Download the form
DA Form 7004-R handles one job: addendum to certificate of acknowledgement of service requirements (da form 3540) for enlistment into the usar star program (lra). The official title is ADDENDUM TO CERTIFICATE OF ACKNOWLEDGEMENT OF SERVICE REQUIREMENTS (DA FORM 3540) FOR ENROLLMENT INTO THE U.S. ARMY RESERVE SPECIALIZED TRAINING FOR ARMY READINESS (STAR) PROGRAM. Download it below, fill it in, sign it, send it where your directive says. The edition on this page is July 2005, status not stated, running 1 page(s) with about 112 fields to complete.
Authority sits in two places. DCS, G-1 owns the form, AR 601-210 says when it is raised and where it goes. Routine cases need neither read in full — the page itself carries the sequence. The entries are completed by their subject or by unit administrative staff working from what that person supplies.
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.
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. The xfdl copy needs the IBM Lotus Forms Viewer. That format runs in Army systems and nothing else reads it.
Free, unregistered, unmodified. What arrives is what the publisher released.
What the form asks for
- APPLDATE
- CNCLNAME
- ContentArea1
- FROM
- GCDATE
- MOS
- NAMESSN
- Page1
- PageArea1
- R86
- R87
- R88
- R89
- R90
- R91
- R92
- R93
- R94
- R95
- R96
- R97
- R98
- T10
- T11
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.
The Privacy Act statement is read before the personal entries, not after. It gives the collection authority, the purpose, the routine uses and whether disclosure is mandatory or voluntary. Once filled, your copy is a personal record and gets stored and transmitted accordingly.
Routing follows AR 601-210 and nothing else — a named office, the unit administrative channel, or the individual's file, according to why the form was raised. Copy it before it leaves. Retention is fixed by the records schedule for the series, which local practice does not shorten or extend.
Related forms are found by series and number. DA series documents under the same proponent or the same prescribing directive are commonly required as a set, and any form named on the face of this one goes forward with it. Assemble continuations, covers and transmittals before submitting, not after the query comes back.
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 DCS, G-1 or the administrative office servicing your unit.
Questions and answers
- What is DA Form 7004-R?
- ADDENDUM TO CERTIFICATE OF ACKNOWLEDGEMENT OF SERVICE REQUIREMENTS (DA FORM 3540) FOR ENROLLMENT INTO THE U.S. ARMY RESERVE SPECIALIZED TRAINING FOR ARMY READINESS (STAR) PROGRAM
- Which edition is current?
- July 2005
- Who is responsible for this form?
- DCS, G-1
- In which formats can it be downloaded?
- PDF, XFDL