ARMY ONLY
Military Personnel Office Retirement Sheet
Officers & Enlisted
Give us 24 hours to type up the paperwork necessary for retirement
Full Name: SSN:
Grade/Rank: USUHS/AFFRI
Please Check One:
Officer (Retirement Memorandum)
Enlisted (DA Form 4187)
Information needed to initiate retirement paperwork:
Effective Date of Retirement (last day of the month)
Date placed on the Retired Lists (first day of the following month)
Retirement Address: (reliable mailing address)
Home Phone:
Duty Phone:
Current Leave Balance:
Transitional Leave taken upon retirement:
Soldierʼs Signature