DECLINATION OF CONTINUED SERVICE STATEMENT For use of this form, see AR 601280; the proponent agency is DCS, G1. DATA REQUIRED BY THE PRIVACY ACT OF 1974 AUTHORITY: 10 USC 509, Voluntary extension.
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How to fill out the DA 4991-R online
The DA 4991-R form is essential for soldiers who wish to decline additional service to meet their Service Remaining Requirements. This guide provides a clear step-by-step breakdown of how to accurately fill out this form online.
Follow the steps to complete the DA 4991-R form successfully.
- Press the ‘Get Form’ button to obtain the DA 4991-R form and open it in an online editor.
- In the first section, enter your personal information, including your name (last, first, middle), rank, DOD identification number, unit or organization, and Expected Termination of Service (ETS) date.
- Fill in the Service Remaining Requirement (SRR) date. This date indicates when you are required to complete your service obligations.
- Acknowledge the statement regarding the incurred service remaining requirement under Chapter 4, AR 601-280. Review the implications and initial each point to show understanding.
- In Section A, have your career counselor complete their details, including name, rank, unit, place of counseling, and date. Ensure the counselor's signature is included.
- Proceed to Section B where you acknowledge counseling by signing and dating the document. If you refuse to sign, have a witness complete the required fields.
- In Section C, the immediate commander's or first sergeant's review must be documented. Include their name, rank, branch, signature, and date.
- Once you have completed all sections of the form, save your changes, and choose the option to download, print, or share the completed DA 4991-R form.
Complete your DA 4991-R online today to ensure your military personnel records are accurately maintained.
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