DA Form 3574 Certificate of Acknowledgement and Understanding of Service Requirements for Individuals Applying for Appointment in the USAR Under the Provisions of Ar 135-100 or 135-101 as Applicable - Individuals Without Prior Service

DA Form 3574 - also known as the "Certificate Of Acknowledgement And Understanding Of Service Requirements For Individuals Applying For Appointment In The Usar Under The Provisions Of Ar 135-100 Or 135-101 As Applicable - Individuals Without Prior Service" - is a Military form issued and used by the United States Department of the Army.

The form - often mistakenly referred to as the DD form 3574 - was last revised on June 1, 1984. Download an up-to-date fillable PDF version of the DA 3574 below or request a copy through the chain of command.

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CERTIFICATE OF ACKNOWLEDGEMENT AND UNDERSTANDING OF SERVICE REQUIREMENTS
FOR INDIVIDUALS APPLYING FOR APPOINTMENT IN THE USAR
UNDER THE PROVISIONS OF AR 135-100, OR 135-101, AS APPLICABLE
- INDIVIDUALS WITHOUT PRIOR SERVICE -
For use of this form, see AR 135-100; the proponent agency is ODCSPER
DATA REQUIRED BY THE PRIVACY ACT OF 1974
10 USC 651, 10 USC 270.
AUTHORITY:
PRINCIPAL PURPOSE:
Used together with application for appointment to insure individual understanding of the 8-year statutory obligation.
ROUTINE USES:
Information is used to establish and record the obligation incurred by the officer. The SSN is used to identify the member.
Disclosure of your Social Security Number is voluntary. However, failure to disclose your SSN may be cause for denying
DISCLOSURE:
your application for appointment.
INSTRUCTIONS: This Certificate of Acknowledgement and Understanding of Service Requirements will be executed and
submitted in 3 copies with the application for appointment as a commissioned or warrant officer in the USAR by all
interested applicants without prior service.
In connection with your application for appointment as a commissioned or warrant officer in the Army Reserve under the
provisions of
*, there are certain service obligations that you will incur if a commission is offered and you
(Applicable AR)
accept. The are explained in detail below. This information should be carefully studied prior to acknowledgement.
This form with your signature will be submitted with your request for appointment and indicates that you understand and
accept all of the service requirements contained herein.
Copies of this form with your signature will become part of your Official File if you are selected for appointment.
CERTIFICATION
If I accept an appointment as a commissioned or warrant officer in the US Army Reserve, I understand and agree to comply
with the following service requirements:
1.
I will incur a statutory military service obligation of 8 years commencing with the effective date of appointment.
2.
Appointment under this program requires that I agree to participate satisfactorily in the Army Reserve during the
entire period that I am a commissioned or warrant officer in accordance with the rules and regulations now in effect, or
which may hereafter be placed into effect by proper authority.
3.
I will enter on active duty for the period stipulated in my application or such lesser period as determined by the
Department of the Army and upon completion of active duty I will be required to participate in the Army Reserve as
follows:
a.
If I am mandatorily assigned or voluntarily join a Reserve unit I will be required to attend all scheduled unit
training assemblies (at least 48 per year) unless excused by proper authority.
b.
As a member of a unit, I may be required to satisfactorily complete a period of annual active duty for training
of not less than 14 days per year exclusive of travel time.
c.
If I am not assigned to a unit, I will be assigned to the Individual Ready Reserve (IRR), and while so assigned
I may be required to perform not more than 30 days active duty for training annually.
While a member of the IRR, I may be subject to assignment or reassignment to a unit.
d.
e.
For as long as I hold this appointment I am responsible for notifying my unit or IRR commander of the mailing
address at which I will receive official orders and/or correspondence. It is also my responsibility to apply to and/or comply
*Enter applicable regulation that appointment is being tendered under AR 135-100, or AR 135-101.
DA FORM 3574, JUN 1984
EDITION OF MAY 82 IS OBSOLETE.
APD LC v1.01ES
CERTIFICATE OF ACKNOWLEDGEMENT AND UNDERSTANDING OF SERVICE REQUIREMENTS
FOR INDIVIDUALS APPLYING FOR APPOINTMENT IN THE USAR
UNDER THE PROVISIONS OF AR 135-100, OR 135-101, AS APPLICABLE
- INDIVIDUALS WITHOUT PRIOR SERVICE -
For use of this form, see AR 135-100; the proponent agency is ODCSPER
DATA REQUIRED BY THE PRIVACY ACT OF 1974
10 USC 651, 10 USC 270.
AUTHORITY:
PRINCIPAL PURPOSE:
Used together with application for appointment to insure individual understanding of the 8-year statutory obligation.
ROUTINE USES:
Information is used to establish and record the obligation incurred by the officer. The SSN is used to identify the member.
Disclosure of your Social Security Number is voluntary. However, failure to disclose your SSN may be cause for denying
DISCLOSURE:
your application for appointment.
INSTRUCTIONS: This Certificate of Acknowledgement and Understanding of Service Requirements will be executed and
submitted in 3 copies with the application for appointment as a commissioned or warrant officer in the USAR by all
interested applicants without prior service.
In connection with your application for appointment as a commissioned or warrant officer in the Army Reserve under the
provisions of
*, there are certain service obligations that you will incur if a commission is offered and you
(Applicable AR)
accept. The are explained in detail below. This information should be carefully studied prior to acknowledgement.
This form with your signature will be submitted with your request for appointment and indicates that you understand and
accept all of the service requirements contained herein.
Copies of this form with your signature will become part of your Official File if you are selected for appointment.
CERTIFICATION
If I accept an appointment as a commissioned or warrant officer in the US Army Reserve, I understand and agree to comply
with the following service requirements:
1.
I will incur a statutory military service obligation of 8 years commencing with the effective date of appointment.
2.
Appointment under this program requires that I agree to participate satisfactorily in the Army Reserve during the
entire period that I am a commissioned or warrant officer in accordance with the rules and regulations now in effect, or
which may hereafter be placed into effect by proper authority.
3.
I will enter on active duty for the period stipulated in my application or such lesser period as determined by the
Department of the Army and upon completion of active duty I will be required to participate in the Army Reserve as
follows:
a.
If I am mandatorily assigned or voluntarily join a Reserve unit I will be required to attend all scheduled unit
training assemblies (at least 48 per year) unless excused by proper authority.
b.
As a member of a unit, I may be required to satisfactorily complete a period of annual active duty for training
of not less than 14 days per year exclusive of travel time.
c.
If I am not assigned to a unit, I will be assigned to the Individual Ready Reserve (IRR), and while so assigned
I may be required to perform not more than 30 days active duty for training annually.
While a member of the IRR, I may be subject to assignment or reassignment to a unit.
d.
e.
For as long as I hold this appointment I am responsible for notifying my unit or IRR commander of the mailing
address at which I will receive official orders and/or correspondence. It is also my responsibility to apply to and/or comply
*Enter applicable regulation that appointment is being tendered under AR 135-100, or AR 135-101.
DA FORM 3574, JUN 1984
EDITION OF MAY 82 IS OBSOLETE.
APD LC v1.01ES
with all official orders and correspondence which I may receive. I understand that failure to notify my commander of an
address where I can be reached or to comply with all official orders and correspondence could result in my being considered
for elimination.
4.
That as a Reserve Officer of the Army, I can become an officer of the Army National Guard of the United States if
I am appointed and Federally recognized in the Army National Guard of a State, Puerto Rico, or the District of Columbia. I
understand further that satisfactory service as a commissioned officer of the Army National Guard of the United States
constitutes service in the Ready Reserve; accordingly, if Ready Reserve service in an appropriate activity of the United States
Army Reserve is not available to me, I agree to accept appointment in the Army National Guard of a state (including the
District of Columbia and Puerto Rico) in which I am residing, if tendered and to complete my Ready Reserve service as an
officer of the Army National Guard of the United States. During the time that I am a commissioned or warrant officer and a
member of the Ready Reserve I may at any time be ordered to active duty involuntarily as an individual or as a member of a
unit in the event of war or emergency declared by Congress, or the President of the United States, or under any other condition
authorized by law in effect at the time of my appointment, or which may hereafter be enacted into law.
I, the undersigned, having voluntarily elected to apply for appointment as a commissioned or warrant
officer of the United States Army Reserve, acknowledge that all of the conditions of said appointment
are understood and acceptable.
TYPED NAME OF APPLICANT (Last - First - Middle Initial)
SOCIAL SECURITY NUMBER
SIGNATURE
DATE
APD LC v1.01ES

Download DA Form 3574 Certificate of Acknowledgement and Understanding of Service Requirements for Individuals Applying for Appointment in the USAR Under the Provisions of Ar 135-100 or 135-101 as Applicable - Individuals Without Prior Service

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