Declination of Continued Service Statement
The Declination of Continued Service Statement is used by soldiers to acknowledge their refusal to extend their service. This form outlines the consequences of not fulfilling operational commitments. It serves as an official record of counseling provided by a career counselor.
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How do I fill this out?
To fill out this form, ensure that you have your personal details handy. Follow the instructions provided by your career counselor carefully. Make sure to initial and sign where required to confirm your understanding.

How to fill out the Declination of Continued Service Statement?
1
Obtain the form from your career counselor.
2
Fill in your personal information including name and unit.
3
Initial next to the career effects to acknowledge understanding.
4
Sign the soldier's acknowledgement section.
5
Submit the completed form to your career counselor.
Who needs the Declination of Continued Service Statement?
1
Active-duty soldiers needing to decline an extension.
2
Career counselors who guide soldiers through the process.
3
Commanders or first sergeants reviewing the statement.
4
HR personnel managing soldier records.
5
Soldiers considering future enlistment options.
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What are the instructions for submitting this form?
Submit this form to your career counselor by the designated deadline. You can email a scanned copy of the signed form to your unit's personnel office. Alternatively, fax the completed form to the personnel support office at XXX-XXX-XXXX. Always confirm the submission method with your career counselor.
What are the important dates for this form in 2024 and 2025?
The Declination of Continued Service Statement should be reviewed regularly by soldiers with upcoming ETS dates in 2024 and 2025. Ensure compliance and make necessary decisions within the required timeframes. Key dates concerning submission and counseling may influence your operational commitments.

What is the purpose of this form?
The Declination of Continued Service Statement serves as an official record that a soldier has been counseled regarding their decision to decline an extension of service. It outlines significant consequences for refusing to meet operational commitments, impacting career progression and future recruitment options. The form safeguards the Army's interests by ensuring every soldier is informed of the repercussions of their choice.

Tell me about this form and its components and fields line-by-line.

- 1. Soldier's Name: The full name of the soldier completing the form.
- 2. SSN: The soldier's Social Security Number for identification.
- 3. ETS Date: The Estimated Time of Separation date.
- 4. Career Counselor's Name: The name of the career counselor advising the soldier.
- 5. Signatures: Spaces for required signatures and initials.
What happens if I fail to submit this form?
Failing to submit this form can result in adverse administrative actions affecting the soldier's career. It may limit future opportunities within the Army and impact the soldier's eligibility for promotions and reentry programs.
- Non-Promotable Status: The soldier may be placed in a status that prohibits promotion.
- Reentry Issues: The soldier could be barred from reentering Active Duty for a specified period.
- Ineligibility for Programs: The soldier might be prohibited from applying for commissioning programs.
- Promotion List Removal: Possible removal from any active promotion standing lists.
- Grade Determination Requirement: Mandatory grade determination if the soldier seeks reentry after separation.
How do I know when to use this form?

- 1. ETS Approaching: When nearing your Estimated Time of Separation but considering extensions.
- 2. Post-Counseling Record: To document counseling received about service commitments.
- 3. Career Planning: As a step in evaluating your military career and future opportunities.
- 4. Operational Commitment Clarity: To understand the consequences of declining service extension clearly.
- 5. Future Recruitment Consideration: If planning to explore options after separation from Active Duty.
Frequently Asked Questions
What is the purpose of the Declination of Continued Service Statement?
This statement serves to formally acknowledge a soldier's refusal to extend their service, outlining the impacts on their career.
How can I edit this PDF?
Edit your PDF easily using PrintFriendly's editing tools to modify text and add signatures.
Can I share my edited PDF?
Yes, you can share your edited PDF using a generated link from PrintFriendly.
What happens if I don't submit this form?
Failure to submit the form may lead to placement in a nonpromotable status and affect your future reentry options.
How do I fill out this form?
Follow the guidance provided by your career counselor and ensure you complete all required fields.
Do I need to print the form?
Printing is not necessary; you can edit and download the form digitally.
Is there a deadline to submit this form?
Yes, you must submit this form within 45 days from the notification date.
Who can assist me with this form?
Your career counselor is the primary resource for guidance on completing this form.
Can I save the edited PDF?
You can download your edited PDF directly after making changes.
What information do I need to complete this form?
You will need personal details, unit information, and the career counselor's input.
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