Da Form 8003 PDF Details

Army units complete training every day. This is a process that continuously happens to ensure readiness for any potential mission. One key part of this process is the submission of the DA Form 8003, also known as the Unit Status Report. This document contains important information on the unit's current status and readiness. It is used by commanders at all levels to make informed decisions on how best to allocate resources and personnel. In order to produce an accurate and timely DA Form 8003, it is important for units to adhere closely to established guidelines. This guide will provide an overview of what information needs to be included on the form, as well as some tips on how to submit it accurately.

QuestionAnswer
Form NameDa Form 8003
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesgrade 8003 91, command form da, program use asap, defensiveness enrollment

Form Preview Example

ARMY SUBSTANCE ABUSE PROGRAM (ASAP) ENROLLMENT

For use of this form, see AR 40-66; the proponent agency is the OTSG

The person named below is being referred to the ASAP for a comprehensive assessment to determine whether or not the individual meets the criteria for enrollment.

1.

Name (Last, First, MI).

2.

Rank/Grade.

3. SSN.

4.

DOB (YYYYMMDD)

5. Yrs Act/Fed Svc.

 

 

 

 

 

 

 

 

6.

Is Servicemember/Employee

7.

Is Servicemember/Employee

8.

Is Servicemember/Employee

expected to depart installation

on flying status?

involved in Personnel Reliability

within 90 days?

 

 

 

Program?

YES NO

YES NO

YES NO

9. Type of Referral: Biochemical

(Type Drug)

 

 

 

Self

 

 

Command

 

Supervisor

Investigation/Apprehension

 

Medical

 

 

Other

 

 

 

 

 

 

10.Record of Civilian Arrests/Convictions, Courts Martial, Company Punishments, and Disciplinary Problems, including those Pending: (Specific dates and offenses)

11.Performance: (Give specifics of fair or unsatisfactory ratings)

Performance/

Efficiency:

Excellent

 

Good

 

Fair

 

Unsatisfactory

Behavioral/

Conduct:

Excellent

 

Good

 

Fair

 

Unsatisfactory

12.Reasons for Referral: (Check appropriate spaces)

a. Physical Signs

b. Personality Changes

c. Other Behavioral Indicators

 

Flushed Face

 

 

Irritability

 

 

Decreased Quality of Work

 

 

 

 

Nervousness

 

 

Increased Defensiveness

 

 

Sporadic Work

 

 

 

 

Red or Bleary Eyes

 

 

Increased Use of Excuses

 

 

Mood Changes after Lunch

 

Hand Tremors

 

 

Intolerant of Co-workers or

 

 

Drinking Before Lunch

 

 

 

 

 

Subordinates

 

 

 

 

Hangovers on the Job

 

 

 

 

 

Drinking During the Day

 

Minor Illnesses

 

 

 

 

 

Drinking After Lunch

 

Minor Injuries

 

 

 

 

 

Drinking During Duty

 

Unexcused Absences

 

 

 

 

 

Longer Lunch Hours

 

Other

 

 

 

 

 

 

Absenteeism

Improper Use of Drugs

d. Behavioral changes needed for soldier/employee to become

effective/functioning in until:

 

 

 

Unusual Excuses for Absences

 

 

 

 

 

 

 

 

 

 

Avoidance of Supervisor or

 

 

 

 

 

 

 

 

 

 

associates

 

 

 

 

 

13.PATIENT IDENTIFICATION (For typed or written entries give: Name - last, first, middle; grade; date; hospital or medical facility):

DA FORM 8003, FEB 2003

EDITION OF NOV 91 IS OBLOLETE.

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14.

Other Problems:

Financial

Marriage/Family

 

 

Medical

 

 

Other

 

 

 

(specify)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

15.

Is soldier/employee seen by other helping agencies?

Chaplain

 

Other

 

 

 

 

 

Community Mental Health Service

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

16.

Commander's/Supervisor's Recommendation:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

No further action needed at this time.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Soldier/employee needs alcohol and/or drug education.

 

 

 

 

 

 

 

 

 

 

 

 

 

I suspect soldier/employee has an alcohol and/or other drug problem.

 

 

 

 

 

 

 

Other (specify).

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

17.

Immediate Supervisor's Name.

 

 

 

18.

Date (YYYYMMDD)

19.

Phone.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

20.

Commander's/Supervisor's Signature.

 

 

 

21.

Date (YYYYMMDD)

22.

Phone.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

REHABILITATION TEAM MEETING RESULTS (MANDATORY FOR MILITARY)

Record of contact with commanders/supervisors concerning this referral - Record face-to-face rehabilitation team meeting results or telephone concurrences, to include dates of programmatic agreements.

Note: Results of rehabilitation team meetings must also be recorded on SF 600.

*TO:

FROM:

 

 

 

DATE: (YYYYMMDD)

1. Per your basic memorandum

and agreements made

during rehabilitation

team meeting on

 

 

 

, the following actions have been taken by the Army Substance Abuse Program

(ASAP) in an effort to assist referred soldier/employee with his/her problem(s):

 

 

 

 

 

 

 

Returned to duty, no further action required.

 

 

 

 

 

 

 

 

 

 

 

 

 

Placed on extended evaluation (30/60 days).

 

 

 

 

 

 

 

 

 

 

 

 

 

Alcohol/drug education

Date (YYYYMMDD)

 

 

 

 

Time:

 

 

 

Bldg#:

 

 

 

 

 

 

 

 

 

 

Rehabilitation: Track:

 

 

Date (YYYYMMDD)

 

 

 

 

Time:

 

 

 

Bldg#:

 

 

 

 

 

 

 

 

 

 

 

 

 

2. If you have any questions, please call the following counselor:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

at:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Clinical Director

 

 

 

 

 

 

 

 

 

 

 

* Note for Federal Employees: To be completed ONLY with written consent of employee.

DA FORM 8003, FEB 2003

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