This form will be used by the Department of the Army. A DA Form 1058-R is also known an Application for Active Duty. This could be active duty for training or special work. This form will serve as an official request for active duty by someone who is a member of the U.S. Army Reserve or the Army National Guard.
This form must be filled out completely for someone to be considered for an active duty tour. It will require a lot of personal information like full name, identification number, information specific to the individual’s Army rank, and contact information. To see if someone is fit enough for active duty, the last time the person was examined by a medical professional will need to be listed, and documentation may be requested.
To complete a DA Form 1058R, you will need to provide the following information:
Part I - Application