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