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This document is used to explain the eligibility requirements for increased educational assistance benefits under the Montgomery GI Bill 2 x 4 Program for service in the Selected Reserve and to record
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How to fill out DA FORM 5642-R

01
Obtain a copy of DA FORM 5642-R from the appropriate source.
02
Enter the unit information at the top of the form.
03
Provide the date of request in the designated field.
04
Fill out the service member's personal information including name, rank, and social security number.
05
Indicate the type of request in the appropriate section.
06
List the reasons for the request in detail.
07
Include any relevant documentation or supporting evidence as required.
08
Sign and date the form at the bottom.

Who needs DA FORM 5642-R?

01
DA FORM 5642-R is needed by military personnel who are requesting changes related to their personnel records.
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DA FORM 5642-R is a Department of the Army form used for the request and approval of military leave of absence.
Any service member who wishes to request a leave of absence must file DA FORM 5642-R.
To fill out DA FORM 5642-R, the service member should provide personal information, specify the dates of requested leave, and obtain the necessary signatures from their chain of command.
The purpose of DA FORM 5642-R is to formalize a service member's request for leave and ensure proper documentation and approval within the military command structure.
DA FORM 5642-R requires the reporting of the service member's name, rank, unit, requested leave dates, reason for leave, and signatures from both the requester and approving authority.
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