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DA Form 5261-4 — STUDENT LOAN REPAYMENT PROGRAM ADDENDUM

student loan repayment program addendum

A newer edition of this form has been issued (03/01/2018). Download the current edition.

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DA Form 5261-4 exists to student loan repayment program addendum — that is the short version. Title of record: STUDENT LOAN REPAYMENT PROGRAM ADDENDUM. The page covers the download, the entries and the disposition, nothing else. Current here: edition 03/01/2018, status ACTIVE, 1 page(s), near 159 fields. Superseded edition. A newer one is out; stay here only for files already executed on this version.

Two references decide everything about your use of it: G-1 maintains the content, AR 135-7, AR 621-202 sets the trigger and the routing. Consult the directive when your case is not routine; otherwise the printed blocks tell you enough. The person named in the entries fills it, or the administrative office holding the file does it for them.

PDF are available and the decision takes one second. Type your entries: fillable pdf. Write them: printable pdf. The published layout is common to both, so the format governs your method and nothing more.

Save the download and open it in a dedicated reader. That single step prevents the common failure: an in-browser viewer accepts your typing and discards it at tab close. Confirm with one field and one save cycle before committing the whole form.

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What the form asks for

  • Collection1
  • Collection2
  • ContentArea1
  • DATSIGN
  • DATSIGN_B
  • Initial1
  • Initial10
  • Initial11
  • Initial12
  • Initial13
  • Initial14
  • Initial15
  • Initial16
  • Initial2
  • Initial4
  • Initial5
  • Initial6
  • Initial7
  • Initial8
  • Initial9
  • Initial_Function
  • Line1
  • MOS
  • MOS_B

The heading entries carry more weight than the body. Name spelled as in official records, identification number, organisation, date prepared. Retrieval runs on those values, so a transposed digit or a casual spelling costs someone a file search. Fill them before anything else.

Move between fields with tab; the build-time order follows the page and misses nothing. Click check boxes and option buttons, and expect an exclusive group to release the old choice when you set a new one. The trap is field width. Single-line fields do not wrap, so an overlong entry displays complete on screen and prints cut at the margin — put it in remarks or on a continuation instead. Mark inapplicable fields rather than leaving them blank, since an empty box carries no information about whether the question was read.

Signature comes after every other entry — ink or an approved electronic means, and without it the document is a draft. Where reviewing, approving or witnessing signatures are called for, take them in printed block order, each dated on the day applied. Before release, one pass from the top. The defects worth hunting are always the same four: mandatory fields left empty, identification digits transposed, dates with day and month reversed, and stale data surviving in a copy reused in place of a blank form.

Privacy Act statement first, personal entries second. The notice covers who is authorised to collect, why, who else routinely sees it, and whether you must answer. After completion the file carries personal data and is stored and sent under the corresponding safeguards.

Send it where the directive says: the office it names, the unit administrative channel, or the individual's file. Take your copy before submission. How long the record is held comes from the schedule for the series, not from the office holding it.

Companion documents come from the same series and number scheme. Within the DA series, a shared proponent or a shared directive usually means shared use, and a form cited on the face of another accompanies it. Gather the whole package first — continuation sheets, cover sheets, transmittals.

Check the edition date before reusing a saved copy. Revisions come from the proponent without notice to you, and the printed date is the only version marker on the page. Already-submitted records under a superseded edition stand as filed; the change does not run backwards.

The files are copies of published Department of the Army forms. This site has no official connection, no authority to issue anything, and no basis for saying whether an office will accept a given submission. None of the text is legal advice. Real questions — entry, requirement, eligibility — belong with G-1 or the administrative office servicing your unit.

Questions and answers

What is DA Form 5261-4?
STUDENT LOAN REPAYMENT PROGRAM ADDENDUM
Which edition is current?
03/01/2018
Who is responsible for this form?
G-1
In which formats can it be downloaded?
PDF, PDF

Publisher notes

  1. 14-REQUIRES PRIVACY ACT STATEMENT (AR 340-21)

Other forms in the series