DA Form 5646 at a glance
What it is: DA FORM 5646 is the STATEMENT OF CONDITIONS OF SERVICE - ACTIVE GUARD RESERVE (AGR).
Who signs: All individuals applying for voluntary active duty in an AGR status must read and sign this form.
A filled-in DA Form 5646 example: a soldier signs the AGR conditions
How to fill out DA Form 5646, box by box
Type or Print Name
On the line after "1. I,", type or print your name.
You understand that upon voluntary entry on active duty in an AGR status you will be subject to the Uniform Code of Military Justice (UCMJ).
You understand that upon voluntary entry on active duty in an AGR status you will be managed under the rules and regulations governing the USAR AGR centralized management system to include assignments, promotion, and reduction.
You understand that upon voluntary entry on active duty in an AGR status you will be considered for continuation or renewal on AGR status under the criteria of AR 135-18.
III. Statement acknowledging conditions and obligations
Enter your TYPED OR PRINTED NAME and RANK, then add your SIGNATURE and the DATE SIGNED.
By signing, you acknowledge that you have read and understand all of the conditions and obligations of service as specified on this statement.
No other conditions or promises were made to you in conjunction with your entry or continuation in the AGR program.
More rules for DA Form 5646
The purpose is to explain the obligations and conditions that are, or will be, in force for members of the U.S. Army Reserve ordered to active duty with their consent in an Active Guard/Reserve (AGR) status.
The form shall only be completed once and shall remain in force during the entire period the individual serves on active duty in the AGR program, to include periods of active duty for training (ADT) performed while in the AGR program. Should the individual incur a break in continuous active duty in the AGR program in excess of 48 hours, the form must again be completed upon reentry on active duty in the AGR program.
A copy of this form will be given to the individual as a personal copy. A copy will be retained in the individual's Army Management Human Resource Record.
You are aware that your job assignment may require successful completion of a course, or courses, of instruction by military institutions. Residency at such institutions may require periods of time away from your family and may require that you be placed in an active duty for training (ADT) status during such training.
You are aware that your voluntary entry on active duty in an AGR status does not guarantee that you will be offered a subsequent AGR tour or that you will attain 20 years of Active Federal Service for retirement purposes.
You are aware that you will be subject to all regulations applicable to Active Component personnel, except as specified in AR 135-18 and other regulations pertaining to the AGR program.
You are aware that you will be subject to involuntary relief from active duty under the provisions of AR 135-18, AR 635-100 (officers) or AR 635-200(enlisted).
If entering on your initial AGR tour, you understand that you will not be involuntarily reassigned during that initial tour if such reassignment involves the expenditure of funds, except: a. In time of war or national emergency declared by the President or by Congress; b. If the unit or position to which you are assigned or attached is inactivated or relocated; or c. You are relieved from your duty assignment or attachment for cause.
You understand that if you enter on a subsequent AGR tour you will be subject to paragraph 8.
If entering on an AGR tour including the initial AGR tour, you are aware that you may be involuntarily reassigned to meet the needs of the Army at any time.
Unless on a one time occasional tour, you understand that you will be automatically considered for successive tours of active duty in the AGR program, and this form is also your consent to be ordered to active duty for those tours if you are selected.
Common questions about DA Form 5646
Is there a deadline?
You further understand that you may withdraw your consent to a new tour of active duty in writing but must do so within 10 days of receipt of orders to a new tour of active duty or you will be obligated to serve on active duty for the period of that tour.
Sources
[1] DA Form 5646 (MAR 2017), Statement of Conditions of Service - Active Guard Reserve (AGR), Department of the Army (the Official source link on this page).