DA Form 1058-1R is the official U.S. Army application for Reserve Component active duty. Soldiers of the Army National Guard (ARNG) and U.S. Army Reserve (USAR) use it to request one of four types of active duty periods:
The form is governed by Army Regulation AR 135-200 and authorized under 10 USC 672(d) and 10 USC 275. Completing DA Form 1058-1R accurately is required to verify eligibility, confirm scheduling, and document your entry into active duty status.
Key information required on this form includes personal identification details, unit assignment, grade, branch of service, service history, physical readiness status, and any federal pension or disability compensation received. Both the applicant and the unit commander must sign the form before it is submitted.
| Question | Answer |
|---|---|
| Form Name | Da Form 1058 1R |
| Form Length | 2 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 30 sec |
| Other names | 1058 form, da 1058 r, 1058r form, 1058 r |