56R Details

The Ahrc 56 R Form is a form that has been created by the American Health Care Association. The purpose of this form is to be able to fill out and report information from hospitals about patient care activities. This form is used in the United States, Canada, Mexico, and Costa Rica. It can also be completed electronically or manually with pen and paper. In order for hospitals to get paid it needs to have at least one signature from a licensed physician on it as well as an authorized signature from a hospital administrator if it was completed electronically.

In order to find out a handful of specific details in relation to the PDF you intend to use, here is the specifics you can study before filling in the ahrc 56 r form.

QuestionAnswer
Form NameAhrc 56 R Form
Form Length1 pages
Fillable?Yes
Fillable fields31
Avg. time to fill out6 min 31 sec
Other namesahrc form 3924, army 56 r form, ahrc forms, ahrc form 56 r

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PROMOTION QUALIFICATION STATEMENT

AUTHORITY: Title 10 U.S. Code, section 14308 and 14309. ROUTINE USES: To provide information on the promotion qualification of the officer, reconcile the data shown in the USAR Personnel Database with that on this form, and document review. EFFECT OF FAILURE TO PROVIDE REQUESTED INFORMATION: Disclosure is voluntary; however, failure to disclose the requested information may delay or prevent promotion.

SECTION I – SELECTED OFFICER’S PERSONAL DATA

NAME: (Last, First, MI)

LAST FOUR OF SSN: (***-**-####)

***-**-

BRANCH/PRIMARY AOC

CURRENT GRADE

CURRENT ORGANIZATION

TPU IRR

IMA

AGR

SECTION II – REVIEW BY OFFICER’S IMMEDIATE COMMANDER

1. Officer under suspension of favorable personnel action:

Yes

No

2.The following information concerns the officer’s position upon promotion or matched position (Mobilized Officers , Officers on Active Duty for Operational Support over 90 days) upon promotion:

2a. AUTHORIZED GRADE

2b.

AUTHORIZED BRANCH

 

2c. DUTY AOC

 

 

 

 

2d. UNIT OF ASSIGNMENT UPON PROMOTION

2e.

IS POSITION OCCUPIED BY ANOTHER

2f. UIC

 

OFFICER?

YES

NO

 

2g. PARA/LINE

2h. POSITION NUMBER

2i. DATE ASSIGNED/MATCHED TO POSITION

3.The following information concerns the previous incumbent’s new position or new duty location. (AGR Only)

3a. NEW UIC

3b. NEW PARA/LINE

3c. NEW POSITION NUMBER

3d. REPORT DATE

3e. PREVIOUS POSITION DEPART DATE

4. Check one. Unit may only place AGR officers against valid Full Time Support (AGR) positions.

Is an AMEDD officer of either the Medical Corps or Dental Corps assigned to a position up to two grades to below the grade to which promoted to Chapter 4-9a (3)a, AR 135-155

Is a Chaplain or Judge Advocate General Corps Officer assigned to a position up to one grade below the grade to which promoted Chapter 4-9a (3)b, AR 135-155

Is a Chief Warrant Officer Five (CW5) Para/Line Position Number

5.This mobilized officer will be assigned to a position commensurate with the grade to which he or she is being promoted upon release from active duty (REFRAD), or reassigned to the IRR if the Officer cannot find an appropriate position within 180 days of the date of REFRAD.

6.For officers mobilized/deployed/ADOS provide a copy of the order.

__________________________

DATE OF MOBILIZATION

SECTION III – REVIEW BY OFFICER’S IMMEDIATE COMMANDER

7.I verify that the above information is correct and complete and that the Soldier is in a valid vacant position. No double slotting/overlap is authorized. I understand that falsifying official information may lead to UCMJ or other forms of disciplinary action taken against me.

GRADE AND NAME OF RSC/DRC REPRESENTATIVE

SIGNATURE OF RSC/DRC REPRESENTATIVE

UNIT NAME

UNIT UIC

EMAIL ADDRESS

DATE

AHRC FORM 56-R, SEP 2009

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filling in 56r form part 1

Provide the requested particulars in the section Is a Chief Warrant Officer Five, Is a Chaplain or Judge Advocate, Is an AMEDD officer of either the, and grades to below the grade to which.

part 2 to filling out 56r form

Indicate the essential information in grades to below the grade to which, DATE OF MOBILIZATION, SECTION III – REVIEW BY OFFICER’S, GRADE AND NAME OF RSC/DRC, SIGNATURE OF RSC/DRC REPRESENTATIVE, UNIT NAME, EMAIL ADDRESS, AHRC FORM 56-R, UNIT UIC, and DATE segment.

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