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UNCLASSIFIED GAARNG G-1 SOP 3-5 Essential Personnel Services Enlisted Transitions Procedures for Enlisted Discharges, Transfers, and DD Form 214/215/220 Joint Force Headquarters Georgia Army National Guard Marietta, GA 1 October 2019

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Page 1: Procedures for Enlisted Discharges, Transfers, and DD Form ... SERVICES/G1 SOP 3-5... · GAARNG G-1 SOP 3-5, 1 October 2019 2-4. Family Care Plan discharge a. Enlisted Soldiers who

UNCLASSIFIED

GAARNG G-1 SOP 3-5

Essential Personnel Services –

Enlisted Transitions

Procedures for

Enlisted Discharges,

Transfers, and DD

Form 214/215/220

Joint Force Headquarters

Georgia Army National Guard

Marietta, GA

1 October 2019

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SUMMARY of CHANGE

SOP 3-5 Enlisted Discharges Revision dtd 1 October 2019 --

o REMOVED – All Social Security requirements, replaced with EDIPI (DOD ID) numbers.

Proposed changes, modifications, and/or deletions should be made known GAARNG G-1, HR Plans using

DA Form 2028 (Recommended Changes to Publications and Blank Forms). Your feedback to provide a quality product is always welcome.

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Contents Chapter 1 Overview 1-1 Purpose 1-2 References 1-3 Point of contact

Chapter 2 Discharges 2-1 Dependency or hardship discharge 2-2 Process steps 2-3 Required documentation 2-4 Family Care Plan discharge 2-5 Process steps 2-6 Required documentation 2-7 Expiration term of service (ETS) discharge 2-8 Process steps 2-9 Required documentation

Chapter 3 Transfers 3-1 Intrastate transfer 3-2 Process steps 3-3 Transfer to Inactive National Guard 3-4 Process steps 3-5 Return from Inactive National Guard 3-6 Process Steps

Chapter 4 Request DD Form 214, DD Form 215, DD Form 220 4-1 Certificate of Release or Discharge from Active Duty (DD Form 214) request process 4-2 Process steps 4-3 Correction to DD Form 214, Certificate of Release or Discharge from Active Duty (DD Form 215) request

process 4-4 Process steps 4-5 Active Duty Report (DD Form 220) request process 4-6 Process steps

Appendix A References

Appendix B

Figure List Glossary

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Chapter 1 Overview

1-1. Purpose To provide clear procedural guidance of the various Georgia Army National Guard (GAARNG) transitions processes. These instructions are intended to provide a reference for all transitions actions.

1-2. References References referred to or used in this SOP are identified in appendix A.

1-3. Point of contact Transitions Services, <[email protected].

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Chapter 2 Discharges

2-1. Dependency or hardship discharge Enlisted Soldiers requesting to be released and discharged from the GAARNG for reasons of either dependency or hardship, as outlined in NGR 600-200.

a. Dependency. Dependency exists when, because of death or disability of a member of a Soldier's Family, other members of his or her Family become principally dependent on him or her for care or support to the extent that continued membership and service on AD, FTNGD, or ADT, would result in undue hardship.

b. Hardship. Hardship exists when, in circumstances not involving death or disability of a member of a

Soldier's Family, separation from the service would materially affect the care or support of the Soldier's Family by materially alleviating undue hardship.

2-2. Process steps

a. Soldier submits two third party letters, not written by the Soldier, verifying the circumstances of the dependency or hardship, and submits it through the chain of command.

b. Unit will help Soldier complete DA Form 4187, which will be signed by the Soldier and Company

Commander. Unit will annotate reason for request and counseling comments in the remarks section. c. Dependency or hardship requests will be processed through the chain of command d. The MSC will forward the complete packet to G-1 HSB Transitions through SIBx Hub.

e. Upon receipt of a written application, with required supporting evidence, the separation authority will:

(1) Consider carefully the facts of the request.

(2) Obtain any other information that may be necessary to determine the validity of the request.

(3) Take final action to approve or disapprove the application.

2-3. Required documentation The evidence required for dependency or hardship separation will be notarized. The evidence must substantiate dependency or hardship conditions on which the application for separation is based:

a. The evidence will include notarized statements (affidavits) submitted by or on behalf of the Soldier's Family members and by at least two disinterested persons or agencies having firsthand knowledge of the circumstances. If dependency or hardship is the result of disability of a member of the individual's Family, a physician's certificate should be furnished showing specifically when such disability occurred, the nature thereof, and prognosis for recovery. There also will be furnished the names, ages, occupations, home addresses, and monthly incomes of other members of the applicant's Family. The affidavits of disinterested individuals and agencies should include reasons within their knowledge that these members of the Family can or cannot aid in the financial or physical care of the Family members concerned for the period the Soldier is to continue membership or is ordered to AD, FTNGD, or ADT. When the basis for the application is the death of a member of the Soldier's Family, a death certificate or other proof of death should be furnished.

b. If the basis for the application is parenthood of either a sole parent or a married Soldier, the supporting evidence will include notarized statements (affidavits) and will substantiate the applicant's claim that unexpected circumstances or circumstances beyond his or her control have occurred. These circumstances prevent fulfillment of military obligations without resultant neglect of the child. Affidavits from the Soldier's immediate commander and officer who is the job supervisor will be considered sufficient. Evidence above is not required for these applications; however, sole parenthood resulting from divorce or legal separation will be substantiated by a judicial decree or court order awarding child custody to the Soldier. ATTACHMENTS:

FIGURE 2-1 Dependency or Hardship Checklist

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2-4. Family Care Plan discharge

a. Enlisted Soldiers who fail to provide a Family Care Plan are subject to discharge with a RE 3 code. Family Care Plans must be completed to ensure Family members are properly and adequately cared for when a Soldier is deployed, TDY, or otherwise not available due to military requirements. Soldiers will implement plans during any period of absence for culminating training exercise (CTE, formerly AT), regularly scheduled unit training assemblies, emergency mobilization and deployment, or other types of active duty.

b. IAW AR 600-20, the unit commander must allow M-day Soldiers 90 days from the counseling date to

provide a complete Family Care Plan. AGR Soldiers are allowed 60 days from the counseling date to provide a Family Care Plan. Soldiers who fail to provide an adequate Family Care Plan within the appropriate time are subject to involuntary separation.

2-5. Process steps

c. Voluntary – Soldier will submit signed letter to unit requesting discharge for no Family Care Plan. d. Involuntary – Unit will gather documentation proving Soldier does not have a Family Care Plan. e. Soldier will be counseled on voluntary and involuntary separation whenever parenthood interferes with

military responsibilities.

f. The MSC will forward the complete packet to G-1 HSB Transitions through SIBx Hub.

2-6. Required documentation Documentary evidence for a Family Care Plan Discharge will be provided by the company commander and processed through the chain of command. ATTACHMENTS:

FIGURE 2-2 Family Care Plan Discharge Checklist

2-7. Expiration term of service (ETS) discharge:

a. Enlisted Soldiers who have reached their ETS will be discharged on the effective date of their ETS.

(1) A discharge for the purpose of complete separation from military service terminates a Soldier's statutory and contractual MSO on the effective date of the discharge.

(2) An enlisted Soldier who is discharged from the GAARNG and not concurrently discharged as a

Reserve of the Army automatically becomes a member of the USAR (Reinforcement). b. All enlisted GAARNG Soldiers who are discharged before their expiration term of service obligation:

(1) A Soldier is entitled to be discharged on the expiration of his or her service obligation, and normally will be discharged unless action is taken to retain the Soldier beyond such expiration date.

(2) Retention beyond the expiration date of a service obligation may be either voluntary or involuntary.

(3) Soldiers may voluntarily remain beyond the expiration date of a service obligation if they are

undergoing required health care or are being processed for physical disability separation but must extend their enlistment.

2-8. Process steps

a. HR Services will pull the ETS roster weekly and send out to the MSC S1s b. MSC S1s will identify their Soldiers that will ETS, extend, or need a waiver of extension, and will annotate

comments in the 'Sm Notes' column on the ETS Roster report.

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c. MSCs will ensure Soldiers who have decided to ETS, complete the unit’s out processing checklist, and update the comments in SIBx web.

d. G-1 HSB Transitions will publish discharge orders of Soldiers identified to ETS.

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Chapter 3 Transfers

3-1. Intrastate transfer

Enlisted Soldier wants to voluntarily transfer to another major subordinate command (MSC) or Soldier is being involuntary transferred due to command directive and/or Army requirements. Soldiers may be transferred between GAARNG units within the state. Transfer of Soldiers within the state can be either requested voluntary by the Soldier or reorganization according to procedures established by the G-1 and IAW NGR 600-200.

a. Voluntary assignment: A request for assignment to any GAARNG unit is permitted providing the chain of command of the Soldiers current unit of assignment, agrees to release the Soldier. Soldiers promoted into current position are stabilized for 12 months before requesting a voluntary transfer (see EPS SOP). Volunteers may be accepted for unit assignment provided:

(1) There is an MTOE/TDA authorized position vacancy.

(2) The Soldier is MOS qualified in the position vacancy or can meet the requirements for MOS

qualification per DA Pam 611-21 and agrees to become qualified within time period given.

(3) There is reasonable assurance the Soldier will participate satisfactorily. The applicant's geographic location, possible employment conflict, future plans, and past relocations will be carefully considered.

(4) The Soldier meets the body composition standards of AR 600-9 and the medical standards for

retention in an active status per AR 40-501, chapter 3. The Soldier must be physically able to perform the duties of the position as required in DA Pam 611-21.

b. Involuntary assignment: Soldiers who are obligated by statute or contract may be involuntarily assigned to

unit MTOE/TDA position vacancies providing the involuntary travel conditions in AR 135-91, paragraph 5-5, are met. However, Soldiers may voluntarily accept assignments beyond those limits.

3-2. Process steps

a. Unit will assist Soldier in submitting a DA Form 4187 for transfer. b. Unit will assist Soldier with finding a vacancy in accordance with the Soldier’s needs; if the Soldier has not

already found a transfer unit. c. The losing unit will request a letter of acceptance from the gaining unit. The letter of acceptance must

include:

(1) Gaining unit’s name, address and phone number.

(2) Soldier’s name, rank, and DOD ID number.

(3) Slot paragraph and line number, position title and position rank.

(4) If the slot is not vacant, the reason for accepting the Soldier (e.g. projected loss). d. The losing unit will complete a DA Form 4187, signed by the Soldier and company commander. Soldier

will annotate the reason for transfer and unit will annotate gaining unit’s information in Remarks Section (Soldier’s full name, DOD ID number, reason for transfer, UIC, company name, paragraph and line number, and effective date of transfer).

d. e. Transfer requests will be processed through the chain of command. e. f. The MSC will forward the complete packet to G-1 HSB Transitions through SIBx Hub.

ATTACHMENTS:

FIGURE 3-1 Intrastate Transfer MSC to MSC checklist

3-3. Transfer to Inactive National Guard:

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a. Enlisted Soldier requesting to transfer into the Inactive National Guard (ING). All enlisted Georgia Army National Guard Soldiers in active drilling status may request transfer to the ING for the following reasons.

(1) Change of residence.

(2) Incompatibility with civilian employment.

(3) Temporary overseas or out-of-state residency for education, employment, or a missionary obligation.

(4) Temporary medical disqualification, not due to line-of-duty injury, that can be corrected in less than

one year. Both transfer to the ING and back to active status will require verification of medical status. Transfer to the ING is not authorized for injuries that occur while an ING Soldier is temporarily on active status on CTE/ADT orders or at annual muster.

(5) Pregnancy.

(6) Valid reason for delay from entering on active duty with their unit when mobilized.

(7) Released from active duty with a mobilized unit before the release of the unit from its mobilization

status.

(8) As an alternative to serving in the Individual Ready Reserve (IRR) of the United States Army Reserve (USAR) in order to complete the second portion (two, four, or five years) of the 6x2, 4x4, or 3x5 enlistment option, or of another residual commitment to serve in the Ready Reserve of the Army, after an initial period of service on active status with ARNG. Soldiers must execute a DA Form 4836 for the remaining period.

(9) Leaving active status and eligible for and desires to maintain a connection with the ARNG in inactive

status by extending term of service to be placed in the ING instead of being discharged. b. For a reason other than those cited in this paragraph, a request must be approved by TAG.

3-4. Process steps

a. Unit will assist Soldier in submitting a DA Form 4187 signed by the Soldier and commander requesting transfer to the ING, including a letter from party of interest (such as an employer letter for employment overseas) through their chain of command.

b. The unit will have the Soldier sign the ING checklist and muster letter; the Soldier and/or unit will contact

the Education Services Officer (ESO) for information on the impacts to the Soldier's educational benefits and/or incentives.

c. Transfer to Inactive Army National Guard (TING) requests will be processed through the chain of

command. d. The MSC will have 90 days (before the request date) to forward the complete packet to G-1 HSB

Transitions through SIBx Hub. ATTACHMENTS:

FIGURE 3-2 Transfer to Inactive National Guard checklist

3-5. Return from Inactive National Guard:

a. Enlisted Soldier requesting to return from the Inactive National Guard (RING). All enlisted GAARNG Soldiers in inactive status may request transfer from the ING to active status.

(1) When transferring ING Soldiers to active status: Bonus-related questions may be located in AR 135-7

and NGR 600-7. Suspension and reinstatement policy is explained in NGR 614-1 paragraph 2-21.

(2) All Soldiers transferring from the ING to an active status must have a current periodic health assessment (PHA), performed annually per AR 40-501, paragraph 8-20, and meet the body composition standards of AR 600-9 prior to transfer.

b. When returned to active status, ING Soldiers will normally be returned to the unit to which they are

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assigned. Exceptions can be made by TAG when assignment to another unit is in the best interest of the GAARNG.

c. Returning Soldiers must be placed into a valid position (para/line). However, if no valid vacancy exists,

the Soldier will be assigned excess. Soldiers that are excess/over grade will be considered priority placements for future vacancies and will be reduced in grade if they are not assigned to a valid vacancy within 12 months of returning to active status; TAG may extend this period for an additional 12 months if exceptional reasons exist.

3-6. Process steps Soldier’s request

a. Soldier submits memorandum/ letter requesting return from ING to active status with effective date through their chain of command.

b. Unit will complete a DA Form 4187 signed by the Soldier and commander, and schedule the Soldier for a

PHA and HIV test (within 12 months). Annual Muster

c. The company commander will send a muster memorandum to each Soldier required to attend annual muster, at least one month before the annual muster, by certified mail with a return receipt request.

d. Unit will conduct the annual muster concurrently with a regularly-scheduled unit training assembly or in

conjunction with CTE. e. Memorandum returned as undeliverable will be maintained at the unit, in an appropriate suspense file, for

further action. f. After the Soldier has mustered, the unit will forward a muster attendance roster to G-1 HSB Transitions to

return the Soldier to an active status for pay purposes. g. After the Soldier’s pay has been processed, G-1 HSB Transitions will transfer the Soldier back into the

ING.

(1) Return from Inactive Army National Guard transfer requests will be processed through the chain of command.

(2) The MSC will forward the complete packet to G-1 HSB Transitions through SIBx Hub.

Note: Soldiers in ING will be returned to an active status at 364 days in the ING if no TING packet has been submitted through the chain of command to extend the Soldier’s initial request date. A RING packet will also be submitted if a Soldier request to return from the ING before the expiration date. ATTACHMENTS:

FIGURE 3-3 Return from Inactive National Guard checklist

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Chapter 4 Request DD Form 214, DD Form 215, DD Form 220

4-1. Certificate of Release or Discharge from Active Duty (DD Form 214) request process

Request and process of the DD Form 214 for Soldiers who have completed a term of AD of 90 days or more, including;

a. GAARNG Soldiers who have completed a term of AD Title 32 (excluding AGR). b. The Adjutant General, or other authorized agents, may issue DD Form 214 to ARNGUS Soldiers released

after 90 days or more of continuous ADT, or ARNGUS Soldiers released after 90 days or more of continuous FTNGD under 32 USC 101(19). The authenticating official of the DD Form 214 for the state of Georgia are G1 and delegated human resources officials.

c. After the Soldier’s separation date, the DD Form 214 will be completed by forwarding a memorandum to

the appropriate location below requesting that a new DD Form 214 or DD Form 215, as applicable, be issued:

Commander, US Army Human Resources Command 1600 Spearhead Division Avenue Fort Knox, KY 40122–5102

4-2. Process steps

a. MSC S1 gathers supporting documentation for the DD Form 214 and starts the process of inputting information concerning the DD Form 214 in the Transition Point Processing System (TRANSPROC). MSC S1 will submit the DD Form 214 packet to G-1 HSB Transitions via SIBx Hub.

b. DD Form 214 requests will be processed through the chain of command. c. DD Form 214 Request will include the following documentation: Required documentation: d. ADOS orders and Master Military Pay Account (MMPA). e. If applicable: Awards, f. e. DA 1059s, and/or 40 hour or more courses completing during the current tour only.

Note: The DD Form 214 will not be prepared by the G-1 for the following Georgia Army National Guard Soldiers:

(1) Warrior Transition Unit (WTU). (2) Temporary Tour of Active Duty (TTAD). (3) Active Duty or FTNGD tour ends because of death or other reasons specified in AR 680-29. (4) Enlisted Soldiers discharged for immediate reenlistment in the Regular Army. (5) Found disqualified on reporting for active duty and who do not enter actively upon duties per orders. (6) On active duty terminating their Reserve Component status to integrate in the RA. (7) AGR and other RC Soldiers who are entering on extended active duty for a specific period of time

and are retained beyond their initial contractual release date without a break in active duty. (8) Separated from active duty and were furnished a prior edition of DD Form 214, unless that form must

be reissued for some other reason.

(9) Former Soldiers who are no longer in the GAARNG (these are processed by HRC). ATTACHMENTS:

FIGURE 4-1 DD Form 214/215/220 Request checklist

4-3. Correction to DD Form 214, Certificate of Release or Discharge from Active Duty (DD Form 215) request process

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Request and process of the DD Form 215 for Soldiers who need a correction to a previously issued DD Form 214, including:

a. GAARNG Soldiers who have a discrepancy on a previously issued DD Form 214. b. In response to a request for a Soldier to correct a previously issued Army DD Form 214. After the

Soldier’s separation date the DD Form 214 will be corrected by forwarding a memorandum to the appropriate location below requesting that a new DD Form 214 or DD Form 215, as applicable, be issued:

Commander, US Army Human Resources Command 1600 Spearhead Division Avenue Fort Knox, KY 40122–5102

4-4. Process steps

a. MSC S1 gathers the DD Form 214 needing correction and supporting documentation. MSC S1 will submit the DD Form 215 packet to G-1 Transitions Section via SIBx Hub.

b. DD Form 215 requests will be processed through the chain of command. b. c. DD Form 215 Request will include the following documentation: A copy of the DD Form 214 in question

and source documents that substantiate the request to change the DD Form 214. Such source documents may include a final decision from the Army Board of Correction of Military Records or Army Discharge Review Board directing the change.

ATTACHMENTS:

FIGURE 4-1 DD Form 214/215/220 Request checklist

4-5. Active Duty Report (DD Form 220) request process Request and process of the DD Form 220 for Soldiers requesting documentation of active duty service, including:

a. GAARNG Soldiers who have completed active duty of more than 30 days, but less than 90. b. ARNGUS and USAR Soldiers mobilized under 10 USC 12301(a), 12302, or 12304 and ARNG Soldiers

called into Federal service under 10 USC 15 or 10 USC 12406, regardless of length of mobilization, when transitioned from active duty. Soldiers who report to a mobilization station and are found unqualified for active duty within the first 30 days will be excluded from this provision.

c. For a Soldier enlisted under the USAR split training program and the ARNGUS alternate training program,

complete two copies of the DD Form 220 when he or she completes the basic combat training portion of training. d. For a mobilized RC Soldier who is found to be unqualified for active duty within 30 days of reporting for

active duty, complete 2 copies of DD Form 220 when the Soldier is released from active duty.

4-6. Process steps

a. MSC S1 gathers the supporting documentation. MSC S1 will submit the DD Form 220 packet to G-1 HSB Transitions via SIBx Hub.

b. DD Form 220 requests will be processed through the chain of command. c. DD Form 220 request will include the following documentation: ADOS orders and Master Military Pay

Account (MMPA). ATTACHMENTS:

FIGURE 4-1 DD Form 214/215/220 Request checklist

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Appendix A

References AR 135-178 Enlisted Administrative Separations, dated 7 November 2017

AR 350-1 Army Training and Leader Development, dated 10 December 2017

AR 635-8 Separation Processing and Documents, dated 10 February 2014

AR 635-200 Active Duty Enlisted Administrative Separations, dated 19 December 2016

AR 600-20 Army Command Policy, dated 6 November 2014

DoD Instruction 1336.1 Certificate of Release or Discharge from Active Duty (DD214/215 Series), dated 20 August 2009

NGR 600-200 Enlisted Personnel Management, dated 31 July 2009

NGR 614-1 Inactive Army National Guard, dated 18 March 2010

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Appendix B

Figure List

Figure 2-1 Dependency or Hardship Checklist

Figure 2-2 Family Care Plan Discharge Checklist

Figure 3-1 Intrastate Transfer MSC to MSC Checklist

Figure 3-2 Transfer to Inactive National Guard Checklist

Figure 3-3 Return from Inactive National Guard Checklist

Figure 4-1 DD Form 214/215/220 Request Checklist

Figure 4-2 SIBx Hub submission example and workflow

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FIGURE 2-1

Dependency or Hardship Checklist Reference: AR 135-178 (Enlisted Separations), 7 November 2017; NGR 600-200 (Enlisted Personnel

Management), 31 July 2009.

Soldier’s Name: _________________ MSC/ Unit/UIC/PRN: ______________________

Submit the following documents through chain of command to the State processing authority via SIBx Hub

Completed DA 4187 (Signed by the Soldier, Company Commander, Battalion Commander and Brigade Commander). Remarks Section: Input counseling statement.

Two Third-Party submitted memorandum/letters verifying hardship (Disinterested Party; i.e., Physician, Chaplain, JAG, Employer, etc...)

Unit has notified the Soldier to contact the Education Office for information on impact on education benefits and incentives

MSC S1s will ensure the following information is completed into the Item within SIBx Hub once received by the battalion S1: Description Name: MSC, Last name, Last 4 SSN, Type of Packet: DEP HARD Action Type: G1 HSB Transitions Sub Action Type: Dependency Discharge Request or Hardship discharge request

BN S-1 or separate unit S-1 NCOIC verified SIBx Hub packet content and PAR (Format 500) ___________________________________________________________ Print (Last, First, MI) /Signature/Date

MSC verified SIBx Hub packet content and PAR (Format 500) ___________________________________________________________ Print (Last, First, MI) /Signature/Date

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FIGURE 2-2

Family Care Plan Discharge Checklist Reference: AR 135-178 (Enlisted Separations), 7 November 2017; AR 600-20 (Army Command Policy), 6 November 2014 Soldier’s Name: _________________ MSC/ Unit/UIC/PRN: ______________________

Submit the following documents through chain of command to the State processing authority via SIBx Hub

INVOLUNTARY DICHARGE

Completed DA 4187 (Signed by the Soldier, Company Commander, Battalion Commander and Brigade Commander). Remarks Section: Reason and counseling statement input.

Completed DA Form 4856, “Development Counseling Form”

Incomplete DA Form 5305 (Family Care Plan).

VOLUNTARY DICHARGE

Completed DA 4187 (Signed by the Soldier, Company Commander, Battalion Commander and Brigade Commander). Remarks Section: Reason and counseling statement input.

Incomplete DA Form 5305 (Family Care Plan). NOTE: At least 90 days (M-day) or 60 days (AGR) must be allowed from the original counseling date for the Soldier to provide a preferable Family Care Plan.

MSC S1s will ensure the following information is completed into the Item within SIBx Hub once received by the battalion S1: Description Name: MSC, Last name, Last 4 SSN, Type of Packet: Family Care Plan Action Type: G1 HSB Transitions Sub Action Type: Family Care Plan discharge

BN S-1 or separate unit S-1 NCOIC verified SIBx Hub packet content and PAR (Format 500) ___________________________________________________________ Print (Last, First, MI) /Signature/Date

MSC verified SIBx Hub packet content and PAR (Format 500) ___________________________________________________________ Print (Last, First, MI) /Signature/Date

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FIGURE 3-1

Intrastate Transfer MSC to MSC Checklist Reference: NGR 600-200 (Enlisted Personnel Management), 31 July 2009

Soldier’s Name: ___________________ MSC/ Unit/UIC/PRN: ____________________

Submit the following documents through chain of command to State processing authority via SIBx Hub

Completed DA 4187 (Signed by the Soldier, Company Commander, Battalion Commander and Brigade Commander). Remarks section must state the reason for transfer and gaining unit’s information (MSC, UIC, Unit’s name, Para/Ln, effective date of transfer)

MSC S1s will ensure the following information is completed into the Item within SIBx Hub once received by the battalion S1: Description: MSC, Last name, Last 4 SSN, Type of Packet: Transfer Action Type: G1 HSB Transitions Sub Action Type: MSC to MSC transfer

BN S-1 or separate unit S-1 NCOIC verified SIBx Hub packet content ___________________________________________________________ Print (Last, First, MI) /Signature/Date

MSC verified SIBx Hub packet content ___________________________________________________________ Print (Last, First, MI) /Signature/Date

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GAARNG G-1 SOP 3-5, 1 October 2019

FIGURE 3-2

Transfer to Inactive National Guard Checklist Reference: NGR 614-1 (Inactive Army National Guard), 18 March 2010.

Soldier’s Name: ___________________ MSC/ Unit/UIC/PRN: ___________________

Submit the following documents through chain of command to the State processing authority via SIBx Hub

Completed DA 4187 (Signed by the Soldier, Company Commander, Battalion Commander and Brigade Commander). Remarks Section: Reason for transfer and Input counseling statement.

ING counseling checklist (NGR 614-1 (Inactive Army National Guard), MAR 10, Fig 2-3)

Unit has notified the Soldier to contact the Education Office for information on impact on education benefits and incentives

MSC S1s will ensure the following information is completed into the Item within SIBx Hub once received by the battalion S1: Description: MSC, Last name, Last 4 SSN, Type of Packet: TING Action Type: G1 HSB Transitions Sub Action Type: Transfer to the ING request

BN S-1 or separate unit S-1 NCOIC verified SIBx Hub packet content ___________________________________________________________ Print (Last, First, MI) /Signature/Date

MSC verified SIBx Hub packet content ___________________________________________________________ Print (Last, First, MI) /Signature/Date

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GAARNG G-1 SOP 3-5, 1 October 2019

FIGURE 3-3

Return from Inactive National Guard Checklist Reference: NGR 614-1 (Inactive Army National Guard), 18 March 2010.

Soldier’s Name: ___________________ MSC/Unit/UIC/PRN: ____________________

Submit the following documents through chain of command to the State processing authority via SIBx Hub

Completed DA 4187 (Signed by the Soldier, Company Commander, Battalion Commander and Brigade Commander). Remarks Section will have Soldier requesting return with effective date of return and Input counseling statement.

Verified Unit scheduled Soldier for Periodic Health Assessment (PHA) and HIV test (within 12 months) ***PHA roster from Medical Readiness NCO***

Unit has notified the Soldier to contact the Education Office for information on impact on education benefits and incentives

MSC S1s will ensure the following information is completed into the Item within SIBx Hub once received by the battalion S1: Description: MSC, Last name, Last 4 SSN, Type of Packet: RING Action Type: G1 HSB Transitions Sub Action: Return from the ING

BN S-1 NCOIC verified SIBx Hub packet content ___________________________________________________________ Print (Last, First, MI) /Signature/Date

MSC verified SIBx Hub packet content ___________________________________________________________ Print (Last, First, MI) /Signature/Date

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GAARNG G-1 SOP 3-5, 1 October 2019

FIGURE 4-1

DD Form 214/215/220 Processing Checklist Reference: AR 635-200 (Active Duty Enlisted Administrative Separations) 19 December 2016, AR 635-8

(Separation Processing and Documents), 10 February 2014

Soldier’s Name: ____________________ MSC Unit/UIC/PRN: ______________________

REQUEST: DD214 DD Form 215 DD 220

Submit the following documents through chain of command to the State processing authority via SIBx Hub

REQUIRED:

ADOS Orders

MMPA (Master Military Pay Account) for entirety of time on orders IF APPLICABLE: Only during the period the Soldier was on orders.

Awards (Orders, DA 638, current ADOS tour)

Previous DD Form 214s

DA Form 1059 (School certified during current ADOS tour ONLY)

Course Completion Certificates (40 hours or more during current ADOS tour)

MSC S1s will ensure the following information is completed into the Item within SIBx Hub once received by the battalion S1: Description: MSC, Last name, Last 4 SSN, Type of Packet: DD Form 214/215/220 Action Type: G1 HSB Transitions Sub Action Type: DD Form 214/DD Form 215 Requests or DD 220 Request

BN S-1 or separate unit S-1 NCOIC verified DD Form 214 packet content ___________________________________________________________ Print (Last, First, MI) /Signature/Date

MSC verified iPERMS packet content ___________________________________________________________

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GAARNG G-1 SOP 3-5, 1 October 2019

Figure 4-2 Sibx Hub item example and workflow Step 1. Create new item

Step 2. Add Description, Action, Sub Action, and Routing

Step 3. Add Service Member and click next

Appendix B

2

1

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GAARNG G-1 SOP 3-5, 1 October 2019

Glossary Section I Abbreviations ABCP Army Body Composition Program (formerly the Army Weight Control Program (AWCP))

AMHRR Army Military Human Resource Record

CTE culminating training exercise (formerly annual training)

ETS expiration term of service

SOP standard operating procedure (formerly standing operating procedure, changed by JP 3-31 and JP 1-02)

Section II Terms G1 Deputy Chief of Staff, Personnel (DCSPER); the senior military personnel officer (MILPO) at division and above.

G-1 The office and staff of the G1.

HR automated systems Computer programs and websites utilized by HR professionals to manage or update personnel records. These include, but are not limited to: SIDPERS (soon to be replaced by IPPS-A), iPERMS, GIMS, and RCAS.

HR work center Typically the battalion/squadron S-1 shop, this is the primary location for accomplishing human resources activities, such as SIDPERS transactions and AMHRR management. It is the lowest organizational level containing human resources specialist duty positions (outside of SRC-12 units).

Inactive National Guard Not a drilling, active member of the Army National Guard.

Inactive Ready Reserve Not a drilling, active member of any component of the Selected Reserve.

Selected Reserve A drilling, active member of the Ready Reserve (Army National Guard, US Army Reserve, Air National Guard, US Air Force Reserve, US Navy Reserve, US Marine Corps Reserve, Coast Guard Reserve).

SIBx Web-based reporting tool that provides view-only AMHRR data access through a user friendly graphical interface. Provides integrated, web-based software solutions and support services that enhance maintaining mobilization, safety, personnel and force authorization requirements. Includes a packet processing system called SIBx Hub.

SRC-12 A standard requirements code 12 unit, a reference to an Army unit type whose established mission is entirely HR-focused and whose personnel requirements are managed by the AG proponency, such as HR companies and postal platoons.

unit The lowest level of military organization authorized a unit identification code (UIC), such as a company, troop, battery, flight, or detachment.

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PERSONNEL ACTION

To request or record personnel actions for or by Soldiers in accordance with DA PAM 600-8.

Identification Card

Identification Tags

Separate Rations

Leave - Excess/Advance/Outside CONUS

Change of Name/SSN/DOB

DATA REQUIRED BY THE PRIVACY ACT OF 1974

SECTION I - PERSONAL IDENTIFICATION

SECTION V - CERTIFICATION/APPROVAL/DISAPPROVAL

7. The above Soldier's duty status is changed from to

effective hours,

SECTION III - REQUEST FOR PERSONNEL ACTION

IS APPROVEDRECOMMEND APPROVAL IS DISAPPROVEDRECOMMEND DISAPPROVAL

SUPERSEDES DA FORM 4187, JAN 2000 AND REPLACES DA FORM 4187-1-R, APR 1995

DA FORM 4187, MAY 2014

HAS BEEN VERIFIED

AUTHORITY:PRINCIPAL PURPOSE:

DISCLOSURE:

Title 10, USC, Section 3013, E.O. 9397 (SSN), as amended

ROUTINE USES: The DoD Blanket Routine Uses that appear at the beginning of the Army's compilation of systems of records may apply to this system.

5. GRADE OR RANK/PMOS/AOC 6. SOCIAL SECURITY NUMBER

Special Forces Training/Assignment

Retesting in Army Personnel Tests

Reassignment Married Army Couples

Reclassification

Officer Candidate School

Asgmt of Pers with Exceptional Family Members

ROTC or Reserve Component Duty

Volunteering For Oversea Service

Ranger Training

Reassignment Extreme Family Problems

Airborne Training

12. COMMANDER/AUTHORIZED REPRESENTATIVE 13. SIGNATURE

For use of this form, see PAM 600-8; the proponent agency is DCS, G-1.

11. I certify that the duty status change (Section II) or that the request for personnel action (Section III) contained herein -

SECTION II - DUTY STATUS CHANGE (AR 600-8-6)

SECTION IV - REMARKS (Applies to Sections II, III, and V) (Continue on separate sheet)

8. I request the following action: (Check as appropriate)

4. NAME (Last, First, MI)

2. TO (Include ZIP Code) 3. FROM (Include ZIP Code)1. THRU (Include ZIP Code)

On-the-Job Training (Enl only)Service School (Enl only)

Exchange Reassignment (Enl only) Other (Specify)

9. SIGNATURE OF SOLDIER (When required) 10. DATE (YYYYMMDD)

14. DATE (YYYYMMDD)

Voluntary; however failure to provide Social Security Number may result in a delay or error in processing the request for personnel action.

APD LC v1.03ESPage 1 of 2

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f. DATE (YYYYMMDD)e. RANK

i. COMMENTS

h. SIGNATUREg. TITLE/POSITION

d. NAME (Last, First, Middle)

b. FROMa. TO

AUTHORITY

APPROVED APPROVALRECOMMEND:DISAPPROVED DISAPPROVALc. ACTION:

c. ACTION: DISAPPROVALDISAPPROVED RECOMMEND: APPROVALAPPROVED

AUTHORITY

a. TO b. FROM

d. NAME (Last, First, Middle)

g. TITLE/POSITION h. SIGNATURE

i. COMMENTS

e. RANK f. DATE (YYYYMMDD)

f. DATE (YYYYMMDD)e. RANK

i. COMMENTS

h. SIGNATUREg. TITLE/POSITION

d. NAME (Last, First, Middle)

b. FROMa. TO

AUTHORITY

APPROVED APPROVALRECOMMEND:DISAPPROVED DISAPPROVALc. ACTION:

c. ACTION: DISAPPROVALDISAPPROVED RECOMMEND: APPROVALAPPROVED

16. SSN15. NAME OF INDIVIDUAL

AUTHORITY

a. TO b. FROM

d. NAME (Last, First, Middle)

g. TITLE/POSITION h. SIGNATURE

ADDENDUM - RECOMMENDATIONS FOR APPROVAL/DISAPPROVAL

APD LC v1.03ESPage 2 of 2DA FORM 4187, MAY 2014

i. COMMENTS

e. RANK f. DATE (YYYYMMDD)

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PERSONNEL ACTION

To request or record personnel actions for or by Soldiers in accordance with DA PAM 600-8.

Identification Card

Identification Tags

Separate Rations

Leave - Excess/Advance/Outside CONUS

Change of Name/SSN/DOB

DATA REQUIRED BY THE PRIVACY ACT OF 1974

SECTION I - PERSONAL IDENTIFICATION

SECTION V - CERTIFICATION/APPROVAL/DISAPPROVAL

7. The above Soldier's duty status is changed from to

effective hours,

SECTION III - REQUEST FOR PERSONNEL ACTION

IS APPROVEDRECOMMEND APPROVAL IS DISAPPROVEDRECOMMEND DISAPPROVAL

SUPERSEDES DA FORM 4187, JAN 2000 AND REPLACES DA FORM 4187-1-R, APR 1995

DA FORM 4187, MAY 2014

HAS BEEN VERIFIED

AUTHORITY:PRINCIPAL PURPOSE:

DISCLOSURE:

Title 10, USC, Section 3013, E.O. 9397 (SSN), as amended

ROUTINE USES: The DoD Blanket Routine Uses that appear at the beginning of the Army's compilation of systems of records may apply to this system.

5. GRADE OR RANK/PMOS/AOC 6. SOCIAL SECURITY NUMBER

Special Forces Training/Assignment

Retesting in Army Personnel Tests

Reassignment Married Army Couples

Reclassification

Officer Candidate School

Asgmt of Pers with Exceptional Family Members

ROTC or Reserve Component Duty

Volunteering For Oversea Service

Ranger Training

Reassignment Extreme Family Problems

Airborne Training

12. COMMANDER/AUTHORIZED REPRESENTATIVE 13. SIGNATURE

For use of this form, see PAM 600-8; the proponent agency is DCS, G-1.

11. I certify that the duty status change (Section II) or that the request for personnel action (Section III) contained herein -

SECTION II - DUTY STATUS CHANGE (AR 600-8-6)

SECTION IV - REMARKS (Applies to Sections II, III, and V) (Continue on separate sheet)

8. I request the following action: (Check as appropriate)

4. NAME (Last, First, MI)

2. TO (Include ZIP Code) 3. FROM (Include ZIP Code)1. THRU (Include ZIP Code)

On-the-Job Training (Enl only)Service School (Enl only)

Exchange Reassignment (Enl only) Other (Specify)

9. SIGNATURE OF SOLDIER (When required) 10. DATE (YYYYMMDD)

14. DATE (YYYYMMDD)

Voluntary; however failure to provide Social Security Number may result in a delay or error in processing the request for personnel action.

APD LC v1.03ESPage 1 of 2

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f. DATE (YYYYMMDD)e. RANK

i. COMMENTS

h. SIGNATUREg. TITLE/POSITION

d. NAME (Last, First, Middle)

b. FROMa. TO

AUTHORITY

APPROVED APPROVALRECOMMEND:DISAPPROVED DISAPPROVALc. ACTION:

c. ACTION: DISAPPROVALDISAPPROVED RECOMMEND: APPROVALAPPROVED

AUTHORITY

a. TO b. FROM

d. NAME (Last, First, Middle)

g. TITLE/POSITION h. SIGNATURE

i. COMMENTS

e. RANK f. DATE (YYYYMMDD)

f. DATE (YYYYMMDD)e. RANK

i. COMMENTS

h. SIGNATUREg. TITLE/POSITION

d. NAME (Last, First, Middle)

b. FROMa. TO

AUTHORITY

APPROVED APPROVALRECOMMEND:DISAPPROVED DISAPPROVALc. ACTION:

c. ACTION: DISAPPROVALDISAPPROVED RECOMMEND: APPROVALAPPROVED

16. SSN15. NAME OF INDIVIDUAL

AUTHORITY

a. TO b. FROM

d. NAME (Last, First, Middle)

g. TITLE/POSITION h. SIGNATURE

ADDENDUM - RECOMMENDATIONS FOR APPROVAL/DISAPPROVAL

APD LC v1.03ESPage 2 of 2DA FORM 4187, MAY 2014

i. COMMENTS

e. RANK f. DATE (YYYYMMDD)

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PERSONNEL ACTION

To request or record personnel actions for or by Soldiers in accordance with DA PAM 600-8.

Identification Card

Identification Tags

Separate Rations

Leave - Excess/Advance/Outside CONUS

Change of Name/SSN/DOB

DATA REQUIRED BY THE PRIVACY ACT OF 1974

SECTION I - PERSONAL IDENTIFICATION

SECTION V - CERTIFICATION/APPROVAL/DISAPPROVAL

7. The above Soldier's duty status is changed from to

effective hours,

SECTION III - REQUEST FOR PERSONNEL ACTION

IS APPROVEDRECOMMEND APPROVAL IS DISAPPROVEDRECOMMEND DISAPPROVAL

SUPERSEDES DA FORM 4187, JAN 2000 AND REPLACES DA FORM 4187-1-R, APR 1995

DA FORM 4187, MAY 2014

HAS BEEN VERIFIED

AUTHORITY:PRINCIPAL PURPOSE:

DISCLOSURE:

Title 10, USC, Section 3013, E.O. 9397 (SSN), as amended

ROUTINE USES: The DoD Blanket Routine Uses that appear at the beginning of the Army's compilation of systems of records may apply to this system.

5. GRADE OR RANK/PMOS/AOC 6. SOCIAL SECURITY NUMBER

Special Forces Training/Assignment

Retesting in Army Personnel Tests

Reassignment Married Army Couples

Reclassification

Officer Candidate School

Asgmt of Pers with Exceptional Family Members

ROTC or Reserve Component Duty

Volunteering For Oversea Service

Ranger Training

Reassignment Extreme Family Problems

Airborne Training

12. COMMANDER/AUTHORIZED REPRESENTATIVE 13. SIGNATURE

For use of this form, see PAM 600-8; the proponent agency is DCS, G-1.

11. I certify that the duty status change (Section II) or that the request for personnel action (Section III) contained herein -

SECTION II - DUTY STATUS CHANGE (AR 600-8-6)

SECTION IV - REMARKS (Applies to Sections II, III, and V) (Continue on separate sheet)

8. I request the following action: (Check as appropriate)

4. NAME (Last, First, MI)

2. TO (Include ZIP Code) 3. FROM (Include ZIP Code)1. THRU (Include ZIP Code)

On-the-Job Training (Enl only)Service School (Enl only)

Exchange Reassignment (Enl only) Other (Specify)

9. SIGNATURE OF SOLDIER (When required) 10. DATE (YYYYMMDD)

14. DATE (YYYYMMDD)

Voluntary; however failure to provide Social Security Number may result in a delay or error in processing the request for personnel action.

APD LC v1.03ESPage 1 of 2

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f. DATE (YYYYMMDD)e. RANK

i. COMMENTS

h. SIGNATUREg. TITLE/POSITION

d. NAME (Last, First, Middle)

b. FROMa. TO

AUTHORITY

APPROVED APPROVALRECOMMEND:DISAPPROVED DISAPPROVALc. ACTION:

c. ACTION: DISAPPROVALDISAPPROVED RECOMMEND: APPROVALAPPROVED

AUTHORITY

a. TO b. FROM

d. NAME (Last, First, Middle)

g. TITLE/POSITION h. SIGNATURE

i. COMMENTS

e. RANK f. DATE (YYYYMMDD)

f. DATE (YYYYMMDD)e. RANK

i. COMMENTS

h. SIGNATUREg. TITLE/POSITION

d. NAME (Last, First, Middle)

b. FROMa. TO

AUTHORITY

APPROVED APPROVALRECOMMEND:DISAPPROVED DISAPPROVALc. ACTION:

c. ACTION: DISAPPROVALDISAPPROVED RECOMMEND: APPROVALAPPROVED

16. SSN15. NAME OF INDIVIDUAL

AUTHORITY

a. TO b. FROM

d. NAME (Last, First, Middle)

g. TITLE/POSITION h. SIGNATURE

ADDENDUM - RECOMMENDATIONS FOR APPROVAL/DISAPPROVAL

APD LC v1.03ESPage 2 of 2DA FORM 4187, MAY 2014

i. COMMENTS

e. RANK f. DATE (YYYYMMDD)

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PERSONNEL ACTION

To request or record personnel actions for or by Soldiers in accordance with DA PAM 600-8.

Identification Card

Identification Tags

Separate Rations

Leave - Excess/Advance/Outside CONUS

Change of Name/SSN/DOB

DATA REQUIRED BY THE PRIVACY ACT OF 1974

SECTION I - PERSONAL IDENTIFICATION

SECTION V - CERTIFICATION/APPROVAL/DISAPPROVAL

7. The above Soldier's duty status is changed from to

effective hours,

SECTION III - REQUEST FOR PERSONNEL ACTION

IS APPROVEDRECOMMEND APPROVAL IS DISAPPROVEDRECOMMEND DISAPPROVAL

SUPERSEDES DA FORM 4187, JAN 2000 AND REPLACES DA FORM 4187-1-R, APR 1995

DA FORM 4187, MAY 2014

HAS BEEN VERIFIED

AUTHORITY:PRINCIPAL PURPOSE:

DISCLOSURE:

Title 10, USC, Section 3013, E.O. 9397 (SSN), as amended

ROUTINE USES: The DoD Blanket Routine Uses that appear at the beginning of the Army's compilation of systems of records may apply to this system.

5. GRADE OR RANK/PMOS/AOC 6. SOCIAL SECURITY NUMBER

Special Forces Training/Assignment

Retesting in Army Personnel Tests

Reassignment Married Army Couples

Reclassification

Officer Candidate School

Asgmt of Pers with Exceptional Family Members

ROTC or Reserve Component Duty

Volunteering For Oversea Service

Ranger Training

Reassignment Extreme Family Problems

Airborne Training

12. COMMANDER/AUTHORIZED REPRESENTATIVE 13. SIGNATURE

For use of this form, see PAM 600-8; the proponent agency is DCS, G-1.

11. I certify that the duty status change (Section II) or that the request for personnel action (Section III) contained herein -

SECTION II - DUTY STATUS CHANGE (AR 600-8-6)

SECTION IV - REMARKS (Applies to Sections II, III, and V) (Continue on separate sheet)

8. I request the following action: (Check as appropriate)

4. NAME (Last, First, MI)

2. TO (Include ZIP Code) 3. FROM (Include ZIP Code)1. THRU (Include ZIP Code)

On-the-Job Training (Enl only)Service School (Enl only)

Exchange Reassignment (Enl only) Other (Specify)

9. SIGNATURE OF SOLDIER (When required) 10. DATE (YYYYMMDD)

14. DATE (YYYYMMDD)

Voluntary; however failure to provide Social Security Number may result in a delay or error in processing the request for personnel action.

APD LC v1.03ESPage 1 of 2

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f. DATE (YYYYMMDD)e. RANK

i. COMMENTS

h. SIGNATUREg. TITLE/POSITION

d. NAME (Last, First, Middle)

b. FROMa. TO

AUTHORITY

APPROVED APPROVALRECOMMEND:DISAPPROVED DISAPPROVALc. ACTION:

c. ACTION: DISAPPROVALDISAPPROVED RECOMMEND: APPROVALAPPROVED

AUTHORITY

a. TO b. FROM

d. NAME (Last, First, Middle)

g. TITLE/POSITION h. SIGNATURE

i. COMMENTS

e. RANK f. DATE (YYYYMMDD)

f. DATE (YYYYMMDD)e. RANK

i. COMMENTS

h. SIGNATUREg. TITLE/POSITION

d. NAME (Last, First, Middle)

b. FROMa. TO

AUTHORITY

APPROVED APPROVALRECOMMEND:DISAPPROVED DISAPPROVALc. ACTION:

c. ACTION: DISAPPROVALDISAPPROVED RECOMMEND: APPROVALAPPROVED

16. SSN15. NAME OF INDIVIDUAL

AUTHORITY

a. TO b. FROM

d. NAME (Last, First, Middle)

g. TITLE/POSITION h. SIGNATURE

ADDENDUM - RECOMMENDATIONS FOR APPROVAL/DISAPPROVAL

APD LC v1.03ESPage 2 of 2DA FORM 4187, MAY 2014

i. COMMENTS

e. RANK f. DATE (YYYYMMDD)

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PERSONNEL ACTION

To request or record personnel actions for or by Soldiers in accordance with DA PAM 600-8.

Identification Card

Identification Tags

Separate Rations

Leave - Excess/Advance/Outside CONUS

Change of Name/SSN/DOB

DATA REQUIRED BY THE PRIVACY ACT OF 1974

SECTION I - PERSONAL IDENTIFICATION

SECTION V - CERTIFICATION/APPROVAL/DISAPPROVAL

7. The above Soldier's duty status is changed from to

effective hours,

SECTION III - REQUEST FOR PERSONNEL ACTION

IS APPROVEDRECOMMEND APPROVAL IS DISAPPROVEDRECOMMEND DISAPPROVAL

SUPERSEDES DA FORM 4187, JAN 2000 AND REPLACES DA FORM 4187-1-R, APR 1995

DA FORM 4187, MAY 2014

HAS BEEN VERIFIED

AUTHORITY:PRINCIPAL PURPOSE:

DISCLOSURE:

Title 10, USC, Section 3013, E.O. 9397 (SSN), as amended

ROUTINE USES: The DoD Blanket Routine Uses that appear at the beginning of the Army's compilation of systems of records may apply to this system.

5. GRADE OR RANK/PMOS/AOC 6. SOCIAL SECURITY NUMBER

Special Forces Training/Assignment

Retesting in Army Personnel Tests

Reassignment Married Army Couples

Reclassification

Officer Candidate School

Asgmt of Pers with Exceptional Family Members

ROTC or Reserve Component Duty

Volunteering For Oversea Service

Ranger Training

Reassignment Extreme Family Problems

Airborne Training

12. COMMANDER/AUTHORIZED REPRESENTATIVE 13. SIGNATURE

For use of this form, see PAM 600-8; the proponent agency is DCS, G-1.

11. I certify that the duty status change (Section II) or that the request for personnel action (Section III) contained herein -

SECTION II - DUTY STATUS CHANGE (AR 600-8-6)

SECTION IV - REMARKS (Applies to Sections II, III, and V) (Continue on separate sheet)

8. I request the following action: (Check as appropriate)

4. NAME (Last, First, MI)

2. TO (Include ZIP Code) 3. FROM (Include ZIP Code)1. THRU (Include ZIP Code)

On-the-Job Training (Enl only)Service School (Enl only)

Exchange Reassignment (Enl only) Other (Specify)

9. SIGNATURE OF SOLDIER (When required) 10. DATE (YYYYMMDD)

14. DATE (YYYYMMDD)

Voluntary; however failure to provide Social Security Number may result in a delay or error in processing the request for personnel action.

APD LC v1.03ESPage 1 of 2

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f. DATE (YYYYMMDD)e. RANK

i. COMMENTS

h. SIGNATUREg. TITLE/POSITION

d. NAME (Last, First, Middle)

b. FROMa. TO

AUTHORITY

APPROVED APPROVALRECOMMEND:DISAPPROVED DISAPPROVALc. ACTION:

c. ACTION: DISAPPROVALDISAPPROVED RECOMMEND: APPROVALAPPROVED

AUTHORITY

a. TO b. FROM

d. NAME (Last, First, Middle)

g. TITLE/POSITION h. SIGNATURE

i. COMMENTS

e. RANK f. DATE (YYYYMMDD)

f. DATE (YYYYMMDD)e. RANK

i. COMMENTS

h. SIGNATUREg. TITLE/POSITION

d. NAME (Last, First, Middle)

b. FROMa. TO

AUTHORITY

APPROVED APPROVALRECOMMEND:DISAPPROVED DISAPPROVALc. ACTION:

c. ACTION: DISAPPROVALDISAPPROVED RECOMMEND: APPROVALAPPROVED

16. SSN15. NAME OF INDIVIDUAL

AUTHORITY

a. TO b. FROM

d. NAME (Last, First, Middle)

g. TITLE/POSITION h. SIGNATURE

ADDENDUM - RECOMMENDATIONS FOR APPROVAL/DISAPPROVAL

APD LC v1.03ESPage 2 of 2DA FORM 4187, MAY 2014

i. COMMENTS

e. RANK f. DATE (YYYYMMDD)