2025 Printable Template
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Form last updated: 03/2024. Please verify this is the current version before use.
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How to fill out a DA 1058 online?
Follow these steps to complete your DA 1058 form online.
Step 01
Access the form using the online PDF editor.
Step 02
Fill in all required personal and military information accurately.
Step 03
Confirm physical qualification for active duty.
Step 04
Sign the form in the designated area.
Step 05
Submit the form according to your unit's instructions.
Step 06
Keep a copy of the completed form for your records.
What is a DA 1058 used for?
Who needs to fill out a DA 1058 form
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Who needs to fill out DA Form 1058?
Can I apply for active duty while receiving retirement pay?
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