107 Army Pentagon the bad year is only because I missed AT because I was at advanced camp. 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. 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 . 9301 Chapek Road., Bldg.1458 . Get the free da 5016 form. 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; Hide details. This form is used for purposes of verification of military service under 37 USC 1006. Hong Chau is to star alongside Matt Damon in 'The Instigators'. Feel free to use 3 available options; typing, drawing, or capturing one. vkgy Fort Belvoir, VA 22060 and the HRC is not helping, they cant email me the file. 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! Lock Type text, add images, blackout confidential details, add comments, highlights and more. ) or https:// means youve safely connected to the .gov website. Upload a form. 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 . PEBLO Estimated Disability Compensation Worksheet - DA Form 5892. For additional assistance, Soldiers may contact the Army Human Resource Service Center at (888) 276-9472. https://www.hrc.army.mil. 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 . 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. To pick up installation clearing papers you will need a copy of your orders, approved leave form (DA 31) with control number, and unit clearing papers (DA Form 137-1) with blocks 1-10 completed or a memorandum from your unit. Accept Terms By submitting this form, you accept the Terms and Conditions. Common errors with the DA Forms 1380 4-2, pages 10 & 11 . MEDICAL FITNESS STATEMENT FOR ENROLLMENT IN BASIC COURSE, SENIOR ROTC (LRA). (703) 614-3727, Office of the Chief Information Officer Get Form Show details. Dawn Cosette Dippel, 94, of Deer Lake, formerly of Minersville, passed away Sunday, Feb. 26, at home. PRINCIPAL . Select "My Records" tab to review. Jan 03, 2023 PDF (0.58MB) White Paper DECT Security and Remote Work_EN. Lock How do I get DA Form 5016? Commanders will help Soldiers to obtain missing documents and will coordinate through their chain of command to State Retirement Point 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. How to Edit The Da Form 5016 quickly and easily Online Start on editing, signing and sharing your Da Form 5016 online following these easy steps: Push the Get Form or Get Form Now button on the current page to direct to the PDF editor. Medical Evaluation Board Proceedings - DA FORM 3947. Official websites use .mil A copy of DA Form 5500 (.pdf) (Body Fat Content Worksheet - Male) or DA Form 5501 (.pdf) (Body Fat Content Worksheet - Female) taken within 6 months (if required). Get Form . Name. 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. Click. Change the template with smart fillable fields. 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 Click Done in the top right corne to save the template. (DD Form 2656-5 or DD Form 1883) 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. ) or https:// means youve safely connected to the .gov website. To provide members of the Reserve Components a detailed listing of retirement points earned in the previous completed anniversary years. Sign it in a few clicks I was finally able to get my DA form 5016. it shows that before commissioning I had 4 good years and 1 bad year. Army Publishing Directorate . 02. Open it using the online editor and begin altering. Soldier's Medical Evaluation Board/Physical Evaluation Board Counseling Checklist. The webpage that was requested either was not found or no longer exists. 02. 1. 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). 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. Add the date to the record using the Date feature. DD Form 4-1,2 and 3 DD 214, Certificate of Release or Discharge from Active Duty NGB 22, ARNG Certificate of Discharge NGB 23 or 55, ARNG Retirement Points Statement DA Form 5016, Chronological Statement of Retirement Points- only Prior Reserve DA Form 1506, Statement of Service-for Computation of Length of Service for Pay Purpose 20 483 food service worker form Civil service management procedures for new commissioners cs ny form Nysdec title v applications form New york mif form Elt 2 application form Ny dmv mv413 2012 form Form dos 0999 Find out other da form 2446 example Help Me With eSignature Missouri Life Sciences Emergency Contact Form How to Edit and draw up Da 5016 Online. Navigate to: https://icamportal.us.army.mil/ 2. 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. 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. 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