ࡱ> }| &|bjbjVV 7<<A ;8?\,I".xTZ,t!v!v!v!v!v!v!$w#&!iXxxXX!"d d d Xt!d Xt!d d d ?BFRd `!"0I"d &,2&d &d ^d |t!!^I"XXXX& : Circle the appropriate copy designator Copy 1 Copy 2 Copy 3 Copy 4 PERSONNEL ACTION For use of this form, see AR 600-8-6 and DA Pam 600-8-21; the proponent agency is ODCSPER DATA REQUIRED BY THE PRIVACY ACT OF 1974AUTHORITY:Title 5, Section 3012; Title 10, USC, E.O. 9397.PRICIPAL PURPOSE:Used by soldier in accordance with DA Pam 600-8-21 when requesting a personnel action on his/her own behalf (Section III).ROUTINE USES:To initiate the processing of a personnel action being requested by the soldier.DISCLOSURES:Voluntary. Failure to provide social security number may result in a delay or error in processing of the request for personnel action.1. THRU (Include Zip Code)2. TO (Include Zip Code)3. FROM (Include Zip Code)Office of the Commanding General ATTN: NGID-HRO-AGR 4794 Farman St, Bldg 442 Boise, Idaho 83705Office of the Commanding General ATTN: NGID-PFO 3489 West Harvard St, Bldg 564 Boise, Idaho 83705Commander Unit Unit Address City, St, ZipSECTION I  PERSONNEL IDENTIFICATION4. NAME (Last, First, MI)5. GRADE OR RANK/PMOS/AOC6. SOCIAL SECURITY NUMBER FORMTEXT       FORMTEXT       FORMTEXT      SECTION II  DUTY STATUS CHANGE (AR 600-8-6)7. The above soldiers duty status is changed fromtoeffectivehours,SECTION III REQUEST FOR PERSONNEL ACTION8. I request the following action: (Check as appropriate)Service School (Enl only)Special Forces Training/AssignmentIdentification CardROTC or Reserve Component DutyOn-the-Job Training (Enl only)Identification TagsVolunteering for Oversea ServiceRetesting in Army Personnel TestSeparate RationsRanger TainingReassignment Married Army CouplesLeave Excess/Advance/Outside CONUSReassignment Extreme Family ProblemsReclassificationChange of Name/SSN/DOBExchange Reassignment (Enl only)Officer Candidate SchoolXOther (Specify) Payment of Accrued LeaveAirborne TrainingAsgmt of Pers with Exceptional Family Members9. SIGNATURE OF SOLDIER (When required)10. DATE (YYYYMMDD) FORMTEXT      SECTION IV  REMARKS (Applies to Section II, III, and V) (Continue on separate sheet) The above listed soldier requests to cash in leave. 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