Military members use the Da Form 5789 R to request commissary and exchange privileges. The form is also used to make changes or cancellations to previously authorized privileges. In this blog post, we will discuss how to properly fill out the Da Form 5789 R so that your request can be processed as quickly as possible. We will also provide some tips for making sure that your privileges are not canceled. Finally, we will show you where to find additional information about the form and how to contact us if you have any questions.
Question | Answer |
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Form Name | Da Form 5789 R |
Form Length | 2 pages |
Fillable? | No |
Fillable fields | 0 |
Avg. time to fill out | 30 sec |
Other names | army 5789 fillable, human form 5789, da form 5789 r, da 5789 fillable pdf form |
RECORD FIRING SCORECARD
For use of this form see TC
ID CODE
UNIT
DATE (YYYYMMDD)
EVALUATOR'S ID CODE
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TABLE 1 |
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TABLE 2 |
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TABLE 3 |
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PRONE SUPPORTED OR FOXHOLE SUPPORTED FIRING POSITION |
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PRONE UNSUPPORTED FIRING POSITION |
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KNEELING FIRING POSITION |
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(TIME: 120 SECONDS) |
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(TIME: 60 SECONDS) |
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(TIME: 60 SECONDS) |
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RD |
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RANGE |
HIT |
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MISS |
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RD |
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RANGE |
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HIT |
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MISS |
RD |
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RANGE |
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HIT |
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MISS |
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RD |
RANGE |
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HIT |
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MISS |
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(m) |
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(m) |
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(m) |
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(m) |
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1 |
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11 |
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1 |
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1 |
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2 |
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12 |
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2 |
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2 |
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3 |
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13 |
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3 |
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3 |
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4 |
300 |
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14 |
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300 |
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4 |
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300 |
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4 |
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300 |
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5 |
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15 |
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5 |
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5 |
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6 |
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16 |
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6 |
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6 |
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7 |
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17 |
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7 |
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7 |
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8 |
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18 |
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8 |
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8 |
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9 |
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19 |
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9 |
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9 |
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10 |
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20 |
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10 |
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10 |
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TOTAL |
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TOTAL |
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TOTAL |
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TOTAL |
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SCORE |
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QUALIFICATION SCORE RATINGS (Check One) |
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LIGHT |
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WIND |
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TABLE |
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HIT |
MISS |
NO FIRE |
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3 |
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25 AND BELOW |
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FIRER'S QUALIFICATION SCORE |
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NIGHT FIRE EXERCISE |
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ZERO |
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DATE (YYYYMMDD) |
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GO |
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NO GO |
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THE FIRER WILL BE ISSUED 40 |
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ROUNDS. THE ROUNDS WILL BE |
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PRELOADED IN FOUR |
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ELEV |
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CBRN FIRE EXERCISE |
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MAGAZINES - TWO FOR TABLE 1, |
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ONE FOR EACH REMAINING |
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DATE (YYYYMMDD) |
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TABLE. |
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WIND |
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SCORER'S INITIALS |
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DATE INITIALED (YYYYMMDD) |
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OFFICER'S INITIALS |
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DATE INITIALED (YYYYMMDD) |
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Page 1 of 2 |
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DA FORM 5789, DEC 2016 |
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PREVIOUS EDITIONS ARE OBSOLETE. |
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APD LC v1.00ES |
This scorecard is used to score known distance course record fire qualification when the known distance range is used. This course is used only when the standard record fire course is not available.
CONDUCT OF FIRE
The uniform for qualification ia a helmet, LBE/LBV, and interceptor body armor with front and back SAPI plates (if available). No other armor is required.
(1)Table 1
(2)Table 2
The firer is given a
(3) Table 3
The firer is given a
SCORING
Scoring is conducted in the pits, with the results provided after each table. A hit is scored for any bullet hole that is within or touches some part of the silhouette facing.
DA FORM 5789, DEC 2016 |
Page 2 of 2 |
APD LC v1.00ES