Fillable Printable In- And Out- Processing Records Checklist
Fillable Printable In- And Out- Processing Records Checklist
In- And Out- Processing Records Checklist
Enlisted Record Brief (ERB) or Office Record Brief (ORB).
Promotion board proceedings.
DA Form 268
DA Form 78-R
(Recommendation for Promotion to 1LT/CW2).
DA Form 31
(Request and Authority for Leave)
, original copy.
Service member deployment history out-processing verification sheet.
DD Form 93
(Record of Emergency Data).
VA Form
SGLV 8286A (Family coverage election and certificate).
Go Army Ed (Army Continuing Education System (ACES) Record).
DA Form 3068-1
(Marine Service Record).
DA Label 164 (Nuclear/Chemical Personnel Record Label) . Mandatory for all Soldiers being reassigned to
duty positions in the PRP/CPRP.
DA Form 3645 (Organizational Clothing and Individual Equipment Record).
1. NAME
(Last, First, Middle)
2. RANK 3. MOS/AOC
PREVIOUS EDITIONS ARE OBSOLETE.
DA FORM 5123, FEB 2015
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IN- AND OUT-PROCESSING RECORDS CHECKLIST
For use of this form, see AR 600-8-101; the proponent agency is DCS, G-1.
INSTRUCTIONS
DATA REQUIRED BY THE PRIVACY ACT OF 1974
AUTHORITY:
PRINCIPAL PURPOSE:
ROUTINE USES:
DISCLOSURE:
disclosed outside Department of Defense (DoD) and DoD sponsored agencies.
OUT-PROC
DA Form 3180 (Personnel Screening and Evaluation) . Mandatory for Soldiers assigned to projected for assignment
to PRP or CPRP positions, Soldiers holding a nuclear or chemical related MOS or AOC and Soldiers who have been
disqualified from PRP or CPRP assignment. Note: Ensure that a copy is filed in the Medical Record (DA Form 3444
series).
YES NO
IN-PROC
YES NO
4. REQUIRED RECORDS, DOCUMENTS, OR OTHER ITEMS
a. PERSONNEL RECORD DOCUMENTS
DA Form 3955
(Change of Address and Directory Card).
DD Form 1172-2 (Application for Identification Card-DEERS Enrollment) . Ensure the currency and accuracy of
application (s) for eligible Family member (s). Changes in Family member status should be reported to the MPD/S1
for appropriate Defense Enrollment Eligibility Reporting System (DEERS) maintenance processing and/or ID card
issue, if applicable, as prescribed by AR 600-8-14.
To ensure the proper in-processing of Soldiers into their gaining units and the proper out-processing of Soldiers from their
losing units.
To ensure that Soldiers have all of the documents for both in- and out-processing and to ensure the identification of certain
legal conditions that could preclude Soldiers from deployment, if present, during in- and out-processing. Forms will not be
Disclosure of this information is voluntary; however, failure to disclose the requested information could result in improper
in- and out-processing.
This form will be initiated at the losing unit during out-processing and provided to the Soldier along with the documents listed below. The gaining unit
will complete this form by checking for the presence of each document. Confirm whether or not each document is present by checking "Yes" if the
document is present and "No" if the document is absent. Prepare this form in two copies: One copy remains at the losing unit, and the Soldier two
copies: One copy remains at the losing unit, and the Soldier hand carries the other copy to the gaining unit.
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(Report to Suspend Favorable Action (FLAG)).
Section 301, Title 5, USC.
DA Form 3513 (Individual Flight Records Folder, United States Army). Mandatory for Soldiers holding PMOS,
AOC, SSI, SQI, or ASI requiring flight.
DA Form 3479-1
(Trainee Controller Evaluation).
Mandatory for all Soldiers who perform duties described in TC 3-04.81.
DD Form 2366
(Montgomery GI Bill Act of 1984 (MGIB)).
DD Form 2766
(Adult Preventive and Chronic Care Flowsheet).
DA Form 3444 series
Medical Protection System (MEDPROS) individual medical readiness (IMR) report.
DA Label 162
(Emergency Medical Identification Symbol)
. Mandatory for all Soldiers issued a medical warning tag.
SF Form 601
(Health Record - Immunization Record)
. Cross check against MEDPROS.
Anthrax Vaccine Immunization Program (AVIP) status. MEDPROS.
DA Form 4515
(Personnel Reliability Program Record Identifier)
. Mandatory for all Soldiers assigned or projected for
assignment to PRP positions.
DA Form 3349
(e-profile)
. Cross check against DD Form 2795 for evidence of a physical profile.
MOS Administrative Retention Review
(MAR2 processing).
Mandatory for all Soldiers who have a permanent physical
profile category of 3 or 4. NOTE: Must be electronically generate.
HIV screening. Check DD Form 2795 or medical records.
DA Form 1306 (Statement of Jump and Loading Manifest) . Mandatory for all Soldiers holding MOS 92R or an SQI
or ASI indicating jump qualification.
DA Form 1307 (Individual Jump Record) . Mandatory for all Soldiers holding MOS 92R or an SQI or ASI
indicating jump qualification.
DA Form 1315 (Reenlistment Data) . Mandatory for Soldiers in the ranks of SSG and below.
DA Form 3078
(Personal Clothing Request).
DA Form 330
(Language Proficiency Questionnaire).
DA FORM 5123, FEB 2015
OUT-PROC
YES NO
IN-PROC
YES NO
4. REQUIRED RECORDS, DOCUMENTS, OR OTHER ITEMS
a.
PERSONNEL RECORD DOCUMENTS
(Continued)
A copy of the following must be present as evidence that an investigation or final clearance has been requested
(listed in precedence).
SF Form 86
DA Form 348 (Equipment Operator's Qualification Record (Except Aircraft)) . Mandatory for all Soldiers who
are qualified to operate an Army vehicle other than full track combat vehicles or hold an MOS/AOC requiring
the operation of an Army motor vehicle other than full track combat vehicles.
DD Form 2648
(Preseparation Counseling Checklist).
DA Form 5305
(Family Care Plan).
b.
HEALTH AND DENTAL RECORDS
DD Form 2795 (Pre-Deployment Health Assessment Questionnaire) . Required for all Soldiers being
reassigned or deployed overseas.
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(Questionnaire for National Security Positions).
NOTE: Electronically generate hand written not authorized.
(Dental Record).
Body Composition Program documents.
DNA collection records.
Army Substance Abuse Program (ASAP).
DD Form 2S (Res)
(Armed Forces of the United States Geneva Conventions Identification Card).
information on the ID card is current and accurate.
Common Access Card
(CAC)
. Ensure that the information on the CAC is current and accurate.
DA Form 31
(Request and Authority for Leave)
. Individual copy.
Travel/itinerary. Mandatory only for all Soldiers traveling over water.
PHS Form 731
(International Certificate of Vaccination)
. Cross check against the SF Form 601.
Eyeglasses
(2 pairs each)
. Cross check against the MEDPROS.
Protective mask inserts. Cross check against the MEDPROS.
Identification tags
(2 each).
Hearing aids with extra batteries. Cross check against the MEDPROS.
Medical warning tag. Mandatory for Soldiers with DA Label 162 affixed to the health and dental records.
Passport and/or visa, if required.
Reassignment order.
Is the Soldier a sole surviving son or daughter?
Is the Soldier a citizen of the Federal Republic of Germany?
Is the Soldier a citizen of Turkey or a dual U.S./Turkish national?
Is the Soldier a former prisoner of war or hostage? If yes, list the country or countries where the Soldier was held
captive.
Is the Soldier a former Peace Corps member? If Yes, list the country or countries where Peace Corps service
was performed.
Is the Soldier pregnant?
Has the Soldier given birth within the last 6 months?
Has the Soldier been awarded adoption placement within the last 6 months?
If enlisted, has the Soldier completed initial entry training?
If a commissioned officer, has the Soldier completed an Army Officer Basic Course?
c.
SOLDIER'S PERSONAL POSSESSION ITEMS
OUT-PROC
YES NO
IN-PROC
YES NO
b.
HEALTH AND DENTAL RECORDS
(Continued)
4. REQUIRED RECORDS, DOCUMENTS, OR OTHER ITEMS
d.
CRITICAL SOLDIER INFORMATION ITEMS
If a warrant officer, has the Soldier completed the Warrant Officer Basic Course, and is the Soldier MOS qualified?
Does the Soldier have a pending or approved request for noncombatant status as a conscientious objector per
AR 600-43?
NATO travel orders. Mandatory for all Soldiers assigned to or traveling through a country identified as having this
requirement in the Foreign Service Guide.
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Ensure that the
