Da Form 1106 PDF Details

The DA 1106 form serves as a crucial document within the United States Army for handling situations where an Army Emergency Relief (AER) loan might need to be classified as uncollectible. Its structure is methodical, divided into several parts to ensure a comprehensive review and decision-making process. Initially, it demands detailed information about the loan in question, including the borrower's identity, military status, and the specifics of the loan such as the date it was issued, the amount, and repayment history. This form not only reflects the procedural rigor in attempting to recover owed funds but also provides avenues for considering circumstances like the borrower's death, discharge conditions, or instances of undue hardship that justify writing off the debt. Moreover, it integrates a multi-level approval system, demanding evaluations and recommendations from AER officers to higher-level authorities, culminating in a final decision by the Headquarters Army Emergency Relief. Such a formalized approach underscores the Army's commitment to fiscal responsibility while acknowledging the complexities soldiers and their families might face, thus offering a balanced framework for financial relief and accountability.

QuestionAnswer
Form NameDa Form 1106
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other names16a, 16b, IDENIFICATION, 16c

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RECOMMENDATION TO DECLARE ARMY EMERGENCY RELIEF LOAN UNCOLLECTIBLE

For use of this form, see AR 930-4; the proponent agency is OACSIM

PRINT IN BLACK INK, OR TYPE ALL INFORMATION

PART I - LOAN TO BE DECLARED UNCOLLECTIBLE

1. TO:

HQ, Army Emergency Relief

200 Stovall Street

Alexandria, VA 22332-0600

2.FROM: (AER Officer)(Include ZIP Code)

3. AER SECTION NO.

4. NAME OF BORROWER (Last, First, MI)

5. GRADE

6. CLIENT IDENIFICATION NUMBER

7. CURRENT ADDRESS (Include ZIP Code)

8. SOLDIER STATUS

ACTIVE

RETIRED

SEPARATED

9. DATE OF LOAN

10.

AMOUNT OF LOAN

11.

AMOUNT REPAID

 

$

 

$

 

 

 

 

 

 

 

 

 

 

12. DATE OF LAST PAYMENT

13.

AMOUNT TO BE DECLARED UNCOLLECTIBLE

14.

DATE OF LAST COLLECTION EFFORT

 

$

 

 

 

 

 

 

 

 

PART II - SECTION ACTION

15a. Recommend the above loan(s) be declared uncollectible on the basis that the borrower: (Check appropriate reason and enter date.)

DIED ON

WAS DISHONORABLY DISCHARGED ON

WAS DISCHARGED UNDER OTHER THAN HONORABLE CONDITIONS ON

WAS DROPPED FROM THE ROLLS AS A DESERTER ON

15b. SIGNATURE AND TITLE OF AER OFFICER/ASSISTANT AER OFFICER

15c. DATE

 

 

PART III - LEVEL 3 APPROVAL AUTHORITY ACTION

16a. THRU: (Level 3 Approval Authority)

16b. Recommend the above loan(s) be declared uncollectible on the basis of undue hardship on the soldier because:

16c. SIGNATURE AND TITLE OF LEVEL 3 APPROVAL AUTHORITY

16d. DATE

PART IV - HQ AER ACTION

17a. Recommended action is:

APPROVED

DISAPPROVED

UNCOLLECTIBLE NO.

17b. Declared uncollectible in the amount of $

 

on

 

(Date).

18. PROCESSED BY

19. REVIEWED AND APPROVED BY

DA FORM 1106, SEP 2009

PREVIOUS EDITIONS ARE OBSOLETE.

APD PE v1.00