A locked padlock Add the Da form 5960 for redacting. Marital/ Dependency Status Army DA administrative publications and forms by the Army Publishing Directorate APD. The latest technologies high quality electronic pubs and forms view U.S. Army Regulations and DA Forms. ACTIVE. (703) 614-3727, Office of the Chief Information Officer ADP MANAGEMENT REPORT CODING SHEET 1 (LRA), PLANOGRAPH FOR STANDARD MAGAZINE (AMMUNITION), AMMUNITION SPACE AND TONNAGE DATA SUMMARY, MISSILE MATERIEL CONDITION STATUS REPORT WORKSHEET, STATEMENTS OF MEMBER REMOVED FROM THE TEMPORARY DISABILITY RETIRED LIST, STATEMENTS FOR ENLISTMENT, UNITED STATES ARMY ENLISTMENT PROGRAM, U.S. ARMY DELAYED ENLISTMENT PROGRAM (EGA), APPLICATION FOR ARMY RADIATION AUTHORIZATION, REQUEST FOR CONTINUED SERVICE IN THE REGULAR ARMY, PROMOTION POINT WORKSHEET (UNITED STATES ARMY RESERVE), US ARMY INTELLIGENCE CREDENTIAL (S&I, USAFCA, ATTN: IAFC-DS(B&C), FT MEADE, MD 20755-5975), US ARMY INTELLIGENCE CREDENTIAL (S&I, HQ, INSCOM, ATTN: IAOPS-CI-OF (B&C), FT. BELVOIR, VA 22060-5370), US ARMY INTELLIGENCE CREDENTIAL (REPRESENTATIVE) (S&I USAINSCOM, FT MEADE, MD 20755). mil 2 usa-federal-forms. endstream endobj 324 0 obj <>stream 11. Blocks 5-6: Enter your unit address and effective date of the action.. Block 7: mark with an "X" for the applicable BAQ type.. Block 8: mark with the appropriate selection of "Marital/Dependency Status" and follow on . SHORT- AND LONG-RANGE TRANSPORTATION REQUIREMENTS REPORT - MANUAL (LRA) (JUN 73 ED WILL BE USED TIL EXHAUSTED), IMPROVED HAWK LOCATION/STATUS REPORT (LRA), RIGHTS WARNING PROCEDURE/WAIVER CERTIFICATE, NURSING DEPARTMENT - ARMY NURSE CORPS DATA, MEDICAL RECORD - NURSING HISTORY AND ASSESSMENT, MEDICAL RECORD - NURSING DISCHARGE SUMMARY, NURSING UNIT 24-HOUR REPORT - CONTINUATION SHEET, BILLS REGISTER SUPPLIES AND SERVICES NONPERSONAL, MULTI-MEDIA/VISUAL INFORMATION (M/VI) WORK ORDER, DAILY LOG OF TRUCK TRIPS FOR REFUSE COLLECTION AND DISPOSAL, MSA - ACCOUNTS RECEIVABLE REGISTER AND CONTROL LEDGER, CERTIFICATE OF APPRECIATION (FOR ACTIVE RESERVE SERVICE), ANNUAL DRY PIPE VALVE INSPECTION AND TRIPPING TEST, MEDICAL EVALUATION BOARD PROCEEDINGS - CONTINUATION PAGE, CLASSIFIED DOCUMENT ACCOUNTABILITY RECORD, NARCOTICS OR EXPLOSIVES DETECTOR DOG TRAINING AND UTILIZATION RECORD, ABSTRACT OF LAUNDRY WORK ACCOMPLISHED FOR INDIVIDUAL PATRONS, MAINTENANCE WORKLOAD CONTROL FORM NO. A lock ( Official websites use .mil 2. Expenses, if authorized, I am Requesting VHA Based On When it comes to housing, the military, through the Defense Finance Accounting Service (DFAS), is more than willing to offer you assistance, whether it be housing allowances or access to military housing facilities. ) or https:// means youve safely connected to the .gov website. Washington DC 20310-0107, 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, APPLICANT INTERVIEW REPORT - JUDGE ADVOCATE GENERAL`S CORPS (LRA), MEDICAL RECORD - ALLERGY IMMUNOTHERAPY RECORD (SINGLE EXTRACT), MEDICAL RECORD - ALLERGY IMMUNOTHERAPY RECORD (DOUBLE EXTRACT), TELEPHONE MEDICAL ADVICE/CONSULTATION RECORD, MEDICAL RECORD - RELEASE AGAINST MEDICAL ADVICE, CHRONOLOGICAL STATEMENT OF RETIREMENT POINTS (COPY AVAILABILITY AT HTTPS://WWW.HRCAPPS.ARMY.MIL), ADAPCP CLIENT`S CONSENT STATEMENT FOR RELEASE OF TREATMENT INFORMATION (LRA), CONDITION OF EMPLOYMENT FOR CERTAIN CIVILIAN POSITIONS IDENTIFIED CRITICAL UNDER THE DEPARTMENT OF THE ARMY DRUG-FREE FEDERAL WORKPLACE PROGRAM, G. DESIGN DATA CHECKLIST PHYSICAL SECURITY ENHANCEMENT AGAINST TERRORIST THREAT (LRA), G. DESIGN DATA CHECKLIST PHYSICAL SECURITY ENHANCEMENT AGAINST TERRORIST THREAT (CONT`D) (LRA), RECORD OF CERTIFICATION - SMALL ARMS SHIPMENT CONTROL (LRA), MEDCASE SUPPORT AND TRANSMITTAL FORM (LRA), FIELD ARTILLERY DELIVERED MINEFIELD PLANNING SHEET, JUSTIFICATION STATEMENT FOR .0015 CONTINGENCY FUNDS, PAYING AGENT RECEIPT CONTROL AND CASH ACCOUNTABILITY JOURNAL, MAGNETIC COMPASS DEVIATION TABLE INSTALLATIONS, RECORD OF AWARD OF ENTRY GRADE CREDIT (HEALTH SERVICES OFFICER) (LRA), RECORD OF AWARD OF ENTRY GRADE CREDIT (MEDICAL AND DENTAL OFFICERS) (LRA), ANALYSIS OF CUSTODIAL PERSONNEL REQUIREMENTS, FEEDER REPORT TO ANNUAL PRODUCTIVITY REPORT - PECI (LRA), DOCUMENTATION FOR PRODUCTIVITY CAPITAL INVESTMENTS PROGRAM (LRA), REQUEST TO SUPERIOR TO EXERCISE ARTICLE 15, UCMJ, JURISDICTION, SUMMARY COURT-MARTIAL RIGHTS NOTIFICATION/WAIVER STATEMENT, REASSIGNMENT STATUS AND ELECTION STATEMENT, IN- AND OUT- PROCESSING RECORDS CHECKLIST, APPLICATION FOR VOLUNTARY MOBILIZATION PREASSIGNMENT, BRANCH IDENTIFICATION SUMMARY - CONTINUATION SHEET (LRA), BRANCH MAINTENANCE AND REPAIR REQUIREMENTS (LRA), SECTION MAINTENANCE AND REPAIR RECORD (LRA), NONAPPROPRIATED FUND CENTRAL PAYROLL SYSTEM - TIPS, SERVICE CHARGES AND MEALS REPORT, INCENTIVE AWARDS NOMINATION AND APPROVAL - NONAPPROPRIATED FUNDS, SAFETY CLEARANCE ORDER (ELECTRICAL FACILITIES) (LRA), MEDICAL RECORD - PREOPERATIVE/POSTOPERATIVE NURSING DOCUMENT, SOIL SUCTION, WATER CONTENT AND SPECIFIC VOLUME (LRA), APPLICATION FOR RESPITE CARE FOR CHILDREN AND ADULTS WITH DISABILITIES, INFORMATION ON INDIVIDUAL WITH DISABILITY, FAMILY IDENTIFICATION SHEET FOR A CHILD RECEIVING SERVICE, CHILD DEVELOPMENT SERVICES (CDS) FAMILY CHILD CARE (FCC) PROVIDER APPLICATION (LRA), CHILD DEVELOPMENT SERVICES (CDS) FAMILY CHILD CARE (FCC) PROVIDER BACKGROUND CLEARANCE REQUEST (LRA), CHILD DEVELOPMENT SERVICES (CDS) FAMILY CHILD CARE (FCC) CERTIFICATION, DENIAL/REVOCATION (LRA), CHILD DEVELOPMENT SERVICES (CDS) SPONSOR CONSENT FORM (LRA), CHILD DEVELOPMENT SERVICES (CDS) CHILD HEALTH ASSESSMENT (LRA), CHILD DEVELOPMENT SERVICES (CDS) CHILD AND FAMILY PROFILE (LRA), CHILD DEVELOPMENT SERVICES (CDS) MEDICAL DISPENSATION RECORD (LRA), CHILD DEVELOPMENT SERVICES (CDS) SPONSOR/PROGRAM AGREEMENT (LRA), CHILD DEVELOPMENT SERVICES (CDS) REPORT (LRA), REPORT OF UNFAVORABLE INFORMATION FOR SECURITY DETERMINATION (LRA), STATEMENT - EVIDENCE OF CITIZENSHIP STATUS (LRA), SELECTED RESERVE INCENTIVE PROGRAM - OFFICER ACCESSION BONUS, SELECTED RESERVE INCENTIVE PROGRAM - OFFICER AFFLIATION BONUS, HARBOR BOAT DECK AND ENGINE LOG FOR CLASS B VESSELS, ARMY EXCEPTIONAL FAMILY MEMBER CHILD FUNCTIONAL QUESTIONNAIRE (LRA), NONAPPROPRIATED FUND PAYABLE/DISBURSEMENT VOUCHER CONTINUATION SHEET (LRA), NONAPPROPRIATED FUND PAYABLE/DISBURSEMENT VOUCHER (LRA), PERSONAL SERVICES (COMPREHENSIVE) NON-APPROPRIATED FUND (NAF) EMPLOYEES, CPMC (PART A) CAPITAL PURCHASES (OVER $1,000), MAINTENANCE & REPAIR (OVER $2,500, UNDER $1M), AND MINOR CONSTRUCTION (UNDER $200K) (EGA), CHECK COMPUTATION FOR DETERMINING NET INCOME (LRA), PACKAGE BEVERAGE BRANCH COMPUTATION OF INCOME DISTRIBUTION (LRA), BONA FIDE DEPENDENT DECLARATION - MILITARY, BONA FIDE DEPENDENT DECLARATION (CIVILIAN), OCS APPLICANT`S COMMANDERS EVALUATION SHEET, HONORARY SERGEANT MAJOR OF THE REGIMENT APPOINTMENT CERTIFICATE, NONAPPROPRIATED FUNDS EARNINGS AND LEAVE STATEMENT (CONUS), LONG-RANGE SPECIAL ASSIGNMENT AIRLIFT MISSION (SAAM) FLYING HOURS REQUIREMENTS, ROTATION AGREEMENT - EMPLOYEES RECRUITED FROM THE UNITED STATES, ROTATION AGREEMENT - EMPLOYEES RECRUITED LOCALLY IN FOREIGN AREAS, ROTATION AGREEMENT - EMPLOYEES RECRUITED FROM THE US TERRITORIES AND POSSESSIONS, FIRE AND EMERGENCY SERVICES TRAINING RECORD, WORKLOAD MANAGEMENT SYSTEM FOR NURSING INTERRATER RELIABILITY TESTING (LRA), PATRIOT MULTIPLE LOCATION/STATUS/CONDITION REPORT (LRA), OVERSEAS TOUR EXTENSION INCENTIVE PROGRAM MONTHLY REPORT, BULK PETROLEUM STORAGE FACILITIES REPORT, ARMY (RCS: DRC-830) (LRA), FIELD CATEGORY TRAINING EVALUATION CHECKLIST, TERRAIN MORTAR POSITION/SPECIAL CORRECTIONS WORKSHEET (LRA), APPLICANT/NOMINEE PERSONAL FINANCIAL STATEMENT, BATTALION COMMAND TEAM RECRUITER CANDIDATE INTERVIEW AND EVALUATION, COMPANY COMMANDER RECRUITER CANDIDATE INTERVIEW AND ASSESSMENT, SPONSORSHIP PROGRAM COUNCELING AND INFORMATION SHEET, STATEMENT OF UNDERSTANDING - THE SELECTED RESERVE MONTGOMERY GI BILL (10 USC CHAPTER 1606), STATEMENT OF UNDERSTANDING - THE SELECTED RESERVE MONTGOMERY GI BILL KICKER PROGRAM (10 USC 16131), EXPLOSIVE ORDNANCE DISPOSAL (EOD) VOLUNTEER STATEMENT, VOLUNTARY WITHDRAWAL FROM EXPLOSIVE ORDNANCE DISPOSAL (EOD) STATEMENT, INVOLUNTARY TERMINATION FROM EXPLOSIVE ORDNANCE DISPOSAL (EOD) DUTIES, DELINEATION OF CLINICAL PRIVILEGES-ANESTHESIA, DELINEATION OF CLINICAL PRIVILEGES-DENTISTRY, DELINEATION OF CLINICAL PRIVILEGES-FAMILY PRACTICE, DELINEATION OF CLINICAL PRIVILEGES-INTERNAL MEDICINE, DELINEATION OF CLINICAL PRIVILEGES-NEUROLOGY, DELINEATION OF CLINICAL PRIVILEGES-OBSTETRICS AND GYNECOLOGY, DELINEATION OF CLINICAL PRIVILEGES-OPTOMETRY SERVICE, DELINEATION OF CLINICAL PRIVILEGES-PATHOLOGY, DELINEATION OF CLINICAL PRIVILEGES-PEDIATRICS, DELINEATION OF CLINICAL PRIVILEGES-PODIATRY, DELINEATION OF CLINICAL PRIVILEGES-PSYCHIATRY, DELINEATION OF CLINICAL PRIVILEGES-PSYCHOLOGY, DELINEATION OF CLINICAL PRIVILEGES-DIAGNOSTIC RADIOLOGY, DELINEATION OF CLINICAL PRIVILEGES-GENERAL SURGERY, DELINEATION OF CLINICAL PRIVILEGES-NURSE ANESTHETISTS, DELINEATION OF CLINICAL PRIVILEGES-CERTIFIED NURSE MIDWIVES, DELINEATION OF CLINICAL PRIVILEGES-NURSE PRACTITIONER, DELINEATION OF CLINICAL PRIVILEGES - PHYSICIAN ASSISTANT, DELINEATION OF CLINICAL PRIVILEGES-DIETETICS, DELINEATION OF CLINICAL PRIVILEGES-OCCUPATIONAL THERAPY, DELINEATION OF CLINICAL PRIVILEGES-PHYSICAL THERAPY, DELINEATION OF CLINICAL PRIVILEGES-EMERGENCY MEDICINE, DELINEATION OF CLINICAL PRIVILEGES-AEROSPACE MEDICINE, DELINEATION OF CLINICAL PRIVILEGES-GENERAL MEDICAL OFFICER, DELINEATION OF CLINICAL PRIVILEGES - SOCIAL WORK, DELINEATION OF CLINICAL PRIVILEGES - ALLERGY/IMMUNOLOGY, DELINEATION OF CLINICAL PRIVILEGES - NEPHROLOGY, DELINEATION OF CLINICAL PRIVILEGES - CHIROPRACTIC, DELINEATION OF CLINICAL PRIVILEGES - DERMATOLOGY, DELINEATION OF CLINICAL PRIVILEGES - UROLOGY, DELINEATION OF CLINICAL PRIVILEGES - BEHAVIORAL HEALTH PRACTITIONER, DELINEATION OF CLINICAL PRIVILEGES - PSYCHOLOGICAL ASSOCIATE, DELINEATION OF CLINICAL PRIVILEGES - AUDIOLOGY, DELINEATION OF CLINICAL PRIVILEGES - SPEECH PATHOLOGY, DELINEATION OF CLINICAL PRIVILEGES - CLINICAL PHARMACY, DELINEATION OF CLINICAL PRIVILEGES - NUCLEAR MEDICINE, DELINEATION OF CLINICAL PRIVILEGES - THERAPEUTIC RADIOLOGY, DELINEATION OF CLINICAL PRIVILEGES - PHYSICAL MEDICINE AND REHABILITATION, DELINEATION OF CLINICAL PRIVILEGES - CARDIOLOGY, DELINEATION OF CLINICAL PRIVILEGES - OPHTHALMOLOGY, DELINEATION OF CLINICAL PRIVILEGES - OTOLARYNGOLOGY, DELINEATION OF CLINICAL PRIVILEGES - CARDIOVASCULAR SURGERY, DELINEATION OF CLINICAL PRIVILEGES - PULMONARY DISEASE, DELINEATION OF CLINICAL PRIVILEGES - PREVENTIVE MEDICINE, DELINEATION OF CLINICAL PRIVILEGES - ORAL & MAXILLOFACIAL SURGERY, DELINEATION OF CLINICAL PRIVILEGES - PLASTIC SURGERY, DELINEATION OF CLINICAL PRIVILEGES - VASCULAR SURGERY, DELINEATION OF CLINICAL PRIVILEGES - NEUROSURGERY, DELINEATION OF CLINICAL PRIVILEGES - CRITICAL CARE MEDICINE, DELINEATION OF CLINICAL PRIVILEGES - OCCUPATIONAL MEDICINE, DELINEATION OF CLINICAL PRIVILEGES - THORACIC SURGERY, DELINEATION OF CLINICAL PRIVILEGES - ORTHOPAEDICS, DELINEATION OF CLINICAL PRIVILEGES - BLOOD SERVICES, DELINEATION OF CLINICAL PRIVILEGES - PSYCHIATRIC ADVANCED PRACTICE NURSE, DELINEATION OF CLINICAL PRIVILEGES - SUBSTANCE ABUSE REHABILITATION, APPROVAL OF CLINICAL PRIVILEGES/STAFF APPOINTMENT, EVALUATION OF CLINICAL PRIVILEGES - ANESTHESIA, EVALUATION OF CLINICAL PRIVILEGES-DENTISTRY, EVALUATION OF CLINICAL PRIVILEGES-FAMILY PRACTICE, EVALUATION OF CLINICAL PRIVILEGES-INTERNAL MEDICINE, EVALUATION OF CLINICAL PRIVILEGES-NEUROLOGY, EVALUATION OF CLINICAL PRIVILEGES-OBSTETRICS AND GYNECOLOGY, EVALUATION OF CLINICAL PRIVILEGES-OPTOMETRY, EVALUATION OF CLINICAL PRIVILEGES-PATHOLOGY, EVALUATION OF CLINICAL PRIVILEGES-PEDIATRICS, EVALUATION OF CLINICAL PRIVILEGES-PODIATRY, EVALUATION OF CLINICAL PRIVILEGES-PSYCHIATRY, EVALUATION OF CLINICAL PRIVILEGES - CLINICAL PSYCHOLOGY, EVALUATION OF CLINICAL PRIVILEGES - DIAGNOSTIC RADIOLOGY, EVALUATION OF CLINICAL PRIVILEGES - GENERAL SURGERY, EVALUATION OF CLINICAL PRIVILEGES-NURSE ANESTHETIST, EVALUATION OF CLINICAL PRIVILEGES - CERTIFIED NURSE MIDWIFE, EVALUATION OF CLINICAL PRIVILEGES - NURSE PRACTITIONER, EVALUATION OF CLINICAL PRIVILEGES - PHYSICIAN ASSISTANT, EVALUATION OF CLINICAL PRIVILEGES - DIETETICS, EVALUATION OF CLINICAL PRIVILEGES - OCCUPATIONAL THERAPY, EVALUATION OF CLINICAL PRIVILEGES - PHYSICAL THERAPY, EVALUATION OF CLINICAL PRIVILEGES - EMERGENCY MEDICINE, EVALUATION OF CLINICAL PRIVILEGES - AEROSPACE MEDICINE, EVALUATION OF CLINICAL PRIVILEGES - GENERAL MEDICAL OFFICER, EVALUATION OF CLINICAL PRIVILEGES - SOCIAL WORK, EVALUATION OF CLINICAL PRIVILEGES - ALLERGY/IMMUNOLOGY, EVALUATION OF CLINICAL PRIVILEGES - NEPHROLOGY, EVALUATION OF CLINICAL PRIVILEGES - CHIROPRACTIC, EVALUATION OF CLINICAL PRIVILEGES - DERMATOLOGY, EVALUATION OF CLINICAL PRIVILEGES - UROLOGY, EVALUATION OF CLINICAL PRIVILEGES - BEHAVIORAL HEALTH PRACTITIONER, EVALUATION OF CLINICAL PRIVILEGES - PSYCHOLOGICAL ASSOCIATE, EVALUATION OF CLINICAL PRIVILEGES - AUDIOLOGY, EVALUATION OF CLINICAL PRIVILEGES - SPEECH PATHOLOGY, EVALUATION OF CLINICAL PRIVILEGES - CLINICAL PHARMACY, EVALUATION OF CLINICAL PRIVILEGES - NUCLEAR MEDICINE, EVALUATION OF CLINICAL PRIVILEGES - THERAPEUTIC RADIOLOGY, EVALUATION OF CLINICAL PRIVILEGES - PHYSICAL MEDICINE AND REHABILITATION, EVALUATION OF CLINICAL PRIVILEGES - CARDIOLOGY, EVALUATION OF CLINICAL PRIVILEGES - OPHTHALMOLOGY, EVALUATION OF CLINICAL PRIVILEGES - OTOLARYNGOLOGY, EVALUATION OF CLINICAL PRIVILEGES - CARDIOVASCULAR SURGERY, EVALUATION OF CLINICAL PRIVILEGES - PULMONARY DISEASE, EVALUATION OF CLINICAL PRIVILEGES - PREVENTIVE MEDICINE, EVALUATION OF CLINICAL PRIVILEGES - ORAL & MAXILLOFACIAL SURGERY, EVALUATION OF CLINICAL PRIVILEGES - PLASTIC SURGERY, EVALUATION OF CLINICAL PRIVILEGES - VASCULAR SURGERY, EVALUATION OF CLINICAL PRIVILEGES - NEUROSURGERY, EVALUATION OF CLINICAL PRIVILEGES - CRITICAL CARE MEDICINE, EVALUATION OF CLINICAL PRIVILEGES - OCCUPATIONAL MEDICINE, EVALUATION OF CLINICAL PRIVILEGES - THORACIC SURGERY, EVALUATION OF CLINICAL PRIVILEGES - ORTHOPAEDICS, EVALUATION OF CLINICAL PRIVILEGES - BLOOD SERVICES, EVALUATION OF CLINICAL PRIVILEGES - PSYCHIATRIC ADVANCED PRACTICE NURSE, EVALUATION OF CLINICAL PRIVILEGES - SUBSTANCE ABUSE REHABILITATION, OFFICER SERVICE AGREEMENT SELECTED RESERVE EDUCATIONAL ASSISTANCE PROGRAM (SHORT TITLE: MONTGOMERY GI BILL), MOISTURE AND DENSITY TESTER FIELD DATA WORKSHEET (LRA), MOISTURE AND DENSITY TESTER (NUCLEAR METHOD) UTILIZATION LOG (LRA), MOISTURE AND DENSITY FIELD TEST SHEET (LRA), AUTHORIZATION TO RELEASE INFORMATION FROM ARMY RECORDS ON NONSUPPORT/CHILD CUSTODY/PATERNITY INQUIRIES, MAINTENANCE REQUEST AND ASSIGNMENT REGISTER, US ARMY RECRUITING COMMAND AWARD FOR JROTC CERTIFICATE (S&I, CDR, USA, RECRUITING COMMAND, ATTN: USARCASP-SP, BLDG 698, FT SHERIDAN, IL 60037-6100), CHAPLAIN/CHAPLIN ASSISTANT TRAINING RECORD, TAMIS TRAINING AMMUNITION FORECAST REPORT (LRA), TRAINING AMMUNITION CONTROL DOCUMENT CONTINUATION SHEET, RECORD OF EMERGENCY DATA AND DESIGNATION OF BENEFICIARY FOR UNPAID COMPENSATION OF DECEASED NAF EMPLOYEE, AGREEMENT HEALTH PROFESSIONALS LOAN REPAYMENT (HPLR), INDIVIDUAL RELIABILITY SCREENING AND EVALUATION RECORD, NO SMOKING EXCEPT IN DESIGNATED SMOKING AREAS, CHILD DEVELOPMENT SERVICES NEEDS ASSESSMENT (LRA), ABSTRACT OF OFFERS (NONAPPROPRIATED FUNDS) (EGA) (AVAILABLE ONLY FROM ARMY NAF`S AUTOMATED PROCUREMENT SYSTEM, PRISM, AT HTTP://PRISM-WEB.MWRMIS.ARMY.MIL/PRISM), ABSTRACT OF OFFERS, CONTINUATION SHEET FOR DA FORM 5567 (EGA) (AVAILABLE ONLY FROM ARMY NAF`S AUTOMATED PROCUREMENT SYSTEM, PRISM, AT HTTP://PRISM-WEB.MWRMIS.ARMY.MIL/PRISM), ABSTRACT OF OFFERS - CONTINUATION SHEET FOR DA FORM 5567(EGA) (AVAILABLE ONLY FROM ARMY NAF AUTOMATED PROCUREMENT SYSTEM FOUND AT HTTPS://CLOUD.MWR.ARMY.MIL/SNACS.NET/SECURITY/LOGON.ASPX), ABSTRACT OF OFFERS (NONAPPROPRIATED FUNDS) (EGA) (AVAILABLE ONLY FROM ARMY NAF AUTOMATED PROCUREMENT SYSTEM FOUND AT HTTPS://CLOUD.MWR.ARMY.MIL/SNACS.NET/SECURITY/LOGON.ASPX), HEALTH QUESTIONNAIRE FOR DENTAL TREATMENT, VEHICLE FORECAST AND MOVEMENT SCHEDULES (LRA), ADDENDUM TO CERTIFICATE OF ACKNOWLEDGEMENT OF SERVICE REQUIREMENTS (DA FORM 3540) FOR ENLISTMENT INTO THE US ARMY RESERVE TROOP PROGRAM UNIT WARRANT OFFICER FLIGHT PROGRAM, ADDENDUM TO CERTIFICATE OF ACKNOWLEDGE OF SERVICE REQUIREMENT FOR ENLISTMENT INTO THE UNITED STATES ARMY RESERVE OFFICER CANDIDATE SCHOOL ENLISTMENT OPTION, REPORT OF DRYDOCKING, PAINTING AND CONDITION OF VESSEL BOTTOM, COMPUTATION-CONVERGENCE OF TRUE AZIMUTH TO GRID AZIMUTH (BUCS)(LRA), LIFE CYCLE COST ANALYSIS SAVINGS-TO-INVESTMENT RATIO (SIR) & DISCOUNTED PAYBACK CALCULATION (LRA), LIFE CYCLE COST ANALYSIS - BASIC INPUT DATA SUMMARY (LRA), LIFE CYCLE COST ANALYSIS - PRESENT WORTH: CONVENTIONAL APPROACH (LRA), LIFE CYCLE COST ANALYSIS - PRESENT WORTH: ONE-STEP APPROACH (LRA), CERTIFICATE OF APPRECIATION FOR ARMY SPOUSE (OF REENLISTEES), DISPATCHER`S RECORD OF TRAIN MOVEMENTS (S&I COMMANDANT, USATALS, ATTN: ATSP-TDP, FT EUSTIS, VA 23604-5403), SUPERINTENDENT`S TELEGRAPHIC REPORT OF ACCIDENT (LRA), DAILY INSTALLATION SITUATION REPORT (LRA), CASH PROPERTY AND RECONCILIATION RECORD (LRA), VOUCHER FOR SPECIAL MISSION FUNDS (SMF) EXPENDITURES (LRA), MANEUVER/PROCEDURE GRADE SLIP FOR OH-58D AVIATORS (LRA), STATEMENT OF CONDITIONS OF SERVICE - ACTIVE GUARD RESERVE (AGR), DATA INTERCHANGE OF SUPPORT EQUIPMENT DATA, UNITED STATES ARMY MARINE CERTIFICATE (S&I USA TRANSPORTATION SCHOOL, ATTN: ATSP-OCT, FT EUSTIS, VA 23604), POLICY STATEMENT AND MEMORANDUM OF UNDERSTANDING FOR REVIEW AND RECEIPT OF R&D DOCUMENTS (LRA), POLICY STATEMENT AND MEMORANDUM OF UNDERSTANDING FOR PARTICIPATION IN THE U.S. ARMY POTENTIAL CONTRACTOR PROGRAM (LRA), POLICY STATEMENT AND STUDY AGREEMENT FOR PARTICIPATION IN THE U.S. ARMY R&D UNFUNDED STUDY PROGRAM (LRA), NEW SPECIALIZED TRAINING ASSISTANCE PROGRAM (NEW STRAP) SERVICE AGREEMENT, INITIAL INSPECTION CHECKLIST FOR INDOOR RANGES, DETAILED INSPECTION CHECKLIST FOR INDOOR RANGES, RESERVE COMPONENTS CAREER COUNSELOR INTERVIEW RECORD, REQUEST FOR RESERVE COMPONENT ASSIGNMENT ORDERS, INFORMATION MANAGEMENT REQUIREMENT PROJECT DOCUMENT, OH-58A/C AND TH-67 PERFORMANCE PLANNING CARD, PROTECTIVE SERVICE(S&I, HQDA, ATTN: DAMO-0DL, PENTAGON, WASH, DC 20310-0440), SECTION II. Get your online template and fill it in using progressive features. 03. Mark with an X the box that corresponds to your answer. Please do not refresh this page or click on the back button. Edit your blank fillable da 5960 online. Dependents/Sharers A .mil website belongs to an official government organization in the United States. The latest technologies high quality electronic pubs and forms view U.S. Army Regulations and DA Forms. Share your form with others. Title: BASIC ALLOWANCE FOR HOUSING \(BAH\) AUTHORIZATION AND DEPENDENCY DECLARATION Author: APD Subject: DA FORM 5960, JAN 2022 Created Date: 1/24/2022 12:14:41 PM Date ATTENTION: Some forms' pdf file may require download to view. How to fill out and sign da form 5960 jan 2022 online? 9301 Chapek Road., Bldg.1458 An official website of the United States government. 321 0 obj <>stream 5. Official websites use .mil Inadequate: see blocks 1, 2, and 4 for additional information you have to provide. Only the commander or first commissioned officer in the Soldier's chain of command may certify or recertify this form. You are asked about your marital or dependency status. Quarters Assignment/Availability Department of the Army DA Forms ArmyProperty . REQUEST FOR CONTINUED SERVICE IN THE REGULAR ARMY: G-1: DA FORM 3349-SG: ACTIVE: 09/1/2016: PHYSICAL PROFILE RECORD: TSG: DA FORM 3355: ACTIVE: 12/1 . A lock ( Therefore, this is important information you have to provide. Terms of Use Share sensitive information only on official, secure websites. You can also download it, export it or print it out. Title: BASIC ALLOWANCE FOR HOUSING \(BAH\) AUTHORIZATION AND DEPENDENCY DECLARATION Author: APD Subject: DA FORM 5960, JAN 2022 Created Date: 1/24/2022 12:14:41 PM The certifying officer, which is any commanding officer, will input his or her signature here to certify your accomplished Form DA-5960. 02/1/2023. Affix your signature in the box provided. An official website of the United States government. Grade In this section, you are asked to indicate information about your monthly expenditure and the monthly expenditures of your dependents, if any. 107 Army Pentagon As the world takes a step away from in-office work, the execution of documents more and more occurs electronically. You would have to fill out and submit three copies of this form. Members signature u.s. army form da-5960 authorization to start stop or change basic allowance for quarters baq and - or variable housing allowance vha form number da-5960 form title u.s. government agency u.s. army u.s. army points of contact u.s. army forms management officer users u.s. army file formats pdf optimized t printable fillable savable obtaining from 1 army. Army Publishing Directorate 9301 Chapek Road., Bldg.1458 Fort Belvoir, VA 22060 (703) 614-3727 Email: usarmy.pentagon.hqda-apd.mbx.customer-service@army.mil Office of the Chief Information. DA Form 5960 United States Army Student Detachment May 8th, 2018 - Completing the DA Form 5960 BAH 1 of 5 1 NAME Last First MI 2 SOCIAL Input here your complete unit address. Click the New Document option above, then drag and drop the file to the upload area . 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.