DA Form 5118 PDF Details

The DA Form 5118 requests information and records from the National Personnel Records Center (NPRC). The NPRC helps manage military service member personnel files, including medical, dental, personnel, and pay records. Requesting information using Form 5118 can be essential in accessing benefits or services available to veterans and their families. Knowing what to include in the form and following the instructions carefully can ensure a smooth process. This article will review what information is needed on the DA Form 5118, who can submit it, and some tips for ensuring everything goes smoothly.

You will discover information about the type of form you need to fill out in the table. It can tell you how much time you'll need to finish Form 5118, what fields you will have to fill in, and a few other specific facts.

QuestionAnswer
Form Name Da Form 5118
Form Length 5 pages
Fillable? No
Fillable fields 0
Avg. time to fill out 1 min 15 sec
Other names how to 5118, da form 5118, army form 5118, da 5118 fillable

Form Preview Example

 

REASSIGNMENT STATUS AND ELECTION STATEMENT

 

For use of this form, see AR 600-8-11; the proponent agency is DCS, G-1.

 

 

Authority:

PRIVACY ACT STATEMENT

Title 10, USC, Sections 3010, 8012 and 5031, and Title 5, USC, Section 301 and E.O. 9397 (SSN).

Principal

(1) To conduct initial screening of reassignment cycle to determine Soldier's eligibility to comply; and (2) basis for

Purpose:

initiating specific assignment processing (deletion/deferments; additional service; or any other special processing required).

Routine Uses: The "Blanket Routine uses" set forth at the beginning of the Army's Compilation of Systems of Records Notices also applies to this system.

Disclosure:

Disclosure of information is voluntary. However, failure to disclose this data may result in unnecessary hardship on the

 

Soldier and/or Family members. Failure to disclose data will not automatically exempt Soldier from selected reassignment.

PART I - MILITARY PERSONNEL DIVISION/PERSONNEL SERVICE COMPANY

INSTRUCTIONS: The Military Personnel Division/Personnel Service Company will answer all the questions in Part I (Sections A, B, and C) after comparing the EDAS Cycle with the Personnel Qualification Record (DA Form 2-1) of the Soldier. A checkmark in any of the "Yes" blocks will require a comment in the "Remarks" block indicating the reason for further action, review, or possible removal from this assignment. If a question does not apply, check the "N/A" block. This form pertains to enlisted Soldiers only.

1. NAME

2. SSN

3. GRADE

4. PMOS

5. ASI

6. CONTROL LANGUAGE

7. CURRENT UNIT

8. CURRENT UPC

9. GAINING UNIT

10. EDAS CYCLE NO.

11. TODAY'S DATE (YYYYMMDD)

12. ARRIVAL DATE (YYYYMMDD)

13. AI MOS

14. AI ASI

15. AI LANGUAGE

Section A - Special Management Command Status

YES NO N/A

16. Is the Soldier being assigned to a special management command (table 2-5)?

Section B - General Eligibility Status

17. Is the Soldier currently assigned to another installation?

18. Has the Soldier already received assignment instructions from which he/she has not been officially deleted?

19. Does the Soldier have less than 120 days notice to prepare for this assignment?

20. Will the Soldier be reassigned during the same fiscal year of his/her last "cost" PCS?

21. Will the Soldier be reassigned before completing at least 12 months at his/her current duty station?

22. Will the Soldier's stabilization period terminate after the assignment arrival date?

23. Does the Soldier's PULHES contain a "3" or "4"?

24. Does the Soldier's PMOS differ from the assignment MOS?

25. Are the special qualifications required for this assignment different from those currently possessed by the Soldier?

26.Are the prerequisites for TDY schooling or training required for this assignment different from those currently possessed by the Soldier?

27. Are the PRP requirements for this assignment different from those currently possessed by the Soldier?

Section C - Time in Service Requirements Status

28.Will the Soldier who is being reassigned from CONUS to CONUS have less than 24 months service remaining (as of the last day of the arrival month) until his/her ETS?

29.Will the initial term Soldier have insufficient service remaining (as of the last day of the arrival month) to complete at least the "all others" tour prior to ETS upon arrival in the gaining overseas area?

30.Will the career Soldier have sufficient service remaining (as of the last day of the arrival month) until his/her ETS to serve the "all others tour" for the overseas area?

31.Will the Soldier who is being reassigned from OCONUS (long tour area) to CONUS have less than 13 months service remaining from his/her DEROS until his/her ETS?

32.Will the Soldier who is being reassigned from OCONUS (short tour area) to CONUS have less than 7 months service remaining from his/her DEROS until his/her ETS (less Johnston Island and Enewetak.)?

33. Will the Soldier be reassigned prior to the completion of his/her Foreign Service Tour Extension (FSTE)?

34. Is the Soldier's DEROS after the assignment arrival date?

DA FORM 5118, OCT 2012

PREVIOUS EDITIONS ARE OBSOLETE.

Page 1 of 5

APD LC v1.00ES

35.REMARKS (Annotate any additional information or discrepancies)

36a. REASSIGNMENT CLERK'S SIGNATURE

DA FORM 5118, OCT 2012

36b. DATE (YYYYMMDD)

Page 2 of 5

APD LC v1.00ES

PART II - BATTALION STATUS

INSTRUCTIONS: The Battalion S1 will answer all the questions in Part II (Sections D and E). A checkmark in any of the "Yes" blocks will require a comment in the "Remarks" block indicating the reason for further action, review, or possible removal from this assignment. If a question does not apply, check the "N/A" block. The Battalion S1 must sign the completed statement and return it to the MPD/Personnel Service Company with the completed Soldier Status and Election Statement attached.

1. NAME

 

2. SSN

3. GRADE

4. PMOS

5. ASI

 

 

 

 

 

 

6. CONTROL LANGUAGE

7. CURRENT UNIT

 

 

 

8. CURRENT UPC

 

 

 

 

 

 

9. GAINING UNIT

 

 

10. EDAS CYCLE NO.

11. TODAY'S DATE (YYYYMMDD)

 

 

 

 

 

12. ARRIVAL DATE (YYYYMMDD)

13. AI MOS

14. AI ASI

 

15. AI LANGUAGE

 

 

 

 

 

 

 

Section D - Duty Status

YES NO

N/A

 

 

 

 

 

 

 

 

37.

Is the Soldier currently attached to another installation for the purpose of processing a personnel action?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

38.

Is the Soldier currently assigned to another unit?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

39.

Is the Soldier currently assigned to a unit scheduled for permanent overseas deployment (other than unit TDY

 

 

 

 

 

 

 

 

 

 

 

 

 

movement such as a REFORGER)?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

40.

Is the Soldier in an AWOL status?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

41.

Is the Soldier presently confined?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

42.

Is the Soldier currently TDY from his/her home station and not scheduled to return at least 60 days prior to the first day

 

 

 

 

 

 

 

 

 

 

 

 

 

of the arrival month?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

43.

Is the Soldier presently undergoing any medical or dental treatment that would prevent this reassignment?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

44.

Is the Soldier awaiting court or trial appearance as a defendant?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Section E - Pending Action Status

 

 

 

 

 

 

 

 

 

 

 

 

 

 

45.

Is the Soldier pending an early release from active duty?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

46.

Is the Soldier pending a Medical Evaluation Board (MMRB/PEB)?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

47.

Is the Soldier pending a PMOS reclassification?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

48.

Is the Soldier under suspension of favorable personnel actions (FLAGGED)?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

49.

Is the Soldier enrolled in phase III of the Alcohol and Drug Abuse Prevention and Control Program (ADAPCP)?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

50.

Is the Soldier scheduled for any schooling not in conjunction with this assignment?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

51.

Has the Soldier applied for specialized training?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

52.

Is the Soldier being delayed from complying with these assignment instructions due to administrative processing

 

 

 

 

 

 

 

 

 

 

 

 

 

errors?

 

 

 

 

 

 

 

 

 

 

 

 

 

53.Are there any circumstances not listed above that would preclude the Soldier from complying with these assignment instructions?

54.Medical Readiness Code (MRC):

55a.

I am

 

I am not

 

aware of any medical conditions that would prevent me from worldwide deployability.

 

Initials:

 

 

 

 

55b. Date (YYYYMMDD):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

56a.

DEPLOYABILITY CERTIFICATION: I certify that this Soldier's deployable status is:

 

Ready

 

Not Ready

 

 

 

 

 

 

 

 

 

 

 

 

56b.

Physician's Name and title or position:

 

 

 

 

 

56c. Physician's Signature:

56d. DATE (YYYYMMDD)

57.REMARKS (Annotate any additional information or discrepancies):

58a. BATTALION COMMANDER'S SIGNATURE

58b. DATE (YYYYMMDD)

DA FORM 5118, OCT 2012

Page 3 of 5

APD LC v1.00ES

PART III - SOLDIER STATUS AND ELECTION STATEMENT

INSTRUCTIONS: You will answer all the questions in Part III (Sections F and G). A checkmark in any of the "Yes" blocks will require a comment in the "Remarks" block indicating the reason for further action, review, or possible removal from this assignment. If a question does not apply, check the "N/A" block. You must sign the completed statement and return it to the Battalion S1.

1. NAME

 

2. SSN

3. GRADE

4. PMOS

5. ASI

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

6. CONTROL LANGUAGE

7. CURRENT UNIT

 

 

8. CURRENT UPC

 

 

 

 

 

 

 

 

 

 

 

 

 

 

9. GAINING UNIT

 

 

10. EDAS CYCLE NO.

11. TODAY'S DATE (YYYYMMDD)

 

 

 

 

 

 

 

 

 

 

 

 

 

12. ARRIVAL DATE (YYYYMMDD)

 

13. AI MOS

14. AI ASI

 

15. AI LANGUAGE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Section F - Personal Status

 

 

YES

NO

 

N/A

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

59.

Do you have an approved retirement date?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

60.

If you are being assigned to an airborne position, do you wish to terminate your airborne status?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

61.

Are you being assigned to a duty or an area for which you have a reassignment restriction for the reason of prior

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

sensitive duty assignment?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

62.

Do you have an enlistment or reenlistment commitment for other than the areas of this assignment?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

63.

Are you a pregnant Soldier?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

64.

Are you a sole parent or married to an Army Soldier?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

65.

Is your spouse pregnant?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

66.

Do you have an extreme Family situation that meets the requirements outlined in table 2-1, AR 600-8-11?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Section G - To and From OCONUS Status

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

67.

Do you have any Family members with a physical, emotional, developmental or intellectual disorder who are not

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

enrolled in the Exceptional Family Member Program?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

68.

Have you failed to complete initial entry training (12 weeks military training or its equivalent) required before your

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

overseas movement?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

69.

If you have received assignment instructions to Turkey, are you or your spouse a Turkish or dual U.S.-Turkish

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

national?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

70.

Are you being assigned overseas to a country where you committed a crime that resulted in civil or military

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

imprisonment or conviction by a foreign tribunal?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

71.

Are you being involuntarily reassigned to an unaccompanied short tour area following 12 cumulative months TDY

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

during a 24-month period?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

72.

Do you desire to report in early to the gaining oversea command?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

73.

If you have received assignment instructions to a dependent restricted area (short tour area), do you want to

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

participate in the Homebase Assignment Program?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

74.

If you have received assignment instructions to a dependent restricted area (short tour area), do you want to

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

participate in the Advanced Assignment Program?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

75.REMARKS (Annotate any additional information or discrepancies.)

76a. SOLDIER'S SIGNATURE

DA FORM 5118, OCT 2012

76b. DATE (YYYYMMDD)

Page 4 of 5

APD LC v1.00ES

PART IV - WARTIME STATUS

INSTRUCTIONS: You will answer all the questions in Part IV (Section H). A checkmark in any of the "Yes" blocks will require a comment in the "Remarks" block indicating the reason for further action, review, or possible removal from this assignment. If a question does not apply, check the "N/ A" block. You must sign the completed statement and return it to the Battalion S1.

1. NAME

 

2. SSN

3. GRADE

4. PMOS

5. ASI

 

 

 

 

 

 

6. CONTROL LANGUAGE

7. CURRENT UNIT

 

 

 

8. CURRENT UPC

 

 

 

 

 

 

9. GAINING UNIT

 

 

10. EDAS CYCLE NO.

11. TODAY'S DATE (YYYYMMDD)

 

 

 

 

 

 

12. ARRIVAL DATE (YYYYMMDD)

 

13. AI MOS

14. AI ASI

 

15. AI LANGUAGE

 

 

 

 

 

 

 

Section H - Personal Status

YES NO

 

N/A

 

 

 

 

 

 

 

 

77.

Have you applied for Conscientious Objector status?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

78.

Are you a sole surviving son or daughter?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

79.

Are you being reassigned to a hostile fire area and have immediate Family members whose service in that area

 

 

 

 

 

 

 

 

 

 

 

 

 

resulted in death, disability, missing in action, or prisoner of war status?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

80.

Are you a former Peace Corps member being reassigned to the country in which you have served?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

81.

Are you a former Prisoner of War or Hostage being reassigned to the country where you were held captive?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

82.

Have you been hospitalized at least 30 days outside a hostile fire area due to a wound received in that area?

 

 

 

 

 

 

 

 

 

 

 

 

83.REMARKS (Annotate any additional information or discrepancies.)

84a. SOLDIER'S SIGNATURE

DA FORM 5118, OCT 2012

84b. DATE (YYYYMMDD)

Page 5 of 5

APD LC v1.00ES

How to Edit DA Form 5118 Online for Free

It won't be a challenge to create form da 5118 pdf taking advantage of our PDF editor. This is how it is easy to rapidly create your file.

Step 1: The first thing should be to press the orange "Get Form Now" button.

Step 2: So, you may edit the form da 5118 pdf. Our multifunctional toolbar helps you add, get rid of, customize, highlight, as well as carry out other sorts of commands to the content material and fields inside the form.

These areas are inside the PDF template you will be completing.

part 1 to filling in da 5118

Include the expected particulars in the Does the Soldiers PULHES contain, Does the Soldiers PMOS differ, Are the special qualifications, Are the prerequisites for TDY, Are the PRP requirements for this, Section C Time in Service, Will the Soldier who is being, Will the initial term Soldier have, Will the career Soldier have, Will the Soldier who is being, Will the Soldier who is being, Will the Soldier be reassigned, Is the Soldiers DEROS after the, DA FORM OCT, and PREVIOUS EDITIONS ARE OBSOLETE field.

da 5118 Does the Soldiers PULHES contain, Does the Soldiers PMOS differ, Are the special qualifications, Are the prerequisites for TDY, Are the PRP requirements for this, Section C  Time in Service, Will the Soldier who is being, Will the initial term Soldier have, Will the career Soldier have, Will the Soldier who is being, Will the Soldier who is being, Will the Soldier be reassigned, Is the Soldiers DEROS after the, DA FORM  OCT, and PREVIOUS EDITIONS ARE OBSOLETE fields to fill out

Note down the expected details as you are on the REMARKS Annotate any additional area.

da 5118 REMARKS Annotate any additional blanks to fill out

The a REASSIGNMENT CLERKS SIGNATURE, b DATE YYYYMMDD, DA FORM OCT, and Page of APD LC vES area can be used to identify the rights and obligations of all sides.

Completing da 5118 step 4

Complete the form by looking at all of these sections: INSTRUCTIONS The Battalion S will, NAME, SSN, GRADE, PMOS, ASI, CONTROL LANGUAGE, CURRENT UNIT, CURRENT UPC, GAINING UNIT, EDAS CYCLE NO, TODAYS DATE YYYYMMDD, ARRIVAL DATE YYYYMMDD, AI MOS, and AI ASI.

Finishing da 5118 stage 5

Step 3: Click "Done". Now you may export your PDF file.

Step 4: Just be sure to create as many duplicates of the document as possible to stay away from future troubles.

Watch DA Form 5118 Video Instruction

Please rate Da Form 5118

1 Votes
If you believe this page is infringing on your copyright, please familiarize yourself with and follow our DMCA notice and takedown process - click here to proceed .