Da 4187 1 R Form PDF Details

In the comprehensive framework of military personnel management, the DA Form 4187-1-R, known as the Personnel Action Form Addendum, holds a pivotal role, guiding key administrative processes under the auspices of AR 600-8-6 and DA PAM 600-8-21, with the ODCSPER as its proponent agency. This form is instrumental in facilitating a wide range of personnel actions, capturing essential information including the individual's name and Social Security Number (SSN), alongside a section dedicated to recommendations for approval or disapproval of various actions. Details encompass the organizational affiliation, office symbol, date, and the specific action being requested or recommended, along with a provision for comments, the name, title, position or rank of the endorsing authority, and their signature. A noteworthy feature includes the option to mark actions as approved, disapproved, recommended for approval, or disapproval, and noting any changes in enclosures or document status. Furthermore, it specifies the distribution list, ensuring that all relevant organizations receive a copy of the action taken. This document not only streamlines personnel management but also serves as a critical record for both administrative tracking and historical reference within military operations.

QuestionAnswer
Form NameDa 4187 1 R Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other names4187 r, fillable 4187, da r 1 4187, 4187 fillable pdf

Form Preview Example

 

PERSONNEL ACTION FORM ADDENDUM

For use of this form see AR 600-8-6 and DA PAM 600-8-21; the proponent agency is ODCSPER

 

 

 

1. NAME OF INDIVIDUAL

 

2. SSN

 

 

 

3.RECOMMENDATIONS FOR APPROVAL/DISAPPROVAL

a.

 

(1) ORGANIZATION

 

 

(2)

OFFICE SYMBOL

 

(3) DATE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(4)

ACTION

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

APPROVED

 

 

DISAPPROVED

 

RECOMMEND APPROVAL

 

RECOMMEND DISAPPROVAL

 

 

 

RETURNED

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(5)

COMMENTS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(6)

NAME

 

 

 

 

(7)

TITLE/POSITION/RANK

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(8)

SIGNATURE

 

 

 

 

(9)

HEADQUARTERS POC TELEPHONE NUMBER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(10) FORWARDED TO

 

 

(11) ENCLOSURES

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ADDED

 

 

WITHDRAWN

 

 

NO CHANGE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

b.

 

(1) ORGANIZATION

 

 

(2)

OFFICE SYMBOL

 

(3) DATE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(4)

ACTION

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

APPROVED

 

 

DISAPPROVED

 

RECOMMEND APPROVAL

 

RECOMMEND DISAPPROVAL

 

 

RETURNED

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(5)

COMMENTS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(6)

NAME

 

 

 

 

(7)

TITLE/POSITION/RANK

 

 

 

 

 

 

 

 

 

 

 

 

(8)

SIGNATURE

 

 

 

 

(9)

HEADQUARTERS POC TELEPHONE NUMBER

 

 

 

 

 

 

 

 

 

 

 

 

 

(10) FORWARDED TO

 

 

(11) ENCLOSURES

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ADDED

 

 

WITHDRAWN

 

 

NO CHANGE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

c.

 

(1) ORGANIZATION

 

 

(2)

OFFICE SYMBOL

 

(3) DATE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(4)

ACTION

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

APPROVED

 

 

DISAPPROVED

 

RECOMMEND APPROVAL

 

RECOMMEND DISAPPROVAL

 

 

RETURNED

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(5)

COMMENTS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(6)

NAME

 

 

 

 

(7)

TITLE/POSITION/RANK

 

 

 

 

 

 

 

 

 

 

 

 

(8)

SIGNATURE

 

 

 

 

(9)

HEADQUARTERS POC TELEPHONE NUMBER

 

 

 

 

 

 

 

 

 

 

 

 

 

(10) FORWARDED TO

 

 

(11) ENCLOSURES

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ADDED

 

 

WITHDRAWN

 

 

NO CHANGE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

4.

DISTRIBUTION

(List all organizations to receive copy)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DA FORM 4187-1-R, APR 95

USAPPC V1.10