Da Form 268 Report To Suspend Favorable Personnel Actions (Flag)
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1REPORT TO SUSPEND FAVORABLE PERSONNEL ACTIONS (FLAG)
For use of this form, see AR 600-8-2; the proponent agency is DCS, G-1.
SECTION I - ADMINISTRATIVE DATA
1. NAME (Last, First, MI)
3. RANK
2. SSN
4.
5. ETS/ESA/MRD
On active duty
Not on active duty
On ADT
(Geographical location)
6. UNIT ASSIGNED AND ARMY MAJOR COMMAND
7. STATION
8. PSC CONTROLLING FLAGGING ACTION AND TELEPHONE NUMBER
9. THIS ACTION IS TO:
Initiate a flag
Transfer a flag
Remove flag
(Sections II and V only)
(Sections III and V only)
(Sections IV and V only)
SECTION II - INITIATE A FLAG
10.
A FLAG IS INITIATED, EFFECTIVE
FOR THE FOLLOWING REASON:
NON-TRANSFERABLE
TRANSFERABLE
Adverse action (A)
APFT failure (J)
Elimination - field initiated (B)
Weight control program (K)
Removal from selection list - field initiated (C)
Referred OER (D)
Security violation (E)
HQDA use only - elimination or removal from selection list (F)
SECTION III - TRANSFER A FLAG
11.
A FLAG IS TRANSFERED FOR THE FOLLOWING REASON:
Adverse action - HQDA directed reassignment (G)
APFT failure (J)
Adverse action - punishment phase (H)
Weight control program (K)
Supporting documents attached?
Yes
No
SECTION IV - REMOVE A FLAG
12.
A FLAG IS REMOVED, EFFECTIVE
FOR THE FOLLOWING REASON:
Soldier transferred to a different Army component or
Case closed favorably (C)
discharged while case in process
(destroy case file) (E)
Disciplinary action taken (D)
Other final action (E)
SECTION V - AUTHENTICATION
DISTRIBUTION
1 - Unit Commander
1 - F&AO
1 - PSC
1 - Commander, gaining unit
(transfer flag only)
NAME, RANK, TITLE, AND ORGANIZATION
SIGNATURE
DATE
DA FORM 268, JUN 87
EDITION OF 1 JAN 80 IS OBSOLETE.
APD 9V3.000
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