RESERVE AFFAIRS

Requesting Support

FORMAT FOR REQUESTING

INDIVIDUAL READY RESERVE (IRR) SOLDIERS

INSTRUCTIONS. Pacific Regional Medical Command and Tripler Army Medical Center staff will complete and forward this form to the Chief of Reserve Affairs for Pacific Regional Medical Command.

Note. Tours are normally 14 days in duration plus allowable travel time. The report date will normally be a Monday, and the end date will be a Friday (unless participating in an FTX that requires a different reporting/departing day).

IRR Request

Unit of attachment:
Report to (Physical location/address):
Rank of soldier desired & quantity of each rank	Rank:
Rank of soldier desired & quantity of each rank	Number of Soldiers:
MOS/AOC desired:
Requirements: ie. Licenses, ASI, etc.
Description of duties to be performed: (This will assist AR-PERSCOM in matching soldier skills/experience to your specific work requirements).
Telephone number: (of requesting department DSN and/or commercial)	DSN:
	Commercial:
Additional requirements: (ie. Rental car; requires justification). Include billeting statement, e.g. is with unit of attachment, in government quarters, etc. and the estimated cost ($ amount).

Soldier should be prepared to be self-sufficient during the training period.

Duty uniform is:
Tour start date:
Security Clearance required:
UIC of unit: W07CAA
Unit zip code:
P.O.C. name and telephone number:

Please identify any other necessary items of coordinating information for the reservists benefit.

Remarks:

Related Links:

AR 135-200 - Reference Chapter 6 for information regarding ADSW tours (Active Duty for Special Work) of 180 days or less.

AR 135-210 - Reference Chapter 3 for use and authorization of TTAD (Temporary Tour of Active Duty) of 180 days or less.

Individual AT