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Get Statement Of Service Army Template 1987-2024

CHECK WO. 14. FROM 15. TO 18. Total service creditable for basic pay years 19a. AUTHENTICATION DA FORM 1506 AUG 1987 EDITION OF MAY 85 IS OBSOLETE APD LF v3. STATEMENT OF SERVICE - FOR COMPUTATION OF LENGTH OF SERVICE FOR PAY PURPOSES For use of this form see AR 37-104-4 the proponent agency is ASA FM PRIVACY ACT STATEMENT Authority Purpose Routine Uses Disclosure 37 USC Section 1006 Executive Order 9397. 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. Information collected on this form becomes part of the Joint Uniform Military Pay System JUMPS and is subject to all of the routine disclosures made by that system* Routine recipients of JUMPS disclosures include but are not limited to the Red Cross and State and local governments for tax and welfare purposes. Voluntary however nondisclosure may result in nonverification of service. Disclosure of your social security number SSN is voluntary however this form will not be processed without your SSN because it is used to identify you for pay purposes. 3. COMPLETE MAILING ADDRESS Unit Personnel Officer if member on AD Unit Commander if member of ACDUTRA 1. LAST NAME FIRST NAME MIDDLE INITIAL 2. SSN I have held a commission appointment as commissioned warrant officer warrant officer flight officer or Army field clerk or have been enlisted as a member of the respective service s shown below for the inclusive period indicated* All National Guard service claimed hereon was federally recognized it was not in the inactive National Guard all officers training camp service was in the capacity of an enlisted person and all initial appointments are shown from the date of acceptance. 5. CHECK 4. SERVICE Army Air Force Navy etc* ENL WO COM 6. FROM YR* MO. 7. TO DAYS 8. TIME LOST Days 9. COMPUTATION 10. Total creditable service years 11b. DATE 11a* SIGNATURE OF MEMBER FOR USE BY THE ADJUTANT GENERAL When statement above is incorrect correct service will be entered* 13. STATEMENT OF SERVICE - FOR COMPUTATION OF LENGTH OF SERVICE FOR PAY PURPOSES For use of this form see AR 37-104-4 the proponent agency is ASA FM PRIVACY ACT STATEMENT Authority Purpose Routine Uses Disclosure 37 USC Section 1006 Executive Order 9397. 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. 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. Information collected on this form becomes part of the Joint Uniform Military Pay System JUMPS and is subject to all of the routine disclosures made by that system* Routine recipients of JUMPS disclosures include but are not limited to the Red Cross and State and local governments for tax and welfare purposes. .

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