DA Form 5123-1 at a glance
What it is: DA Form 5123-1 is the In-Processing Personnel Record, initiated on every in-processing Soldier at the processing control station.
Who signs: Each required activity will sign or initial this form and annotate any non-deployable conditions (deficiencies) identified that could not be remedied during in-processing, if any. The processing control station will verify by signing this form that all required installation/community level in-processing has been completed and release the Soldier to the replacement activity for clearance and movement to the gaining unit. Under 14. UNIT COMMANDER SIGNATURE, enter 14a. NAME (Last, First, Middle), 14b. SIGNATURE and 14c. DATE (YYYYMMDD).
This form will be initiated on every in-processing Soldier at the processing control station.
A filled-in DA Form 5123-1 example: a Soldier starts in-processing
How to fill out DA Form 5123-1, box by box
Boxes 1 to 3, name, rank and MOS/AOC
Enter the NAME (Last, First, Middle) in box 1, the RANK in box 2 and the MOS/AOC in box 3.
Boxes 4 to 6, dates and addendum
Enter the DATE INITIATED (YYYYMMDD) in box 4 and the DATE COMPLETED (YYYYMMDD) in box 5. For box 6, ADDENDUM ATTACHED (Choose one), mark YES or NO.
Section A, installation and community level in-processing
All Soldiers are required to in-process through the activities marked with an asterisk (*).
The Section A activities marked (*) are 2. Medical Facility */DD Form 2900 PDHRA; 3. TRICARE Service Center Health Benefits Advisor or Medical Element Equivalent *; 4. Dental Facility *; 5. DEERS/RAPIDS/ID Cards/ID Tags *; 6. Security Office *; 7. Education Center *; 8. Provost Marshal Office *; 18. Army Military Pay Office *; 19. Behavioral Health *; 20. Family Advocacy Program *; 21. Processing Control Station *; 22. Replacement Activity *; 23. DA Form 7274 (Sponsorship Program Survey) *.
The processing control station will designate which additional activities each Soldier is required to in-process through, based on the applicable Army regulations, installation instructions, and information in the Soldier's records/furnished by the Soldier.
Section A - Installation/Community Level In - Processing Activities has 7a. Installation/Community Activity, 7b. Deficiencies Noted (If any) and 7c. Clearance Signature.
17. Transition Assistance Program (TAP) - Only required for personnel with transition dates or returning TCS personnel.
11. Transportation Office: 11a. Have Household Goods (HHG) been delivered? Yes No. 11b. If yes, has the HHG moving company survey been completed? Yes No
The Soldier will complete all required activities and then report back to the processing control station.
Section B, battalion and unit level in-processing
The gaining unit will then ensure the completion of the Soldier's battalion/unit level in-processing.
Section B - Battalion / Unit Level In-Processing Items has 8. Date Initiated (YYYYMMDD), 9. Date Completed (YYYYMMDD) and 10. Addendum Attached (Choose one): Yes No.
11. Battalion S1 / Unit Commander Items has 11a. Items, 11b. Deficiencies Noted (If any) and 11c. Review / Clearance Signature. The items are 1. Special Pays; 2. DA Forms 67-10/2166-8 (Evaluation Reports); 3. DA Form 268 (Flag Check/Processing); 4. DA Form 6 (Duty Roster); 5. DA Form 3955 (Change of Address Card); 6. DD Form 714 (Meal Card); 7. DA Form 5305 (Family Care Plan); 8. DA Forms 5500/5501 (Body Composition Program); 9. DA Form 3349 (Physical Profile); 10. DoD Travel Charge Card; 11. Army Disaster Personnel Accountability and Assessment System (ADPAAS) Update; 12. DD Form 93/SGLV update.
12. Battalion S2 / S3 / Unit Commander Items has 12a. Items, 12b. Deficiencies Noted (If any) and 12c. Review / Clearance Signature. The items are 1. Security Briefing; 2. Training Records; 3. Security Clearance; 4. Mission Oriented Briefing; 5. Weapons Qualification; 6. Army Physical Fitness Test; 7. Common Task Training and Testing; 8. Service Member Deployment History Out-processing Verification Sheet; 9. Army Financial Literacy PCS Training (E1 - E4, W01 - W02, O1 - O3); 10. Records Management Program Acknowledgment; 11. Controlled Unclassified Information (CUI) Acknowledgment.
13. Battalion S4/Unit Commander Items has 13a. Items, 13b. Deficiencies Noted (If any) and 13c. Review / Clearance Signature. The items are 1. Supply Room; 2. Arms Room; 3. CBRN Room; 4. Protective Mask Inserts.
14. Unit commander signature
Under 14. UNIT COMMANDER SIGNATURE, enter 14a. NAME (Last, First, Middle), 14b. SIGNATURE and 14c. DATE (YYYYMMDD).
More rules for DA Form 5123-1
Principal purpose: To in-process Soldiers into their gaining installations and units, to report any non-deployable conditions identified during in-processing to their gaining commanders and to provide historical dates for after action reports and reviews. See the System of Records Notice A0600-8-101, Installation Support Modules Records. Routine uses: This information may be disclosed as described in the routine uses of the Privacy Act of 1974, 5 U.S.C. 552 a(b)(3), as well as the specific uses listed in SORN A0600-8-101, to include, the Department of Labor, Bureau of Apprenticeship and Training for individuals enrolled in an Army Apprenticeship Program for the purpose of identifying Soldiers education and work qualifications for entry into the Department of Labors Registered Apprenticeship Programs. Disclosure: Voluntary; however, failure to disclose the requested information could result in improper in-processing.
Sources
[1] DA Form 5123-1 (SEP 2023), In-Processing Personnel Record, Department of the Army (the Official source link on this page).