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Personnel Action Packet Checklist

SOLDIER'S NAME (Last, First MI) 2. UNIT/RPAC POC RANK/TITLE HR STAFF ADDRESS and PHONE NUMBERP ersonnel Action Packet Request for Conditional Releases (USARC ADCG Authority) INITIATED .RPAC POC CONTACT PROCESS Approval MEMBER Forms and CMD12. RPSCS ubmit the following documents thru the chain of command to the USARC ADCG for Conditional Releasefinal of this Form 4187 (for discharge to Active Army or other Uniformed Service) and DA Form 4651 (fortransfer to the Army National Guard) (if required) signed by Soldier and Soldier's of justification (Enlisted Only) or Memorandum of Conditional Tender of Resignation(Officer Only)DA Form 4856, Counseling conducted by the Soldier's Form 4856, Interview with Retention of command, including intermediate command, DD Form 4 Enlist

Personnel Action Packet Checklist 7.UIC T-20-E-1 Request for Conditional Releases (USARC ADCG Authority) 4.DATE INITIATED 9. RPAC NAME a.Phone: 10.UNIT POC CONTACT INFORMATION 14.REQUIRED PROCESS FLOW a.Intermediate: b.Intermediate: c.Final Approval Auth: 17.STAFF MEMBER SIGNATURE 15.Required Forms and Documents 11. GF …

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