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DA Form 5536 — AGREEMENT HEALTH PROFESSIONALS LOAN REPAYMENT (HPLR)

agreement health professionals loan repayment (hplr)

A newer edition of this form has been issued (11/01/2023). Download the current edition.

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Use DA Form 5536 when you need to agreement health professionals loan repayment (hplr). Full title: AGREEMENT HEALTH PROFESSIONALS LOAN REPAYMENT (HPLR). Everything you need is on this page — the file, the entry rules, the routing. Edition 11/01/2023, status ACTIVE, 1 page(s), roughly 136 fields. Note the supersession: a later edition exists, and this one applies only to records already completed on it.

Two references decide everything about your use of it: G-1 maintains the content, 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.

Pick by how you will enter data: PDF, XFDL on offer. Typing means fillable pdf, where the boxes accept keystrokes and hold them on save. Handwriting means printable pdf, a flat page image sent straight to a printer. Neither version changes what appears on the page.

Use a full pdf reader, not the browser viewer. Browser viewers display fields they cannot always save, and the loss shows up only when you reopen the file — type one entry, save, reopen, verify, then fill the rest. The xfdl file is IBM Lotus Forms, used inside Army systems, and opens in the Lotus Forms Viewer alone — no pdf reader, no word processor.

Free, unregistered, unmodified. What arrives is what the publisher released.

What the form asks for

  • ADDRESS
  • CONTRL_NO
  • ContentArea1
  • DATE
  • First
  • GRADE
  • Line1
  • NAME
  • NAME_B
  • NAME_OFF
  • Page1
  • R103
  • R104
  • R105
  • R106
  • R107
  • R111
  • R112
  • R113
  • R114
  • R115
  • R116
  • R117
  • R118

Start at the top and get the header exactly right. Official spelling of the name, identification number, unit, date. Everything downstream finds the record through those entries; nothing else on the page has that consequence.

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.

The signature closes the form and nothing precedes it. Draft status holds until it is applied, by hand or by an accepted electronic method. Countersignatures go in printed order, each dated at signing. Then one final read from the top, looking for the four recurring defects: empty mandatory fields, swapped digits in identification numbers, day-month inversion in dates, and residue from a reused file that goes forward as though intended.

Read the Privacy Act statement at the point it appears. Authority, purpose, routine uses, mandatory or voluntary — four facts, and they govern what you are about to enter. A completed copy holds personal data and takes the handling rules that attach to it.

The prescribing directive names the destination; office custom does not. Depending on the case that means a specific office, the unit administrative channel, or the personal record. Keep a copy first, because the original does not come back. Retention runs on the applicable records schedule.

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.

Edition date is the version number, printed on the page. Hold a locally saved copy against the current edition before reuse, since nothing on your machine signals a revision. Work already executed under a superseded edition remains as filed.

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 5536?
AGREEMENT HEALTH PROFESSIONALS LOAN REPAYMENT (HPLR)
Which edition is current?
11/01/2023
Who is responsible for this form?
G-1
In which formats can it be downloaded?
PDF, XFDL, PDF

Publisher notes

  1. PRIVACY ACT STATEMENT

Other forms in the series