICIENCY ASSESSMENT (AMPA) (BASSOON), ARMY MUSICIAN PROFICIENCY ASSESSMENT (AMPA) (SAXOPHONE), ARMY MUSICIAN PROFICIENCY ASSESSMENT (AMPA) (PERCUSSION), ARMY MUSICIAN PROFICIENCY ASSESSMENT (AMPA) (KEYBOARD), ARMY MUSICIAN PROFICIENCY ASSESSMENT (AMPA) (GUITAR), ARMY MUSICIAN PROFICIENCY ASSESSMENT (AMPA) (ELECTRIC BASS GUITAR), ARMY MUSICIAN PROFICIENCY ASSESSMENT (AMPA) (VOCALIST), ARMY MUSICIAN PROFICIENCY ASSESSMENT (AMPA) (MUSIC PRODUCTION TECHNICIAN), ARMY DISASTER PERSONNEL ACCOUNTABILITY AND ASSESSMENT SYSTEM, COMMAND OFFICER REPRESENTATIVE ACCESS REQUEST, ARMY DISASTER PERSONNEL ACCOUNTABILITY AND ASSESSMENT SYSTEM, EVENT REQUEST, ARMY DISASTER PERSONNEL ACCOUNTABILITY AND ASSESSMENT SYSTEM, NEEDS ASSESSMENT SURVEY, FOREIGN GOVERNMENT EMPLOYMENT APPLICATION, ENLISTED BEHAVIORAL-HEALTH RELATED ADMINISTRATIVE SEPARATION CHECKLIST, PROMOTION QUALIFICATION AND VERIFICATION STATEMENT, LINEAGE AND HONORS CERTIFICATE (CONTINUATION SHEET), ARMY RESERVE REENLISTMENT ELIGIBILITY WORKSHEET, CENTER FOR INITIAL MILITARY TRAINING GRADUATION CERTIFICATE, RISK ANALYSIS PROCEDURE FOR BIOLOGICAL/CHEMICAL RDT&E FACILITIES - WORSHEET, MISSION COMMAND INFORMATION SYSTEM TRAINING TABLES VI FOR DIGITAL CREW (MCIS-2), MISSION COMMAND INFORMATION SYSTEMS TRAINING TABLES VII-X FOR DIGITAL CREW (MCIS-3), U.S. ARMY NONAPPROPRIATED FUND PRE-APPOINTMENT CERTIFICATION STATEMENT FOR SELECTIVE SERVICE REGISTRATION, WRITTEN SERVICE AGREEMENT AND MANDATORY DISCLOSURE STATEMENT, DOD EXECUTIVE AGENT RESPONSIBILITIES ASSIGNED TO THE SECRETARY OF THE ARMY DATA CALL, PRIVILEGED ACCESS AGREEMENT (PAA) AND ACKNOWLEDGMENT OF RESPONSIBILITIES, AUTOMATED INFORMATION SYSTEMS (AIS) QUESTIONNAIRE, REQUEST FOR APPROVAL OF INFORMATION MANAGEMENT REQUIREMENT, RISK MANAGEMENT DATA LOG COOKING-HOLDING-COOLING-REHEATING, RIFLE, CARBINE, AND AUTOMATIC RIFLE MARKSMANSHIP SCORECARD, INDUSTRIAL MOBILIZATION CAPACITY (IMC) REQUIREMENTS FOR AMMUNITION STORAGE FACILITIES, INDUSTRIAL MOBILIZATION CAPACITY (IMC) REQUIREMENTS FOR AMMUNITION PRODUCTION FACILITIES, INDUSTRIAL MOBILIZATION CAPACITY (IMC) REQUIREMENTS FOR MAINTENANCE FACILITIES, IINDUSTRIAL MOBILIZATION CAPACITY (IMC) REQUIREMENTS FOR MANUFACTURING FACILITIES, OVERHEAD POOL DATA FOR INDUSTRIAL MOBILIZATION CAPACITY (IMC) REQUIREMENTS USE EXCEL, JUSTIFICATION FOR INDUSTRIAL MOBILIZATION CAPACITY (IMC) - ELIGIBLE WORKSTATIONS, SUMMARY OF CARE BY NON-MILITARY MEDICAL PROVIDER, LAW ENFORCEMENT DAY PISTOL QUALIFICATION SCORECARD, LAW ENFORCEMENT LOW-VISIBILITY PISTOL QUALIFICATION SCORECARD, LAW ENFORCEMENT CBRN PISTOL QUALIFICATION SCORECARD, LAW ENFORCEMENT DAY RIFLE/CARBINE QUALIFICATION SCORECARD, LAW ENFORCEMENT LOW-VISIBILITY RIFLE/CARBINE QUALIFICATION SCORECARD, LAW ENFORCEMENT CBRN RIFLE/CARBINE QUALIFICAATION SCORCARD, SPECIAL REACTION TEAM PISTOL QUALIFICATION SCORECARD, SPECIAL REACTION TEAM RIFLE/CARBINE QUALIFICATION SCORECARD, BEAUTY FACILITY RISK ASSESSMENT WORKSHEET, CHILD/YOUTH/SCHOOL FACILITY SANITATION AND FOOD SAFETY INSPECTION, FCC HOME: ENVIRONMENTAL HEALTH SANITATION INSPECTION, FITNESS FACILITY RISK ASSESSMENT WORKSHEET, INDIVIDUAL READY RESERVE (IRR) STATEMENT OF UNDERSTANDING (SOU), MISSILE FIRING DATA REPORT (GUIDED ROCKETS), SCORECARD FOR ALL SOURCE PRODUCTION CREW MI TRAINING STRATEGY TIER 3, SCORECARD FOR COLLECTION MANAGEMENT CREW MI TRAINING STRATEGY TIER 3, SCORECARD FOR TARGETING CREW MI TRAINING STRATEGY TIER 3, SCORECARD FOR OPERATIONAL MANAGEMENT TEAM MI TRAINING STRATEGY: TIER 3, TABLE VI, CREW CERTIFICATION, SCORECARD FOR HUMINT COLLECTION TEAM MI TRAINING STRATEGY TIER 3, SCORECARD FOR CRYPTOLOGIC SUPPORT TEAM MI TRAINING STRATEGY TIER 3, SCORECARD FOR SIGINT COLLECTION TEAM MI TRAINING STRATEGY TIER 3, SCORECARD FOR INTELLIGENCE PROCESSING CREW MI TRAINING STRATEGY TIER 3, SCORECARD FOR INTELLIGENCE ELECTRONIC WARFARE CREW MI TRAINING STRATEGY TIER 3, SCORECARD FOR ALL SOURCE MI TRAINING STRATEGY TIER 4, SCORECARD FOR GEOINT MI TRAINING STRATEGY TIER 4, SCORECARD FOR HUMINT MI TRAINING STRATEGY TIER 4, SCORECARD FOR SIGINT (35N) MI TRAINING STRATEGY TIER 4, SCORECARD FOR SIGINT (35P) MI TRAINING STRATEGY TIER 4, SCORECARD FOR MAINTENANCE MI TRAINING STRATEGY TIER 4, MINIMUM ALTITUDE/MINIMUM VECTORING ALTITUDE OBSTRUCTION DOCUMENTATION, COMMANDER'S TASK LIST AIRFIELD MANAGEMENT, ARMYWIDE-STAFFING COMMENT RESOLUTION MATRIX, ELECTRONIC KEY MANAGEMENT DISPOSITION RECORD, OCCUPATIONAL PHYSICAL ASSESSMENT TEST SCORECARD, DECLARATION OF RETIRED PAY BENEFITS RECEIVED AND WAIVERS, MILITARY PAYROLL SYSTEM SUBSTANTIATING DOCUMENT WORKSHEET, SEA-BASED GUNNERY QUALIFICATION SCORECARD, RECORDS MANAGEMENT PROGRAM ASSESSMENT CHECKLIST, ACKNOWLEDGMENT OF RECEIPT OF LEGAL HOLD/RECORDS FREEZE, ARMY AVIATION TIME DISTANCE AND HEADING CARD, ASAP TRIAGE INSTRUMENT (FOR UNSCHEDULED PATIENTS), COMMAND REFERRAL FOR A SUBSTANCE USE DISORDER (SUD) EVALUATION, ARMY SUSTANCE ABUSE PROGRAM (ASAP) OUTPATIENT MEDICAL RECORDS - PRIVACY ACT INFORMATION, MOSQUITO SURVEILLANCE LIGHT TRAP COLLECTIONS (LRA), MOSQUITO SURVEILLANCE LARVAL COLLECTIONS (LRA), TICK SURVEY DATA, CARBON DIOXIDE TRAP DATA (LRA), U.S. ARMY RESERVE BAR TO CONTINUED SERVICES CERTIFICATE, THE LIEUTENANT GENERAL RICHARD G. 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