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, DEPARTMENT OF THE ARMY CERTIFICATION FOR AUTHENTICATION OF RECORDS, ARMY STAFFING FORM (FOR COMMAND USE ONLY), FLOOD PREDICTION - LOCAL, REGIONAL, CENTRAL, CENTRALIZED MATERIEL SECTION - NON-EXPENDABLE TECHNICAL EQUIPMENT CHARGEOUT RECORD, INDUSTRIAL STORAGE BATTERY SERVICE RECORD, INTERNAL CONTROL EVALUATION CERTIFICATION, REQUEST FOR ESTABLISHMENT OF A PUBLICATIONS ACCOUNT, INITIAL DISTRIBUTION REQUIREMENTS FOR PUBLICATIONS, REQUISITION FOR PUBLICATIONS AND BLANK FORMS, REQUISITION FOR PUBLICATIONS AND BLANK FORMS (CONTINUATION SHEET), COMPANY GRADE PLATE (O1 - O3; WO1 - CW2) OFFICER EVALUATION REPORT, FIELD GRADE PLATE (O4 - O5; CW3 - CW5) OFFICER EVALUATION REPORT, STRATEGIC GRADE PLATE (O6) OFFICER EVALUATION REPORT, STRATEGIC GRADE PLATE GENERAL OFFICER EVALUATION REPORT, MILITARY TRAINING CERTIFICATE - RESERVE OFFICERS` TRAINING CORPS, ARMY LAW ENFORCEMENT REPORTING AND TRACKING SYSTEM (ALERTS), INFORMAL PHYSICAL EVALUATION BOARD (PEB) PROCEEDINGS, FORMAL PHYSICAL EVALUATION BOARD (PEB) PROCEEDINGS, REVISED PHYSICAL EVALUATION BOARD (PEB) PROCEEDINGS, MILITARY TRAINING CERTIFICATE - NATIONAL DEFENSE CADET CORPS, REQUEST FOR PUBLISHING - DA ADMINISTRATIVE PUBLICATIONS, REQUEST FOR PUBLISHING - DA TRAINING, DOCTRINAL, TECHNICAL AND EQUIPMENT PUBLICATIONS, REPORT TO SUSPEND FAVORABLE PERSONNEL ACTIONS (FLAG), REGISTER OF VOUCHERS TO STOCK RECORD ACCOUNT, TECHNICAL REPORT OF U.S. ARMY GROUND ACCIDENT, TECHNICAL REPORT OF U.S. ARMY GROUND ACCIDENT INDEX A, U.S. ARMY ABBREVIATED GROUND ACCIDENT REPORT (AGAR), TECHNICAL REPORT OF U.S. ARMY GROUND ACCIDENT INDEX B, TECHNICAL REPORT OF U.S. ARMY GROUND ACCIDENT STATEMENT OF REVIEWING OFFICIALS, TECHNICAL REPORT OF U.S. ARMY GROUND ACCIDENT SUMMARY OF WITNESS INTERVIEW, APPLICATION FOR APPROVAL OF MANAGEMENT INFORMATION REQUIREMENT (LRA), REQUEST FOR APPROVAL OF DISPOSAL OF BUILDINGS AND IMPROVEMENTS, EQUIPMENT OPERATOR`S QUALIFICATION RECORD (EXCEPT AIRCRAFT), PUBLICATION AND BLANK FORM STOCK RECORD CARD (VERTICAL FILE), PUBLICATION AND BLANK FORM STOCK RECORD CARD (VISIBLE FILE), REQUEST FOR ISSUE AND TURN-IN OF AMMUNITION, REQUEST FOR ISSUE AND TURN-IN OF AMMUNITION CONTINUATION SHEET, APPLICATION FOR INITIAL (EDUCATIONAL) DELAY FROM ENTRY ON ACTIVE DUTY AND SUPPLEMENTAL AGREEMENT, ROTC SUPPLEMENTAL SERVICE AGREEMENT (INITIAL EDUCATIONAL DELAY), ECP STUDENT SUPPLEMENTAL SERVICE AGREEMENT (POST-GRADUATE DELAY) (LRA), ROTC SUPPLEMENTAL SERVICE AGREEMENT FOR SPECIAL MEDICAL PROGRAM PARTICIPANTS, ROTC SUPPLEMENTAL SERVICE AGREEMENT (ARMY CHAPLAINCY) (TO ROTC CONTRACTS EXECUTED ON AND AFTER 1 JUNE 1984), ARMY SENIOR RESERVE OFFICERS` TRAINING CORPS (ROTC) NONSCHOLARSHIP CADET CONTRACT, ACKNOWLEDGEMENT OF UNDERSTANDING, NONSCHOLARSHIP TWO YEAR PROGRAM, ARMY SENIOR RESERVE OFFICERS` TRAINING CORPS (ROTC) SCHOLARSHIP CADET CONTRACT, STRATEGIC AND CRITICAL MATERIAL STORED IN ARMY INSTALLATIONS, INTELLIGENCE CONTINGENCY FUND CASH BLOTTER, INDIVIDUAL FLIGHT RECORD AND FLIGHT CREW CERTIFICATE-ARMY (FLIGHT HOURS), INDIVIDUAL FLIGHT RECORD AND FLIGHT CERTIFICATE-ARMY (AIRCRAFT CLOSEOUT), INDIVIDUAL FLIGHT RECORDS AND FLIGHT CERTIFICATE-ARMY (FLYING HOURS WORK SHEET), INDIVIDUAL FLIGHT RECORDS AND FLIGHT CERTIFICATE-ARMY (FLIGHT PAY WORK SHEET), REQUISITION FOR INDIVIDUAL OFFICER PERSONNEL, APPLICATION FOR ESTABLISHMENT OF AN ARMY SENIOR RESERVE OFFICERS` TRAINING CORPS UNIT (S&I HQDA, ATTN: TAPC-OPP-P, ALEXANDRIA, VA 22332-0418), AGREEMENT FOR ESTABLISHMENT AND MAINTENANCE OF AN ARMY SENIOR RESERVE OFFICERS' TRAINING CORPS UNIT, AMENDMENT TO APPLICATION AND AGREEMENT FOR ESTABLISHMENT OF AN ARMY RESERVE OFFICERS TRAINING CORPS UNIT (S&I, HQDA, ATTN: TAPC-OPP-P 200 STOVALL ST, ALEXANDRIA, VA 22332-0418), CERTIFICATE OF TRANSFER TO RETIRED RESERVE, CERTIFICATE OF TRANSFER TO RETIRED RESERVE (S&I RCPAC), APPLICATION FOR ACTIVE DUTY FOR TRAINING, ACTIVE DUTY FOR OPERATIONAL SUPPORT, AND ANNUAL TRAINING FOR SOLDIERS OF THE ARMY NATIONAL GUARD AND U.S. ARMY RESERVE, SERVICE SCHOOL ACADEMIC EVALUATION REPORT, CIVILIAN INSTITUTION ACADEMIC EVALUATION REPORT, SENIOR SERVICE AND COMMAND AND GENERAL STAFF COLLEGE ACADEMIC EVALUATION REPORT, INDIVIDUAL RECEIPT VOUCHER PERSONAL DEPOSIT FUND (BOOK, CONSISTING OF 150 THREE-PART SETS), PETTY CASH VOUCHER - PERSONAL DEPOSIT FUND (PAD, CONSISTING OF 120 THREE-PART SETS), RECORD OF PRISONERS` PERSONAL DEPOSIT FUND (LRA), REQUEST FOR WITHDRAWAL FROM PERSONAL DEPOSIT FUND, PRISONER PERSONAL PROPERTY SHIPPING REQUEST, REQUEST FOR WITHDRAWAL OF PERSONAL PROPERTY (LRA), SUMMARY ACCOUNTING TRANSFER RECORD OF SUPPLY ITEM, PROGRAM/FUND AUTHORIZATION SCHEDULE (S&I, OCRD), ARMY AIRCRAFT INVENTORY, STATUS AND FLYING TIME, US ARMY RESERVE COMPONENTS UNIT RECORD OF RESERVE TRAINING, RECORD OF INDIVIDUAL PERFORMANCE OF RESERVE DUTY TRAINING, ANNUAL OR TERMINAL STATEMENT OF RETIREMENT POINTS, STATEMENT OF SERVICE (CONTINUATION SHEET), REPORT OF PROCEEDINGS BY INVESTIGATING OFFICER, REPORT OF PROCEEDINGS BY BOARD OF OFFICERS, AUTHORIZATION FOR ISSUANCE OF AWARDS [NOTE: THIS FORM IS NOT AVAILABLE ON THE APD WEBSITE. 9301 Chapek Road., Bldg.1458 Lock Lock The DA Form 5960 is used by military members to apply for assistance concerning their BAQ and/or VHA. Click the New Document option above, then drag and drop the file to the upload area . The Army identifies you for pay purposes via your SSN. 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. Get a fillable Da Form 5960 Jan 2022 PDF template online. NAME (Last, First, MI) (see blocks (1), (2) & (3)). Please check your email for more information. Your signature is important. 107 Army Pentagon 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. (703) 614-3727, Office of the Chief Information Officer Fill out every fillable area. A lock ( You would have to fill out and submit three copies of this form. Block 4: You will be asked about who you are in custody of. ], DAILY STAFF JOURNAL OR DUTY OFFICER'S LOG, INITIAL LISTING OF NONAPPROPRIATED FUND INSTRUMENTALITIES, CHANGED LISTING OF NONAPPROPRIATED FUND INSTRUMENTALITIES, APPLICATION FOR DETAIL AS STUDENT OFFICER AT A CIVILIAN EDUCATIONAL INSTITUTION OR AT TRAINING WITH INDUSTRY, BOND FOR SAFEKEEPING OF GOVERNMENT PROPERTY ISSUED TO EDUCATIONAL INSTITUTIONS (LRA), FINANCIAL LIABILITY INVESTIGATION OF PROPERTY LOSS REGISTER, REQUEST FOR NATIONAL STOCK NUMBER AND DEPARTMENT OF DEFENSE IDENTIFICATION CODE FOR AMMUNITION AND EXPLOSIVE SUPPLIES, NOTICE OF DELEGATION OF AUTHORITY - RECEIPT FOR SUPPLIES, ENLISTMENT/REENLISTMENT QUALIFYING APPLICATION (SPECIALLY RECRUITED PERSONNEL), DAILY WATER PRODUCTION LOG - 3,000 GPH ROWPU, DAILY WATER PRODUCTION LOG - 1,500 GPH TWPS, CHAPLAINS` FUND PURCHASE ORDER AND RECEIVING RECORD, CITATION FOR THE SUPERIOR CADET DECORATION AWARD, CITATION FOR THE SUPERIOR JUNIOR CADET DECORATION AWARD, CITATION FOR THE SUPERIOR NATIONAL DEFENSE CADET DECORATION AWARD, HOSPITAL FOOD SERVICE - FOOD RECEIPT AND CONSUMPTION RECORD, DELIVERY AND PICK-UP SERVICE (PAD, CONSISTING OF 20 THREE-PART SETS), CHEMICAL DATA SHEET - MONITORING OR SURVEY, LAUNDRY LIST (MEDICAL TREATMENT FACILITY AND ORGANIZATION), NONAPPROPRIATED FUND PETTY CASH SUMMARY VOUCHER, COMSEC EQUIPMENT ITEMS REGISTER (USING UNIT), RECOMMENDED CHANGES TO PUBLICATIONS AND BLANK FORMS, DOCUMENT REGISTER FOR SUPPLY ACTIONS (EGA), ABSTRACT OF LAUNDRY OR DRY CLEANING ORGANIZATIONAL WORK, REPORT OF TIRE RETREADING-COMMAND SUMMARY (LRA), INSTALLATION REPORT OF TIRE RETREADING (LRA), CONTRACT FOR SALE OF UTILITIES AND RELATED SERVICES, MEMORANDUM OF UNDERSTANDING FOR SALE OF UTILITIES AND RELATED SERVICES, SPECIAL PROVISIONS F(S) REFUSE COLLECTION AND DISPOSAL SERVICE, NONAPPROPRIATED FUND - RECEIPT AND DISBURSEMENT VOUCHER, STATEMENT OF COMPLIANCE, TRANSFER OF CUSTODY, AND INTERMENT CHECKLIST, DISTINGUISHED MILITARY STUDENT CERTIFICATE, DISTINGUISHED MILITARY GRADUATE CERTIFICATE, STATEMENT OF MEDICAL EXAMINATION AND DUTY STATUS, ARMY RESERVE PAY VOUCHER SUMMARY AND CERTIFICATION SHEET, CHAPLAINS` FUND STATEMENT OF OPERATIONS AND NET WORTH, CHAPLAINS` FUND STATEMENT OF OPERATIONS AND NET WORTH (EGA), DEPRESERVATION GUIDE FOR VEHICLES AND EQUIPMENT, INDEX TRACING RECORD OF ALIASES AND CO-SUBJECTS, TECHNICAL REPORT OF US ARMY AIRCRAFT ACCIDENT PART I - STATEMENT OF REVIEWING OFFICIALS, TECHNICAL REPORT OF US ARMY AIRCRAFT ACCIDENT PART II - SUMMARY, TECHNICAL REPORT OF US ARMY AIRCRAFT ACCIDENT PART III - FINDINGS AND RECOMMENDATIONS, TECHNICAL REPORT OF U.S. ARMY AIRCRAFT ACCIDENT PART IV - NARRATIVE, TECHNICAL REPORT OF U.S. ARMY AIRCRAFT ACCIDENT PART V - SUMMARY OF WITNESS INTERVIEW, TECHNICAL REPORT OF U.S. ARMY AIRCRAFT ACCIDENT PART VI - WRECKAGE DISTRIBUTION, TECHNICAL REPORT OF U.S. ARMY AIRCRAFT ACCIDENT PART VII - IN-FLIGHT OR TERRAIN IMPACT AND CRASH DAMAGE DATA, TECHNICAL REPORT OF U.S. ARMY AIRCRAFT ACCIDENT PART VIII - MAINTENANCE AND MATERIAL DATA, TECHNICAL REPORT OF U.S. ARMY AIRCRAFT ACCIDENT, PART IX - PERSONAL DATA, TECHNICAL REPORT OF U.S. ARMY AIRCRAFT ACCIDENT PART X - INJURY/OCCUPATIONAL ILLNESS DATA, TECHNICAL REPORT OF U.S. ARMY AIRCRAFT ACCIDENT, PART XI - PERSONNAL PROTECTIVE/ESCAPE/SURVIVAL/RESCUE DATA, TECHNICAL REPORT OF U.S. ARMY AIRCRAFT ACCIDENT PART XII - WEATHER/ENVIRONMENTAL, TECHNICAL REPORT OF U.S. ARMY AIRCRAFT ACCIDENT PART XIII - FIRE, TECHNICAL REPORT OF U.S. ARMY AIRCRAFT ACCIDENT INDEX A, TECHNICAL REPORT OF U.S. ARMY AIRCRAFT ACCIDENT INDEX B, ABBREVIATED AVIATION ACCIDENT REPORT (AAAR) FOR ALL CLASS C, D, E, F, COMBAT A AND B, AND ALL AIRCRAFT GROUND, UNMANNED AIRCRAFT SYSTEM ACCIDENT REPORT (UASAR), ORGANIZATION CONTROL RECORD FOR EQUIPMENT, EQUIPMENT INSPECTION AND MAINTENANCE WORKSHEET, EQUIPMENT MODIFICATION RECORD (COMPONENT), AIRCRAFT NSPECTION AND MAINTENANCE RECORD, HISTORY RECORDER, COMPONENT, MODULE RECORD, AUXILIARY POWER UNIT AND COMPONENT RECORD, AIRCRAFT ENGINE TURBINE WHEEL HISTORICAL RECORD, T53/T55 TURBINE ENGINE ANALYSIS CHECK RECORD, T700 SERIES TURBINE ENGINE ANALYSIS CHECK RECORD, MULTIPLACE LIFE RAFT INSPECTION AND MAINTENANCE RECORD, HELMET AND ATTACHED EQUIPMENT INSPECTION/MAINTENANCE RECORD, SURVIVAL RADIO/EMERGENCY LOCATION TRANSMITTER INSPECTION RECORD, SURVIVAL KIT/VEST INSPECTION AND MAINTENANCE RECORD, ANTI-EXPOSURE COVERALLS INSPECTION RECORD, COMPONENT REMOVAL/REPAIR/INSTALL/GAIN/LOSS RECORD, US ARMY CALIBRATION SYSTEM REJECTED INSTRUMENT, STATEMENT OF HEALTH AND MEDICAL EXAMINATION (LRA), ATTORNEY OF RECORD DESIGNATION FOR CIVILIAN COUNSEL, RECORD OF PROCEEDINGS UNDER ARTICLE 15, UCMJ, SUMMARIZED RECORD OF PROCEEDINGS UNDER ARTICLE 15, UCMJ, RECORD OF SUPPLEMENTARY ACTION UNDER ARTICLE 15, UCMJ, MEDICAL CARE-THIRD PARTY LIABILITY NOTIFICATION, PRODUCTION EQUIPMENT VISUAL INSPECTION RECORD (LRA), COMSEC ACCOUNT - DAILY SHIFT INVENTORY (LRA), UNITED STATES ARMY EPW IDENTITY CARD (LRA), PRISONER OF WAR NOTIFICATION OF ADDRESS (LRA), PRISONER OF WAR MAIL (LETTER) (LRA) (ED JUL 63 WILL BE USED), MIXED MEDICAL COMMISSION CERTIFICATE FOR EPW (LRA), CERTIFICATE OF DIRECT REPATRIATION FOR EPW (LRA), CLASSIFICATION QUESTIONNAIRE FOR OFFICER RETAINED PERSONNEL (LRA), CLASSIFICATION QUESTIONNAIRE FOR ENLISTED RETAINED PERSONNEL (LRA), ENEMY PRISONER OF WAR/CIVILIAN INTERNEE STRENGTH REPORT (LRA), CERTIFICATION OF WORK INCURRED INJURY OR DISABILITY (LRA), UNITED STATES ARMY CIVILIAN INTERNEE IDENTITY CARD (LRA), CIVILIAN INTERNEE NATL-INTERNMENT CARD (LRA), DRY CLEANING LIST (FOR PIECE RATE PATRONS), INTERNATIONAL BALANCE OF PAYMENTS TRANSACTIONS, NONAPPROPRIATED FUND TRANSACTIONS (LRA), INSTALLATION NATURAL RESOURCES REPORT: PART II - FOREST MANAGEMENT (LRA), INSTALLATION NATURAL RESOURCES REPORT: PART II - FISH AND WILDLIFE MANAGEMENT (LRA), INSTALLATION NATURAL RESOURCES REPORT: PART I - LAND USE AND CONSTRUCTION (LRA), POLYGRAPH EXAMINATION STATEMENT OF CONSENT, MILITARY WORKING DOG TRAINING AND UTILIZATION RECORD, REQUEST FOR DETERMINATION OF INVENTION RIGHTS (LRA), HOSPITAL FOOD SERVICE - DIETARY HISTORY RECORD, HOSPITAL FOOD SERVICE - TELEPHONE DIET ORDER, HOSPITAL FOOD SERVICE - KITCHEN REQUISITION, FOOD COST AND FEEDING STRENGTH SUMMARY, US ARMY RESERVES (LRA), CONTAINER AND DUNNAGE FABRICATION WORK ORDER, CONTAINER AND DUNNAGE FABRICATION WORK ORDER AND PRODUCTION CONTROL REGISTER, VERY SERIOUSLY ILL/SERIOUSLY ILL/SPECIAL CATEGORY PATIENT REPORT, ARTS AND CRAFTS CENTER SAFETY AND EQUIPMENT QUALIFICATION CARD, AUTOMOTIVE SKILLS SHOP SAFETY AND EQUIPMENT QUALIFICATION CARD, REPORT OF MISSING/RECOVERED FIREARMS, AMMUNITION AND EXPLOSIVES, ARMY COMMUNITY SERVICE (ACS) MANAGEMENT REPORT (SYSTEM GENERATED LOCATED AT WWW.ACSSTAFF.ORG), MARINE SERVICE BOOK (S&I, DEPARTMENT OF THE ARMY, MARINE QUALIFICATION DIVISION, CAREER SEA PAY OFFICE, BLDG 705, RM 12, FORT EUSTIS, VA 23604-5407), WAIVER OF DISQUALIFICATION FOR CONTINUED SERVICE IN THE REGULAR ARMY, MEDICAL EXAMINATION FOR CERTAIN GEOGRAPHICAL AREAS, APPLICATION AND CONTRACT FOR ESTABLISHMENT OF A JUNIOR RESERVE OFFICERS` TRAINING CORPS UNIT (S&I, HQDA, ATTN: TAPC-OPP-P, 200 STOVALL ST., ALEXANDRIA, VA 22332-0418), APPLICATION AND AGREEMENT FOR ESTABLISHMENT OF A NATIONAL DEFENSE CADET CORPS UNIT (S&I MILPERCEN), ABSTRACT OF ENLISTED AND ORGANIZATIONAL LAUNDRY AND DRY CLEANING, REQUEST FOR ISSUE AND TURN-IN (CONTINUATION SHEET), POSTHUMOUS PROMOTION CERTIFICATE (ENLISTED) S&I,CDR, HRC, ATTN: AHRC-PDC-C (MR. JOHNSON), 1600 SPEARHEAD DIVISION AVENUE, DEPARTMENT 450 FORT KNOX, KY 40122-5405), REPORT OF JUDICIAL DISCIPLINARY ACTIVITY IN THE ARMY, PERSONNEL SCREENING AND EVALUATION RECORD, CHEMICAL AND BIOLOGICAL PERSONNEL RELIABILITY PROGRAM STATEMENT OF UNDERSTANDING, CHEMICAL AND BIOLOGICAL PERSONNEL SCREENING AND EVALUATION RECORD, CHEMICAL AND BIOLOGICAL PERSONNEL RELIABILITY PROGRAM (PRP) STATUS REPORT, MONTHLY INVENTORY RECAP SHEET FOR DA FORM 3234, REQUEST FOR COPYRIGHT CLEARANCE ON MUSICAL OR DRAMATIC WORKS, PUNCHCARD TRANSMISSION WORKSHEET - RADIOISOTOPE INVENTORY AND LEAK TEST REPORT (LRA), OIL ANALYSIS RECOMMENDATION AND FEEDBACK (LRA). Life Changing Events Affecting BAH that Require BAH Update - DA Form 5960 and supporting documents must be attached: I married a spouse. Type text, add images, blackout confidential details, add comments, highlights and more. Visit: http://legal-forms.laws.com/military/form-da-5960-authorization-to-start-stop-or-change-basic-allowance-for-quartersTo download the DA form 5960 form . 1. You are presented with the choices Single, Married, Divorced, Legally Separated, and Dependent Child. ) or https:// means youve safely connected to the .gov website. Mark with an X the box that corresponds to your answer. 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). Part 2: How to fill DA Form 5960. Share your form with others. Grade Therefore, this is important information you have to provide. Edit your blank fillable da 5960 online. Welcome to PDFRun! Select the orange Get Form button to begin filling out. mil 2 usa-federal-forms. You can use this form to change the basic allowance for housing based on where you and your dependents live. 0_eA6FA[xCACC}j|9J #Ru2b=3Y1E/okn^vU\=i\=lNpN+.&E` D Official websites use .mil DA Form 5988 e Blank Fillable Scribd. a. Form was filled out and downloaded 2,704 times already, DA 5960 is a Form Authorizing to Start, Stop, or Change Basic Allowance for Quarters, and/or Variable Housing Allowance. Comment. Type of Action A .mil website belongs to an official government organization in the United States. Contact, Advanced Document Editor | Document Management | Electronic Signature. You have to submit this form to apply for assistance for housing allowances or expenses. Blocks 1-3: fill in your personal information including name, social security number and grade.. Block 4: mark with an "X" the type of action.. 4. NAME (Last, First, MI) I certify ALL information regarding this authorization is correct. 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 12. com 3 fillable . hRmk0+},yq` ZC$]v#$?z$=\ Rr an$Fks}U8+Z,Pww[8O]~:y5c6;c)W29[zlQWn6D(BD&dh>Y]1n{`usenj_@V8s \)%y=a/I;;[6t3uX_2{ A .mil website belongs to an official government organization in the United States. Save my name, email, and website in this browser for the next time I comment. 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. Complete and sign it in seconds from your desktop or mobile device, anytime and anywhere. A locked padlock Enter your official identification and contact details. Write your INITIALS in the boxes provided (Read the form for the full statement of certification). Because of the nature of your job and the rate of your salary, there might be services that would seem inaccessible to you at first glance--for example, housing. Members signature 9301 Chapek Road., Bldg.1458 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. DD FORM 1561, DD FORM 2058, DA FORM 4730, TD FORM IRS W-5, DA FORM 5960, DD FORM 2560, DA FORM 1506, DD FORM 2572, DA FORM 3685 (AVAILABLE THROUGH NORMAL FORMS . DA FORM 1577 IS ONLY AUTHORIZED FOR USE WITHIN THE OFFICE OF MILITARY AWARDS BRANCH PERSCOM (ODCSPER) AND NPRC. Date Mark with an X the box that corresponds to your answer. com 3 fillable . 10. 321 0 obj <>stream PRESERVATION AND DEPRESERVATION GUIDE FOR RAILROAD EQUIPMENT. A .mil website belongs to an official government organization in the United States. LONG-RANGE SOLID FUEL REQUIREMENTS TO OVERSEA AREAS (LRA). DA Form 5960 is a military form that authorizes a basic allowance for housing, or variable housing allowance, if applicable. For more details. Never leave it blank. . 1FDp[T?pd":1#,tThVCOnAc~_alK 0%tN x5_eHp$/8W3[i7{aZrk}v?j"FX`xZ;2>k(wR7dEGC%6a_lA$Pe~ sitiA:|~e.AB -Z\*vD;7>r8x{c}|up}u5t9r)jAlUc)^Lo]vX|3PjA( K*'?rX\M"!9Dvn{ wj P:o`!|C\Pvr1V&. mil 2 usa-federal-forms. A lock ( The latest technologies high quality electronic pubs and forms view U.S. Army Regulations and DA Forms. Lock If you checked Divorced or Legally Separated: You will be asked to provide information about your former spouse. Army Publishing Directorate An official website of the United States government . Privacy Policy h2T0P04T01RF 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.