DA Form 3072 Waiver of Disqualification for Reenlistment/Promotion in the Regular Army

DA Form 3072 or the "Waiver Of Disqualification For Reenlistment/promotion In The Regular Army" is a form issued by the United States Army.

The form was last revised in March 1, 2016 and is available for digital filing. Download an up-to-date DA Form 3072 in PDF-format down below or look it up on the United States Army Forms website.

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WAIVER OF DISQUALIFICATION FOR REENLISTMENT IN THE REGULAR ARMY
For use of this form, see AR 601-280. The proponent agency is DCS, G-1.
DATA REQUIRED BY THE PRIVACY ACT OF 1974
AUTHORITY:
AR 601-280 and Executive Order 9397 (SSN) as amended.
PRINCIPAL PURPOSE:
To process waivers and exceptions of eligibility for reenlistment and extension. This information becomes part of the subject's
military personnel records which are used to document personnel management actions. The purpose of soliciting the SSN is
for positive identification.
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.
DISCLOSURE:
Voluntary. However, failure to furnish information requested may result in denial of reenlistment/extension in the US. Army.
3. SSN
1. Name (Last, First, MI)
2. Rank
4. Unit/Organization
a. AR 601-280 Paragraph
b. Waiver Type
5. Reason for
Disqualification:
6. IMREPR
7. BASD
8. PEBD
9. ETS
10. RCP
11. Waiverable Disqualifications
a. Lost Time During Current Term of Service
No of Days Reason
Dates (From/To)
b. Courts-Martial During Current Term of Service
Type
Offense
Conviction Date
Sentence
c. Noncommissioned Officer Evaluation Report (NCOER) / Academic Evaluation Report (AER)
Reason
Date
12. Other Waiverable Disqualifications (Give detailed explanation)
13. UCMJ During Current Term of Service
Article
Offense
Conviction Date
Punishment
14. Other Factual and Relevant Information
15. Immediate Commander's Recommendation
a. Name, Rank and Branch of Commander
b. Signature
c. Date
d. Enclosures
Page 1 of 2
DA FORM 3072, MAR 2016
PREVIOUS EDITIONS ARE OBSOLETE.
APD LC v1.00ES
WAIVER OF DISQUALIFICATION FOR REENLISTMENT IN THE REGULAR ARMY
For use of this form, see AR 601-280. The proponent agency is DCS, G-1.
DATA REQUIRED BY THE PRIVACY ACT OF 1974
AUTHORITY:
AR 601-280 and Executive Order 9397 (SSN) as amended.
PRINCIPAL PURPOSE:
To process waivers and exceptions of eligibility for reenlistment and extension. This information becomes part of the subject's
military personnel records which are used to document personnel management actions. The purpose of soliciting the SSN is
for positive identification.
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.
DISCLOSURE:
Voluntary. However, failure to furnish information requested may result in denial of reenlistment/extension in the US. Army.
3. SSN
1. Name (Last, First, MI)
2. Rank
4. Unit/Organization
a. AR 601-280 Paragraph
b. Waiver Type
5. Reason for
Disqualification:
6. IMREPR
7. BASD
8. PEBD
9. ETS
10. RCP
11. Waiverable Disqualifications
a. Lost Time During Current Term of Service
No of Days Reason
Dates (From/To)
b. Courts-Martial During Current Term of Service
Type
Offense
Conviction Date
Sentence
c. Noncommissioned Officer Evaluation Report (NCOER) / Academic Evaluation Report (AER)
Reason
Date
12. Other Waiverable Disqualifications (Give detailed explanation)
13. UCMJ During Current Term of Service
Article
Offense
Conviction Date
Punishment
14. Other Factual and Relevant Information
15. Immediate Commander's Recommendation
a. Name, Rank and Branch of Commander
b. Signature
c. Date
d. Enclosures
Page 1 of 2
DA FORM 3072, MAR 2016
PREVIOUS EDITIONS ARE OBSOLETE.
APD LC v1.00ES
16. Intermediate Commander's Endorsement
a. Unit/Organization
b. Intermediate Commander's Recommendations/Comments
Approved
Disapproved
Recommended Approval
Recommended Disapproval
c. Name, Rank and Branch of Intermediate Commander
d. Signature
e. Date
17. Commander's Endorsement
a. Unit/Organization
b. Commander's Recommendations/Comments
Approved
Disapproved
Recommended Approval
Recommended Disapproval
c. Name, Rank and Branch of Commander
d. Signature
e. Date
Page 2 of 2
DA FORM 3072, MAR 2016
APD LC v1.00ES

Download DA Form 3072 Waiver of Disqualification for Reenlistment/Promotion in the Regular Army

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