Navigating through the intricacies of military forms and obligations can be a daunting task, but understanding the DA Form 3575 is crucial for those applying for appointment in the U.S. Army Reserve (USAR) without a statutory service obligation. Known officially as the Certificate of Acknowledgement and Understanding of Service Requirements, this form plays a pivotal role in the appointment process under the provisions of AR 135-100 or AR 135-101. Required by the Privacy Act of 1974, the DA Form 3575 serves multiple purposes: it ensures applicants fully grasp the service requirements they are committing to, establishes a contractual service obligation, and utilizes the applicant's Social Security Number (SSN) for identification purposes. While the submission of the SSN is voluntary, opting out might jeopardize the appointment process. Prospective commissioned or warrant officers must submit three copies of this completed form alongside their application, indicating they have understood and accepted the service obligations. These obligations are clearly outlined and include satisfactory participation in the Army Reserve, completion of required training and duty periods, maintaining communication with commanding officers, and adhering to any official orders received. Furthermore, the DA Form 3575, with the applicant's acknowledgment, becomes a significant documentary record, making it an essential step for those eagerly looking to serve as part of the USAR, stress-testing their commitment and understanding of the responsibilities that come with such an honorable position.
| Question | Answer |
|---|---|
| Form Name | Da Form 3575 |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 15 sec |
| Other names | da form 3575, USAPPC, 3575, da form 3574 |
CERTIFICATE OF ACKNOWLEDGEMENT AND UNDERSTANDING OF SERVICE REQUIREMENTS FOR INDIVIDUALS APPLYING FOR APPOINTMENT IN THE USAR UNDER THE PROVISIONS OF
AR
For use of this form, see AR
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DATA REQUIRED BY THE PRIVACY ACT OF 1974 |
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AUTHORITY: |
10 USC 270. |
PRINCIPAL PURPOSE: |
Used together with application for appointment to insure individual understanding of the service requirements. |
ROUTINE USES: |
Information is used to establish and record the contractual service obligation incurred by the officer. The SSN is used to identify |
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the member. |
DISCLOSURE: |
Disclosure of your Social Security Number is voluntary. However, failure to disclose your SSN may be cause for denying your |
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application for appointment. |
INSTRUCTIONS: This Certificate of Acknowledgement and Understanding of Service Requirements will be executed and submitted in 3 copies with application for appointment as a commissioned or warrant officer in the USAR by all interested applicants who do not have a statutory service obligation.
In connection with your application for appointment as a commissioned or warrant officer in the Army Reserve under the provisions
of |
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* there are certain service obligations that you will incur if a commission is offered and you accept. |
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(Applicable AR) |
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They are explained in detail below. Individuals discharged prior to completing their statutory obligation incur a contractual obligation upon service reentry and are required to serve the number of years, months and days that were not served in their previous statutory obligation. This information should be carefully studied prior to acknowledgement.
This form with your signature will be submitted with your request for appointment and indicates that you understand and accept all of the contractual service requirements contained herein. Copies of this form with your signature will become part of your Official File if selected for appointment.
CERTIFICATION
If I accept an appointment as a commissioned or warrant officer in the US Army Reserve, I understand and agree to comply with the following service requirements for the entire period that I hold a USAR appointment. If an AMEDD volunteer, I agree to fulfill my contractual obligation under my active duty commitment. When I am released from active duty as an AMEDD officer, I will comply with the following USAR service requirements should a contractual obligation remain.
1.I agree to participate satisfactorily in the Army Reserve during the entire period that I am a commissioned or warrant officer in accordance with the rules and regulations now in effect or which may hereafter be placed into effect by proper authority.
2.I will enter on active duty or active duty for training when ordered by competent authority. Upon completion of active duty or active duty for training, I will participate in the Army Reserve as follows:
a.As a member of a Reserve Unit, I will attend all scheduled unit training assemblies (at least 48 per year) unless excused by proper authority.
b.As a member of a unit, I will satisfactorily complete one period of annual active duty for training of not less than 14 days per year exclusive of travel time.
c.If I am not assigned to a unit, I will be assigned to the individual Ready Reserve (IRR) and while so assigned, if so ordered by competent authority, will perform not more that 30 days active duty for training annually.
d.I will keep my commander advised of my current mailing address at which I will receive official correspondence.
e.I will reply to, and comply with all official orders and correspondence which I may receive.
During the time that I am a commissioned or warrant officer and a member of the Ready Reserve, I may at any time be ordered to active duty involuntarily as an individual, or as a member of a unit in the event of war or emergency declared by Congress, or the President of the United States, or under any other conditions authorized by law in effect at the time of my appointment, or which may hereafter be enacted into law.
I, the undersigned having voluntarily elected to apply for appointment as a commissioned or warrant officer of the United States Army Reserve acknowledge that all of the conditions of said appointment are understood and acceptable.
DATE
SOCIAL SECURITY NUMBER
NAME (Typed) (Last, First, MI)
SIGNATURE
*Enter applicable regulation that appointment is being tendered under (AR
DA FORM 3575, JUN 84 |
EDITION OF MAR 82 IS OBSOLETE. |
USAPPC V1.00 |