Da Form 260 PDF Details

The Department of the Army's form DA 260 is a critical document that is used in both initial and periodic evaluations of soldiers. This form is used to record the results of an individual soldier's performance, as well as any counseling or disciplinary actions that have been taken. It is important to ensure that this form is filled out completely and accurately, so that the soldier's record can be accurately tracked. Any mistakes on this form can potentially lead to negative consequences for the soldier.

QuestionAnswer
Form NameDa Form 260
Form Length5 pages
Fillable?No
Fillable fields0
Avg. time to fill out1 min 15 sec
Other namesprint for 260, ds 260 form pdf, RCS, MIPR

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REQUEST FOR PUBLISHING

For use of this form, see AR 25-30; the proponent agency is OAASA.

1.DATE (YYYYMMDD)

PART I - COMPLETED BY ORIGINATING AGENCY

2. TO: (Include ZIP Code)

3. FROM: (Originating Agency)

5a. TYPE OF PUBLICATION

 

 

 

 

 

 

 

 

 

5b. NOMENCLATURE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

4a. PERSON TO CONTACT

 

 

 

5c. TYPE OF ACTION

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NEW

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

4b. TELEPHONE NO.

 

 

 

 

 

REVISION

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DSN NO.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CHANGE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

4c. FAX NUMBER

 

 

 

 

 

(Enter Change No.):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CERTIFY CURRENT

 

 

 

 

 

4d. E-MAIL ADDRESS

 

 

 

 

 

 

 

 

 

 

 

 

 

RESCIND

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

5d. IS PUBLICATION CLASSIFIED?

 

 

 

5e. IS TITLE OF PUBLICATION CLASSIFIED?

 

 

 

 

 

 

YES

 

NO

 

 

YES (If yes, enter unclassified title for index)

 

NO

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

5f. TITLE OF PUBLICATION

 

 

 

 

 

 

 

 

 

 

 

 

 

5g.

IS THERE ANY PERSONALLY IDENTIFIABLE INFO (PII) IN THIS PUBLICATION OR ON ANY ADDRESS LABELS?

 

 

 

 

YES

 

 

NO

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

5h.

MULTI-SERVICE PUBLICATION

 

 

MARINES

 

 

 

 

 

 

COAST GUARD

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

YES

 

NO

 

 

NAVY

 

 

 

 

 

 

DLA

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

If Yes, check service and list nomenclature

 

 

AIR FORCE

 

 

 

 

 

 

OTHER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

5i. PRODUCT DATE (YYYYMMDD)

 

5j. REQUESTED PUB DATE (YYYYMMDD)

5k. EFFECTIVE DATE (YYYYMMDD)

5l. EXPIRATION DATE (YYYYMMDD)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

5m. COMPLETION DATE (YYYYMMDD)

 

5n. ADVANCE PIN (If Applicable)

5o. ADVANCE AUTHENTICATION

6a. REQUIRED FOR MOBILIZATION?

 

 

 

 

 

 

 

 

 

 

 

(If Applicable)

 

 

 

 

 

 

YES

 

 

 

 

NO

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

6b.

IS THIS PUBLICATION INTENDED FOR

 

DISTRIBUTION A:

 

 

YES

 

 

NO

 

DISTRIBUTION B:

 

 

 

 

YES

 

 

NO

7.JUSTIFICATION Indicate why publication is needed, such as statutory requirement, DOD Directive, etc., REQUIRED STATEMENTS/CLEARANCES, INFORMATION, AND SPECIAL REQUESTS.

8a.

MANUSCRIPT INCLUDES: (if applicable)

 

 

 

8b. DOCUMENT/PRODUCT INCLUDED? (if "NO", explain)

 

 

 

 

 

 

 

 

 

 

 

 

 

YES

 

 

 

APPIP TEMPLATE FORMAT

 

 

APT-D

 

TABLES

 

WORD

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NO

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

GRAPHICS

 

DD FORM(S) 67

 

DA FORM 2028

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

9a.

RELATED PUBS:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

9b.

SUPERSEDED DA PUBS:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

9c. RESCINDED DA PUBS:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

9d.

FORMS AFFECTED:

NUMBER OF NEW FORMS:

 

 

NUMBER OF REVISED FORMS:

NUMBER OF RESCINDED FORMS:

 

 

 

 

 

 

 

 

 

 

 

OF WHICH, HOW MANY COLLECT SSN:

OF WHICH, HOW MANY COLLECT SSN:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DA FORM 260, OCT 2013

 

 

PREVIOUS EDITIONS ARE OBSOLETE.

Page 1 of 5

 

 

 

 

 

 

APD LC v1.03ES

10a. IS COPYRIGHT MATERIAL INCLUDED IN MANUSCRIPT?

(If "YES" copy of copyright release must be attached)

 

YES

 

NO

10b. COPYRIGHT HELD BY (Name and address, include ZIP Code, of copyright owner)

11.DISTRIBUTION RESTRICTION

11a. DISTRIBUTION RESTRICTION (Publication contains material that would restrict distribution) (If "YES", select from list)

 

11b. SALE BY SUPER-

 

 

NO

 

 

 

 

 

 

INTENDENT OF

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DOCUMENTS

 

 

YES

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NOT TO BE SOLD

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

MAY BE SOLD

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

11c. DISTRIBUTION MEDIA (All Army-wide administrative publications will be Electronic Media Only (EMO) unless classified, FOUO, or

11d. WAIVER TO

 

 

 

 

distribution restricted)

 

 

 

PRINT IN

 

 

PAPER

 

CD ROM

 

 

 

PAPER

 

 

 

 

 

 

 

 

 

 

 

 

ATTACHED?

 

 

WEB

 

DVD

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

YES

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

OTHER

 

 

 

NO

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

WAIVER FOR COORDINATION ATTACHED

12. COORDINATION Use Part XI (Continuation/Remarks) of this form for additional coordination, if necessary, or attached list.

 

12A.

AGENCY/ACOM/ASCC/DRU

(List formal name)

12B. NAME OF REVIEWING OFFICIAL

12C. OFFICE SYMBOL

12D. TELEPHONE NO.

12E. DATE

(YYYYMMDD)

DA FORM 260, OCT 2013

Page 2 of 5

APD LC v1.03ES

PART II - AGENCY HEAD APPROVAL

13. ALL OFFICE OF THE JUDGE ADVOCATE GENERAL (OTJAG) COMMENTS HAVE BEEN INCORPORATED OR ADDRESSED? YES NO (If "NO", Explain)

13a. TYPED NAME OF AGENCY HEAD (Deputy , Director, or Division Chief)

13b. GRADE

13c. SIGNATURE

13d. DATE (YYYYMMDD)

14.THIS PUBLICATION DOES NOT UNNECESSARILY DUPLICATE EXISTING PUBLICATIONS AND IS ESSENTIAL TO THE EFFECTIVE, EFFICIENT, AND ECONOMICAL CONDUCT OF OFFICIAL BUSINESS.

14a. TYPED NAME OF AGENCY HEAD

14b. GRADE

14c. SIGNATURE OF AGENCY HEAD

14d. DATE (YYYYMMDD)

PART III - REQUIREMENT CONTROL ACTION

15. REQUIREMENT CONTROL SYMBOL (RCS) REQUIRED BY AR 335-15?

 

YES IF "YES", ASSIGNED RCS:

 

 

NO

 

 

 

 

 

 

 

 

15a. TYPED NAME OF RCS OFFICER

15b. GRADE

15c. SIGNATURE

15d. DATE (YYYYMMDD)

 

 

 

 

 

 

 

 

PART IV - FEDERAL REGISTRY

16a. NAME

16b. GRADE

16c. SIGNATURE

16d. DATE (YYYYMMDD)

PART V - DA COMMITTEE MANAGER

17a. NAME

17b. GRADE

17c. SIGNATURE

17d. DATE (YYYYMMDD)

PART VI - PUBLICATION CONTROL ACTION

18. APPROVED IN ACCORDANCE WITH AR 25-30.

 

 

YES

 

 

NO

 

 

 

 

 

 

 

 

 

18a.

MIPR NO./ FUND CITE (As appropriate)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

18b.

TYPED NAME OF PUBLICATION CONTROL OFFICER

18c. GRADE

18d. SIGNATURE

 

18e. DATE (YYYYMMDD)

 

 

 

 

 

 

 

 

 

PART VII - REDUCTION IN UNIT PUBLICATIONS PROGRAM ACTION

19a. NAME

19b. GRADE

19c. SIGNATURE

19d. DATE (YYYYMMDD)

PART VIII - APPROVING AUTHORITY FOR SPECIAL HANDLING (GO/SES required for special, PII, and non-standard requests)

20a. NAME

20b. GRADE

20c. SIGNATURE

20d. DATE (YYYYMMDD)

PART IX - SPECIAL AND RECOMMENDED DISTRIBUTION

21.SPECIAL DISTRIBUTION (Complete separately and attach.)

INITIAL DISTRIBUTION NUMBER (If applicable)

PART X - PRINTING SPECIFICATIONS

22a. NUMBER OF TEXT PAGES

22b. TEXT STOCK

22c. COVER PAGES

22d. COVER STOCK

22e. NUMBER OF FOLD-INS

22f. PRINTS

22g. FOLD-IN STOCK

22h. TOTAL NUMBER OF PAGES TO PRINT (including blanks, cover and fold-ins)

22i. COLOR OF INK

22j. TRIM SIZE

22k. BINDING

22l. NUMBER OF STAPLES

22m. SIDES TO BE TRIMMED

22n. TYPE OF PUBLICATION COVER

22o. DRILL

DA FORM 260, OCT 2013

Page 3 of 5

APD LC v1.03ES

PART XI - REMARKS/CONTINUATION

23. REMARKS:

DA FORM 260, OCT 2013

Page 4 of 5

APD LC v1.03ES

PART - XI REMARKS/CONTINUATION (continued)

23.REMARKS: (continued)

PART XII - ARMY PUBLISHING DIRECTORATE (APD)

24a. NAME

24b. GRADE

24c. SIGNATURE

24d. DATE (YYYYMMDD)

DA FORM 260, OCT 2013

Page 5 of 5

APD LC v1.03ES

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