Get Da 1058-r 2010-2025
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How to fill out the DA 1058-R online
The DA 1058-R form is essential for individuals applying for active duty for training or special work in the Army National Guard and U.S. Army Reserve. This guide provides a clear and detailed approach to completing the form online, ensuring that users can navigate each section confidently.
Follow the steps to successfully complete the DA 1058-R online.
- Press the ‘Get Form’ button to access the DA 1058-R form and open it in your preferred editor.
- In Part I - Applicant, begin by filling in 'To' along with the ZIP code. This part identifies the recipient of the application.
- Enter your full name in the designated fields: 'Name (Last, First, MI).' Make sure to include all relevant initials.
- Provide your permanent home address including the ZIP code in section 3a.
- If applicable, fill in the address from which you will report for duty in section 4a, ensuring to include the ZIP code.
- Enter your home telephone number in section 3b, ensuring to include the area code.
- If you have a different home telephone for reporting duty, list it in section 4b, also including the area code.
- Provide your business telephone number in section 3c with the accompanying area code.
- For any additional business telephone, fill in section 4c.
- Identify your unit of assignment or attachment in section 5.
- Record your grade in section 6, indicating your rank.
- Specify your branch in section 7.
- Indicate your sex in section 8 by selecting Male or Female.
- Enter your date of birth (DOB) in section 9, formatted as MM/DD/YYYY.
- Select your marital status in section 10.
- Input the number of dependents in section 11.
- Complete section 12 by filling in your primary SSI (AOC)/MOS.
- In section 13, add your duty SSI (AOC)/MOS.
- Indicate your height and weight in sections 14 and 15, as applicable.
- In section 16, specify if you are drawing a pension, disability compensation, or retired pay from the U.S. Government.
- Record your total years, months, and days of active federal service (AFS) in section 17.
- For individual mobilization augmentees only, determine if your application is for IMA AT, ADT in lieu of IMA AT, or additional ADT.
- In section 19, list your requested dates for ADSW/TTAD/ADT/AT. Include both first and second choices, along with the number of days required for each, and relevant locations.
- Confirm your physical qualification for active duty in section 20.
- Sign and date the form in section 21 and section 22, indicating your consent.
- In section 23, add any remarks regarding your application.
- If applicable, fill out Part II regarding the records custodian, detailing all necessary information.
- Review the completed form for accuracy and completeness before submitting.
- Once verified, save changes, download, print, or share the completed form as needed.
Complete the DA 1058-R online today to ensure accurate and timely applications.
To obtain a copy of your DA Form 5016, you can request it through official military channels. This form may be accessible via the Army Human Resources Command or through your unit's personnel office. Ensure that you have all necessary information when making your request. If you're unsure how to acquire it, consider using resources available on platforms like uslegalforms for guidance.
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