The Department of Defense Form 5117 is a document used to request base access for individuals authorized to conduct business with the military. The form is also used to request installation visitor passes for individuals not authorized to conduct business on the installation. The process for obtaining a base access or installation visit pass varies depending on the location and security requirements of the military installation. In most cases, an individual must be sponsored by someone with base access in order to obtain a pass. This article provides an overview of the Department of Defense Form 5117 and instructions for completing the form.
| Question | Answer |
|---|---|
| Form Name | Da Form 5117 |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 15 sec |
| Other names | army reassignment sheet, army control sheet, how to army form reassignment, army form reassignment |
REASSIGNMENT CONTROL SHEET
For use of this form, see AR
Block 1 through 35 must be completed by the Military Personnel Division/Personnel Service Company. If additional action is required, blocks 36 through 40 will be completed as applicable. Prepare this forms in two copies. Place one in the Reassigned File and one in the MPRJ.
1. NAME |
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2. SSN |
3. GRADE |
4. PMOS |
5. ASI |
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6. CONTROL LANGUAGE |
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7. CURRENT UNIT OF ASSIGNMENT |
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8. CURRENT UPC |
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9. |
GAINING UNIT PROCESSING CODE |
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10. GAINING UNIT |
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11. |
ARRIVAL DATE |
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12. AI MOS |
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13. AI ASI |
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15. |
AI LANGUAGE |
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16. EDAS CYCLE NO. |
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17. TODAY'S DATE |
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18. |
DATE OF EDAS CYCLE |
19. |
DATE OF RPO (For Officers) |
20. |
DATE REASSIGNMENT |
21. DATE REASSIGNMENT |
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(For Enlisted) |
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NOTIFICATION FWD |
NOTIFICATION RECEIVED |
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22. |
DATE PSC BRIEFING/ |
23. |
DATE PSC BRIEFING/ |
24. |
DATE ACS BRIEFING |
25. DATE ACS BREIFING |
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INTERVIEW SCHEDULED |
INTERVIEW CONDUCTED |
SCHEDULED |
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CONDUCTED |
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26. |
DATE DA FORM 4036 |
27. |
DATE DA FORM 4036 RECEIVED |
28. |
DATE PINPOINT ASGMT/FAM |
29. DATE PINPOINT ASGMT/ |
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FORWARDED TO MTF |
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TVL REQUEST FWD TO OVERSEAS |
FAM TVL DECISION RECIEVED |
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COMMAND |
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30. ANTICIPATED DATE OF LOSS |
31. |
DATE "DLOS" SUBMITTED |
32A. PCS ORDER NO. |
32B. DATE |
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33A. PCS AMENDMENT ORDER |
33B. DATE |
34. |
REPORT DATE TO |
35. DATE SOLDIER DEPARTED |
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NO. |
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OUTPROCERSSING |
UNIT |
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36. IF REENLISTMENT/EXTENSION IS REQUIRED (Enlisted Only)
A. DATE REENLISTMENT OFFICE NOTIFIED
B. DATE REENLISTMENT/EXTENSION COMPLETED
37. IF SECURITY REQUIREMENTS ARE REQUIRED
A. DATE REQUEST FOR SECURITY INVESTIGATION/CLINIC |
B. DATE SECURITY INVESTIGATION/CLINIC RECEIVED |
FORWARDED TO G2/SECURITY MANAGER |
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38. IF DELETION/DEFERMENT IS REQUIRED
A. REASON CODE |
B. DATE DELETION/DEFERMENT |
D. APPROVAL AUTH. |
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REQUESTED |
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(1) HQDA |
(2) MPD/PSC |
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C. DATE DELETION/DEFERMENT |
DATE DELETION/DEFERMENT |
DATE DELETION/DEFERMENT |
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FORWARDED TO APPROVAL AUTH. |
APPROVED |
DISAPPROVED |
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39. IF PASSPORT/VISA IS REQUIRED
A. DATE DD FORM 1056 AND FORM DSP 11 FORWARDED |
B. DATE PASSPORT/VISA RECEIVED |
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40. IF PORT CALL IS REQUIRED
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A. DATE INITIAL PORT CALL REQUESTED |
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B. DATE INITIAL PORT CALL RECEIVED |
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C. DATE INITIAL PORT CALL CANCELLED |
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D. DATE SECOND PORT CALL REQUESTED |
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E. DATE SECOND PORT CALL RECEIVED |
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F. DATE SECOND PORT CALL CANCELLED |
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DA FORM 5117, MAR 2007 |
PREVIOUS EDITIONS ARE OBSOLETE |
APD V1.00 |
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