DA 5165-R Form PDF Details

The Field Expedient Squad Book Sheet is a critical evaluation tool used by U.S. Army squad leaders. It documents a soldier performance across specific tasks, with results recorded as either "GO" for satisfactory completion or "NO-GO" for unsatisfactory performance.

This evaluation form originates from guidance in STP 10-92A12-SM-TG, with TRADOC as the proponent agency. It is used during individual task evaluations, field training exercises, and unit readiness assessments to verify that all service members meet their designated skill requirements.

Understanding the structure of this document helps squad leaders and NCOs manage performance assessments efficiently. It applies to all Army MOS skill levels and is a standard part of the individual training evaluation cycle.

QuestionAnswer
Form NameDA 5165-R Form
Form Length1 pages
Fillable?Yes
Fillable fields639
Avg. time to fill out32 min 1 sec
Proponent AgencyTRADOC
Other namesform 5165, da5165r, da 5156 r, fillable da 1561

How to Edit DA 5165-R Form Online for Free

This form can be completed online using FormsPal free PDF editor. No software installation is required.

Steps to Fill Out the Form

Follow these steps to complete the Field Expedient Squad Book Sheet:

  1. Enter the unit name, soldier name, and Military Occupational Specialty (MOS) in the header section.
  2. List each required task from the soldier MOS skill level evaluation criteria.
  3. Mark each task as GO (satisfactory) or NO-GO (unsatisfactory) based on observed performance during the evaluation.
  4. Record the evaluation date and the evaluating supervisor name and rank.
  5. Submit the completed form to the unit training NCO for record-keeping and follow-up scheduling.

Common Questions

Who uses this form?
Squad leaders and NCOs use it during individual task evaluations and field training exercises to assess readiness.

Is the form available as a fillable PDF?
Yes. This page provides a free fillable version with 639 fields that you can complete online, save, and print.

What regulation governs this form?
It is governed by STP 10-92A12-SM-TG with TRADOC as the proponent agency.

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