USAREC Electronic Forms


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If you know the form number you need, use these guides to move quickly through the list.
If you do not know the form number, you may review the complete list of forms below.

HQ Form Letters 380 - 470
USAREC Forms 1085 - 1116
HQ Forms 1482 - 1899
USAREC Forms 1117 - 1140
HQ Forms 1914 - 1943
USAREC Forms 1146 - 1166
HQ Labels 13 - 25
USAREC Forms 1168 - 1191
USAREC Form Letters 41 - 171
USAREC Forms 1192 - 1209
USAREC Forms 123 - 525
USAREC Forms 1213 - 1227
USAREC Forms 533C - 609
USAREC Forms 1231 - 1242
USAREC Forms 636-A - 705
USAREC Forms 1248 - 1262-D
USAREC Forms 711-7 - 810
USAREC Forms 1265 - 1309
USAREC Forms 817 - 900
USAREC Label 16
USAREC Forms 912 - 986
USAREC Poster 1
USAREC Forms 991 - 1044
USAREC OP Form 3-4
USAREC Forms 1054 - 1081

Go to the US Army Publishing Directorate (USAPD) Home Page for a listing of available electronic DA forms.

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HQ USAREC Form 100       PureEdge new
APPLICATION AND ENROLLMENT CHECKLIST FOR ROTC/HPSP PSYCHIATRIC NURSE PRACTITIONER HEALTH PROFESSIONS SCHOLARSHIP PROGRAM
[1 JUL 2013] LFV1.0

HQ USAREC FL 470       PureEdge
US ARMY RECRUITING COMMAND AWARDS BOARD PROCEEDINGS/MINUTES
[1 MAR 2003] V4.00
 

HQ USAREC Form 1528        PureEdge
RECRUITING IMPROPRIETY CASE PROCESSING RECORD
[1 MAR 1998] V1.00

HQ USAREC Form 1602        PureEdge
HQ USAREC AFTER-DUTY HOURS SIGN-IN AND SIGN-OUT LOG
[1 APR 2000] V1.00

HQ USAREC Form 1678    PureEdge
SUMMARY SHEET
[1 JUN 2008] V2.00

HQ USAREC Form 1806    PureEdge    
WARRANT OFFICER APPLICATION CHECKLIST
[1 JUL 2009] V8.00

HQ USAREC Form 1810    PureEdge    
RECRUITING IMPROPRIETY INVESTIGATION LOG
[1 OCT 2009] V1.10

HQ USAREC Form 1863   PureEdge  new
CIVILIAN EMPLOYEE'S CLEARANCE
[1 NOV 2013] LFV 1.0

HQ USAREC Form 1869        PureEdge
INSPECTOR GENERAL POSTINSPECTION QUESTIONNAIRE
[1 FEB 2004] V2.00

HQ USAREC Form 1899    PureEdge    
CONSENT AND RELEASE - CONSENT TO PRODUCTION AND USE OF STILL AND MOVING PICTURES LIKENESS BOTH SOUND AND SILENT PICTURES, RECORDINGS, SOUNDTRACKS, AND TESTIMONIALS
[1 AUG 2009] V2.00


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HQ USAREC Form 1914    PureEdge
US ARMY RECRUITING COMMAND CG COMMAND POLICY
[1 SEP 2006] V2.00

HQ USAREC Form 1914-A    PureEdge
US ARMY RECRUITING COMMAND CS HEADQUARTERS POLICY
[1 SEP 2006] V1.00

HQ USAREC Form 1932    PureEdge    
PHYSICAL COVER SHEET
[1 AUG 2009] V2.00

HQ USAREC Form 1934    PureEdge    
HEADQUARTERS, US ARMY RECRUITING COMMAND CIVILIAN EMPLOYEE INPROCESSING CHECKLIST
[1 JUN 2009] V2.00

HQ USAREC Form 1935    PureEdge    
WARRANT OFFICER RESUME
[1 AUG 2009] V7.00

HQ USAREC Form 1936     PureEdge    
WARRANT OFFICER RECOMMENDATION
[1 AUG 2009] V5.00

HQ USAREC Form 1942    PureEdge    
WARRANT OFFICER BOARD WAIT PERIOD EXCEPTION REQUEST
[1 OCT 2009] V2.00

HQ USAREC Form 1943   PureEdge  
EMPLOYEE TIMESHEET
[1 MAY 2010] V1.10


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HQ USAREC Label 13        PureEdge
COVER SHEET
[1 SEP 1985] V1.00
(w/image file - HL13.GIF - place in directory with FormFlow form file)

 
HQ USAREC Label 25        PureEdge
USAREC INSPECTOR GENERAL DOCUMENT COVER SHEET
[1 DEC 1999] V1.00
   


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USAREC FL 1       PureEdge new
US ARMY RECRUITING COMMAND VOLUNTEER AND SPOUSE AWARD/CERTIFICATES
[1 SEP 2013] LFV1.00

USAREC FL 41       PureEdge
REQUEST FOR INFORMATION FROM INSTITUTION
[1 JAN 1991] V1.00

USAREC FL 136    PureEdge    
TRANSMITTAL OF APPLICATION FOR OFFICER CANDIDATE SCHOOL OR
WARRANT OFFICER FLIGHT TRAINING ENLISTMENT PROGRAM
[1 JUL 2009] V5.00

USAREC FL 142       PDF new
REQUEST FOR PRIOR SERVICE VERIFICATION INFORMATION
[1 DEC 2013] V3.0

USAREC FL 146       PureEdge
REQUEST FOR ARREST INFORMATION
[1 JAN 1990] V1.00

USAREC FL 150       PDF new
UNAUTHORIZED TOLL CALLS
[8 NOV 2013] V1.10

USAREC FL 153    PureEdge  
ERRONEOUS ENLISTMENT REPORT
[1 OCT 2010] V5.00

USAREC FL 161     PureEdge
DISCREPANCY IN GSA VEHICLE BILLING
[1 NOV 1987] V1.00

USAREC FL 165    PDF new
ARMY SPECIALTY DELAY TRAINING PROGRAM
ENROLLMENT VERIFICATION FORM
[25 NOV 2013] V1.10

USAREC FL 171   PureEdge new
STATEMENT OF UNDERSTANDING
[1 SEP 2013] LFV1.00


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USAREC Form 195     PureEdge
APPLICANT EVALUATION WORKSHEET
[1 JUN 2012] V2.10

USAREC Form 200-7    PureEdge    
CHAPLAINCY PROSPECT DATA RECORD
[1 OCT 2009] V3.00

USAREC Form 315    PureEdge  
REPORT OF ALLEGED OR SUSPECTED RECRUITING IMPROPRIETY
[1 OCT 2010] V3.10

USAREC Form 322        PureEdge
EQUAL OPPORTUNITY STATISTICAL REPORT
[1 JUN 1997] V1.00

USAREC Form 340        PureEdge
EQUAL OPPORTUNITY CHECKLIST
[1 AUG 1998] V1.

USAREC Form 386       PureEdge
REQUEST FOR RECRUITER BUSINESS CARDS
[1 JAN 2012] V4.00

USAREC Form 496       PureEdge
NEAR-TERM TRAINING PLAN
[1 OCT 2012] V2.00

USAREC Form 525    PureEdge new   
STATEMENT OF UNDERSTANDING
[1 FEB 2013] LFV1.00


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USAREC Form 533-C    PureEdge  
CHAPLAINCY PROCESSING LIST
[1 SEP 2011] V2.00

USAREC Form 544        PureEdge
COI EVENT REQUEST
[1 SEP 1996]

USAREC Form 551        PureEdge
TAIR SUPPORT REQUEST/EVALUATION AND NURSE PROSPECT TOUR
[1 JUL 1992]

USAREC Form 557        PureEdge
SAFETY CHECKLIST
[1 NOV 2012] V4.00

USAREC Form 584     PureEdge
MOTOR VEHICLE USAGE RECORD
[1 JAN 2009] V2.00

USAREC Form 585        PureEdge
EQUAL EMPLOYMENT OPPORTUNITY CHECKLIST
[1 AUG 2005] V3.00

USAREC Form 609    PureEdge    
EVALUATION SHEET
[1 JUL 2009] V2.00


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USAREC Form 658   PureEdge  new  
AMEDD APPLICATION WORKSHEET
[1 MAR 2013] LFV1.00

USAREC Form 669    PureEdge   
MONITORING PROCEDURES
[1 SEP 2012] V1.00

USAREC Form 670    PureEdge   new
WAIVER WORKSHEET
[1 NOV 2013] V3.00

USAREC Form 671    PureEdge   
WAIVER LOG
[1 SEP 2012] V1.00

USAREC Form 672    PureEdge    
ACCIDENT NOTIFICATION REPORT
[1 JUL 2009] V3.00

USAREC Form 674    PureEdge   new 
RECRUITING STATION/CENTER (RCS) DAT TESTING LOG
[1 JAN 2013] V1.00

USAREC Form 705    PureEdge    
HEALTH SERVICES INPROCESSING BRIEFING AND PACKET ROSTER
[1 JUN 2009] V2.00


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USAREC Form 711-9   PureEdge
CHAPLAIN MISSION PERFORMANCE SUMMARY
[1 JUN 2012]

USAREC Form 713-1     PureEdge    
NOTIFICATION AND REBUTTAL OF ADVERSE ACTION
[1 JUL 2009] V2.10

USAREC Form 722        PureEdge
PRIVACY ACT STATEMENT
[1 APR 1999] V1.00

USAREC Form 737    PureEdge    
RECRUITING IMPROPRIETY INVESTIGATION LOG
[1 OCT 2009] V2.20

USAREC Form 737-A    PureEdge    
SUSPECTED IMPROPRIETY INQUIRY LOG
[1 OCT 2009] V2.20

USAREC Form 762-A    PureEdge  new 
AMEDD LEAD SOURCE ANALYSIS (RA)
[1 FEB 2013] LFV 1.0

USAREC Form 762-B    PureEdge  new 
AMEDD LEAD SOURCE ANALYSIS (AR)
[1 FEB 2013] LFV 1.0

USAREC Form 808    PureEdge    
OUTSIDE EMPLOYMENT PERMISSION REQUEST
[1 AUG 2009] V2.00

USAREC Form 810       PureEdge
EMERGENCY NOTIFICATION CARD
[1 JAN 1994] V1.00


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USAREC Form 848    PureEdge new 
AWARD PROGRAM - RCTG BN AFTERACTION REPORT

[1 AUG 2013] V3.00

USAREC Form 863    PureEdge    
FUTURE SOLDIER SEPARATION LOG
[1 SEP 2012] LVF1.00

USAREC Form 884     PureEdge    
APPLICATION FOR LEASED GOVERNMENT HOUSING
[1 JUN 2009] V3.00

USAREC Form 886    PureEdge
STATEMENT OF UNDERSTANDING FOR ACCEPTANCE OF LEASED GOVERNMENT HOUSING
[1 JAN 2009] V2.10

USAREC Form 889   PureEdge
VEHICLE INSPECTION AND SERVICE CHECKLIST
[1 JAN 2009] V2.00

USAREC Form 896    PureEdge
COMMANDER'S DOMICILE-TO-DUTY LOG
[1 JAN 2009] V1.10

USAREC Form 897        PureEdge
CASH, PROPERTY, AND RECONCILIATION RECORD (CPRR)
[1 OCT 1985] V1.00

USAREC Form 899       PureEdge
UNIT FUND RECEIPTS, EXPENDITURES, AND PROPERTY RECORD
[1 FEB 2000] V1.00

USAREC Form 900        PureEdge
UNIT FUND INTERNAL CONTROL CHECKLIST
[1 APR 2003] V2.00


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USAREC Form 912    PureEdge
SUPPORT AGREEMENT CHECKLIST
[1 JAN 2009] V2.00

USAREC Form 941        PureEdge
DAILY RECORD OF STAMPS
[1 JAN 2000] V1.00

USAREC Form 943    PureEdge    
DRUNK DRIVING INCIDENT INFORMATION
[1 JUN 2009] V2.00

USAREC Form 957    PureEdge   new 
PERSONNEL AND FACILITY ASSESSMENT REPORT
[1 MAR 2013] LFV1.00

USAREC Form 958   PureEdge   
INCIDENT INFORMATION REPORT
[1 SEP 2010] V5.00

USAREC Form 959    PureEdge   new 
USAREC SERIOUS INCIDENT - ADDENDUM
[1 MAR 2013] LFV1.00

USAREC Form 967    PureEdge    
TRAINING RECORD
[1 OCT 2010] V2.10

USAREC Form 971    PureEdge
CLOTHING INSPECTION AND INVENTORY
[1 JAN 2009] V2.00

USAREC Form 986    PureEdge   
SEPARATION REQUEST
[1 SEP 2012] V3.11


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USAREC Form 991-A     PureEdge    
AMEDD EDUCATION DELAY, HEALTH PROFESSIONAL SCHOLARSHIP PROGRAM, AND FINANCIAL ASSISTANCE PROGRAM ASSUMPTION OF CREDIT
[1 SEP 2009] V3.00

USAREC Form 992    PureEdge    
U.S. ARMY FUTURE SOLDIER TRAINING PROGRAM  PHYSICAL TRAINING PROGRAM STATEMENT
[1 AUG 2009] V2.00

USAREC Form 1001    PureEdge    
ACKNOWLEDGMENT OF PROPER URINALYSIS SPECIMEN COLLECTION PROCEDURES
[1 JUL 2011] V1.30

USAREC Form 1011   PureEdge     pdf       
OFFICIAL ARMY RESERVE NATIONAL SCHOLAR/ATHLETE SELECTION
[1 MAY 2010] V1.00

USAREC Form 1015    PureEdge  
SCHOOL PROFILE - ON-SITE VISIT
[1 DEC 2010] V4.00

USAREC Form 1015-A       PureEdge
TIER EVALUATION WORKSHEET
[1 NOV 2006] V1.00

USAREC Form 1030       PureEdge
NEW STRAP APPLICATION COVER SHEET
[1 AUG 2006] V3.00

USAREC Form 1035       PureEdge
REQUEST TO CHANGE ENLISTMENT OPTION
[1 AUG 2006] V1.10

USAREC Form 1037    PureEdge    new
PROBATION OFFICER AND/OR COURT RECORDS REPORT (Front)
[1 JUN 2009] V3.10

USAREC Form 1037    PureEdge    
PROBATION OFFICER AND/OR COURT RECORDS REPORT (Reverse)
[1 JUN 2009] V3.10

USAREC Form 1044    PureEdge   pdf   
OFFICIAL SELECTION FORM FOR THE ARMY RECRUITING COMMAND JROTC CADET AWARD
[1 DEC 2009] V3.00

USAREC Form 1047    PureEdge    new
USAREC SPOUSE APPRECIATION CERTIFICATE
[1 AUG 2013]


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USAREC Form 1054    PureEdge    
MATCH LOG
[1 JUL 2009] V4.00

USAREC Form 1056      PureEdge
SOLDIER AND FAMILY ASSISTANCE PROGRAM ASSESSMENT
[1 DEC 2011] V1.10

USAREC Form 1057        PureEdge
REQUEST FOR CHILD CARE REIMBURSEMENT
[1 APR 1993] V1.00

USAREC Form 1062   PureEdge   
REQUEST FOR HEALTH PROFESSIONS ACCESSION BONUS
[1 NOV 2011] V6.00

USAREC Form 1066    PureEdge
USAREC INSPECTION OF LEASED QUARTERS
[1 JAN 2009] V2.10

USAREC Form 1071    PureEdge    
RESTRICTIONS ON PERSONAL CONDUCT IN THE ARMY
[1 JAN 2012] V3.00

USAREC Form 1073       PureEdge
STATEMENT OF ACKNOWLEDGMENT FOR ACCOMMODATION OF RELIGIOUS PRACTICES
[1 APR 1994] V1.00

USAREC Form 1076    PureEdge  
AMEDD TRANSMITTAL SHEET
[1 FEB 2012] V6.00

USAREC Form 1079       PureEdge
REGISTRATION APPLICATION SUMMARY
[1 MAY 2012] V1.10

USAREC Form 1081    PureEdge    
AMEDD PROFESSIONAL MANAGEMENT COMMAND (APMC) ASSIGNMENT VERIFICATION AND ACCEPTANCE
[1 AUG 2009] V2.00


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USAREC Form 1085        PureEdge
INFORMATION ASSURANCE CHECKLIST
[1 FEB 2002] V1.10

USAREC Form 1091     PureEdge
STATEMENTS OF UNDERSTANDING
[1 JUN 1999] V1.00

USAREC Form 1092       PureEdge
STATEMENT OF CERTIFICATION FOR REPAYMENT OF DISBURSED GOVERNMENT FUNDS
[1 FEB 1997] V1.00

USAREC Form 1093    PureEdge    
CERTIFICATE OF ENROLLMENT FOR THE US ARMY HEALTH PROFESSIONS SCHOLARSHIP PROGRAM
[1 AUG 2009] V3.00

USAREC Form 1094    PureEdge  
APPLICATION FOR THE US ARMY HEALTH PROFESSIONS SCHOLARSHIP PROGRAM
[1 FEB 2012] V5.10

USAREC Form 1095    PureEdge    
VERIFICATION OF ACADEMIC AND CURRENT MILITARY SERVICE OBLIGATION FOR ENTRY INTO THE U.S. ARMY HEALTH PROFESSIONS SCHOLARSHIP PROGRAM (HPSP)
[1 SEP 2009] V5.00

USAREC Form 1103    PureEdge    
INCENTIVE ENROLLMENT DATA SHEET
[1 AUG 2009] V4.00

USAREC Form 1105   PureEdge     
STRAP ENROLLMENT VERIFICATION
[1 FEB 2013] LFV1.0

USAREC Form 1114     PureEdge
STANDARDS OF CONDUCT FOR USAREC PERSONNEL
[1 MAR 2007] V1.10

USAREC Form 1115      PureEdge
FUTURE SOLDIER TRAINING FUNCTION REQUEST AND AFTERACTION REPORT
[1 SEP 2006] V3.00

USAREC Form 1116      PureEdge
FUTURE SOLDIER TRAINING FUNCTION ATTENDANCE LIST
[1 SEP 2006] V1.20


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USAREC Form 1117      PureEdge new
RECRUITING INSPECTION LOG
[1 SEP 2013] LFV 1.00

USAREC Form 1119    PureEdge    
NATIONAL PRACTITIONER DATABANK SEARCH INFORMATION
[1 SEP 2009] V2.00

USAREC Form 1124    PureEdge
STATEMENT OF UNDERSTANDING - ARMY SUBSTANCE ABUSE PROGRAM
[1 APR 2009] V2.00

USAREC Form 1126    PureEdge
STATEMENT OF REQUIREMENT FOR DENTAL LICENSURE
[1 SEP 2008] V3.00

USAREC Form 1129     PureEdge
DEPARTMENT OF THE ARMY SERVICE AGREEMENT F. EDWARD HEBERT ARMED FORCES FINANCIAL ASSISTANCE PROGRAM
[1 FEB 2008] V6.00

USAREC Form 1131    PureEdge new
DEPARTMENT OF THE ARMY SERVICE AGREEMENT F. EDWARD HEBERT ARMED FORCES HEALTH PROFESSIONS SCHOLARSHIP PROGRAM
[1 OCT 2013] LFV 1.00

USAREC Form 1132     PureEdge  
HPSP ENROLLMENT DOCUMENT CHECKLIST
[1 JUN 2012]

USAREC Form 1135    PureEdge
FUTURE SOLDIER'S COMMITMENT TO EXCELLENCE
[1 APR 2007] V1.10

USAREC Form 1136    PureEdge
FUTURE SOLDIER'S CERTIFICATE OF TRAINING
[1 APR 2007] V1.10

USAREC Form 1137   PDF   new
THE UNITED STATES ARMY RECRUITING COMMAND FUTURE SOLDIER PRE-EXECUTION CHECKLIST
[12 NOV 2013]

USAREC Form 1139       PureEdge
DEPARTMENT OF THE ARMY - ARMED FORCES SERVICE AGREEMENT - ARMED FORCES DENTAL OFFICER ACCESSION BONUS PROGRAM
[1 MAR 2008] V2.50

 


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USAREC Form 1146    PureEdge  
RA AND USAR INQUIRIES TO THE USAREC LNCO
[1 OCT 2010] V2.10

USAREC Form 1148    PureEdge  
USAREC LIAISON NCO MONTHLY REPORT
[1 OCT 2010] V3.10

USAREC Form 1151       PureEdge new
CERTIFICATION OF PARTICIPATION IN THE FINANCIAL ASSISTANCE PROGRAM (FAP)
[1 Jul 2013] LFV1.00

USAREC Form 1152    PureEdge    
ARMY SPECIALTY DELAY TRAINING PROGRAM HOME ADDRESS
[1 SEP 2009] V4.00

USAREC Form 1157       PureEdge
AUTOMATIC ACCEPTANCE CRITERIA STATEMENT OF UNDERSTANDING
[1 MAY 2012]

USAREC Form 1158  PureEdge
ARMED FORCES SERVICE AGREEMENT -  DEPARTMENT OF THE ARMY - ARMED FORCES ACTIVE DUTY HEALTH PROFESSIONS LOAN REPAYMENT PROGRAM FOR NEW ACCESSIONS
[1 DEC 2011] V9.00

USAREC Form 1159    PureEdge     
MEMORANDUM FOR RECORD FOR THE OBSERVERS - SUBJECT: RESPONSIBILITIES OF OBSERVERS DURING DRUG TESTING
[1 AUG 2010] V1.30

USAREC Form 1160    PureEdge    
MEMORANDUM FOR RECORD FOR THE UNIT PREVENTION LEADER - SUBJECT: RESPONSIBILITIES OF UNIT PREVENTION LEADER DURING DRUG TESTING
[1 JUL 2011] V1.40

USAREC Form 1161       PureEdge
CHAPLAIN GRADUATE SCHOOL DATA SHEET
[1 MAY 2005] V1.10

USAREC Form 1163   PureEdge  
VERIFICATION OF NATURALIZATION OR RESIDENCY STATUS
[1 JUN 2012] V3.00

USAREC Form 1166     PureEdge
SELECTED RESERVE SPECIAL PAY PROGRAM CONTRACT
[1 SEP 2008] V1.30


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USAREC Form 1168    PureEdge  
HEALTH PROFESSIONS SCHOLARSHIP PROGRAM AUTOMATIC ACCEPTANCE CRITERIA APPLICATION AND ENROLLMENT CHECKLIST FOR USMA CADETS
[1 JUN 2012]

USAREC Form 1169     PureEdge
LOAN INFORMATION AND VERIFICATION FORM - DEPARTMENT OF DEFENSE – ARMED FORCES HEALTH PROFESSIONS LOAN REPAYMENT PROGRAM (HPLRP)
[1 MAR 2003] V2.00

USAREC Form 1170      PureEdge
CERTIFICATE OF ENROLLMENT FOR THE U.S. ARMY HEALTH PROFESSIONS LOAN REPAYMENT PROGRAM
[1 MAY 1998] V1.00

USAREC Form 1172       PureEdge
VERIFICATION OF ACADEMIC AND CURRENT MILITARY SERVICE OBLIGATION FOR ENTRY INTO THE U.S. ARMY HEALTH PROFESSIONS LOAN REPAYMENT PROGRAM (HPLRP)
[1 MAY 1998] V1.00

USAREC Form 1174        PureEdge
LOCAL PROJECT OFFICER NATIONAL CONVENTION/EXHIBIT AFTER-ACTION REPORT
[1 FEB 1999] V1.00

USAREC Form 1175     PureEdge  
ARMY ACTIVE DUTY HEALTH PROFESSIONS LOAN REPAYMENT PROGRAM ENROLLMENT LETTER OF INTENT
AND CHECKLIST

[1 MAY 2012] V9.00

USAREC Form 1176        PureEdge
POV INSPECTION CHECKLIST
[1 FEB 2002] V2.00

USAREC Form 1177       PureEdge
STATEMENT OF UNDERSTANDING - INDIVIDUAL MOBILIZATION AUGMENTEE POSITIONS
[1 MAY 2004] V1.10

USAREC Form 1180    PureEdge    
ARMY MEDICAL SPECIALIST CORPS STUDENT PROGRAMS - LISTING OF ACADEMIC COURSES IN PROGRESS OR TO BE TAKEN
[1 AUG 2009] V1.10

USAREC Form 1191       PureEdge
MASTER KEY INVENTORY
[1 FEB 2000] V1.00


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USAREC Form 1192       PureEdge
KEY SIGN-IN AND SIGN-OUT RECORD
[1 FEB 2000] V1.00

USAREC Form 1193       PureEdge
KEY INVENTORY LOG (MONTHLY AND SEMIANNUALLY)
[1 FEB 2000] V1.00

USAREC Form 1196       PDF new
STATEMENT OF UNDERSTANDING - PROHIBITED ACTIVITIES BETWEEN RECRUITING PERSONNEL AND FUTURE SOLDIER PROGRAM MEMBERS
[1 OCT 2013] LFV 1.00

USAREC Form 1197    PureEdge    
REQUEST FOR UNIT MEMBERSHIP IN NON-FEDERAL ENTITY
[1 JUN 2009] V2.10

USAREC Form 1205    PureEdge  
REGULAR ARMY NURSE CORPS INCENTIVE DECLARATION STATEMENT
[1 SEP 2011] V4.30

USAREC Form 1206        PureEdge
ACCIDENT SUMMARY REPORT AND LOG
[1 NOV 2012] V4.00

USAREC Form 1209   PureEdge  
PHARMACY OFFICER ACCESSION BONUS
[1 APR 2011] V1.30

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USAREC Form 1213   PureEdge  
ACTIVE DUTY - AMEDD APPOINTMENT APPLICATION CHECKLIST
[1 DEC 2010] V6.00

USAREC Form 1214    PureEdge  
ACTIVE DUTY STUDENT PROGRAM - AMEDD APPOINTMENT APPLICATION CHECKLIST
[1 FEB 2012] V6.10

USAREC Form 1215    PureEdge   new
USAR - AMEDD APPOINTMENT APPLICATION CHECKLIST
[1 FEB 2013] LFV1.0

USAREC Form 1216    PureEdge  
USAR - STRAP AMEDD APPOINTMENT APPLICATION CHECKLIST
[1 DEC 2010] V5.20

USAREC Form 1217    PureEdge new   
USAR APMC ATTACHMENT - AMEDD APPOINTMENT APPLICATION CHECKLIST
[1 FEB 2013] LFV1.0

USAREC Form 1218    PureEdge  
HEALTH PROFESSIONS SCHOLARSHIP PROGRAM - AMEDD APPOINTMENT APPLICATION CHECKLIST
[1 JUN 2012]

USAREC Form 1219    PureEdge  
AUTOMATIC ACCEPTANCE CRITERIA - HEALTH PROFESSIONS SCHOLARSHIP PROGRAM - AMEDD APPOINTMENT APPLICATION CHECKLIST
[1 DEC 2010] V7.00

USAREC Form 1220        PureEdge
E/COI TOUR PROGRAM REPORT
[1 OCT 2001] V1.00

USAREC Form 1221    PureEdge   
E/COI TOUR EVALUATION
[1 JUN 2010] V3.00

USAREC Form 1223      PureEdge new   
DEPARTMENT OF THE ARMY - SERVICE AGREEMENT - F. EDWARD HEBERT ARMED FORCES UNIFORMED SERVICES UNIVERSITY OF THE HEALTH SCIENCES
[1 DEC 2013]

USAREC Form 1224      PureEdge
STATEMENT OF REQUIREMENT FOR USMLE, COMLEX, NBEO, OR NBDE PART OR STEP 1 AND PART OR STEP 2
[1 APR 2008] V4.10

USAREC Form 1227    PureEdge  
SECURITY CLEARANCE QUESTIONNAIRE
[1 FEB 2011] V4.00


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USAREC Form 1231    PureEdge    
EDUCATIONAL DELAY ACCESSION DATA
[1 SEP 2009] V7.00

USAREC Form 1232       PureEdge new
LOAN REPAYMENT PROGRAM INPROCESSING COUNSELING
[1 APR 2013] LFV1.0

USAREC Form 1234    PureEdge  
APPLICATION FOR ARMY CLINICAL PSYCHOLOGY INTERNSHIP PROGRAM
[1 APR 2011] V4.10

USAREC Form 1235    PureEdge    
AMEDD ACADEMIC PROGRAM WORKSHEET
[1 SEP 2009] V2.00

USAREC Form 1236    PureEdge
MOTORCYCLE OPERATOR RESPONSIBILITIES (SOLDIER)
[1 NOV 2012] V3.10

USAREC Form 1236-1    PureEdge
MOTORCYCLE OPERATOR RESPONSIBILITIES (DOD CIVILIAN)
[1 MAR 2009] V1.00

USAREC Form 1236-2    PureEdge
ALL-TERRAIN VEHICLE OPERATOR RESPONSIBILITIES (SOLDIER)
[1 NOV 2012] V1.10

USAREC Form 1236-3    PureEdge
ALL-TERRAIN VEHICLE OPERATOR RESPONSIBILITIES (DOD CIVILIAN)
[1 MAR 2009] V1.00

USAREC Form 1237    PureEdge   
APPLICATION FOR ARMY AUDIOLOGY EXTERNSHIP PROGRAM
[1 NOV 2011] V2.10

USAREC Form 1238        PureEdge new
FACILITY HAZARD INSPECTION CHECKLIST
[1 JUL 2013] LFV1.0

USAREC Form 1239    PureEdge   
PERSONAL INJURY SUMMARY REPORT
[1 NOV 2012] V2.00

USAREC Form 1240    PureEdge  new  
AMEDD GENERAL EXCEPTION
[1 FEB 2013] V1.00

USAREC Form 1241    PureEdge   
TATTOO SCREENING
[1 OCT 2012] LFV2.00

USAREC Form 1242     PureEdge new
ARMY PREPROCESSING DRUG SCREENING ACKNOWLEDGMENT AND CONSENT
[1 APR 2013] LFV1.00


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USAREC Form 1248     PureEdge new
AGREEMENT FOR ARMY NURSE CORPS SELECTION PROGRAM  
[1 APR 2013] V2.00

USAREC Form 1248-1     PureEdge  
AGREEMENT FOR ARMY NURSE CORPS PRECISION COURSE SELECTION PROGRAM 
[1 SEP 2011] V2.00

USAREC Form 1252    PureEdge   
US ARMY RESERVE AND ARMY NATIONAL GUARD INCENTIVES DECLARATION STATEMENT
[1 SEP 2010] V1.50

USAREC Form 1253     PureEdge    
ACTIVE DUTY FOR OPERATIONAL SUPPORT-RESERVE COMPONENT MANAGEMENT LOG
[1 JUN 2009] V2.00

USAREC Form 1254       PureEdge
ACCIDENT REPORT CHECKLIST
[1 NOV 2012] V2.00

USAREC Form 1257    PureEdge    
STATEMENT FOR APPOINTMENT - ARMY POLICY
[1 SEP 2009] V1.10

USAREC Form 1258      PureEdge
STATEMENT FOR APPOINTMENT - CONCEALMENT OF INFORMATION
[1 OCT 2004] V1.00

USAREC Form 1262    PureEdge  new
STATEMENTS OF UNDERSTANDING FOR INTERSERVICE PHYSICIAN ASSISTANT PROGRAM (OFFICER)
[1 OCT 2013] LFV 1.00

USAREC Form 1262-A    PureEdge  new 
STATEMENTS OF UNDERSTANDING FOR INTERSERVICE PHYSICIAN ASSISTANT PROGRAM (ENLISTED)
[1 MAR 2013] LFV 1.0

USAREC Form 1262-B    PureEdge
STATEMENTS OF UNDERSTANDING FOR INTERSERVICE PHYSICIAN
ASSISTANT PROGRAM (REGULAR ARMY WARRANT OFFICER)
[1 FEB 2012] V2.00

USAREC Form 1262-C   PureEdge  new
STATEMENTS OF UNDERSTANDING  FOR INTERSERVICE PHYSICIAN
ASSISTANT PROGRAM (ARMY RESERVE OFFICER)
[1 OCT 2013] LFV 1.00

USAREC Form 1262-D   PureEdge 
STATEMENTS OF UNDERSTANDING FOR INTERSERVICE PHYSICIAN
ASSISTANT PROGRAM (ARMY RESERVE ENLISTED)
[1 JUN 2012] V1.00


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USAREC Form 1265       PureEdge
PRIVACY ACT STATEMENT (ENLISTMENT PROCESSING)
[1 SEP 2006] V1.00

USAREC Form 1270    PureEdge
NOTIFICATION OF INITIATION OF INVOLUNTARY REASSIGNMENT, REATTACHMENT, AND/OR RECLASSIFICATION
[1 APR 2012] V2.00

USAREC Form 1271    PureEdge
ACKNOWLEDGMENT OF INITIATION OF INVOLUNTARY REASSIGNMENT, REATTACHMENT, AND/OR RECLASSIFICATION
[1 MAY 2012] V2.00

USAREC Form 1272    PureEdge
RECOMMENDATION FOR INVOLUNTARY REASSIGNMENT, REATTACHMENT, AND/OR RECLASSIFICATION
[1 APR 2012] V3.00

USAREC Form 1273    PureEdge
APPROVAL OF INVOLUNTARY REASSIGNMENT, REATTACHMENT, AND/OR RECLASSIFICATION
[1 APR 2012] V2.00

USAREC Form 1275    PureEdge  new
ARMY NURSE CANDIDATE PROGRAM APPLICATION CHECKLIST
[1 APR 2013] LFV1.0

USAREC Form 1276    PureEdge    
PREBOARD APPLICATION CHECKLIST
[1 DEC 2010] V5.00

USAREC Form 1276-A    PureEdge  
POST-BOARD APPLICATION CHECKLIST
[1 DEC 2010] V4.00

USAREC Form 1279     PureEdge
HRAP, SRAP, AND ADOS-RC SOLDIERS INPROCESSING CHECKLIST
[1 SEP 2008] V2.00

USAREC Form 1280     PureEdge  
ARMY MEDICAL DEPARTMENT ENLISTED COMMISSIONING PROGRAM STATEMENT OF UNDERSTANDING
[1 FEB 2012] V2.20

USAREC Form 1281   PureEdge  
CONTRACT FOR THE ARMY MEDICAL DEPARTMENT ENLISTED COMMISSIONING PROGRAM
[1 FEB 2012] V2.20

USAREC Form 1282     PureEdge   
US ARMY ACTIVE DUTY INCENTIVES DECLARATION STATEMENT FOR DC, MC, MS, SP, AND VC
[1 NOV 2011] V1.20

USAREC Form 1283   PureEdge
DEPARTMENT OF THE ARMY SERVICE AGREEMENT UNITED STATES ARMY CLINICAL PSYCHOLOGY INTERNSHIP PROGRAM
[1 MAY 2012]

USAREC Form 1284    PureEdge  
ELECTION OR DECLINATION OF THE  HEALTH PROFESSIONS SCHOLARSHIP PROGRAM ACCESSION BONUS
[1 SEP 2011] V2.00

USAREC Form 1285     PureEdge    
CHRONOLOGICAL LISTING OF MINISTRY EXPERIENCE
[1 OCT 2009] V2.00

USAREC Form 1287   PureEdge  
DEPARTMENT OF THE ARMY ARMED FORCES SERVICE AGREEMENT CRITICAL WARTIME SKILLS ACCESSION BONUS FOR PHYSICIAN AND DENTAL SPECIALISTS
[1 DEC 2010] V2.00

USAREC Form 1288   PureEdge  
U.S. ARMY-BAYLOR UNIVERSITY DOCTORAL PROGRAM IN PHYSICAL THERAPY APPLICANT SERVICE PREFERENCE
[1 SEP 2011] V1.10

USAREC Form 1289     PureEdge new 
SPECIALIZED TRAINING ASSISTANCE PROGRAM SERVICE AGREEMENT
[1 FEB 2013] LFV1.0

USAREC Form 1290     PureEdge  
MEDICAL AND DENTAL SCHOOL STIPEND PROGRAM SERVICE AGREEMENT
[1 SEP 11] V1.20

USAREC Form 1291   PureEdge  
HEALTH PROFESSIONS LOAN REPAYMENT AGREEMENT
[1 DEC 2010] V2.00

USAREC Form 1292     PureEdge
ACKNOWLEDGMENT OF MEDICAL WAIVER - ENLISTMENT PROCESSING OF APPLICANT MEDICAL WAIVERS
[1 SEP 2008] V1.00

USAREC Form 1294     PureEdge
ACKNOWLEDGMENT OF AUTHORIZED USE OF GOVERNMENT-OWNED VEHICLE
[1 JAN 2009] V1.00

USAREC Form 1295 new  PureEdge
NEWCOMERS SAFETY AND OCCUPATIONAL HEALTH BRIEFING
[1 JUL 2013] LFV1.0

USAREC Form 1296     PureEdge
DEPARTMENT OF THE ARMY CIVILIAN SAFETY INCIDENT REPORT
[1 MAR 2009] V1.00

USAREC Form 1297     PureEdge
BLEACHER INSPECTION CHECKLIST
[1 MAR 2009] V1.00

USAREC Form 1299   PureEdge  
RECEPTION AND INTEGRATION CHECKLIST
[1 SEP 2010] V1.00

USAREC Form 1300   PureEdge  
CAREER ASSESSMENT GUIDE
[1 SEP 2010] V1.00

USAREC Form 1302   PureEdge   new
FUTURE SOLDIER HOMETOWN SHIPPING CHECKLIST
[1 MAY 2013] LFV 1.0

USAREC Form 1304   PureEdge   
MILITARY AWARDS INFORMATION
[1 JUN 2011] V1.00

USAREC Form 1305   PDF   new
GUIDANCE COUNSELOR SHOP INSPECTION CHECKLIST
[14 NOV 2013] V3

USAREC Form 1306   PureEdge   
DEPARTMENT OF THE ARMY SERVICE AGREEMENT F. EDWARD HEBERT ARMED FORCES UNIFORMED SERVICES UNIVERSITY OF HEALTH SCIENCES FOR THE POSTGRADUATE CLINICAL PSYCHOLOGY PROGRAM
[1 APR 2012] V1.00

USAREC Form 1307   PureEdge   
THE ARMY MASTER OF SOCIAL WORK PROGRAM TRAINING AGREEMENT
[1 JUN 2012] V1.00

USAREC Form 1308   PureEdge   
APPLICATION AND ENROLLMENT CHECKLIST FOR ROTC/HP SP PHARMACY HEALTH PROFESSIONS SCHOLARSHIP PROGRAM
[1 JUL 2012] V1.00

USAREC Form 1309   PureEdge    new
REQUEST FOR PROFESSIONAL EVALUATION
[1 NOV 2013] LFV3.0


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USAREC Label 16    PureEdge     
FLIGHT PHYSICAL COVER SHEET
[1 DEC 2011] V2.20


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USAREC OP 3       PureEdge
TRAINING SEAT CANCELLATION
[1 JUL 2007] V3.00

USAREC OP 4       PureEdge   
REGULAR ARMY ENLISTMENT
[1 SEP 2012] V1.00



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For comments or questions contact E-pubs POC at: usarmy.knox.usarec.mbx.hq-g6-publications@mail.mil

Updated: 21 April 2014


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