PERSONNEL ACTION - United States Army
Attachments Menu
PERSONNEL ACTION
For use of this form, see PAM 600-8; the proponent agency is DCS, G-1.
DATA REQUIRED BY THE PRIVACY ACT OF 1974
AUTHORITY:
Title 10, USC, Section 3013, E.O. 9397 (SSN), as amended
PRINCIPAL PURPOSE: To request or record personnel actions for or by Soldiers in accordance with DA PAM 600-8.
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.
DISCLOSURE:
Voluntary; however failure to provide Social Security Number may result in a delay or error in processing the request for personnel action.
1. THRU (Include ZIP Code)
COMMANDER
2. TO (Include ZIP Code)
HQ USAREC
3. FROM (Include ZIP Code)
COMMANDER
ATTN: G1, Enlisted Management Branch (YOUR BATTALION)
Fort Knox, KY 40121-2726
4. NAME (Last, First, MI)
SECTION I - PERSONAL IDENTIFICATION 5. GRADE OR RANK/PMOS/AOC
6. SOCIAL SECURITY NUMBER
SECTION II - DUTY STATUS CHANGE (AR 600-8-6)
7. The above Soldier's duty status is changed from
to
effective
hours,
SECTION III - REQUEST FOR PERSONNEL ACTION 8. I request the following action: (Check as appropriate)
Service School (Enl only)
Special Forces Training/Assignment
ROTC or Reserve Component Duty
On-the-Job Training (Enl only)
Volunteering For Oversea Service
Retesting in Army Personnel Tests
Ranger Training
Reassignment Married Army Couples
Reassignment Extreme Family Problems
Reclassification
Exchange Reassignment (Enl only)
Officer Candidate School
Identification Card Identification Tags Separate Rations Leave - Excess/Advance/Outside CONUS Change of Name/SSN/DOB Other (Specify)
Airborne Training
Asgmt of Pers with Exceptional Family Members
9. SIGNATURE OF SOLDIER (When required)
10. DATE (YYYYMMDD)
SECTION IV - REMARKS (Applies to Sections II, III, and V) (Continue on separate sheet)
1. I request to reclassify to PMOS 79R IAW AR 601-1, Assignment of Enlisted Personnel to the U.S. Army Recruiting Command and IAW MILPER Message 18-072, Regular Army Voluntary Primary Occupation Specialty (PMOS) Reclassification Pro0cedures of Former Detailed Recruiters to PMOS 79R (Recruiter).
2. I have enclosed my last 3 NCOERs while serving as a recruiter, ERB, DA Photo, DA Form 1059 (or orders for ASI 4) DA Form 705, DA Form 5500/5501.
3. ETS date: YYYYMMDD
4. Date left USAREC: YYYYMMDD
5. Date arrived in USAREC: YYYYMMDD
SECTION V - CERTIFICATION/APPROVAL/DISAPPROVAL
11. I certify that the duty status change (Section II) or that the request for personnel action (Section III) contained herein -
HAS BEEN VERIFIED
RECOMMEND APPROVAL
RECOMMEND DISAPPROVAL
IS APPROVED
IS DISAPPROVED
12. COMMANDER/AUTHORIZED REPRESENTATIVE 13. SIGNATURE
14. DATE (YYYYMMDD)
DA FORM 4187, MAY 2014
SUPERSEDES DA FORM 4187, JAN 2000 AND REPLACES DA FORM 4187-1-R, APR 1995
Page 1 of 2
APD LC v1.03ES
Attachments Menu
15. NAME OF INDIVIDUAL
AUTHORITY
a. TO
16. SSN
ADDENDUM - RECOMMENDATIONS FOR APPROVAL/DISAPPROVAL b. FROM
c. ACTION:
APPROVED
d. NAME (Last, First, Middle)
g. TITLE/POSITION
i. COMMENTS
DISAPPROVED
RECOMMEND: e. RANK
APPROVAL
h. SIGNATURE
DISAPPROVAL f. DATE (YYYYMMDD)
AUTHORITY
a. TO
Orders Issuing Authority
c. ACTION:
APPROVED
d. NAME (Last, First, Middle)
Jenkins, Angela L.
g. TITLE/POSITION
ACofS, G-1
i. COMMENTS
DISAPPROVED
b. FROM
G-1, USAREC Fort Knox, KY 40121-2726
RECOMMEND:
APPROVAL
e. RANK
COL
h. SIGNATURE
DISAPPROVAL f. DATE (YYYYMMDD)
AUTHORITY
a. TO
c. ACTION:
APPROVED
d. NAME (Last, First, Middle)
g. TITLE/POSITION
i. COMMENTS
b. FROM
DISAPPROVED
RECOMMEND: e. RANK
APPROVAL
h. SIGNATURE
DISAPPROVAL f. DATE (YYYYMMDD)
AUTHORITY
a. TO
c. ACTION:
APPROVED
d. NAME (Last, First, Middle)
g. TITLE/POSITION
i. COMMENTS
b. FROM
DISAPPROVED
RECOMMEND: e. RANK
APPROVAL
h. SIGNATURE
DA FORM 4187, MAY 2014
DISAPPROVAL f. DATE (YYYYMMDD)
Page 2 of 2
APD LC v1.03ES
................
................
In order to avoid copyright disputes, this page is only a partial summary.
To fulfill the demand for quickly locating and searching documents.
It is intelligent file search solution for home and business.
Related download
- milper message number 19 188 proponent ahrc epf r issued 6 25 2019 12
- personnel action united states army
- da pam 611 21
- milper message number 21 201 proponent ahrc epf r armyreenlistment
- milper message number 20 320 proponent ahrc
- selective retention bonus srb armyreenlistment
- military occupational classification and structure united states army
- dave vergun read ahead packet complete united states army
- c userstroydocumentsmilper 14 196 25d smapp the signal chief
- special assignments armyreenlistment
Related searches
- united states savings bond calculator
- united states army airborne requirements
- united states army airborne school
- united states army airborne divisions
- united states mission to the united nations
- united states army ranks
- united states army aviation museum
- united states army sqi list
- united states army advanced airborne school
- united states army flag
- united states army jumpmaster school
- united states army divisions