DA Form 5261-7 Selected Reserve Incentive Program - Officer Affliation Bonus

DA Form 5261-7 - also known as the "Selected Reserve Incentive Program - Officer Affliation Bonus" - is a United States Military form issued by the Department of the Army.

The form - often mistakenly referred to as the DD form 5261-7 - was last revised on June 1, 2016. Download an up-to-date fillable PDF version of the DA 5261-7 down below or look it up on the Army Publishing Directorate website.

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SELECTED RESERVE INCENTIVE PROGRAM - OFFICER AFFILIATION BONUS
For use of this form, see AR 601-210; the proponent agency is DCS, G-1.
ARNGUS: ADDENDUM TO NGB FORM 62 (APPLICATION FOR FEDERAL RECOGNITION AS AN ARMY NATIONAL GUARD OFFICER
OR WARRANT OFFICER AND APPOINTMENT AS A RESERVE COMMISSIONED OFFICER OR WARRANT OFFICER OF THE ARMY IN
THE ARMY NATIONAL GUARD OF THE UNITED STATES
USAR: ADDENDUM TO DA FORM 61 (APPLICATION FOR APPOINTMENT)
DATA REQUIRED BY THE PRIVACY ACT OF 1974
Section 308j, title 37, USC and section 552a, title 5, USC, E.O. 9397 (SSN), as amended
AUTHORITY:
To explain obligation and participation requirements for entitlement under the Selected Reserve Incentive Program
PRINCIPAL PURPOSE:
(SRIP) and to ensure that your agreement to these conditions is a matter of record.
Confirmation of obligation and participation requirements for entitlement under the SRIP; occasionally
ROUTINE USES:
as a basis for suspension, termination, and recoupment if requirements are not met.
DISCLOSURE:
Disclosure of your SSN is voluntary, however, if not provided, you will not be eligible for the SRIP.
SECTION l - APPLICABILITY
This addendum will be completed by eligible officers transferring into a ARNGUS or USAR troop program unit for cash bonus entitlement
under the Selected Reserve Incentive Program (SRIP).
SECTION ll - INSTRUCTIONS
The service representative is responsible for reading and explaining the Officer Affiliation Bonus requirements outlined on this form.
Following the reading, explanation, and affixing of proper signatures, a copy of this form will be placed in the Soldier's official file.
SECTION lll - ACKNOWLEDGMENT
1.
I meet the eligibility criteria as follows:
a. I agree to serve in the Selected Reserve in AOC/MOS
, a critical officer skill, unit, or pay grade that is
designated for bonus entitlement by the Secretary of the Army or his delegate.
training, if required when affiliating for service in an AOC/MOS
b. I agree to complete AOC/MOS
other than that which I currently hold, within 36 months of affiliation date.
c. I am currently serving on active duty (AD) for more than 30 days or I am a member of a Reserve component not on active duty
and, if I previously served on active duty, I was released from that duty under honorable conditions.
d. I have not previously served in the Selected Reserve.
e. I am not entitled to retired or retainer pay.
f. I am not affiliating to qualify for a military technician position where membership in a Reserve component is a condition of
employment (a one-time temporary assignment as a military technician is excluded) or an Active Guard and Reserve (AGR)
position, or for assignment to an Individual Mobilization Augmentee (IMA) position.
g. I have not previously received an affiliation bonus for service in the Selected Reserve.
h. I am not currently receiving financial assistance under Chapters 1608 (Health Professions Stipend Program (HPSP)), 1609
(Student Loan Repayment Program (SLRP) and Chaplain Loan Repayment Program (CLRP)), 1611 (USMC Platoon Leaders Class
College Tuition Assistance Program) of Title 10, United States Code, or special pay under Section 302g (Health Care Professions
Special Pay) of Title 37, United States Code, and will not receive such assistance or serve any related service obligation during the
period of this agreement.
SECTION IV - OBLIGATION
2.
I shall incur the obligations of this affiliation, as follows:
a. I hereby agree to serve in the Selected Reserve for not less than three years, the full period of this agreement.
b. I shall serve satisfactorily, as prescribed by the appropriate regulations of the
(enter Army National Guard of the United States or United States Army Reserve) , the complete affiliation period in the Selected
Reserve of the Army National Guard of the United States / United States Army Reserve according to my written agreement and in the
critical skill, unit or grade in which affiliated, unless excused for the convenience of the government.
SECTION V - ENTITLEMENT
3. I shall be paid an affiliation bonus, as follows:
a. The bonus accrues beginning on the date on which I am assigned to a designated position, unit, or pay grade pursuant to this
agreement.
paid in one lump sum upon my assignment to the designated position, unit, or pay grade
b. I shall receive a bonus of
pursuant to this agreement.
DA FORM 5261-7, JUN 2016
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SELECTED RESERVE INCENTIVE PROGRAM - OFFICER AFFILIATION BONUS
For use of this form, see AR 601-210; the proponent agency is DCS, G-1.
ARNGUS: ADDENDUM TO NGB FORM 62 (APPLICATION FOR FEDERAL RECOGNITION AS AN ARMY NATIONAL GUARD OFFICER
OR WARRANT OFFICER AND APPOINTMENT AS A RESERVE COMMISSIONED OFFICER OR WARRANT OFFICER OF THE ARMY IN
THE ARMY NATIONAL GUARD OF THE UNITED STATES
USAR: ADDENDUM TO DA FORM 61 (APPLICATION FOR APPOINTMENT)
DATA REQUIRED BY THE PRIVACY ACT OF 1974
Section 308j, title 37, USC and section 552a, title 5, USC, E.O. 9397 (SSN), as amended
AUTHORITY:
To explain obligation and participation requirements for entitlement under the Selected Reserve Incentive Program
PRINCIPAL PURPOSE:
(SRIP) and to ensure that your agreement to these conditions is a matter of record.
Confirmation of obligation and participation requirements for entitlement under the SRIP; occasionally
ROUTINE USES:
as a basis for suspension, termination, and recoupment if requirements are not met.
DISCLOSURE:
Disclosure of your SSN is voluntary, however, if not provided, you will not be eligible for the SRIP.
SECTION l - APPLICABILITY
This addendum will be completed by eligible officers transferring into a ARNGUS or USAR troop program unit for cash bonus entitlement
under the Selected Reserve Incentive Program (SRIP).
SECTION ll - INSTRUCTIONS
The service representative is responsible for reading and explaining the Officer Affiliation Bonus requirements outlined on this form.
Following the reading, explanation, and affixing of proper signatures, a copy of this form will be placed in the Soldier's official file.
SECTION lll - ACKNOWLEDGMENT
1.
I meet the eligibility criteria as follows:
a. I agree to serve in the Selected Reserve in AOC/MOS
, a critical officer skill, unit, or pay grade that is
designated for bonus entitlement by the Secretary of the Army or his delegate.
training, if required when affiliating for service in an AOC/MOS
b. I agree to complete AOC/MOS
other than that which I currently hold, within 36 months of affiliation date.
c. I am currently serving on active duty (AD) for more than 30 days or I am a member of a Reserve component not on active duty
and, if I previously served on active duty, I was released from that duty under honorable conditions.
d. I have not previously served in the Selected Reserve.
e. I am not entitled to retired or retainer pay.
f. I am not affiliating to qualify for a military technician position where membership in a Reserve component is a condition of
employment (a one-time temporary assignment as a military technician is excluded) or an Active Guard and Reserve (AGR)
position, or for assignment to an Individual Mobilization Augmentee (IMA) position.
g. I have not previously received an affiliation bonus for service in the Selected Reserve.
h. I am not currently receiving financial assistance under Chapters 1608 (Health Professions Stipend Program (HPSP)), 1609
(Student Loan Repayment Program (SLRP) and Chaplain Loan Repayment Program (CLRP)), 1611 (USMC Platoon Leaders Class
College Tuition Assistance Program) of Title 10, United States Code, or special pay under Section 302g (Health Care Professions
Special Pay) of Title 37, United States Code, and will not receive such assistance or serve any related service obligation during the
period of this agreement.
SECTION IV - OBLIGATION
2.
I shall incur the obligations of this affiliation, as follows:
a. I hereby agree to serve in the Selected Reserve for not less than three years, the full period of this agreement.
b. I shall serve satisfactorily, as prescribed by the appropriate regulations of the
(enter Army National Guard of the United States or United States Army Reserve) , the complete affiliation period in the Selected
Reserve of the Army National Guard of the United States / United States Army Reserve according to my written agreement and in the
critical skill, unit or grade in which affiliated, unless excused for the convenience of the government.
SECTION V - ENTITLEMENT
3. I shall be paid an affiliation bonus, as follows:
a. The bonus accrues beginning on the date on which I am assigned to a designated position, unit, or pay grade pursuant to this
agreement.
paid in one lump sum upon my assignment to the designated position, unit, or pay grade
b. I shall receive a bonus of
pursuant to this agreement.
DA FORM 5261-7, JUN 2016
Page 1 of 2
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SECTION VI - SUSPENSION
4.
If I fail to commence or complete the service obligation incurred under this agreement for any of the reasons listed below, I
understand that recoupment or entitlement to a portion of the bonus amount will be calculated in accordance with Section VII below:
a. If I fail to participate satisfactorily in training and duty with the Selected Reserve including failure to maintain medical and dental
readiness, during the entire period of service obligation, unless the failure to participate satisfactorily was due to reasons beyond my
control (e.g., death, injury, illness, or other impairment not the result of my own misconduct).
b. If I am involuntarily separated from the Selected Reserve unless as a result of unit inactivation, unit relocation, unit
reorganization, or a DOD-directed reduction in the Selected Reserve force.
c. If I voluntarily separate from the Selected Reserve for any reason (including enlistment or voluntary order to active duty in the
active forces); other than by death, injury, illness or other impairment not the result of my own misconduct, or an involuntary call-up
or mobilization.
d. If I voluntarily move to a non-bonus skill, unit or grade, unless the move is required by the Reserve component.
e. If I fail to extend the contracted term of service for a period of authorized nonavailability.
f. If I accept a military technician position where membership in a Reserve component is a condition of employment, (a one-time
temporary assignment as a military technician for 6 months or less is excluded), an AGR position, or assignment to an IMA position.
SECTION VII - RECOUPMENT
5.
The amount to be recouped or reimbursed shall be computed as follows:
a. The number of months I have served satisfactorily during the term for which my bonus has been paid shall be multiplied by the
monthly rate authorized by the particular bonus (calculated by dividing the total bonus amount by the number of months of service
the member has agreed to serve).
b. That amount shall be subtracted from the total amount of bonus paid to date (initial and any subsequent payments). If the
calculation indicates overpayment to me, I shall refund that amount to the government of the United States. If the calculation
indicates that I have earned more than I have been paid, I shall receive a final payment in that amount.
SECTION VIII - TERMINATION
a. Termination from bonus entitlement and/or any refund made by me shall not affect my period of obligation to serve in the
Ready Reserve.
b. If, subsequent to the acceptance of this agreement by the Secretary of the Army or his delegate, I am called or involuntarily
ordered to active duty, I shall be paid, during that period of active duty, any amount of the bonus that becomes payable to me during
that period of active duty.
SECTION VIII - STATEMENT OF UNDERSTANDING
I have read and understand each of the statements above and the statements contained in this agreement signed by me, and understand
that they are intended to constitute all promises or agreements whatsoever concerning my affiliation. No other promise, representation, or
commitment has been made to me in connection with my Officer Affiliation Bonus.
APPLICANT'S NAME AND RANK
DATE (YYYYMMDD)
SSN
SIGNATURE
SECTION IX - CERTIFICATION BY SERVICE REPRESENTATIVE
I certify that I have witnessed the reading and signing of the above agreement and the signature appearing above is that of the applicant. I
have verified the applicant meets the eligibility requirements of AR 601-210. No other promises were made to the applicant as a condition
of entitlement to an enlistment cash bonus under the Selected Reserve Incentive Program. I have provided the applicant with a copy of
this form.
SERVICE REPRESENTATIVE'S NAME, RANK AND TITLE
DATE (YYYYMMDD)
SIGNATURE
DA FORM 5261-7, JUN 2016
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