This is a military form that was released by the U.S. Department of the Army (DA) on August 1, 2010. The form, often mistakenly referred to as the DD Form 4658, is a military form used by and within the U.S. Army. As of today, no separate instructions for the form are provided by the DA.
Q: What is DA Form 4658?
A: DA Form 4658 is a form used for the Statement of Retirement.
Q: Who is eligible to fill out DA Form 4658?
A: This form is for eligible soldiers who are retiring.
Q: Who is not eligible to reenlist?
A: Soldiers who are not eligible to reenlist cannot fill out DA Form 4658.
Form Details:
Download an up-to-date fillable DA Form 4658 down below in PDF format or browse hundreds of other DA Forms stored in our online database.