DA 1058-R free printable template

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• Who needs a DA 1058-R Form?
• What is DA 1058-R Form for?
• Is DA Form 1058-R accompanied by other forms?
• • When is DA Form 1058-R due?
  • How do I fill out DA Form 1058-R Form?
  • Where do I send DA 1058-R fillable form?

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Who needs a DA 1058-R Form?

The DA 1058-R is a US Department of Army form, which must be completed by individuals who want to apply for active duty for training or special work, temporary tour of active duty, annual training for soldiers or the Army National Guard and the US Army Reserve.

What is DA 1058-R Form for?

The fillable DA Form 1058-R is used to determine the eligibility and schedule individuals for active duty for the requested training or work on the dates specified on the form.  Military members who don’t submit the form are not considered for the requested tour.

Is DA Form 1058-R accompanied by other forms?

Form 10598-R is self-sustained and does not require any supporting documentation. If necessary it can be checked up in the military’s personal profile. However, to make sure that the applicant is physically fit for the training, their medical records might be requested.

When is DA Form 1058-R due?

The form should be submitted upon request.

How do I fill out DA Form 1058-R Form?

The claimant should complete this form consisting of two Parts:

1. Applicant data (address, name, phone numbers, unit of assignment, grade, branch, DOB, marital status, AFS, authorization their qualification for active military duty, etc.)

2. Data provided by Records Custodian

Finally, the form must be signed by the applicant, records custodian and the unit commander.

Where do I send DA 1058-R fillable form?

The form DA 1058 should be delivered to the requesting party through the chain of command.

 

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What is da 1058?

Da 1058 is a form used by the United States Army for processing administrative changes to a Soldier's record. It is also known as a "Record of Emergency Data" form.

How to fill out da 1058?

1. Type or print legibly in blue or black ink. 2. Enter the date of the form in the top right-hand corner. 3. Enter the requester’s information in section A, including the requester’s name, grade, organization, and address. 4. Enter the transferor’s information in section B, including the transferor’s name, grade, organization, and address. 5. Enter the transferor’s assignment information in section C, including the transferor’s start date, end date, and reason for transfer. 6. Enter the transferor’s signature, date, and rank in section D. 7. Enter the approving authority’s signature, date, and rank in section E. 8. Enter the authorizing official’s signature, date, and rank in section F. 9. Enter the approving authority’s signature, date, and rank in section G. 10. Attach any additional documents or forms in section H. 11. Enter the date the form is completed in the lower left-hand corner.

What is the purpose of da 1058?

A DA 1058 is a U.S. Army form used to document the details of a soldier's administrative separation from military service. The form includes information about the soldier's service dates, nature of separation, reenlistment eligibility, and any other pertinent information. It is used to ensure the soldier's proper transition into civilian life.

When is the deadline to file da 1058 in 2023?

The deadline for filing DA 1058 in 2023 is September 30th.

What is the penalty for the late filing of da 1058?

The penalties for the late filing of DA Form 1058 (Request for Issue or Turn-In) can be significant and vary depending on the nature of the violation. Generally, you can be subject to a fine, suspension, or even dismissal from the military. The maximum penalty for a late filing is a forfeiture of two-thirds of one month’s pay for each month or fraction of a month during which the failure to file continues, and may be accompanied by a reduction in rank.

Who is required to file da 1058?

The DA Form 1058 is required to be filed by individuals who are seeking formal military education such as attending military schools, courses, or training programs. This form is typically used by U.S. Army personnel.

What information must be reported on da 1058?

The DA 1058 form, also known as the Application for an Army Reserve Officer Training Corps (ROTC) Scholarship and/ or Stipend, requires the reporting of the following information: 1. Personal Information: This includes the applicant's full name, social security number, date of birth, contact information, marital status, and dependents (if any). 2. Education History: The form requires the reporting of the applicant's educational background, including high school(s) attended, GPA, class rank, SAT/ACT scores, college(s) attended (if applicable), and current major or intended course of study. 3. Military Service Information: If the applicant has any prior military service, it must be stated in this section along with relevant details such as dates of service, rank, and type of discharge (if applicable). 4. Medical and Disability Information: Here, the applicant must disclose any medical conditions, disabilities, or limitations that may impact their ability to perform military duties. 5. Academic References: The form asks for references from academic instructors or professors who can provide insight into the applicant's academic abilities, character, and potential for success in ROTC. 6. Leadership Experience: The applicant must list any leadership roles or experiences they have had, whether in school, extracurricular activities, or community organizations. 7. Language Skills: If the applicant possesses any foreign language proficiency, it must be reported in this section. 8. Criminal Convictions: Any criminal convictions, except minor traffic violations, must be disclosed in this part of the form. 9. Essays and Motivation: The DA 1058 typically includes essay prompts that require applicants to articulate their motivation for pursuing ROTC, their career goals, and other relevant information. 10. Financial Information and Dependency Status: Applicants may be required to provide financial information, including details about their current income, assets, and expenses. Additionally, the form requires reporting on dependency status, tax filing, and financial obligations. Note that the specific information required on the DA 1058 may vary slightly based on the current version of the form and any specific instructions provided.

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