DA Form 5016 (Chronological Statement of Retirement Points) Units of assignment are responsible to ensure source documents are . Find EPOS reseller . Share sensitive information only on official, secure websites. Get Form Show details. . Either way I still have part of that 6th year as an SMP cadet before I commissioned. Army Publishing Directorate ); any active duty days c. DA Form 5016 (Chronological Statement of Retirement Points), dated 6 August 2020, in which it shows the applicant having over 21 years of Regular Army service. HRC will update this form annually at the end of the AY and place it into the Soldiers on-line record. Click the Sign button and make a signature. DA Form 5016 1. Chronological Points Statement (AHRC 249E/DA 5016, NGB 238) o If points are missing from your Chronological Points Statement, include supportingdocuments for missing time (mailto:usarmy.knox.hrc.mbx.rpmd-ord-retirement-points@army.mil . RPSC requests Presidential Letter of Appreciation (PLA)* by sending request packet to the Whitehouse Liaison (WHL) at usarmy.pentagon.hqda-csa.mbx.csa-white-house-liaison-of@mail.mil 8. 4. LONG-RANGE SOLID FUEL REQUIREMENTS TO OVERSEA AREAS (LRA). da form 5016: active: 10/1/2015: chronological statement of retirement points (copy availability at https://www.hrcapps.army.mil) g-1: da form 5017: active: 11/1/2001: civilian employee consent statement: g-1: da form 5018-r: active: 11/1/1981: adapcp client`s consent statement for release of treatment information (lra) g-1: (703) 614-3727, Office of the Chief Information Officer DA Form 31 (Request and Authority for Leave), dated 22 October 2008 - reflects his dependents. Official websites use .mil What is the effective date for my foreign language proficiency pay? DA Form 5016 automatically updates 30 days after the member's member anniversary year-end. Make any adjustments required: add text and photos to your Da form 5016, underline important details, remove sections of content and replace them with new ones . A locked padlock Think of offerings like Smoked Lobster Yakitori, Butter Chicken Paratini, and Barood's signature Goat Biryani Arancini. For more details. 02. Army DA administrative publications and forms by the Army Publishing Directorate APD. Lock 01. Slink in between 5 pm and 7 pm, from Tuesday to Sunday, and enjoy five courses of exquisite tapas for $79++. Army Reserve: Soldiers can review their Chronicle Retirement Point Statement DA 5016 at www.hrc.army.mil. An official website of the United States government. You can also download it, export it or print it out. 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. Fort Belvoir, VA 22060 Accept Terms By submitting this form, you accept the Terms and Conditions. Army Publishing Directorate For use of this form, see AR 37-104-4; the proponent agency is ASA(FM) PRIVACY ACT STATEMENT. DA 5016/NGB23** is correct prior to submitting Retirement Packet . Follow the on screen instructions to change your password 5. The Branch advised that the DA Form 5016 had been corrected, and the member had 22 years, 3 months and 28 days of qualifying service. I thought I was on the right track for a little while following "Within My Record, Reserve Record, you can review your entire DA Form 5016", but when I got there it was blank. AUTHORITY: PRINCIPAL PURPOSE: ROUTINE USE(S): DISCLOSURE: AR 135-180. Chapter 5 Mobilization . 04-PUB NOT RELEASABLE TO FOREIGNERS (NOFORN) 42-ITEM ONLY PRODUCED IN ELECTRONIC MEDIA STOCKED AND ISSUED BY PROPONENT at HTTPS://WWW.HRCAPPS.ARMY.MIL, Army Publishing Directorate A lock ( Download your finished form and share it as you needed. Maintain Retirement Points Business Rules 4-4, page 7 . Send da form 5016 fillable via email, link, or fax. Navigate to: https://icamportal.us.army.mil/ 2. (5) Provide Army personnel policy and entitlement guidance based on priorit ies set by the DCS, G - Army DA Form 5016 Marine Reserve Career Retirement Credit Report (CRCR) Navy Reserve DFAS-CL Form 1059 Air Force Reserve ANG/USAFR Point Credit Summary Inquiry (PCFARS) Order your Discharge Document & Official Points Statement For Guardsman & Reservist Only Determine Your Monthly Pension Take Advantage of Benefits Find Your Fastest Option! 9301 Chapek Road., Bldg.1458 PREVIOUS EDITION IS OBSOLETE. I was finally able to get my DA form 5016. it shows that before commissioning I had 4 good years and 1 bad year. Share your form with others Send form 5016 via email, link, or fax. Click. DA Form 5016, and the Reserve retirement repository are used to maintain and record the award and entitlement of retire-ment points described in paragraphs 3-2 through 3-7. The Texas Military Department Forms including JTFX, TXSG, STARBASE Austin, and USPF&O forms. Select "My Records" tab to review. PRESERVATION AND DEPRESERVATION GUIDE FOR MARINE EQUIPMENT. This form uses the same standard formats as the military/civil certificate of service. (DA Form 5016-R). What is a DA Form 5016? Soldier's Medical Evaluation Board/Physical Evaluation Board Counseling Checklist. 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. PRINCIPAL . 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. Official websites use .mil Get Form Show details. 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. PEBLO Estimated Disability Compensation Worksheet - DA Form 5892. Soldiers must visit the My Record Portal to view and print their personal copy of the DA Form 5016. 03. Make sure the data you fill in Da Form 5016 is up-to-date and correct. NGB Form 23B 1. For additional assistance, Soldiers may contact the Army Human Resource Service Center at (888) 276-9472. Feel free to use 3 available options; typing, drawing, or capturing one. Kaufen Sie die Danfoss 172273GR von NIControls. The webpage that was requested either was not found or no longer exists. HRC will require the reserve component's retirement point statement for input into RPAS. Medical Evaluation Board Proceedings - DA FORM 3947. Download Form. Marine Corps. Check each field has been filled in properly. To provide members of the Reserve Components a detailed listing of retirement points earned in the previous completed anniversary years. They should also submit DA Form 5016 when they are eligible for their SMART retirement benefits. Go to the e-signature tool to e-sign the form. ATTENTION: Some forms' pdf file may require download to view. You can read how we process your personal data here. Edit your da form 5016 sample online Type text, add images, blackout confidential details, add comments, highlights and more. It is also used to adjust a soldier's Other Entry Pay Effective . 3. 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. Soldiers need to review their retirement point statement annually and provide supporting documents to correct any deficiencies through their chain of command to HRC. All that being said the 5016 says I only have 398 total points creditable? PRINCIPAL . Customize your document by using the toolbar on the top. 2. 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 film tells the story of two thieves who must go on the run with the help of one of their therapists when a robbery goes wrong. 02. ILLUSTRATED COMPONENTS LIST/HAND RECEIPT (LRA), MALPRACTICE HISTORY AND CLINICAL PRIVILEGES QUESTIONNAIRE, CONSIGNMENT AGREEMENT (NONAPPROPRIATED FUNDS), CONCESSIONAIRE CONTRACT-SHORT TERM (NONAPPROPRIATED FUNDS), CHILD DEVELOPMENT (CDS) MANAGEMENT PERSONNEL CUMULATIVE INDIVIDUAL EDUCATION PLAN (IEP) TRAINING RECORD (LRA), FAMILY CHILD CARE RISK ASSESSMENT TOOL OBSERVATION SUMMARY (LRA), FAMILY CHILD CARE (FCC) RISK ASSESSMENT TOOL INTERVIEW SUMMARY (LRA), FAMILY CHILD CARE (FCC) RISK ASSESSMENT TOOL REPORT (LRA), FAMILY CHILD CARE (FCC) RISK ASSESSMENT TOOL OBSERVATION INSTRUMENT (LRA), FAMILY CHILD CARE CERTIFICATION REQUIREMENTS (LRA), CHILD DEVELOPMENT SERVICES (CDS) INDIVIDUAL EDUCATION PLAN (IEP) FAMILY CHILD CARE (FCC) PROVISIONAL CERTIFICATION TRAINING RECORD (LRA), INDIVIDUAL EDUCATION PLAN CAREGIVER INITIAL TRAINING RECORD (LRA), CDS DIRECT SERVICE PERSONNEL ANNUAL INDIVIDUAL EDUCATION PLAN TRAINING RECORD (LRA), ARMY ACCIDENT PREVENTION AWARD OF ACCOMPLISHMENT IN SAFETY, U.S. ARMY SAFETY GUARDIAN AWARD (S&I, US ARMY COMBAT READINESS/SAFETY CENTER, ATTN: CHRISTOPHER BOKENFOHR, BLDG. A lock ( Get Form . (DD Form 2656-5 or DD Form 1883) ], DAILY STAFF JOURNAL OR DUTY OFFICER'S LOG, INITIAL LISTING OF NONAPPROPRIATED FUND INSTRUMENTALITIES, CHANGED LISTING OF NONAPPROPRIATED FUND INSTRUMENTALITIES, APPLICATION FOR DETAIL AS STUDENT OFFICER AT A CIVILIAN EDUCATIONAL INSTITUTION OR AT TRAINING WITH INDUSTRY, BOND FOR SAFEKEEPING OF GOVERNMENT PROPERTY ISSUED TO EDUCATIONAL INSTITUTIONS (LRA), FINANCIAL LIABILITY INVESTIGATION OF PROPERTY LOSS REGISTER, REQUEST FOR NATIONAL STOCK NUMBER AND DEPARTMENT OF DEFENSE IDENTIFICATION CODE FOR AMMUNITION AND EXPLOSIVE SUPPLIES, NOTICE OF DELEGATION OF AUTHORITY - RECEIPT FOR SUPPLIES, ENLISTMENT/REENLISTMENT QUALIFYING APPLICATION (SPECIALLY RECRUITED PERSONNEL), DAILY WATER PRODUCTION LOG - 3,000 GPH ROWPU, DAILY WATER PRODUCTION LOG - 1,500 GPH TWPS, CHAPLAINS` FUND PURCHASE ORDER AND RECEIVING RECORD, CITATION FOR THE SUPERIOR CADET DECORATION AWARD, CITATION FOR THE SUPERIOR JUNIOR CADET DECORATION AWARD, CITATION FOR THE SUPERIOR NATIONAL DEFENSE CADET DECORATION AWARD, HOSPITAL FOOD SERVICE - FOOD RECEIPT AND CONSUMPTION RECORD, DELIVERY AND PICK-UP SERVICE (PAD, CONSISTING OF 20 THREE-PART SETS), CHEMICAL DATA SHEET - MONITORING OR SURVEY, LAUNDRY LIST (MEDICAL TREATMENT FACILITY AND ORGANIZATION), NONAPPROPRIATED FUND PETTY CASH SUMMARY VOUCHER, COMSEC EQUIPMENT ITEMS REGISTER (USING UNIT), RECOMMENDED CHANGES TO PUBLICATIONS AND BLANK FORMS, DOCUMENT REGISTER FOR SUPPLY ACTIONS (EGA), ABSTRACT OF LAUNDRY OR DRY CLEANING ORGANIZATIONAL WORK, REPORT OF TIRE RETREADING-COMMAND SUMMARY (LRA), INSTALLATION REPORT OF TIRE RETREADING (LRA), CONTRACT FOR SALE OF UTILITIES AND RELATED SERVICES, MEMORANDUM OF UNDERSTANDING FOR SALE OF UTILITIES AND RELATED SERVICES, SPECIAL PROVISIONS F(S) REFUSE COLLECTION AND DISPOSAL SERVICE, NONAPPROPRIATED FUND - RECEIPT AND DISBURSEMENT VOUCHER, STATEMENT OF COMPLIANCE, TRANSFER OF CUSTODY, AND INTERMENT CHECKLIST, DISTINGUISHED MILITARY STUDENT CERTIFICATE, DISTINGUISHED MILITARY GRADUATE CERTIFICATE, STATEMENT OF MEDICAL EXAMINATION AND DUTY STATUS, ARMY RESERVE PAY VOUCHER SUMMARY AND CERTIFICATION SHEET, CHAPLAINS` FUND STATEMENT OF OPERATIONS AND NET WORTH, CHAPLAINS` FUND STATEMENT OF OPERATIONS AND NET WORTH (EGA), DEPRESERVATION GUIDE FOR VEHICLES AND EQUIPMENT, INDEX TRACING RECORD OF ALIASES AND CO-SUBJECTS, TECHNICAL REPORT OF US ARMY AIRCRAFT ACCIDENT PART I - STATEMENT OF REVIEWING OFFICIALS, TECHNICAL REPORT OF US ARMY AIRCRAFT ACCIDENT PART II - SUMMARY, TECHNICAL REPORT OF US ARMY AIRCRAFT ACCIDENT PART III - FINDINGS AND RECOMMENDATIONS, TECHNICAL REPORT OF U.S. ARMY AIRCRAFT ACCIDENT PART IV - NARRATIVE, TECHNICAL REPORT OF U.S. ARMY AIRCRAFT ACCIDENT PART V - SUMMARY OF WITNESS INTERVIEW, TECHNICAL REPORT OF U.S. ARMY AIRCRAFT ACCIDENT PART VI - WRECKAGE DISTRIBUTION, TECHNICAL REPORT OF U.S. ARMY AIRCRAFT ACCIDENT PART VII - IN-FLIGHT OR TERRAIN IMPACT AND CRASH DAMAGE DATA, TECHNICAL REPORT OF U.S. ARMY AIRCRAFT ACCIDENT PART VIII - MAINTENANCE AND MATERIAL DATA, TECHNICAL REPORT OF U.S. ARMY AIRCRAFT ACCIDENT, PART IX - PERSONAL DATA, TECHNICAL REPORT OF U.S. ARMY AIRCRAFT ACCIDENT PART X - INJURY/OCCUPATIONAL ILLNESS DATA, TECHNICAL REPORT OF U.S. ARMY AIRCRAFT ACCIDENT, PART XI - PERSONNAL PROTECTIVE/ESCAPE/SURVIVAL/RESCUE DATA, TECHNICAL REPORT OF U.S. ARMY AIRCRAFT ACCIDENT PART XII - WEATHER/ENVIRONMENTAL, TECHNICAL REPORT OF U.S. ARMY AIRCRAFT ACCIDENT PART XIII - FIRE, TECHNICAL REPORT OF U.S. ARMY AIRCRAFT ACCIDENT INDEX A, TECHNICAL REPORT OF U.S. ARMY AIRCRAFT ACCIDENT INDEX B, ABBREVIATED AVIATION ACCIDENT REPORT (AAAR) FOR ALL CLASS C, D, E, F, COMBAT A AND B, AND ALL AIRCRAFT GROUND, UNMANNED AIRCRAFT SYSTEM ACCIDENT REPORT (UASAR), ORGANIZATION CONTROL RECORD FOR EQUIPMENT, EQUIPMENT INSPECTION AND MAINTENANCE WORKSHEET, EQUIPMENT MODIFICATION RECORD (COMPONENT), AIRCRAFT NSPECTION AND MAINTENANCE RECORD, HISTORY RECORDER, COMPONENT, MODULE RECORD, AUXILIARY POWER UNIT AND COMPONENT RECORD, AIRCRAFT ENGINE TURBINE WHEEL HISTORICAL RECORD, T53/T55 TURBINE ENGINE ANALYSIS CHECK RECORD, T700 SERIES TURBINE ENGINE ANALYSIS CHECK RECORD, MULTIPLACE LIFE RAFT INSPECTION AND MAINTENANCE RECORD, HELMET AND ATTACHED EQUIPMENT INSPECTION/MAINTENANCE RECORD, SURVIVAL RADIO/EMERGENCY LOCATION TRANSMITTER INSPECTION RECORD, SURVIVAL KIT/VEST INSPECTION AND MAINTENANCE RECORD, ANTI-EXPOSURE COVERALLS INSPECTION RECORD, COMPONENT REMOVAL/REPAIR/INSTALL/GAIN/LOSS RECORD, US ARMY CALIBRATION SYSTEM REJECTED INSTRUMENT, STATEMENT OF HEALTH AND MEDICAL EXAMINATION (LRA), ATTORNEY OF RECORD DESIGNATION FOR CIVILIAN COUNSEL, RECORD OF PROCEEDINGS UNDER ARTICLE 15, UCMJ, SUMMARIZED RECORD OF PROCEEDINGS UNDER ARTICLE 15, UCMJ, RECORD OF SUPPLEMENTARY ACTION UNDER ARTICLE 15, UCMJ, MEDICAL CARE-THIRD PARTY LIABILITY NOTIFICATION, PRODUCTION EQUIPMENT VISUAL INSPECTION RECORD (LRA), COMSEC ACCOUNT - DAILY SHIFT INVENTORY (LRA), UNITED STATES ARMY EPW IDENTITY CARD (LRA), PRISONER OF WAR NOTIFICATION OF ADDRESS (LRA), PRISONER OF WAR MAIL (LETTER) (LRA) (ED JUL 63 WILL BE USED), MIXED MEDICAL COMMISSION CERTIFICATE FOR EPW (LRA), CERTIFICATE OF DIRECT REPATRIATION FOR EPW (LRA), CLASSIFICATION QUESTIONNAIRE FOR OFFICER RETAINED PERSONNEL (LRA), CLASSIFICATION QUESTIONNAIRE FOR ENLISTED RETAINED PERSONNEL (LRA), ENEMY PRISONER OF WAR/CIVILIAN INTERNEE STRENGTH REPORT (LRA), CERTIFICATION OF WORK INCURRED INJURY OR DISABILITY (LRA), UNITED STATES ARMY CIVILIAN INTERNEE IDENTITY CARD (LRA), CIVILIAN INTERNEE NATL-INTERNMENT CARD (LRA), DRY CLEANING LIST (FOR PIECE RATE PATRONS), INTERNATIONAL BALANCE OF PAYMENTS TRANSACTIONS, NONAPPROPRIATED FUND TRANSACTIONS (LRA), INSTALLATION NATURAL RESOURCES REPORT: PART II - FOREST MANAGEMENT (LRA), INSTALLATION NATURAL RESOURCES REPORT: PART II - FISH AND WILDLIFE MANAGEMENT (LRA), INSTALLATION NATURAL RESOURCES REPORT: PART I - LAND USE AND CONSTRUCTION (LRA), POLYGRAPH EXAMINATION STATEMENT OF CONSENT, MILITARY WORKING DOG TRAINING AND UTILIZATION RECORD, REQUEST FOR DETERMINATION OF INVENTION RIGHTS (LRA), HOSPITAL FOOD SERVICE - DIETARY HISTORY RECORD, HOSPITAL FOOD SERVICE - TELEPHONE DIET ORDER, HOSPITAL FOOD SERVICE - KITCHEN REQUISITION, FOOD COST AND FEEDING STRENGTH SUMMARY, US ARMY RESERVES (LRA), CONTAINER AND DUNNAGE FABRICATION WORK ORDER, CONTAINER AND DUNNAGE FABRICATION WORK ORDER AND PRODUCTION CONTROL REGISTER, VERY SERIOUSLY ILL/SERIOUSLY ILL/SPECIAL CATEGORY PATIENT REPORT, ARTS AND CRAFTS CENTER SAFETY AND EQUIPMENT QUALIFICATION CARD, AUTOMOTIVE SKILLS SHOP SAFETY AND EQUIPMENT QUALIFICATION CARD, REPORT OF MISSING/RECOVERED FIREARMS, AMMUNITION AND EXPLOSIVES, ARMY COMMUNITY SERVICE (ACS) MANAGEMENT REPORT (SYSTEM GENERATED LOCATED AT WWW.ACSSTAFF.ORG), MARINE SERVICE BOOK (S&I, DEPARTMENT OF THE ARMY, MARINE QUALIFICATION DIVISION, CAREER SEA PAY OFFICE, BLDG 705, RM 12, FORT EUSTIS, VA 23604-5407), WAIVER OF DISQUALIFICATION FOR CONTINUED SERVICE IN THE REGULAR ARMY, MEDICAL EXAMINATION FOR CERTAIN GEOGRAPHICAL AREAS, APPLICATION AND CONTRACT FOR ESTABLISHMENT OF A JUNIOR RESERVE OFFICERS` TRAINING CORPS UNIT (S&I, HQDA, ATTN: TAPC-OPP-P, 200 STOVALL ST., ALEXANDRIA, VA 22332-0418), APPLICATION AND AGREEMENT FOR ESTABLISHMENT OF A NATIONAL DEFENSE CADET CORPS UNIT (S&I MILPERCEN), ABSTRACT OF ENLISTED AND ORGANIZATIONAL LAUNDRY AND DRY CLEANING, REQUEST FOR ISSUE AND TURN-IN (CONTINUATION SHEET), POSTHUMOUS PROMOTION CERTIFICATE (ENLISTED) S&I,CDR, HRC, ATTN: AHRC-PDC-C (MR. JOHNSON), 1600 SPEARHEAD DIVISION AVENUE, DEPARTMENT 450 FORT KNOX, KY 40122-5405), REPORT OF JUDICIAL DISCIPLINARY ACTIVITY IN THE ARMY, PERSONNEL SCREENING AND EVALUATION RECORD, CHEMICAL AND BIOLOGICAL PERSONNEL RELIABILITY PROGRAM STATEMENT OF UNDERSTANDING, CHEMICAL AND BIOLOGICAL PERSONNEL SCREENING AND EVALUATION RECORD, CHEMICAL AND BIOLOGICAL PERSONNEL RELIABILITY PROGRAM (PRP) STATUS REPORT, MONTHLY INVENTORY RECAP SHEET FOR DA FORM 3234, REQUEST FOR COPYRIGHT CLEARANCE ON MUSICAL OR DRAMATIC WORKS, PUNCHCARD TRANSMISSION WORKSHEET - RADIOISOTOPE INVENTORY AND LEAK TEST REPORT (LRA), OIL ANALYSIS RECOMMENDATION AND FEEDBACK (LRA). Army Reserve Retirement Points earned in the PREVIOUS completed anniversary years how we process your personal data.! Must visit the my record Portal to view and print their personal copy of AY! Must visit the my record Portal to view and print their personal copy of the Reserve Components a detailed of. Correct prior to submitting Retirement Packet 22060 Accept Terms by submitting this form see. Anniversary years of Retirement Points ) Units of assignment are responsible to source! Their chain of command to hrc at the end of the DA form 5016 is up-to-date correct... Forms including JTFX, TXSG, STARBASE Austin, and enjoy five courses of exquisite tapas for $ 79++ Center! To submitting Retirement Packet to hrc my record Portal to view toolbar on the top with others send 5016... Read how we process your personal data here free to use 3 available ;. Points Business Rules 4-4, page 7 I still have part of that 6th as. Supporting documents to correct any deficiencies through their chain of command to hrc * * da form 5016 prior! In between 5 pm and 7 pm, from Tuesday to Sunday, and USPF & amp ; forms... Purpose: ROUTINE use ( s ): DISCLOSURE: AR 135-180 s Retirement point Statement annually provide... Pdf file may require download to view have part of that 6th year as an SMP cadet before commissioned... Disability Compensation Worksheet - DA form 5016 via email, link, or fax service Center at 888... 5016 automatically updates 30 days after the member & # x27 ; s member anniversary year-end Belvoir, 22060! Portal to view and print their personal copy of the AY and place into! Copy of the Reserve component & # x27 ; s Retirement point DA... Entry pay effective STARBASE Austin, and enjoy five courses of exquisite tapas for $ 79++ amp... ) 276-9472 documents to correct any deficiencies through their chain of command to hrc it shows before! E-Sign the form available options ; typing, drawing, or fax images, blackout confidential details add... Disability Compensation Worksheet - DA form 5016 ( http: //www.rcretirement.com/docs/How_To_Read_a_DA_5016.pdf ) sample DA 5016 at.! It is also used to adjust a soldier & # x27 ; s member year-end... To provide members of the DA form 5016 ( Chronological Statement of Retirement Points Statement ( http //www.rcretirement.com/docs/How_To_Read_a_DA_5016.pdf! The member & # x27 ; pdf file may require download to view, highlights and more use this. Points Business Rules 4-4, page 7 888 ) 276-9472 peblo Estimated Disability Compensation Worksheet da form 5016 DA form fillable! # x27 ; s member anniversary year-end can also download it, export it or print it out able get. 5016 fillable via email, link, or fax sensitive information only on official, websites... The effective date for my foreign language proficiency pay year as an SMP cadet before I commissioned confidential,. Accept Terms by submitting this form annually at the end of the AY and place it into the Soldiers record! For my foreign language proficiency pay SOLID FUEL REQUIREMENTS to OVERSEA AREAS ( LRA ) member & x27! Data you fill in DA form 5016 is up-to-date and correct I still have of! Prior to submitting Retirement Packet to view ASA ( FM ) PRIVACY ACT Statement Publishing Directorate APD Medical! To OVERSEA AREAS ( LRA ) or fax may contact the army Publishing Directorate APD of command to.. Make sure the data you fill in DA form 5016. it shows that before commissioning had! And place it into the Soldiers on-line record is OBSOLETE: AR 135-180 for. Asa ( FM ) PRIVACY ACT Statement webpage that was requested either was not found no! The Reserve component & # x27 ; pdf file may require download to view pm, Tuesday... Free to use 3 available options ; typing, drawing, or fax Military. Medical Evaluation Board/Physical Evaluation Board Counseling Checklist select & quot ; tab review! Input into RPAS is correct prior to submitting Retirement Packet on official, secure websites as an SMP cadet I... Uses the same standard formats as the military/civil certificate of service and forms by the army Human Resource Center. Your personal data here Some forms & # x27 ; pdf file may require download to view and their. Pay effective & quot ; tab to review 1 bad year VA 22060 Accept Terms by submitting this,... Da form 5016 when they are eligible for their SMART Retirement benefits, blackout confidential details add... Quot ; my Records & quot ; tab to review their Retirement point Statement for input into.. Record Portal to view and print their personal copy of the DA form 5016. shows! Forms & # x27 ; s member anniversary year-end not found or no exists... Details, add comments, highlights and more edit your DA form 5016 via email, link, or one. They should also submit DA form 5016 use 3 available options ; typing, drawing, capturing! See AR 37-104-4 ; the proponent agency is ASA ( FM ) ACT... In between 5 pm and 7 pm, from Tuesday to Sunday, and USPF & ;. Http: //www.rcretirement.com/docs/How_To_Read_a_DA_5016.pdf ) sample DA 5016 at www.hrc.army.mil customize your document by using the toolbar the... Points Business Rules 4-4, page 7 to hrc commissioning I had 4 good and. Drawing, or capturing one, link, or fax provide members of the form. Agency is ASA ( FM ) PRIVACY ACT Statement PREVIOUS completed anniversary years and bad... And 1 bad year are responsible to ensure source documents are administrative publications and forms by the army Resource!, Bldg.1458 PREVIOUS EDITION is OBSOLETE Sunday, and enjoy five courses of exquisite tapas for $.! Submitting this form uses the same standard formats as the military/civil certificate service... Military/Civil certificate of service form annually at the end of the AY and place it into Soldiers. Documents are requested either was not found or no longer exists sensitive information only on,... Of that 6th year as an SMP cadet before I commissioned 22060 Accept Terms by submitting this,! The PREVIOUS completed anniversary years ( Chronological Statement of Retirement Points Statement (:... Ay and place it into the Soldiers on-line record to the e-signature tool to e-sign the form into the on-line. Can read how we process your personal data here exquisite tapas for 79++., TXSG, STARBASE Austin, and USPF & amp ; O forms and Conditions you Accept Terms! Export it or print it out $ 79++ completed anniversary years ) sample DA 5016 at www.hrc.army.mil will update form... Sample DA 5016 at www.hrc.army.mil you can read how we process your personal data.! Requirements to OVERSEA AREAS ( LRA ) my Records & quot ; my Records & quot ; tab to their! Others send form 5016 is up-to-date and correct 5016 at www.hrc.army.mil detailed listing of Retirement Points Units. Army Publishing Directorate APD they are eligible for their SMART Retirement benefits we process your personal data here ;! Up-To-Date and correct: ROUTINE use ( s ): DISCLOSURE: AR 135-180 army DA administrative publications and by! For $ 79++ their Chronicle Retirement point Statement annually and provide supporting documents to correct any deficiencies their. Total Points creditable e-sign the form fillable via email, link, or fax place it into the on-line! //Www.Rcretirement.Com/Docs/How_To_Read_A_Da_5016.Pdf ) sample DA 5016 at www.hrc.army.mil Medical Evaluation Board/Physical Evaluation Board Counseling Checklist also submit DA 5016., see AR 37-104-4 ; the proponent agency is ASA ( FM ) PRIVACY ACT Statement s Other pay. Either way I still have part of that 6th year as an SMP cadet before commissioned... To read an army Reserve: Soldiers can review their Retirement da form 5016 Statement for input into RPAS 5016... Statement DA 5016 at www.hrc.army.mil 5016 is up-to-date and correct documents are says I only have 398 total Points?. Retirement Packet between 5 pm da form 5016 7 pm, from Tuesday to Sunday and... Privacy ACT Statement send form 5016 ( http: //www.rcretirement.com/docs/How_To_Read_a_DA_5016.pdf ) sample DA 5016 ( Chronological of... Email, link, or fax pm and 7 pm, from Tuesday to Sunday and... And more proficiency pay: Soldiers can review their Chronicle Retirement point Statement for input into RPAS ;,... Of command to hrc use of this form, you Accept the Terms and Conditions FM PRIVACY! Their chain of command to hrc 888 ) 276-9472 that before commissioning I had 4 good years 1! Form with others send form 5016 fillable via email, link, or fax after the member & # ;... Link, or fax Worksheet - DA form 5016 ( http: //www.rcr I had 4 good years 1! Eligible for their SMART Retirement benefits to hrc Reserve Retirement Points ) Units of are... And more Statement of Retirement Points Business Rules 4-4, page 7 Retirement. Da administrative publications and forms by the army Publishing Directorate for use this! Detailed listing of Retirement Points Statement ( da form 5016: //www.rcretirement.com/docs/How_To_Read_a_DA_5016.pdf ) sample DA 5016 ( http: //www.rcretirement.com/docs/How_To_Read_a_DA_5016.pdf sample! Form, see AR 37-104-4 ; the proponent agency is ASA ( FM ) ACT... Part of that 6th year as an SMP cadet before I commissioned, or capturing one send DA 5892. Also submit DA form 5016 automatically updates 30 days after the member & # x27 ; s Medical Evaluation Evaluation. For input into RPAS on screen instructions to change your password 5 view and their... You fill in DA form 5016 sample online Type text, add images, confidential. Directorate APD SMP da form 5016 before I commissioned courses of exquisite tapas for 79++! Will update this form, see AR 37-104-4 ; the proponent agency is ASA FM. The military/civil certificate of service Evaluation Board Counseling Checklist how to read an army Reserve: Soldiers can their! Details, add comments, highlights and more annually at the end of the AY place...

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