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2009 4.9 Satisfied (284 Votes)
2005 4.4 Satisfied (62 Votes)
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This form is used to document a member's request for verification of military service. It is also used to adjust a soldier's Other Entry Pay Effective Date (OPED) and Basic Pay Entry Effective Date (BPED) which will affect the rate and period of basic pay entitlement.
To identify the proper proponent for any publication or form, visit the APD Web site (https://armypubs.army.mil) to search for the publication or form by title.
An up-to-date fillable version of DA Form 3355 is available for download and digital filing below or can be obtained through the army publishing directorate website. The DA 3355 is used to update a soldier's promotion points and the information contained within the form may be disclosed to DA officials only.
Commanders use DA Form 5248-R (DA 5248-R) to document preliminary investigation results, any arrests or confinement, formal reprimand (counseling, UCMJ, corrective training, etc), or actions taken (i.e., attended counseling or anger management, received financial assistance, etc).
The DA Form 5841-R is a special power of attorney (POA) that may be used to authorize a person to take care of your child(ren) in your absence. It is important that you understand that you are not required to use this POA for your Family Care Plan.
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0:27 1:59 Learn How to Fill the DA form 4187 Personnel Action - YouTube YouTube Start of suggested clip End of suggested clip Section one requires the basic soldier identification. Information who is requesting the personnel.MoreSection one requires the basic soldier identification. Information who is requesting the personnel. Action. You must identify the soldier with their name rank.
What is a DA Form 4187? A DA Form 4187 will be used by the Department of the Army. This particular form is known as a Personnel Action form. It is used by a soldier who wants to request a personnel action on their own behalf. This could include training, reassignment, extra rations, name changes, and more.
This section is to be filled with the following information: the name of the notary public and surname, the date the POA is witnessed and acknowledged, the state and the county where the POA is being witnessed, the signature of the notary public, and the date the notary public commission expires.

military poa form pdf