Forms
Citizenship
Cadet Clothing Supply Form
Dental Record Verification Form (see example)
Health Care Record (see example)
CC Form 104-R – Academic Alignment Sheet
CC Form 132-R Statement of Understanding
CC Form 137-R – Release of Student (see “yes” example) (see “no” example)
CC Form 139-R – Cadet Enrollment Record (see example)
CC Form 167-R Scholarship Non-Scholarship DA Form 597
DA Form 3425-R Medical Fitness Statement (see example)
DD Form 4-1/2 Enlistment Document
DD Form 93 Record of Emergency Data (see example)
DD Form 2351 DoDMERB Medical Examination Form
DD Form 2492 DoDMERB Medical History Form
SF 86 National Security Questionnaire
SF 1199 A Direct Deposit Sign up Form (see example)
SGLV 8286 Soldier’s Group Life Insurance Form (see example)
W4 2022 Form (see example)
In Processing Documents
Contracting Cadets
You are a contracting cadet if you plan to contract this semester with ROTC. Contracting cadets who have already completed this paperwork should continue to coordinate with the Army ROTC Recruiting Office on completing the contracting process. Contracting cadets who have not completed this paperwork should do so (EXCEPT for the DA Form 3425-R), and then contact the Army ROTC Recruiting Office to make an appointment to turn-in the paperwork and start the rest of the contracting process (Note: Do this SOON). You are advised that you MUST be a full-time student to be in Army ROTC (12 or more credit hours). You are also advised to be pro-active in the pre-contracting process, since each day you don’t contract during the semester can result in lost ROTC subsistence allowance (stipend).
Non-contracting Cadets
You are a non-contracting cadet if you don’t plan to contract with ROTC (i.e., you are only taking the class) and you are enrolled in either MILS 1020, MILS 1021, MILS 2020, or MILS 2021. Your eligibility to be in Army ROTC cannot be determined until you have completed required forms and turned-in required documents. While compliance is voluntary, refusal to comply renders you ineligible for Army ROTC. You must complete this process within two weeks of the start of the semester, or within two weeks from when you added Army ROTC class(es) – unless your ROTC Instructor grants an extension. Failure to comply can result in your being required to drop Army ROTC class(es), or a restriction placed on your participation in ROTC labs, etc. All information and documents provided are kept confidential. You are advised that you MUST be a full-time student to be in Army ROTC (12 or more credit hours).
All forms that can be typed will be typed. All others will be printed, filled out
and signed.
Signatures:Use your “Given Name” signature (first, MI, and last name). DO NOT use
aliases or abbreviations of your name.
In areas where it requires your initials, please use your first, middle, and last
initials. Initial in cursive.
Signature Dates: Use military day, month, year format (29 Mar 05). DO NOT use a number
to represent a month.
Include ZIP codes for city and state addresses given. If necessary, refer to an online
ZIP code directory.
Military Form Help
To find a form please refer to the two-letter designation at the front of the name. DD forms are from the Department of Defense, DA forms are from the Department of the Army, and CC forms are from United States Army Cadet Command.