If you’re looking for more information on Da Form 1058 – aka the U.S. Army Request And Authority For Leave, then you’ve come to the right place! In this blog post, we will cover how an additional supplement is needed for certain leave requests and what that supplemental form looks like. Furthermore, we will explain why this particular step is so important and provide some tips on submitting your leave paperwork properly — all in order to ensure that your approved request runs smoothly!
| Question | Answer |
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| Form Name | Supplement To Da Form 1058 |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 15 sec |
| Other names | supp1058 supplement to da form 1058 fillable |
SUPPLEMENT TO DA FORM 1058
(Revised as of AUG 2012)
NAME: |
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SSN: |
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Rank: |
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Date of Commission |
Date of Rank: __________ Completed Seminary Credits (CCs):_______ |
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Component (check one): AGR__ TPU__ IMA__ IRR__ |
Have you attached a recent diagnostic APFT Card w/Ht.Wt.? ___ Yes |
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Do you have a Govt. Credit Card (check one): Yes ___ No ___ |
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COURSE |
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Name and Number |
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Start Date |
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End Date |
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Mode of Travel |
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1st Choice |
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AIR: __ |
POV: __ |
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(Privately Owned) |
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Vehicle) |
2nd Choice |
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AIR: __ |
POV: __ |
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(Privately Owned) |
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3rd Choice |
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AIR: __ |
POV: __ |
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(Privately Owned) |
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INSTRUCTIONS |
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CHAPLAINS: |
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-Complete the above fields. Ensure you provide course number and dates in the above table.
-Provide your Date of Rank and Commission Date.
-If you select to travel by POV, we reserve the right in accordance with the Joint Travel Regulations to modify your travel to AIR. We will not authorize travel by POV over 450 miles for the safety and care of our Soldiers.
CHAPLAIN CANDIDATES:
-Complete the above fields to attend
-Prior to completing a practicum, you are required to complete CIMT and Phase 1 of
-Candidates requesting a practicum should chose a practicum at an installation near their home of record. Additional practicum’s are not limited to, but include EMM/CMM, National Defense University and the ROTC Summer training programs.
-Candidates are not authorized to complete Air Assault school or Airborne school as a practicum. Candidates are not authorized practicum’s in Germany, Hawaii or Alaska.
-If you select to travel by POV, we reserve the right in accordance with the Joint Travel Regulations to modify your travel to AIR. We will not authorize travel by POV over 450 miles for the safety and care of our Soldiers.
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ADDITIONAL NEEDED INFORMATION
AKO EMAIL ADDRESS: ____________________@us.army.mil
CIVILIAN EMAIL ADDRESS: ________________________________________
PLACE A CHECK MARK TO THE RIGHT OF THE PHASES OF
(This is for Newly Accessioned Chaplains and Chaplain Candidates Only)
CHAPLAINS: CIMT________ Phase 1________ Phase 2_________ Phase 3_________
CHAPLAIN CANDIDATES: CIMT________ Phase 1________ Practicum________ Phase 2_________ Phase 3_________
OFFICE USE |
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Date Received: |
ATRRS Registration: |
AORS RFO: |
Order Sent to SM: |
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