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Get DA 4187 2000

COMMANDER/AUTHORIZED REPRESENTATIVE DA FORM 4187 JAN 2000 RECOMMEND DISAPPROVAL 13. SIGNATURE PREVIOUS EDITIONS ARE OBSOLETE IS APPROVED USAPA V1. Circle the appropriate copy designator Copy 2 Copy 3 Copy 1 Copy 4 PERSONNEL ACTION For use of this form see AR 600-8-6 and DA PAM 600-8-21 the proponent agency is ODCSPER DATA REQUIRED BY THE PRIVACY ACT OF 1974 AUTHORITY PRINCIPAL PURPOSE Title 5 Section 3012 Title 10 USC E*O. 9397. Used by soldier in accordance with DA PAM 600-8-21 when requesting a personnel action on his/her own behalf Section III. ROUTINE USES To initiate the processing of a personnel action being requested by the soldier. DISCLOSURE Voluntary. Failure to provide social security number may result in a delay or error in processing of the request for personnel action* 1. THRU Include ZIP Code 2. TO Include ZIP Code 3. FROM Include ZIP Code SECTION I - PERSONAL IDENTIFICATION 4. NAME Last First MI 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 Special Forces Training/Assignment Service School Enl only ROTC or Reserve Component Duty On-the-Job Training Enl only Identification Card Volunteering For Oversea Service Retesting in Army Personnel Tests Separate Rations Ranger Training Reassignment Married Army Couples Leave - Excess/Advance/Outside CONUS Reassignment Extreme Family Problems Reclassification Change of Name/SSN/DOB Exchange Reassignment Enl only Officer Candidate School 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 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 12. Circle the appropriate copy designator Copy 2 Copy 3 Copy 1 Copy 4 PERSONNEL ACTION For use of this form see AR 600-8-6 and DA PAM 600-8-21 the proponent agency is ODCSPER DATA REQUIRED BY THE PRIVACY ACT OF 1974 AUTHORITY PRINCIPAL PURPOSE Title 5 Section 3012 Title 10 USC E*O. 9397. Used by soldier in accordance with DA PAM 600-8-21 when requesting a personnel action on his/her own behalf Section III. 9397. Used by soldier in accordance with DA PAM 600-8-21 when requesting a personnel action on his/her own behalf Section III. ROUTINE USES To initiate the processing of a personnel action being requested by the soldier. DISCLOSURE Voluntary. ROUTINE USES To initiate the processing of a personnel action being requested by the soldier. DISCLOSURE Voluntary. Failure to provide social security number may result in a delay or error in processing of the request for personnel action* 1. Failure to provide social security number may result in a delay or error in processing of the request for personnel action* 1. THRU Include ZIP Code 2. TO Include ZIP Code 3. FROM Include ZIP Code SECTION I - PERSONAL IDENTIFICATION 4. .

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