Forms
Note:
E-Formsare documents which are in MSWord or MSExcel but are formatted so that
data may be entered directly on the form and the form may be printed or
transmitted. In many cases, if an electronic facsimle signature is not
available, they will have to be printed for signature. These may, however,
be subject to printer variations if printed. PDF forms are desisigned to be printed and completed manually. PDF format generally ensures true forms not subject to printer variations.Word/Excel forms are printable (but subject to printer variations) or may be completed
electronically and transmitted (entry of data may cause additional lines,
columns, or rows to appear and must be carefully monitored). Recommendations
for changes, additions, or deletions to this list should be directed to
the Assistant Chief of Staff, OHMR.
| NUMBER | TITLE | ISSUE DATE | E- FORM | WORD/EXCEL | |
| **** | Index of Forms | 25-Aug-07 | - | x | x |
| **** | OHMR Letterhead | **** | x | - | - |
| **** | Battalion Call List | **** | - | x | - |
| **** | Brigade Call List | **** | - | x | - |
| OHMR 1 Front | Report of Strength and Drill Attendance | May 93 | x | x | x |
| OHMR 1 Reverse | Report of Strength and Drill Attendance | May 93 | x | x | x |
| OHMR 1/A | HQ/HHD Sign-In Sheet | May 93 | x | x | x |
| OHMR 1/D | Unit Sign-In Sheet | May 93 | x | x | x |
| OHMR 1/X | Personnel Daily Summary | May 93 | x | x | x |
| OHMR 2 | Identification Card | Sep 98 | controlled item | ||
| OHMR 3 | Payroll Record | Jan 83 | x | x | x |
| OHMR 4 | Parental or Guardian Consent for Enlistment | 01 Apr 06 | x | x | x |
| OHMR 4 R | Staff Action Request | 15 Nov 05 | x | x | x |
| OHMR 5 | Dog Tag Order Form | Jan 96 | x | x | x |
| OHMR 6 | Duty Roster | Jul 91 | x | x | x |
| OHMR 7 | Privacy Act Statement | 01 Apr 06 | x | x | x |
| OHMR 8 | Promotion Board Evaluation | Jun 04 | x | x | x |
| OHMR 8 (Reverse) | Promotion Board Evaluation | Jun 04 | x | x | x |
| OHMR 13/E | Oath of Enlistment | 01 Apr 06 | x | x | x |
| OHMR 13/O | Oath of Office | May 86 | x | x | x |
| OHMR 21-E | Extension of Enlistment | May 86 | x | x | x |
| OHMR 22-3 | Request for Waiver | 01 Jun 02 | x | x | x |
| OHMR 25 | Officer Promotion Recommendation | 01 Sep 07 | x | x | x |
| OHMR 25 Reverse | Officer Promotion Recommendation | 01 Jun 04 | x | x | x |
| OHMR 26/A | Transfer Request | Jan 98 | x | x | x |
| OHMR 27 | Request for Relief and Designation of Commander | May 93 | x | x | x |
| OHMR 30 | Enlisted Promotion Recommendation | May 93 | x | x | x |
| OHMR 31A | Application for ID Card | 01 Aug 02 | x | x | x |
| OHMR 32 | Request for Discharge | May 93 | x | x | x |
| OHMR 45-R | Request for Excused Absence | May 93 | x | x | x |
| OHMR 67-8 | Officer Evaluation Report | 01 Sep 07 | x | x | x |
| OHMR 88 | Medical Examination/Medical History (Part II: Exam) | 01 Jan 07 | x | x | x |
| OHMR 89 | Proceeding of a Promotion Board | 23 Mar 04 | x | x | x |
| OHMR 89 Reverse | Proceeding of a Promotion Board | 23 Mar 04 | x | x | x |
| OHMR 93 | Medical Examination/Medical History (Part I: History) | 01 Apr 06 | x | x | x |
| OHMR 91 Front | Operator's Report of Motor Vehicle Accident | May 91 | x | x | x |
| OHMR 91 Reverse | Operator's Report of Motor Vehicle Accident | May 91 | x | x | x |
| OHMR 99A | Training Schedule | 22 Feb 95 | x | x | x |
| OHMR 103 | Identification Card Ledger | no date | - | x | - |
| OHMR 104 | Identification Card Issuance Ledger | 01 Sep 98 | x | x | x |
| OHMR 105 | Identification Card Turn-in Ledger | 01 Sep 98 | x | x | x |
| OHMR 173/1 | Joint Message Form | May 93 | x | x | x |
| OHMR 200 | Transmittal Record | May 93 | x | x | x |
| OHMR 202A | Training Records File Divider | no date | - | - | - |
| OHMR 202B | Consolidated Qualification Records File Divider | no date | - | - | - |
| OHMR 205 | Fax Cover | 22 Apr 01 | - | x | - |
| OHMR 210 front | Decorations and Awards Summary | Apr 03 | x | x | x |
| OHMR 210 reverse | Decorations and Awards Summary | Apr 03 | x | x | x |
| OHMR 214 | Separation from Service Record | 25 Jun 97 | - | x | - |
| OHMR 369 | Police Record Check | Sep 83 | x | x | x |
| OHMR 500-5 | Personal Mobilization Packet Template | 01 Jul 95 | - | x | - |
| OHMR 512 Front | Fingerprint Identification Card | Apr 94 | - | x | - |
| OHMR 512 Reverse | Fingerprint Identification Card | Apr 94 | - | x | - |
| OHMR 518 Front | Accident - Identification Card | Oct 88 | - | x | x |
| OHMR 518 Reverse | Accident - Identification Card | Oct 88 | - | x | x |
| OHMR 577 | Signature Card | Apr 98 | x | x | x |
| OHMR 629 | Receipt for Prisoner or Detained Person | Mar 88 | x | x | x |
| OHMR 638 Front | Recommendation for Decoration | 01 Sep 02 | - | x | x |
| OHMR 638 Reverse | Recommendation for Decoration | 01 Sep 02 | - | x | x |
| OHMR 647 | Personnel Register | Aug 78 | x | x | x |
| OHMR 701 | Locator Cards | Sep 85 | x | x | x |
| OHMR 705 | Physical Fitness Test Record | Feb 06 | - | x | x |
| OHMR 1101 | Injury Accident Incident Report | 01 May 99 | x | x | x |
| OHMR 1150 | Request for Issue or Turn-In | Oct 87 | x | x | x |
| OHMR 1222-R | Routing Slip | Jul 01 | x | x | x |
| OHMR 1297 | Temporary Issue Receipt | Jun 88 | x | x | x |
| OHMR 1315-R | Career Counseling Card | Jun 01 | x | x | x |
| OHMR 1315-1-R | Sponsor Program Check List (two pages) | Jun 01 | x | x | x |
| OHMR 1315-2-R Front | Solider's Responsibility Check List | Jun 01 | x | x | x |
| OHMR 1315-2-R Rev | Soldier's Responsibility Check List | Jun 01 | x | x | x |
| OHMR 1315-3-R | Retention NCO's Sponsorship Log | Oct 01 | x | x | x |
| OHMR 1404 | Order of March Worksheet | Apr 94 | x | x | x |
| OHMR 1410 | Volunteer Service Hours Record | Apr 92 | x | x | x |
| OHMR 1559-R | Inspector General Action Request | no date | - | x | x |
| OHMR 1594 | Daily Staff Journal or Duty Officer's Log | May 93 | x | x | x |
| OHMR 1912 | Present For Duty Report | May 96 | x | x | x |
| OHMR 1920 Front | Alcoholic Influence Report | May 93 | - | x | x |
| OHMR 1920 Revese | Alcoholic Influence Report | May 93 | - | x | x |
| OHMR 1961 | Prospect Sheet (APPLE MD) | 01 Apr 06 | - | x | x |
| OHMR 1963 | Accession Worksheet | Oct 01 | - | x | x |
| OHMR 1964 | Enlistment/Appointment Forms Packet Check List | 01 Jul 07 | - | x | x |
| OHMR 1966 | Record of Basic Data (two pages) | 01 Apr 06 | - | x | x |
| OHMR 1970 Front | Motor Equipment Utilization Record | Apr 81 | - | x | x |
| OHMR 1970 Reverse | Motor Equipment Utilization Record | Apr 81 | - | x | x |
| OHMR 1972 | Equipment Record of Preventative Maintenance/Service | Sep 02 | - | x | x |
| OHMR 1996 | Tax Withholding Record | Sep 80 | - | x | x |
| OHMR 2061 | Permanent Issue Slip | Oct 97 | - | x | x |
| OHMR 2062 | Hand Receipt/Annex Number | Mar 97 | - | x | x |
| OHMR 2064 | Document Register for Supply Actions | Jan 97 | x | x | x |
| OHMR 2066 | Hand Receipt Register | Jan 97 | x | x | x |
| OHMR 2166 | NCO Evaluation Report | May 93 | x | x | x |
| OHMR 2202-E | Unit Strength and Training Assessment Report-Enlisted | 15 Oct 11 | x | ||
| OHMR 2202-O | Unit Strength and Training Assessment Report-Officer | 15 Oct 11 | x | ||
| OHMR 2202-E-O Rev | USTAR Acronyms (Optional) | 15 Oct 01 | - | x | x |
| OHMR 2245-R | Correspondence Control Record | Jul 01 | x | x | x |
| OHMR 2400 | 24 Hour Duty Schedule | 01 Apr 06 | x | x | x |
| OHMR 2402 | Training Outline | Sep 90 | x | x | x |
| OHMR 2404 front | Equipment Inspection and Maintenance Worksheet | Apr 79 | - | x | x |
| OHMR 2404 reverse | Equipment Inspection and Maintenance Worksheet | Apr 79 | - | x | x |
| OHMR 2407 | Training and Evaluation Plan | Sep 93 | x | x | x |
| OHMR 2444 | M16A1 Zeroing Target | Jul 89 | - | x | x |
| OHMR 2444-A | M16A2 Zeroing Target | Jul 89 | - | x | x |
| OHMR 2444-B | M4 Carbine Zeroing Target | Oct 02 | - | x | x |
| OHMR 2446 | Request for Orders | 15 Oct 04 | x | x | x |
| OHMR 2502 | MP Bicycle Operations Checklist | Apr 96 | - | x | x |
| OHMR 2512 | Consolidated Correspondence Course Record | Dec 93 | - | x | x |
| OHMR 2627 Front | Record of Article 15 Proceedings | 01 Sep 99 | - | x | x |
| OHMR 2627 Reverse | Record of Article 15 Proceedings | 01 Sep 99 | - | x | x |
| OHMR 2823 Front | Sworn Statement | Jul 72 | - | x | x |
| OHMR 2823 Reverse | Sworn Statement | Jul 72 | - | x | x |
| OHMR 3012 | Supplemental Skill Qualification Record | Apr 93 | - | x | x |
| OHMR 3234-R | Inventory Record | Aug 84 | x | x | x |
| OHMR 3294-R | Ration Request/Issue/Turn-In | Jan 97 | - | x | x |
| OHMR 3316A | Detainee Turnover | 01 Mar 88 | - | x | x |
| OHMR 3327 | OHMR Physical Inventory of Property | 01 Jan 97 | - | x | x |
| OHMR 3328 Front | Property Record | Jan 97 | x | x | x |
| OHMR 3328 Reverse | Property Record | Jan 97 | x | x | x |
| OHMR 3328-1 | Serial/Registration Number Record | Jan 97 | - | x | x |
| OHMR 3349 | Physical Profile | Aug 01 | - | x | x |
| OHMR 3349 Reverse | Physical Profile | Aug 01 | - | x | x |
| OHMR 3495 | Military Police Radio Log | 01 Apr 94 | x | x | x |
| OHMR 3537 | Statement of Service Record | 25 Jan 92 | - | x | x |
| OHMR 3645-1 | Clothing and Equipment Record, Indiv. Organizational | Dec 83 | x | x | x |
| OHMR 3645-R | Control Record for Dining Facility | Jan 77 | x | x | x |
| OHMR 3749 Front | Equipment Receipt (Exchange Receipt) | Jan 82 | x | x | x |
| OHMR 3749 Reverse | Equipment Receipt (Exchange Receipt) | Jan 82 | x | x | x |
| OHMR 3881 Front | Rights Warning Procedure/Waiver Certificate | May 88 | x | x | x |
| OHMR 3881 Reverse | Rights Warning Procedure/Waiver Certificate | May 88 | x | x | x |
| OHMR 3946 Front | Traffic Accident Report | Jun 93 | x | x | x |
| OHMR 3946 Reverve | Traffic Accident Report | Jun 93 | x | x | x |
| OHMR 3975 | Military Police Report | May 88 | x | x | x |
| OHMR 3997 | Military Police Desk Blotter | Jan 92 | x | x | x |
| OHMR 4002 | Military Police Evidence/Property Tag | Jul 94 | x | x | x |
| OHMR 4004 | Message Form | Jan 97 | x | x | x |
| OHMR 4137 Front | Evidence/Property Custody Document | Jul 91 | - | x | x |
| OHMR 4137 Reverse | Evidence/Property Custody Document | Jul 91 | - | x | x |
| OHMR 4302 | Target/Scoresheet, Course "C" (reduced for 50 feet) | Feb 81 | - | x | x |
| OHMR 4304 Front | Record Fire Scorecard - Alternate Course 'C' | Jun 89 | - | x | x |
| OHMR 4304 Reverse | Record Fire Scorecard - Alternate Course 'C' | Jun 89 | - | x | x |
| OHMR 4312 | Consolidated Weapon Qualification Record | Nov 94 | - | x | x |
| OHMR 4314 | Consolidated Skill Qualification Record | Nov 94 | - | x | x |
| OHMR 4316 | Training Milestone Record | Nov 94 | - | x | x |
| OHMR 4316-P | Training Milestone Record (pre-printed) | Nov 94 | - | x | x |
| OHMR 4323 | Request for Resident Course Enrollment - OHMRTA | Mar 03 | x | x | x |
| OHMR 4344 | Operational Readiness Check Worksheet | Dec 95 | x | x | x |
| OHMR 4355 | Emergency Deployment Readiness Exercise Worksheet | Dec 94 | x | x | x |
| OHMR 4552-R | Kitchen Requistion | Jan 92 | x | x | x |
| OHMR 4833 | Commander's Report of Disciplinary Action | Jan 80 | x | x | x |
| OHMR 4949 | Administrative Adjustment Report | 01 Jan 97 | x | x | x |
| OHMR 5165-R | Field Expedient Squad Book | Dec 82 | x | x | x |
| OHMR 5692-R | Ammunition Issue, Consumption and Return Certificate | May 88 | x | x | x |
| OHMR 5913-R | Strength And Feeder Report | Mar 97 | - | x | x |
| OHMR 5914 | Additions and Corrections to Personal Infrmtn Recd | Jun 02 | x | x | x |
| OHMR 5920 | Voluntary Registration of Civilian Skills | Feb 03 | x | x | x |
| OHMR MED-1 | Personal Medical Data Form | Sep 00 | x | x | x |
| 4-96-0112 | Marksmanship Score/Award Posting | no date | - | x | x |