REQUEST FOR STANDBY ADVISORY BOARD CONSIDERATION IAW AR 600-8-19 chapter 7, para 7-49 (dtd 16 MAY 2019)

11 MAY 2020 Edition

SECTION I – SOLDIER IDENTIFICATION

NAME SSN RANK(Last, First, MI)

CPMOS UNIT OF ASSIGNMENT

SECTION II – REQUEST FOR CONSIDERATION

I request the following be considered by the Board: (Check all that apply and list all supporting documentation attached)

Request(s) All prior to 1 JAN 20 unless marked with *

Attached Supporting Documentation IPPS-A Verified

NCOER/Word Picture Area of Consideration Change* N/A CPMOS Change * Weapons Qualification Awards DA 705 (iPERMS) Other Resident Training Courses (40+ hrs) Self-Development Courses Post-Secondary Courses SSD completion Previous STEP expired Other (Specify): IST, SMP*

*ALL requests require source documents for verification (DA Form 1059, DA Form 705, College transcript, etc.)*ALL requests require a letter to the President of the Board from the Soldier IAW AR 600-8-19 (dtd 16 May 2019) to justify action afterthe initial publication of the EPS list.*ALL packets will be submitted via IPPS-A /Admin Correction PAR* NAMING CONVENTION: MSC/STABI am requesting Standby Advisory Board consideration as described above.

Signature of requesting Soldier Date

SECTION III – AUTHORIZATION

I have reviewed this STAB request, verified documents are attached within the Administrative Correction PAR, and verified supporting documents have been submitted into iPERMS.

Printed Name of Commander Signature of Commander Date

SECTION IV – RECEIPT CONFIRMATION (for State use only)

I certify that EPS has received this Standby Advisory Board request packet, and the Standby Advisory Board roster is updated.

Printed Name of Receiver Signature of Receiver Date Received

This packet will be going before the Standby Advisory Board for consideration on following date: Date of the Board