Da Form 1103 - Application For Army Emergency Relief (Aer) Financial Assistance Page 2

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17. UNIT COMMANDER'S REVIEW OF ACTIVE DUTY APPLICANT
a. I HAVE REVIEWED THIS REQUEST FOR AER ASSISTANCE AND RECOMMEND
APPROVAL
DISAPPROVAL
(If disapproval recommended, indicate why in remarks.)
b. SOLDIER
IS
IS NOT PENDING ELIMINATION FROM THE ARMY.
c. TYPE OR PRINTED NAME AND SIGNATURE OF UNIT COMMANDER
d. DATE
(Commander and AER Officer record all pertinent information pertaining to application. If applicant's budget
18. REMARKS
information is needed, use an ACS budget planning sheet.)
19. ACTION BY APPROVAL AUTHORITY
a.
APPROVED
DISAPPROVED. SOLDIER AND COMMANDER HAVE BEEN APPRISED OF REASONS WHY THIS REQUEST WAS DISAPPROVED.
b. LOAN AMOUNT $
c. GRANT AMOUNT $
d. NAME OF APPROVAL AUTHORITY
e. GRADE
f. POSITION
20. ACKNOWLEDGEMENT OF ASSISTANCE
a. I acknowledge receipt of a
from AER in the amount of
NO INTEREST LOAN
GRANT
by check number
.
$
(Items b and c below pertain to loans only.)
b.
I understand that my failure to repay will result in my name being placed on a list that will preclude further AER
assistance being provided to me.
c.
I will keep AER advised on any change in my duty assignment, address, or military status.
d. SIGNATURE OF APPLICANT
e. DATE
REVERSE OF DA FORM 1103, SEP 94
USAPPC V1.00

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