PERSONNEL ACTION
To request or record personnel actions for or by Soldiers in accordance with DA PAM 600-8.
Identification Card
Identification Tags
Separate Rations
Leave - Excess/Advance/Outside CONUS
Change of Name/SSN/DOB
DATA REQUIRED BY THE PRIVACY ACT OF 1974
SECTION I - PERSONAL IDENTIFICATION
SECTION V - CERTIFICATION/APPROVAL/DISAPPROVAL
7. The above Soldier's duty status is changed from
to
effective hours,
SECTION III - REQUEST FOR PERSONNEL ACTION
IS APPROVEDRECOMMEND APPROVAL IS DISAPPROVEDRECOMMEND DISAPPROVAL
SUPERSEDES DA FORM 4187, JAN 2000
AND REPLACES DA FORM 4187-1-R, APR 1995
DA FORM 4187, MAY 2014
HAS BEEN VERIFIED
AUTHORITY:
PRINCIPAL PURPOSE:
DISCLOSURE:
Title 10, USC, Section 3013, E.O. 9397 (SSN), as amended
ROUTINE USES:
The DoD Blanket Routine Uses that appear at the beginning of the Army's compilation of systems of records may
apply to this system.
5. GRADE OR RANK/PMOS/AOC 6. SOCIAL SECURITY NUMBER
Special Forces Training/Assignment
Retesting in Army Personnel Tests
Reassignment Married Army Couples
Reclassification
Officer Candidate School
Asgmt of Pers with Exceptional Family Members
ROTC or Reserve Component Duty
Volunteering For Oversea Service
Ranger Training
Reassignment Extreme Family Problems
Airborne Training
12. COMMANDER/AUTHORIZED REPRESENTATIVE 13. SIGNATURE
For use of this form, see PAM 600-8; the proponent agency is DCS, G-1.
11. I certify that the duty status change (Section II) or that the request for personnel action (Section III) contained herein -
SECTION II - DUTY STATUS CHANGE (AR 600-8-6)
SECTION IV - REMARKS (Applies to Sections II, III, and V) (Continue on separate sheet)
8. I request the following action: (Check as appropriate)
4. NAME (Last, First, MI)
2. TO (Include ZIP Code)
3. FROM (Include ZIP Code)
1. THRU (Include ZIP Code)
On-the-Job Training (Enl only)
Service School (Enl only)
Exchange Reassignment (Enl only)
Other (Specify)
9. SIGNATURE OF SOLDIER (When required) 10. DATE (YYYYMMDD)
14. DATE (YYYYMMDD)
Voluntary; however failure to provide Social Security Number may result in a delay or error in processing the
request for personnel action.
APD LC v1.03ES
Page 1 of 2
Local Finance/DMPO (to be completed
by S-1)
DFAS-Indianapolis
ATTN: DFAS-IN/JFL
8899 E. 56th Street
Indianapolis, In 46249-0865
BN or BDE (to be completed by S-1)
1. Request SLA for above Soldier that deployed to [location] for [unclassified name of operation] from [date] to [date]. Soldier's
data also listed within enclosure 1
2. Per Secretary of the Army memo, Subject: Designation of Duty in Support of Operational Deployments and In-Patient
Hospitalized Soldiers as Qualifying Duty for Special Leave Accrual, dated 26 January 2015, enclosure 2 is applicable Army
Component Commander's designation of a leave restricted area and/or operation.
3. With my signature, I certify that the Soldier within enclosure 1 was deployed for a continuous period of at least 120 days in the
leave restricted area and/or operation mentioned above.
Authority:
1. Title 10, United States Code, Section 701
2. DoDI 1327.06
3. AR 600-8-10
4. Memorandum, Secretary of the Army, 26 January 2015, Subject: Designation of Duty in Support of Operational Deployments
and In-patient Hospitalized Soldiers as Qualifying for Special Leave Accrual.
CPT Fact Checker, BN or BDE S-1
Special Leave Accrual (SLA)
click to sign
signature
click to edit
![]()
click to sign
signature
click to edit
![]()
