Its needed for my certificate of eligibility for a VA loan. Think of offerings like Smoked Lobster Yakitori, Butter Chicken Paratini, and Barood's signature Goat Biryani Arancini. Select "My Records" tab to review. Get the free da 5016 form. 1. Check each field has been filled in properly. DA Form 5016 help. Lock Get Form Show details. Wait until Da 5016 is shown. Follow the on screen instructions to change your password 5. G. For periods of omitted prior reserve service, provide copies of the DA Form 1383, AGUZ Form 115, DARP Form 249, DARP Form 249-2-E, ARPC Form 249-E, AHRC Form 249-2-E,NGB Form 23, AF Form 526, NAVPERS Form 1070-611, NAVMC Form 798, or CG HQ Form 4973. 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 . 01. Soldier's Medical Evaluation Board/Physical Evaluation Board Counseling Checklist. Complete the blank fields; engaged parties names, places of residence and phone numbers etc. 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. TREFRY LIFETIME OF SERVICE AWARD, Search Army publications and forms by Number, Title, or Record Detail. (DD Form 2656-5 or DD Form 1883) PRESERVATION AND DEPRESERVATION GUIDE FOR RAILROAD EQUIPMENT. Slink in between 5 pm and 7 pm, from Tuesday to Sunday, and enjoy five courses of exquisite tapas for $79++. (b) Monitor their Soldiers' NGB Form 23A or DA Form 5016 (Chronological Statement of Retirement Points) to detect errors and initiate corrective action when Soldiers provide supporting documentation. The 43-year-old actress will feature with Damon and Casey Affleck in the Apple Original Films project that is being directed by Doug Liman. Copy of Soldier's DA Form 5016 (Retirement Point Statement) 7. (AP Photo/Matt Slocum) Wait for a moment before the Da Form 5016 is loaded 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. da 5016-r form: chronological record of military service: $7.99: da 5017 form: civilian employee consent statement: $7.99: . Prior service DD Form 214 / NGB Form 22 / 23, DA Form 5016 (USAR), DD Form 1506, if applicable Initial Oath of Office (DA Form 71) (Officers) Orders to Active Duty (Officers) Appointment Letter (Officers) Most recent SRB / ORB/ LES POV Qualitative . Dawn Cosette Dippel, 94, of Deer Lake, formerly of Minersville, passed away Sunday, Feb. 26, at home. Units of assignment are responsible to ensure source documents are What is the effective date for my foreign language proficiency pay? 9301 Chapek Road., Bldg.1458 Find EPOS reseller . 6. 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. The following is a list of the information to be entered on this form and its standard form-related options: 1. DA Form 1506, "Statement of Service" DD Form 1966/1, "Record of Military Processing-Armed Force of the US" 2 DD Form 214 . An official website of the United States government. A locked padlock 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. Click Done following twice-checking everything. Share sensitive information only on official, secure websites. Common errors with the DA Forms 1380 4-2, pages 10 & 11 . Name plate IMPACT SDW 5013-5016_EN. Lock Fort Belvoir, VA 22060 A locked padlock DA FORM 5016: Pub/Form Date: 10/01/2015: Pub/Form Title: CHRONOLOGICAL STATEMENT OF RETIREMENT POINTS (COPY AVAILABILITY AT HTTPS://WWW.HRCAPPS.ARMY.MIL . Army DA administrative publications and forms by the Army Publishing Directorate APD. Hide details. Army Publishing Directorate DA Form 5016 -Current NGB 23, Retirement Credits Record (National Guard) Must be within the past 30-days-DA Form 5016, Chronological Statement of Retirement Points (Army Reserve). If you did not receive a full accounting of your retirement points, you will need to contact the Armed Service Branch you served with and ask for a DA Form 5016 (Chronological Statement of Retirement Points). Army Publishing Directorate 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. (703) 614-3727, Office of the Chief Information Officer ATTENTION: Some forms' pdf file may require download to view. They should also submit DA Form 5016 when they are eligible for their SMART retirement benefits. Authority: 37 USC, Section 1006; Executive Order 9397. 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. 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