DA Form 1058-R-2025

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  1. Click ‘Get Form’ to open the DA Form 1058-R in the editor.
  2. Begin with Part I - Applicant. Fill in your name, address, and contact information accurately. Ensure that you include ZIP codes for all addresses.
  3. Complete the sections regarding your military details, including your unit of assignment, grade, and branch. This information is crucial for processing your application.
  4. In the Duty/Training Dates section, specify your first and second choice dates for training. Include the number of days requested and the location.
  5. Review all entries for accuracy before signing. Once completed, save your form directly from our platform or export it to share as needed.

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Statement of Medical Examination and Duty Status (DA Form 2173) (LOD) are initiated for all soldiers who die, sustain certain injuries, diseases or illnesses while on active duty.
DA Form 5515 is used by military personnel to manage ammunition training. Key purposes include: to track ammunition usage. to ensure accountability of training resources.
DA Form 5118, titled Reassignment Status and Election Statement, is used by the U.S. Army to determine a Soldiers eligibility for reassignment and to initiate assignment processing.
DA 759 is needed by military personnel, particularly pilots and aircrew members, to document their flight hours and aviation training.
DA Form 5960 is used to start, stop, or change BAH and/or variable housing allowance, but is not required when Soldiers in-process at a new duty station; PCS orders can be used.

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DA FORM 1058-R, JUL 93 DATA REQUIRED BY THE PRIVACY ACT OF 1974. 10 USC 672(d) and USC 275. To determine eligibility and schedule individuals for active duty for special work or active duty for training on requested dates.
Letters 1058 and LT11 are sent as written notification, required by law, to inform you that the IRS intends to seize, or levy, your property, or rights to property. You have a right to a hearing.
DA Form 638 (Recommendation for Award) Comprehensive instructions on completing a DA Form 638, can be found in Army Regulation 600-8-22 (Military Awards), Chapter 3, Section III, and Table 3-6.