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Administrative Separation Guide
Index

 

Chapter 5-3

Secretarial Plenary Authority

1

Chapter 5-8

Parenthood (Lack of Family Care Plan)

2

Chapter 5-11

Fail to Meet Procurement Medical Fitness Standards

3

Chapter 5-13

Personality Disorder

4

Chapter 5-16

Early Separation to Further Education

5

Chapter 5-17

Other Physical or Mental Disorder

6

Chapter 6

Dependency/Hardship

7

Chapter 7

Fraudulent Enlistment

8

Chapter 8

Pregnancy

9

Chapter 9

ADAPCP Rehab Failure

10

Chapter 10

Separation In Lieu of Trial by Court-Martial

11

Chapter 11

Entry Level Performance

12

Chapter 13

Unsatisfactory Performance

13

Chapter 14-5

Civil Court Conviction

14

Chapter 14-12a/b

Minor Disciplinary Infractions / Pattern of Misconduct

15

Chapter 14-12c

Commission of a Serious Offense

16

Chapter 15

Homosexual Conduct

17

Chapter 16

Non-retention on active duty

18

Chapter 18

Overweight

19-20

 

Revoking a Suspended Chapter

21

Appendix A

Request for Separation

22

Appendix B

DA Form 4856 - 1-16 "Magic" Counseling

23

Appendix C

Debt Avoidance Counseling

24

Appendix D

Education Benefits Counseling

25

Appendix E

DA Forms 5304-R & 5305-R, Family Care/Pregnancy Counseling

26-29

Appendix F

Statement of Pregnancy Counseling

30

Appendix G

Weight Control Supporting Documentation

31-33

Appendix H

DA Form 5138-R, Separation Action Control Sheet

34

Appendix I

DA Form 4187 for Chapter 5-3 - Plenary Authority

35

Appendix J

DA Form 4187 for Chapter 5-16 - School Drop

36

Appendix K

DA Form 4187 for Chapter 6 - Hardship

37

Appendix L

DA Form 4187 for Chapter 6 - Dependency

38

Appendix M

DA Form 4187 for Chapter 8 - Pregnancy

39

Appendix N

DA Form 4941-R - Statement of Option, HQDA Bar

40

Appendix O

DA Form 4187 for Chapter 16 - Bar

41

Appendix P

Benefits at Separation Chart  (Edit Form in PowerPoint to Print)

42

Appendix Q

Example of Revocation Documents

43-44