The document you are trying to load requires adobe reader. Office of primary responsibility is ngbaroo and ngbarhs respectively. Da form 1058 download fillable pdf or fill online application for. Da form 1058 r application for active duty for training, active duty for special work, temporary tour of active duty, and annual training for soldiers of the army national guard and u. For tag approved tours, retain a copy of this checklist and a copy of the arng format 1058. Supersededreplaced other pubform, superseded da form 1058r, 0701. For cngb level waivers, forward this checklist to arrive at ngb 45 days prior to desired start date, a copy of the arng format 1058 r, the request for waiver and supporting documents.
When extending a tour, a new da form 1058r is required for that. Adobe reader installed or your viewing environment may not be properly configured to use adobe reader. Da form 1058r form must be verifiedsigned by unit commander. Da form 1058r application for active duty for training, active duty for special work, temporary tour of active duty, and annual training for soldiers of the army national guard and u. Individual medical readiness imr printout from medpros.
Supersededreplaced other pubform, superseded da form 1058r, 07 01. For tag approved tours, retain a copy of this checklist and a copy of the arng format 1058r and maintain with your file copy of the soldiers tour order. To determine eligibility and schedule individuals for active duty for special work or active duty for. Completing this form is mandatory for individuals applying for active duty for special work and active duty for training. For cngb level waivers, forward this checklist to arrive at ngb 45 days prior to desired start date, a copy of the arng format 1058r, the request for waiver and supporting documents.
Members of the us army reserve or the army national guard use it to request that they be moved to active duty. Da form 1058 r, jul 93 data required by the privacy act of 1974 10 usc 672d and usc 275. Convert any document in any format to pdf fillable and savable. New york army national guard human resources ados packets. Da form 1058 r form must be verifiedsigned by unit commander ngb form 1058 1r da 1058 r and ngb 1058 1r must reflect actual number of days requested, fy ends at sept 30 ngb form 23a retirement point accounting statement orders query used to determine last 31day break in orders individual medical readiness imr printout from. Ngb form 10581r ngb form 23a retirement points accounting statement orders query used to determine last 31day break in orders individual medical readiness imr printout from medpros. When extending a tour, a new da form 1058r is required for that extension period. Ngb form 10581r da 1058r and ngb 10581r must reflect actual number of days requested, fy ends at sept 30 ngb form 23a. For information on how to install adobe reader and configure your viewing environment please. To determine eligibility and schedule individuals for active duty for special work or active duty for training on requested dates.
Az cdtf form 9 22 mar 18 all other forms are obsolete j1. Download fillable da form 1058 in pdf the latest version applicable for 2020. Members of the us army reserve or the army national guard use it to request that they be moved to. For tag approved tours, retain a copy of this checklist and a copy of the arng format 1058 r and maintain with your file copy of the soldiers tour order. Scribd is the worlds largest social reading and publishing site. To identify the applicant as a reserve component member and to issue active duty for special work or active duty for. Dd form 1058 or da form 1058r was last revised in september 2017 with. Convert any fillable pdf form to savable locally, in adobe reader. It is also known as an application for active duty. Completing this form is mandatory for individuals applying for active duty for.
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