DA Form 4658 Statement of Retirement - Eligible Soldier - Not Eligible to Reenlist

DA Form 4658 Statement of Retirement - Eligible Soldier - Not Eligible to Reenlist

What Is DA Form 4658?

This is a military form that was released by the U.S. Department of the Army (DA) on August 1, 2010. The form, often mistakenly referred to as the DD Form 4658, is a military form used by and within the U.S. Army. As of today, no separate instructions for the form are provided by the DA.

FAQ

Q: What is DA Form 4658?
A: DA Form 4658 is a form used for the Statement of Retirement.

Q: Who is eligible to fill out DA Form 4658?
A: This form is for eligible soldiers who are retiring.

Q: Who is not eligible to reenlist?
A: Soldiers who are not eligible to reenlist cannot fill out DA Form 4658.

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Form Details:

  • A 1-page document available for download in PDF;
  • The latest version available from the Army Publishing Directorate;
  • Editable, free, and easy to use;

Download an up-to-date fillable DA Form 4658 down below in PDF format or browse hundreds of other DA Forms stored in our online database.

Download DA Form 4658 Statement of Retirement - Eligible Soldier - Not Eligible to Reenlist

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  • DA Form 4658 Statement of Retirement - Eligible Soldier - Not Eligible to Reenlist, Page 1
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