DA Form 2339 at a glance
What it is: DA Form 2339 is the Application for Voluntary Retirement.
Who signs: The applicant signs on the SIGNATURE OF APPLICANT line.
The form is used to initiate administrative action in regard to applying for retirement; it may also be used to verify qualifying years of service. For additional information see the System of Records A0600-8-104 AHRC, Army Personnel System (APS).
Section I is to be completed by all applicants.
Section II is to be completed by the commander having custody of personnel records.
A filled-in DA Form 2339 example: a soldier applies for voluntary retirement
How to fill out DA Form 2339, box by box
Date, TO and THRU
Enter the DATE, and TO and THRU (Include ZIP Code).
Boxes 1 to 7, name, ETS and unit of assignment
Box 1: Enter the NAME (Last, First, Middle).
Enter the DOD ID in Box 2, the ETS in Box 3 and the DESIRED RETIREMENT DATE in Box 4.
Box 5: Enter the CURRENT GRADE, PAY GRADE, (Effective date of promotion) AND MOS.
Box 6: Enter the HIGHEST GRADE SERVED ON ACTIVE DUTY AND BRANCH OF SERVICE.
Box 7: Enter the UNIT OF ASSIGNMENT - DUTY STATION - MAJOR COMMAND.
Box 8, retirement at the current oversea assignment
Box 8 (CONUS Residents only): DESIRE RETIREMENT AT CURRENT OVERSEA ASSIGNMENT. The boxes are YES, NO and NOT APPLICABLE.
Boxes 9 and 10, mail address and overseas retirement
Box 9: Enter the MAIL ADDRESS UPON RETIREMENT (Will not be considered as home of selection), including the ZIP Code.
Box 10: Non-CONUS personnel stationed overseas desire retirement at HOR, CONUS or current overseas station.
Box 11, transfer to the retired reserve
Box 11: Request transfer to retired reserve, status Commissioned Warrant Officer Enlisted.
Box 12, reserve officers serving on active duty in enlisted status
Box 12 is TO BE COMPLETED ONLY BY RESERVE OFFICERS SERVING ON ACTIVE DUTY IN ENLISTED STATUS: a. RESERVE COMMISSIONED STATUS (RETIRED ACTIVE), b. GRADE & PROMOTION ELIGIBILITY DATE, c. BRANCH.
Box 13, awards
Box 13: Awards. The boxes are Medal of Honor, Distinguished Service Cross, Navy Cross, None, Soldiers Medal and Distinguished Flying Cross or equivalent Navy decoration.
Box 14, chronological dates of military service
Box 14: Enter the CHRONOLOGICAL DATES OF MILITARY SERVICE (Enlistment and Discharge dates and change in status from active to inactive service and vice versa.) (Para 12-13, AR 635-200)
Boxes 15 to 18, time lost and service totals
Box 15: Total time lost. If no time lost, enter "None".
Box 16: Total active service creditable for retirement (Do not include time lost).
Box 17: Total inactive service creditable for basic pay only.
Box 18: Total service for basic pay purposes (Item 16 + 17).
Box 19, CONUS location of choice and the applicant's signature
Box 19: CONUS LOCATION OF CHOICE TRANSFER ACTIVITY. I ELECT TO BE PROCESSED FOR RETIREMENT AT: the location you enter.
"I attest that I have been counseled as specified by paragraph 4-5, AR 635-8. I also fully understand the provisions of paragraphs 4-8 and 4-9, AR 635-8 concerning station of choice and any obligation to pay for travel before publishing retirement orders."
I DO NOT ELECT TO BE PROCESSED FOR RETIREMENT AT A CONUS LOCATION OF CHOICE.
SIGN: I am familiar with the provisions of AR 635-200 pertaining to withdrawal of this application for retirement once it has been accepted by the retirement approval authority.
Box 30, statement of understanding
Box 30, STATEMENT OF UNDERSTANDING: 1. I have read Section V, Chapter 12, AR 635-200.
I understand that I must undergo a medical examination prior to my retirement. I am responsible for insuring that the examination is scheduled not earlier than 4 months, nor later than 1 month prior to my approved retirement date (subject examination to be arranged through coordination with my unit of assignment). I am aware that the purpose of this examination is to provide a better health assessment of me and, in particular, to continue cardiovascular attention, to record as accurately as possible, my state of health on retirement and to protect my interests and those of the Government.
I also understand that my retirement will take effect on the requested date and that I will not be held on active duty to complete this examination.
2. I have been briefed concerning the Survivor Benefit Plan. I understand that I will automatically be in the plan and will pay the full cost of coverage for my spouse, and children if applicable, unless I submit an election form to the contrary prior to my retirement.
3. Mark one: I am being considered, or I am not being considered, by a HQDA Selection Board for promotion to the next higher grade.
SIGN on the line (Signature of member).
More rules for DA Form 2339
DISCLOSURE: Voluntary. However, failure to provide applicable information may result in not being considered for voluntary retirement.
Sources
[1] DA Form 2339 (JUN 2021), Application for Voluntary Retirement, U.S. Army (the Official source link on this page).