SAMPLE FORMAT REQUEST FOR UNQUALIFIED RESIGNATION
(LETTERHEAD)
Office Symbol (DATE)
MEMORANDUM THRU (CO Cdr, BN Cdr, BDE Cdr)
Garrison Director of Human Resources, United States Army Garrison-Hawaii, (IMHW-HRM), Schofield Barracks, HI 96857-5000
FOR Commander, U.S. Army Human Resources Command, 1600 Spearhead Division Avenue,
(HRC-OPL-R), Ft. Knox, KY 40122
SUBJECT: Request for Unqualified Resignation for (LAST NAME, FIRST NAME, MI, RANK, BRNACH, SSN)
1. I, (First Name, MI Last Name, SSN, Rank, Branch), tender my unqualified resignation from active duty under the provisions of AR 600-8-24, Chapter 3, section II, to be effective (your requested separation date,) or as soon as practicable thereafter.
2. I am not under a suspension of favorable personnel action, under investigation, pending charges, or being considered for elimination.
3. I (have/have not) fulfilled my active duty service obligation as specified in AR 350-100.
4. I desire to tender my resignation for (your reasons).
5. I understand that my release from active duty is accepted, that my character of service will be characterized as Honorable or under Honorable Conditions as determined by Headquarters, Department of the Army.
6. My present duty station is (Your Company, Your Battalion, Your Brigade, Schofield Barracks or Fort Shafter, State, Zip).
7. I (do/do not) desire separation overseas. (*Applicable only if currently serving in an overseas area)
8. I understand that if I have not completed my statutory 8-year Military Service Obligation (MSO), I am required to accept appointment in the U.S. Army Reserve and that I will be transferred to the IRR to complete that obligation. Further, I understand that if I am required to accept appointment in the U.S. Army Reserve to complete my MSO or am requesting appointment in the U.S. Army Reserve, that my REFRAD pursuant to my unqualified resignation for the Regular Army shall constitute my acceptance of the Reserve appointment. If I am required to accept or have requested appointment in the U.S. Army Reserve and do not desire this appointment, I must request withdrawal of my resignation before my REFARD IAW AR 600-8-24 and remain on active duty.
Office Symbol)
SUBJECT: Request for Unqualified Resignation for (LAST NAME, FIRST NAME, MI, RANK, BRNACH, SSN)
9. (I desire to be appointed as a commissioned officer in the U.S. Army Reserve upon my REFRAD) or (I have fulfilled my MSO and do not desire appointment in the US. Army Reserve) (as applicable). As of the date of this application, I have (number of) days accrued leave. I (do/do not) plan to take (number of) days transition leave.
10. I understand that if I am requesting or required to accept a Reserve appointment and the appointment has not been approved by the appropriate authority within 10 days of my REFRAD date, the effective date of my release will be adjusted by Human Resources Command in 30-day increments until the appointment is approved. I also understand that if my REFRAD date needs to be adjusted, Human Resources Command will notify me of such change by memorandum and that I am responsible for coordinating my adjusted REFRAD date with my transition center.
11. I understand that if I participated in certain advanced education programs, (including, but not limited to Tuition Assistance, Degree Completion Program, and Cooperative Degree Program), I may be required to reimburse the United States Government as stated in written agreement made by me with the United States Government under law and regulations.
12. I understand that my resignation is voluntary and I am not entitled to separation pay.
13. My mailing address immediately after the date of separation will be (your address).
14. For further information, I may be contacted at (Work phone, cell phone, and work email)
NAME
RANK, BRANCH
CURRENT JOB TITLE
