Da 1058 R Form – Fill Out and Use This PDF

The DA Form 1058-R is designed for soldiers in the Army National Guard seeking active duty for training, active duty for special work, temporary tours of active duty, annual training, and full-time National Guard duty for special work. This form plays a crucial role in determining eligibility, scheduling active duty periods, and issuing orders for these various types of duty. It requires detailed information about the applicant, including personal and service-related details, to facilitate the review and approval process. For those ready to take the next step in their military career, filling out the DA 1058-R form with accuracy is a pivotal action.

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Da 1058 R Form PDF Details

The DA 1058-R form, also known as NGB Form 1058-1R, governs Army National Guard applications for active duty under NGR 37-111 and the Privacy Act of 1974. It captures the applicant's personal data, including name, grade, primary Military Occupational Specialty (MOS), unit of assignment with UIC code, duty station, and home address. The form also requires a physical fitness certification and a commanding officer's endorsement before state adjutants general can evaluate eligibility and issue official orders for the requested duty period.

Five distinct duty types are covered: active duty for training (ADT), active duty for special work (ADSW), temporary tours of active duty (TTAD), annual training (AT), and full-time National Guard duty for special work (FTNGD-SW). Each type carries different pay provisions under NGR 37-111. The form also documents active duty retirement qualifications, making accurate completion important for soldiers building long-term Army National Guard careers. Commanding officer signature is required on all submissions before forwarding to the unit administrative office or state headquarters.

Question	Answer
Form Name	Da 1058 R Form
Form Length	3 pages
Fillable?	No
Fillable fields	0
Avg. time to fill out	45 sec
Other names	ngb 1058 1r, da 1058 r pdf, da 1058 r, ngb form 1058 1r

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How to Complete DA Form 1058-R Step by Step

Before filling out the form, gather your personnel records, unit assignment documents, and training history. The form contains three main sections requiring input from the applicant and the commanding officer.

Step 1: Applicant information. Enter your full legal name, Social Security Number, pay grade, and primary Military Occupational Specialty (MOS). Provide your unit of assignment with its UIC code, current duty station address, and home address. These fields are cross-referenced against personnel records during the eligibility review.

Step 2: Duty type and requested dates. Select the duty type that applies to your request by marking the appropriate checkbox: active duty for training (ADT), active duty for special work (ADSW), temporary tours of active duty (TTAD), annual training (AT), or full-time National Guard duty for special work (FTNGD-SW). Enter the requested start date and projected end date. Your state headquarters must have an approved training window matching these dates.

Step 3: Military qualifications and certifications. List all relevant training courses, special skills, and language qualifications. Indicate whether you hold a security clearance required for the requested duty type. Certify in writing that you meet current physical fitness standards and that all information is accurate. Sign and date the applicant certification block.

Step 4: Commanding officer review and endorsement. Submit the signed form to your commanding officer for review. The CO verifies your qualifications, checks unit records, and completes the endorsement section. An endorsement signature is required before the form is forwarded to the unit administrator or state human resources office for order processing.

Key Fields and Common Errors

The most frequent errors on the form are an incorrect MOS code, mismatched dates, and a missing commanding officer signature. Verify your primary MOS in your official personnel file before entering it. Requested dates that fall outside an approved duty window will cause the submission to be returned without action. Ensure the CO signature block is fully completed, including rank and date, before submitting.

Frequently Asked Questions

What is the difference between ADT and ADSW?
ADT supports scheduled unit training programs and periodic instruction. ADSW covers temporary assignments to programs or projects that require active status but fall outside the normal training calendar. ADSW duty typically requires additional mission justification in the submission package.

Is this form the same as NGB Form 1058-1R?
Yes. NGB Form 1058-1R is the Army National Guard version processed through State Area Commands. Both forms capture identical information and follow the same approval chain through state headquarters to order issuance.

How far in advance should the form be submitted?
Submit at least 60 to 90 days before your requested start date for ADT and AT tours. ADSW and TTAD requests that require coordination with external agencies may need 90 to 120 days of lead time. Early submission reduces the risk of orders being issued after the start date.

Explore related Army personnel forms on FormsPal: DA Form 4856 Developmental Counseling, DA Form 67-9-1 OER Support, and the Military Training Request Form.