Enlisted Record Brief (ERB) or Office Record Brief (ORB).
Promotion board proceedings.
DA Form 268
DA Form 78-R
(Recommendation for Promotion to 1LT/CW2).
DA Form 31
(Request and Authority for Leave)
, original copy.
Service member deployment history out-processing verification sheet.
DD Form 93
(Record of Emergency Data).
VA Form
SGLV 8286A (Family coverage election and certificate).
Go Army Ed (Army Continuing Education System (ACES) Record).
DA Form 3068-1
(Marine Service Record).
DA Label 164 (Nuclear/Chemical Personnel Record Label) . Mandatory for all Soldiers being reassigned to
duty positions in the PRP/CPRP.
DA Form 3645 (Organizational Clothing and Individual Equipment Record).
1. NAME
(Last, First, Middle)
2. RANK 3. MOS/AOC
PREVIOUS EDITIONS ARE OBSOLETE.
DA FORM 5123, FEB 2015
APD LC v1.01
IN- AND OUT-PROCESSING RECORDS CHECKLIST
For use of this form, see AR 600-8-101; the proponent agency is DCS, G-1.
INSTRUCTIONS
DATA REQUIRED BY THE PRIVACY ACT OF 1974
AUTHORITY:
PRINCIPAL PURPOSE:
ROUTINE USES:
DISCLOSURE:
disclosed outside Department of Defense (DoD) and DoD sponsored agencies.
OUT-PROC
DA Form 3180 (Personnel Screening and Evaluation) . Mandatory for Soldiers assigned to projected for assignment
to PRP or CPRP positions, Soldiers holding a nuclear or chemical related MOS or AOC and Soldiers who have been
disqualified from PRP or CPRP assignment. Note: Ensure that a copy is filed in the Medical Record (DA Form 3444
series).
YES NO
IN-PROC
YES NO
4. REQUIRED RECORDS, DOCUMENTS, OR OTHER ITEMS
a. PERSONNEL RECORD DOCUMENTS
DA Form 3955
(Change of Address and Directory Card).
DD Form 1172-2 (Application for Identification Card-DEERS Enrollment) . Ensure the currency and accuracy of
application (s) for eligible Family member (s). Changes in Family member status should be reported to the MPD/S1
for appropriate Defense Enrollment Eligibility Reporting System (DEERS) maintenance processing and/or ID card
issue, if applicable, as prescribed by AR 600-8-14.
To ensure the proper in-processing of Soldiers into their gaining units and the proper out-processing of Soldiers from their
losing units.
To ensure that Soldiers have all of the documents for both in- and out-processing and to ensure the identification of certain
legal conditions that could preclude Soldiers from deployment, if present, during in- and out-processing. Forms will not be
Disclosure of this information is voluntary; however, failure to disclose the requested information could result in improper
in- and out-processing.
This form will be initiated at the losing unit during out-processing and provided to the Soldier along with the documents listed below. The gaining unit
will complete this form by checking for the presence of each document. Confirm whether or not each document is present by checking "Yes" if the
document is present and "No" if the document is absent. Prepare this form in two copies: One copy remains at the losing unit, and the Soldier two
copies: One copy remains at the losing unit, and the Soldier hand carries the other copy to the gaining unit.
Page 1 of 3
(Report to Suspend Favorable Action (FLAG)).
Section 301, Title 5, USC.
