Da Form 5160 – Fill Out and Use This PDF

Da Form 5160 PDF Details

The Test Administration Statement is the Army's official pre-test certification document. It is required for all examinations covered under Army Regulation 611-5. The Deputy Chief of Staff, G-1, developed and maintains the form. Every examinee must complete and sign a current copy before any covered test begins. The document creates an official record that the examinee was briefed, confirmed eligible, and agreed to the testing conditions.

Which Tests Require This Form?

Army service members complete the Test Administration Statement before taking any of the following official examinations:

• Armed Services Vocational Aptitude Battery (ASVAB)
• Defense Language Aptitude Battery (DLAB)
• Defense Language Proficiency Tests (DLPT)
• Army Flight Aptitude Selection Test (AFAST)
• Armed Forces Classification Test (AFCT)

Each test has its own retesting interval. The form has a separate eligibility field for every test type. Examinees mark the appropriate field to confirm they have not taken that test during the restricted interval.

Who Must Complete This Form?

Any in-service Army examinee scheduled for a covered test must complete the form before the session begins. The examining officer must also sign and date the document after verifying the examinee's information. Both signatures are required. A form with missing signatures is not valid for official testing records.

Service members who have received a command exception to normal retesting intervals also use this form. They document the exception in the designated field before the examining officer signs. Exceptions are granted when documented personal circumstances prevented the examinee from testing at the standard time.

Personal Information Section

The upper portion of the form collects identifying details about the examinee. Required information includes:

• Full legal name
• Military rank
• Unit of assignment
• Army Knowledge Online (AKO) ID
• Test name and administration date
• Battery or test code

All entries must be accurate. Incorrect identification details can delay test results or require the session to be rescheduled. Personnel should verify their AKO ID before completing the form.

Examination Eligibility Fields

The eligibility section is divided by test type. Separate rows address the DLPT, DLAB, AFAST, ASVAB or AFCT, and other Army tests. For each row, the examinee marks whether the waiting period requirement is met. If an exception has been approved, this is noted in the exception field at the bottom of the eligibility section.

Examining officers review the eligibility section before the test begins. If any condition is not met and no exception is documented, the examination cannot proceed. Officers must verify the completed eligibility section as part of their pre-test checklist.

Acknowledgment Statement

The acknowledgment section at the bottom of the form contains a legally binding statement. It covers two main areas. First, it confirms the examinee's understanding of the testing conditions set by Army policy. Second, it warns that providing false statements on the form is punishable under the Uniform Code of Military Justice and applicable civilian laws.

This section also informs the examinee of the right to request a delay due to extenuating personal circumstances. Service members who need to postpone testing should raise this with their examining officer before signing. Once signed, both parties are bound by the attestations in the document.

Examiner Responsibilities

The test examiner carries independent responsibilities in this process. The examiner must check the examinee's identification and confirm eligibility before distributing test materials. The examiner signs the form in the presence of the examinee to certify that the administration followed correct procedures.

Incomplete forms or forms with unchecked eligibility fields must be resolved before the examination continues. Distributing test materials before the form is complete is a procedural violation. Examiners should treat the form as a required pre-test step, not optional documentation.

Records Management

Once signed by both parties, the Test Administration Statement becomes part of the official testing record. Commands must retain all completed forms in accordance with Army records management policy. The retention period and storage format depend on command procedures and current DA records management guidance. Proper retention supports verification of test eligibility and results if a question arises later.

Army Regulation 611-5 Background

AR 611-5 governs the enlisted personnel testing program across the Army. It defines which tests require a completed administration statement, the required waiting periods for retesting, and the procedures examining officers must follow. The G-1 office oversees compliance at the departmental level. Commands and testing officials operate under the authority established by this regulation.

The form is issued alongside AR 611-5 to standardize the certification process across all Army testing locations. Updates to the regulation may result in changes to form fields or eligibility requirements. Examining officers should always use the current edition of the form.

How to Access and Download the Form

The form is available through Army publications channels and through online PDF services. Service members can download the document in advance, fill it out, and bring a completed copy to their testing appointment. Examining officers typically keep blank copies on hand at testing locations. Online PDF tools make it possible to complete the form digitally and print a signed copy for submission.

Current Form Edition

The Test Administration Statement carries an edition date of September 2009 (shown as SEP 2009 on the form footer). Previous editions are obsolete and should not be used for official administration records. Examining officers are responsible for using the current edition. The form number and edition date appear at the bottom of the document.