Fillable Printable Reassignment Control Sheet
Fillable Printable Reassignment Control Sheet
Reassignment Control Sheet
18. DATE OF EDAS CYCLE
27. DATE DA FORM 4036 RECEIVED
33A. PCS AMENDMENT ORDER 35. DATE SOLDIER DEPARTED
30. ANTICIPATED DATE OF LOSS 32A. PCS ORDER NO.
1. NAME 2. SSN 3. GRADE 4. PMOS 5. ASI
6. CONTROL LANGUAGE 7. CURRENT UNIT OF ASSIGNMENT 8. CURRENT UPC
9. GAINING UNIT PROCESSING CODE 10. GAINING UNIT
11. ARRIVAL DATE 12. AI MOS 13. AI ASI
15. AI LANGUAGE 16. EDAS CYCLE NO. 17. TODAY'S DATE
31. DATE "DLOS" SUBMITTED
33B. DATE
A. DATE REENLISTMENT OFFICE NOTIFIED B. DATE REENLISTMENT/EXTENSION COMPLETED
B. DATE SECURITY INVESTIGATION/CLINIC RECEIVED
32B. DATE
19. DATE OF RPO (For Officers)
A. REASON CODE
B. DATE PASSPORT/VISA RECEIVED A. DATE DD FORM 1056 AND FORM DSP 11 FORWARDED
B. DATE INITIAL PORT CALL RECEIVED
D. DATE SECOND PORT CALL REQUESTED
F. DATE SECOND PORT CALL CANCELLED
A. DATE INITIAL PORT CALL REQUESTED
C. DATE INITIAL PORT CALL CANCELLED
E. DATE SECOND PORT CALL RECEIVED
36. IF REENLISTMENT/EXTENSION IS REQUIRED (Enlisted Only)
39. IF PASSPORT/VISA IS REQUIRED
(For Enlisted)
REASSIGNMENT CONTROL SHEET
For use of this form, see AR 600-8-11; the proponent agency is DCS, G-1
NO.
UNIT
37. IF SECURITY REQUIREMENTS ARE REQUIRED
38. IF DELETION/DEFERMENT IS REQUIRED
D. APPROVAL AUTH.
(1) HQDA (2) MPD/PSC
40. IF PORT CALL IS REQUIRED
DA FORM 5117, MAR 2007
PREVIOUS EDITIONS ARE OBSOLETE
APD LC v1.00
Block 1 through 35 must be completed by the Military Personnel Division/Personnel Service Company. If additional action is
required, blocks 36 through 40 will be completed as applicable. Prepare this forms in two copies. Place one in the Reassigned
File and one in the MPRJ.
20. DATE REASSIGNMENT
NOTIFICATION FWD
21. DATE REASSIGNMENT
NOTIFICATION RECEIVED
25. DATE ACS BREIFING
CONDUCTED
24. DATE ACS BRIEFING
SCHEDULED
23. DATE PSC BRIEFING/
INTERVIEW CONDUCTED
22. DATE PSC BRIEFING/
INTERVIEW SCHEDULED
DATE DELETION/DEFERMENT
DISAPPROVED
DATE DELETION/DEFERMENT
APPROVED
C. DATE DELETION/DEFERMENT
FORWARDED TO APPROVAL AUTH.
B. DATE DELETION/DEFERMENT
REQUESTED
A. DATE REQUEST FOR SECURITY INVESTIGATION/CLINIC
FORWARDED TO G2/SECURITY MANAGER
26. DATE DA FORM 4036
FORWARDED TO MTF
28. DATE PINPOINT ASGMT/FAM
TVL REQUEST FWD TO OVERSEAS
COMMAND
29. DATE PINPOINT ASGMT/
FAM TVL DECISION RECIEVED
34. REPORT DATE TO
OUTPROCERSSING
