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,I��<(6���SOHDVH�VWDWH�WKHVH�IDFWV�RQ�D�VHSDUDWH�VKHHW�DQG�DWWDFK�WR�6)�����<(6 12

ENLISTED PROMOTION SYSTEM

VOLUNTARY REDUCTION

NGMO-PER-E UNIT

SM’S REQUEST FOR REDUCTION (DA FORM 4187)

COMMANDER’S RECOMMENDATION ENDORSED BY BN AND BDE COMMANDERS

SM’S STATEMENT OF UNDERSTANDING (SEE DA 4856 FOR EXAMPLE)

ALL OTHER REQUIRED DOCUMENTATION IN ACCORDANCE WITH APPLICABLE REGULATIONS

Packet verified by:________________________________________________________ (Unit)

Packet verified by:________________________________________________________ (Enlisted Personnel)

PERSONNEL ACTION

To request or record personnel actions for or by Soldiers in accordance with DA PAM 600-8.

Identification Card

Identification Tags

Separate Rations

Leave - Excess/Advance/Outside CONUS

Change of Name/SSN/DOB

DATA REQUIRED BY THE PRIVACY ACT OF 1974

SECTION I - PERSONAL IDENTIFICATION

SECTION V - CERTIFICATION/APPROVAL/DISAPPROVAL

7. The above Soldier's duty status is changed from to

effective hours,

SECTION III - REQUEST FOR PERSONNEL ACTION

IS APPROVEDRECOMMEND APPROVAL IS DISAPPROVEDRECOMMEND DISAPPROVAL

SUPERSEDES DA FORM 4187, JAN 2000 AND REPLACES DA FORM 4187-1-R, APR 1995

DA FORM 4187, MAY 2014

HAS BEEN VERIFIED

AUTHORITY:PRINCIPAL PURPOSE:

DISCLOSURE:

Title 10, USC, Section 3013, E.O. 9397 (SSN), as amended

ROUTINE USES: The DoD Blanket Routine Uses that appear at the beginning of the Army's compilation of systems of records may apply to this system.

5. RANK/PMOS/AOC 6. SOCIAL SECURITY NUMBER

Special Forces Training/Assignment

Retesting in Army Personnel Tests

Reassignment Married Army Couples

Reclassification

Officer Candidate School

Asgmt of Pers with Exceptional Family Members

ROTC or Reserve Component Duty

Volunteering For Oversea Service

Ranger Training

Reassignment Extreme Family Problems

Airborne Training

12. COMMANDER/AUTHORIZED REPRESENTATIVE 13. SIGNATURE

For use of this form, see PAM 600-8; the proponent agency is DCS, G-1.

11. I certify that the duty status change (Section II) or that the request for personnel action (Section III) contained herein -

SECTION II - DUTY STATUS CHANGE (AR 600-8-6)

SECTION IV - REMARKS (Applies to Sections II, III, and V) (Continue on separate sheet)

8. I request the following action: (Check as appropriate)

4. NAME (Last, First, MI)

2. TO (Include ZIP Code) 3. FROM (Include ZIP Code)1. THRU (Include ZIP Code)

On-the-Job Training (Enl only)Service School (Enl only)

Exchange Reassignment (Enl only) Other (Specify)

9. SIGNATURE OF SOLDIER (When required) 10. DATE (YYYYMMDD)

14. DATE (YYYYMMDD)

Voluntary; however failure to provide Social Security Number may result in a delay or error in processing the request for personnel action.

APD LC v1.03ESPage 1 of 2

f. DATE (YYYYMMDD)e. RANK

i. COMMENTS

h. SIGNATUREg. TITLE/POSITION

d. NAME (Last, First, Middle)

b. FROMa. TO

AUTHORITY

APPROVED APPROVALRECOMMEND:DISAPPROVED DISAPPROVALc. ACTION:

c. ACTION: DISAPPROVALDISAPPROVED RECOMMEND: APPROVALAPPROVED

AUTHORITY

a. TO b. FROM

d. NAME (Last, First, Middle)

g. TITLE/POSITION h. SIGNATURE

i. COMMENTS

e. RANK f. DATE (YYYYMMDD)

f. DATE (YYYYMMDD)e. RANK

i. COMMENTS

h. SIGNATUREg. TITLE/POSITION

d. NAME (Last, First, Middle)

b. FROMa. TO

AUTHORITY

APPROVED APPROVALRECOMMEND:DISAPPROVED DISAPPROVALc. ACTION:

c. ACTION: DISAPPROVALDISAPPROVED RECOMMEND: APPROVALAPPROVED

16. SSN15. NAME OF INDIVIDUAL

AUTHORITY

a. TO b. FROM

d. NAME (Last, First, Middle)

g. TITLE/POSITION h. SIGNATURE

ADDENDUM - RECOMMENDATIONS FOR APPROVAL/DISAPPROVAL

APD LC v1.03ESPage 2 of 2DA FORM 4187, MAY 2014

i. COMMENTS

e. RANK f. DATE (YYYYMMDD)

Name (Last, First, MI) Rank Date of Counseling

Organization Name and Title of Counselor

Purpose of Counseling: (Leader states the reason for the counseling, e.g. Performance/Professional or Event-Oriented counseling, and includesthe leader's facts and observations prior to the counseling.)

Key Points of Discussion:

DEVELOPMENTAL COUNSELING FORMFor use of this form, see ATP 6-22.1; the proponent agency is TRADOC.

DATA REQUIRED BY THE PRIVACY ACT OF 1974AUTHORITY:PRINCIPAL PURPOSE:ROUTINE USES:

DISCLOSURE:

5 USC 301, Departmental Regulations; 10 USC 3013, Secretary of the Army.To assist leaders in conducting and recording counseling data pertaining to subordinates.The DoD Blanket Routine Uses set forth at the beginning of the Army's compilation of systems or records notices also apply to this system.Disclosure is voluntary.

PART I - ADMINISTRATIVE DATA

PART II - BACKGROUND INFORMATION

PART III - SUMMARY OF COUNSELINGComplete this section during or immediately subsequent to counseling.

OTHER INSTRUCTIONSThis form will be destroyed upon: reassignment (other than rehabilitative transfers) , separation at ETS, or upon retirement. For separation

requirements and notification of loss of benefits/consequences see local directives and AR 635-200.

PREVIOUS EDITIONS ARE OBSOLETE.DA FORM 4856, JUL 2014APD LC v1.03ES

Page 1 of 2

Plan of Action (Outlines actions that the subordinate will do after the counseling session to reach the agreed upon goal(s). The actions must bespecific enough to modify or maintain the subordinate's behavior and include a specified time line for implementation and assessment (Part IV below)

Individual counseled remarks:

Leader Responsibilities: (Leader's responsibilities in implementing the plan of action.)

Assessment: (Did the plan of action achieve the desired results? This section is completed by both the leader and the individual counseledand provides useful information for follow-up counseling.)

REVERSE, DA FORM 4856, JUL 2014

Session Closing: (The leader summarizes the key points of the session and checks if the subordinate understands the plan of action. Thesubordinate agrees/disagrees and provides remarks if appropriate.)

Individual counseled: I agree disagree with the information above.

Signature of Individual Counseled: Date:

Signature of Counselor: Date:

PART IV - ASSESSMENT OF THE PLAN OF ACTION

Individual Counseled: Date of Assessment:Counselor:

Note: Both the counselor and the individual counseled should retain a record of the counseling.

APD LC v1.03ESPage 2 of 2