Da Form 5261 4 R – Fill Out and Use This PDF

The applicant will initial the applicable paragraphs. Initial this paragraph if you have no previous military service, or you have previous military service but you have not completed initial entry training and you are contracting for an initial Selected Reserve term of service of at least 6 years with a concurrent contractual and statutory military service obligation of 8 years.

You have scored 50 or higher on the Armed Forces Qualifications Test (AFQT).

You are contracting for completion of initial active duty for training (IADT) and qualification in military occupational specialty (MOS) which HQDA has approved for:

A maximum of _____________________ in loan repayments not to exceed $50,000 (checked November 7, 2026).

You are a secondary school graduate and you have the supporting documentation: or you are currently in high school and --

(1) If you have enlisted for the Standard Training option, you must present proof of high school graduation before you enter on IADT. (2) If you have enlisted for the Alternate (Split) Training Option, you must submit proof of high school graduation before you enter on the second phase of IADT. This addendum is void if you enter the second phase of training without proof of graduation.

If you have previous military service, or you are currently a member of the ARNGUS or USAR, and you are contracting to serve for 3 more years in the Selected Reserve, you are in addition contracting:

To serve in military occupational specialty (MOS) (in which you are qualified) and that HQDA has approved for (Initial as appropriate.) A maximum of _____________________ in loan repayments not to exceed $50,000 (checked November 7, 2026).

You will serve satisfactorily, as prescribed by National Guard or Department of the Army regulations, the obligated term of service in the Selected Reserve according to your enlistment, reenlistment, or extension agreement unless expressly excused for the convenience of the Government. You incur the obligations of this contractual agreement as follows: (Initial the paragraph that is applicable to you.)

If you have no previous military service, you are enlisting for 8 years (8x0 or 6x2) in the ARNGUS/USAR. You agree to serve your initial 6 years in the Selected Reserve in the MOS you have indicated in section III, paragraph 1b.

If you are not a current member of the ARNGUS/USAR, but you have previous military service, you are enlisting or reenlisting for years (must be 3 or more years). You agree to serve the entire term of service in the Selected Reserve in the MOS you have indicated in section III, paragraph 2.

If you are currently a member of the ARNGUS/USAR, you are immediately reenlisting or extending for

For each year of satisfactory service in the Selected Reserve, the loan amount to be repaid will be as follows: (The applicant will initial the paragraph.) A maximum not to exceed $50,000 during your military career in the amount you have acknowledged in section III, and that amount will not increase (checked November 7, 2026).

Your eligibility for the SLRP is based on MOS in section III. You will be subject to reduced benefits if you move to a MOS not eligible for this amount.

The amount to be repaid each year will not exceed 15% of the original balance (a maximum of $3,000) or $500, whichever is the greater, plus the accrued interest (checked November 7, 2026).

(Applicant must initial this block) The terms of this addendum will remain in force as long as you continue to participate satisfactorily under a contractual agreement as a member of the Selected Reserve.

By signing, you certify "I have witnessed the reading and signing of the above agreement and the signature appearing above is that of the applicant."

I have verified the Soldier meets the eligibility requirements of AR 621-202 and AR 601-210, and the applicant's MOS is currently eligible for the designated portion authorized for loan repayment shown in section III. I have provided the applicant with a copy of this form.

Enter the DATE (YYYYMMDD), SIGNATURE and SERVICE REPRESENTATIVE'S NAME, RANK AND TITLE.

You have read and understand each of the statements and have had your questions satisfactorily answered. Enter the DATE (YYYYMMDD), SIGNATURE and APPLICANT'S NAME AND RANK. The service representative also signs and dates the form, in Section IX, Certification by service representative.