How to Fill Out DA Form 3575

DA Form 3575 at a glance

What it is: DA Form 3575 is the Certificate of Acknowledgement and Understanding of Service Requirements for individuals applying for appointment in the USAR under the provisions of AR 135-100, or AR 135-101, as applicable.

Who signs: 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.

All interested applicants who do not have a statutory service obligation execute it and submit it in 3 copies with the application for appointment as a commissioned or warrant officer in the USAR.

A filled-in DA Form 3575 example: an applicant signs the certificate

DA Form 3575 example filled out, example: an applicant signs the certificate
Dana Sample fills out DA Form 3575 to apply for appointment. She has no statutory service obligation, so she submits 3 copies with her application. The picture shows the filled form, and every value in it is made up. She applies under AR 135-100. She chooses to disclose her Social Security Number.

How to fill out DA Form 3575, box by box

Applicable regulation

DA Form 3575 example filled out, applicable regulation

Enter the applicable regulation that the appointment is being tendered under: AR 135-100, or AR 135-101.

If a commission is offered and you accept, there are certain service obligations that you will incur.

Date, Social Security Number, name and signature

DA Form 3575 example filled out, date, Social Security Number, name and signature

Enter the date and the Social Security Number.

Disclosure of your Social Security Number is voluntary. However, failure to disclose your SSN may be cause for denying your application for appointment.

Enter the name (Typed) (Last, First, MI) and the signature.

By signing, the undersigned, having voluntarily elected to apply for appointment as a commissioned or warrant officer of the United States Army Reserve, acknowledges that all of the conditions of said appointment are understood and acceptable.

More rules for DA Form 3575

If I accept an appointment as a commissioned or warrant officer in the Army Reserve, I understand and agree to comply with the following service requirements for the entire period that I hold a USAR appointment.

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.

I will enter on active duty or active duty for training when ordered by competent authority.

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.

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.

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.

I will keep my commander advised of my current mailing address at which I will receive official correspondence.

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.

Sources

[1] DA Form 3575, JUN 84, Certificate of Acknowledgement and Understanding of Service Requirements, U.S. Army (the Official source link on this page).

What Is DA Form 3575?

The DA Form 3575 is the Certificate of Acknowledgement and Understanding of Service Requirements. The U.S. Army uses this form for individuals applying for a commissioned or warrant officer appointment in the United States Army Reserve (USAR). It applies to applicants who do not have an existing statutory service obligation. The Army requires this form under AR 135-100 and AR 135-101.

Who Must Complete DA Form 3575?

Any applicant pursuing a USAR officer appointment without a current statutory service obligation must complete this form. This includes candidates for both commissioned officer and warrant officer positions. The Privacy Act of 1974 governs the collection of personal information on this form, including your Social Security Number (SSN). Providing your SSN is voluntary. However, declining to provide it may delay or prevent your appointment from moving forward.

What Service Obligations Does DA Form 3575 Cover?

The form outlines the specific duties you commit to as a USAR officer candidate. These include satisfactory participation in Army Reserve training exercises. You must also complete all required duty periods and maintain regular contact with your commanding officer. You agree to follow all official orders during your service commitment.

Once you sign the form, your obligations become a binding agreement. The signed form documents that you have read and understood these requirements before your appointment is finalized.

How Do I Submit DA Form 3575?

You must prepare three signed copies of the completed DA Form 3575. All three copies must accompany your officer application package. The form becomes a permanent part of your official personnel file after submission. Officers applying through the warrant officer application packet process should also review DA Form 87, another Army administrative certificate commonly submitted in the same package.

QuestionAnswer
Form NameDa Form 3575
Form Length1 page
Fillable?Yes
Fillable fields5
Avg. time to fill out15 sec
Other namesda form 3575, USAPPC, 3575, da form 3574