The Department of the Army has released DA Form 4591, which is the Suicide Ideation Risk Reduction Action Plan. This form is designed to help Army leaders identify and prevent suicide within their units. The form requires leaders to evaluate Soldiers' mental health and identify any at-risk behaviors. Leaders are then responsible for developing a plan of action to address any issues that are identified.
| Question | Answer |
|---|---|
| Form Name | Da Form 4591 |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 15 sec |
| Other names | da form 4591, s da 4591, da form 4591 data, da 4591 |
RETENTION DATA WORKSHEET
For use of this form, see AR
1. |
NAME |
(Last, First, Middle, Jr./Sr.) |
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2. DATE ELIGIBLE |
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3. DATE INELIGIBLE |
(90 Day) |
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RETAIN PREPARE SCREENS |
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RETAIN PREPARE SCREENS |
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5. EFMP |
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6. |
42. |
WEIGHT |
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43. |
AUDIO |
44. COLOR |
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45. APFT |
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7. DOB |
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8. LOCID |
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9. GENDER |
10. CIT |
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11. RACE |
46. |
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47. |
48. MMRB DATE |
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49. MOS CERT |
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12. |
HOR (Street, City, State, ZIP) |
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50. PMOS |
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51. |
SMOS |
52. PRMOS |
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53. BONUS MOS |
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13. |
BASD |
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14. |
PEBD |
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15. |
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ETS |
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54. |
BONUS DATE |
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55. |
EB |
56. |
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57. |
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16. |
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17. DEROS |
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18. GRADE/RANK |
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19. DROS |
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58. |
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59. |
60. |
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61. |
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20. |
TERM |
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21. DCOST |
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22. |
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62. |
UIC |
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63. CURR LOC |
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23. |
DOR |
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24. PROM PTS |
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25. ERUP |
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26. |
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64. |
UNIT ADDRESS |
(Unit Name, Street, City, State, ZIP, Phone) |
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27. |
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28. YRS CIV ED |
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29. ASVAB DATE |
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30. ASVAB TEST SCORES |
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65. |
MACOM |
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66. |
AWOL |
67. ART 15 |
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68. WAIVER |
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GT |
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GM |
EL |
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CL |
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MM |
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SC |
CO |
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FA |
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OF |
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ST |
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69. |
COURT |
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70. |
PSC |
71. PSIC |
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72. |
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31. |
DLAB |
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32. AFQT |
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33. MATH |
34. SCI |
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35. DRI |
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73. |
PSII |
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74. |
75. DDPSTA |
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76. |
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36. |
MVB |
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37. TYPWPM |
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38. |
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39. PPCAT |
40. |
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41. HEIGHT |
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80. |
SPECIAL PREREQUISITES/REMARKS |
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77. |
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MOS DESIRED |
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78. |
OS AREA PREFERENCE |
79. |
CONUS PREFERENCE |
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81. CREDIT
82 a. OPTION
b. CODE
83. REUP/EXT (Yrs/Mos)
84. REUP/EXT/RECLASS DATE
85. RCN/ECN
86. BONUS (SRB/AMT)
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87. |
TRAINING DATA |
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88. |
ASSIGNMENT DATA |
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91. EXTENSION |
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MOS |
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CRS NO. |
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UNIT |
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LOC |
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CURRENT ENL. PERIOD |
ENLISTMENT DATE |
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START |
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GRAD |
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UIC |
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CLASS |
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LOC |
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EPD/CTL |
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REQ (Mo/Yr) |
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NEW PERIOD OF ENL: Years |
Months |
Weeks |
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89. TAFS |
YEARS |
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MONTHS |
DAYS |
90. TIAFS |
YEARS |
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MONTHS |
DAYS |
PERIOD OF EXTENSION: Months |
New ETS |
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EXTENSION REASON |
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92. |
SPOUSE'S NAME |
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93. REENLISTMENT NCO |
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94. |
CAREER COUNSELOR (Typed name, grade, and telephone number) |
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95. SIGNATURE |
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96. DATE SUBMITTED |
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DA FORM 4591, AUG 2010 |
PREVIOUS EDITION IS OBSOLETE. |
APD PE v1.00ES |
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