For use of this form, see AR 37-104-4; the proponent agency is ASA(FM) PRIVACY ACT STATEMENT. All extensions - if applicable (DA Form 1695) DA Form 4187 signed by requesting Soldier and 06 recommendation and signature, (or memorandum recommending approval/disapproval) Any prior DD214s, DD220, NGB 22/23 DA Form 2339 page 2 (only blocks 19 & 30 signed by requesting Solider) Chronological statement of Retirement points (DA Form 5016 . The applicant's records contain a DA Form 5016 (Chronological Statement of Retirement Points) showing his record is void of retirement points for the periods in question. Get the free da 5016 form. Type text, add images, blackout confidential details, add comments, highlights and more. Its needed for my certificate of eligibility for a VA loan. 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 . (4) Provide DA Form 5016 (Chronological Statement of Retirement Points) to current and former USAR Soldiers uti-lizing HRC's self-service portal at . 1. RPSC sends recognition packet to soldier or soldier's unit Navigate to: https://icamportal.us.army.mil/ 2. NOTES: * ARNG SMs receive 15/20 year letter from their respective state ** "Closed out" (with all points) NGB 23/DA 5016 must be furnished . If retired, this can be completed at an Army recruiting station. Army Reserve: Soldiers can review their Chronicle Retirement Point Statement DA 5016 at www.hrc.army.mil. Purpose: This form is used to document a member's request for verification of military service. Download Form. Medical Evaluation Board Proceedings - DA FORM 3947. Secure .mil websites use HTTPS Alter your file. A locked padlock ) or https:// means youve safely connected to the .gov website. Get Form Show details. 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. The Texas Military Department Forms including JTFX, TXSG, STARBASE Austin, and USPF&O forms. Lock Get Form . and the HRC is not helping, they cant email me the file. 9301 Chapek Road., Bldg.1458 https://www.hrc.army.mil. PEBLO Estimated Disability Compensation Worksheet. For the U.S. Army, click here: Recording and Reporting Retirement Points For the U.S. Air Force, click here: Air Reserve Personnel Center 3. da 5016-r form: chronological record of military service: $7.99: da 5017 form: civilian employee consent statement: $7.99: . Edit your da form 5016 sample online Type text, add images, blackout confidential details, add comments, highlights and more. Open it using the online editor and begin altering. All that being said the 5016 says I only have 398 total points creditable? CHRONOLOGICAL STATEMENT OF RETIREMENT POINTS DATE For use of this form, see AR 135180; the proponent agency is DCS, G1 19MAR2017 DATA REQUIRED BY THE PRIVACY ACT OF 1974 AUTHORITY: AR 135180. Chief reviewed the member's record and determined that his DA Form 5016, Chronological Statement of Retirement Points, did not reflect the points that were earned throughout his military career. What is the effective date for my foreign language proficiency pay? (5) Provide Army personnel policy and entitlement guidance based on priorit ies set by the DCS, G - Download Form. An official website of the United States government. The latest technologies high quality electronic pubs and forms view U.S. Army Regulations and DA Forms. A .mil website belongs to an official government organization in the United States. 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. Soldiers must visit the My Record Portal to view and print their personal copy of the DA Form 5016. Send da form 5016 fillable via email, link, or fax. A locked padlock (703) 614-3727, Office of the Chief Information Officer To assist units and Soldiers in verifying retirement points earned during the annual DUBAI, United Arab Emirates (AP) Iran's currency fell to a new record low on Sunday, plunging to 600,000 to the dollar for the first time as the effects of nationwide anti-government . Go to the e-signature tool to e-sign the form. To provide members of the Reserve Components a detailed listing of retirement points earned in the previous completed anniversary years. Share sensitive information only on official, secure websites. 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: Army Publishing Directorate You can also download it, export it or print it out. The tips below will allow you to complete Da 5016 Example easily and quickly: Open the form in the full-fledged online editing tool by hitting Get form. Add the date to the record using the Date feature. New Tapas and Early Trysts at Barood. 03. Kaufen Sie die Danfoss 172273GR von NIControls. 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. 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. Common errors with the DA Forms 1380 4-2, pages 10 & 11 . DA FORM 1506, AUG 1987. Select "My Records" tab to review. 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. Where do I find da 5016? DA Form 5016 (Chronological Statement of Retirement Points) Put the date and place your e-signature. Units of assignment are responsible to ensure source documents are What is a DA Form 5016? Make sure the data you fill in Da Form 5016 is up-to-date and correct. . Download your finished form and share it as you needed. 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 All AR, ARNG and AGR applicants must submit a certified true copy of their DA Form 5016 Sign up with your credentials or create a free account to test the service prior to choosing the subscription. 01. Edit your da 5016 online Type text, add images, blackout confidential details, add comments, highlights and more. 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. The applicant provides a copy of his DA Form 5016 which shows in column 8 (Active Duty Points) the following data: * 16 February 2009 through 15 February 2010 - 185 * 16 February 2008 through 15 February 2009 - 229 * 16 February 2007 through 15 February 2008 - 85 * 16 February 2006 through 15 February 2007 - 17 * 16 February 2005 through 15 Get Form Fill da . 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. Under the Your Account tab, click Change Your Password 4. 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. Form is used to document a member & # x27 ; s unit Navigate:. Of the DA Forms sensitive information only on official, secure websites earned in United. And place your e-signature to soldier or soldier & # x27 ; s unit Navigate to https... The da form 5016 is not helping, they cant email me the file errors with the DA form fillable. Link, or fax a locked padlock ) or https: // means youve safely connected the. Common errors with the DA Forms 1380 4-2, pages 10 & amp ; 11 not helping, cant! 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