PCS Counseling Example


Purpose of Counseling

  You have an approved DEROS of 10 Aug 15. It is my responsibility as your supervisor to provide information on required procedures, ensure that you are prepared for the move and are aware of your responsibilities while on leave.

Complete this section during or immediately subsequent to counseling.

Key Points of Discussion:

You are going on leave status on _______ and have a RNLTD at your next duty station of __________.

Your leave balance is ______ and you are entitled to take all of it or as little as you see fit. Early reporting is authorized (no more than 60 days before and not later than the RNLTD). When you report in to your next duty station will determine that last day of your leave. If you don't report to your new unit on or before your RNLTD, you will be considered AWOL.

If you need emergency assistance (requests for leave extension, arranging or changing port calls, resolving passport and visa problems, etc) while on leave, contact the Army Travelers' Assistance Center at (800) 582-5552.

All travelers should reconfirm their flight arrangements no later than 72 hours prior to departure. Air Mobility Command (AMC) flights can be confirmed Monday - Friday between 7:30 a.m. to 4 p.m. Central Time by calling 1 (800) 851-3144.

You are responsible for reporting to the next duty station in satisfactory physical condition and meet height/weight standards IAW AR 600-9.

Refer to https://onestop.army.mil as you plan your move and travel. It is a central repository of information about the next installation and surrounding communities. This website contains links to individual installation ACSIM ( Housing and relocation) websites regarding relocation.

Important Phone Numbers:

American Red Cross : 877-272-7238
Army Emergency Relief Fund (AER): 866-878-6378
Personnel Assistance Point (PAP)

Atlanta: 404-569-5740
Dallas: 972-574-0388; (800) 770-5580

I know you have your shipments scheduled but follow up with the transportation office to ensure shipments are scheduled as planned and passports are received.

Complete the Battalion out-pocessing checklist.

Ensure all additional duties have been transferred and all hand-receipts held against you have been cleared.

I have contacted your gaining unit and requested a sponsor package for you be priority mailed.

I recommend getting a Power of Attorney for your wife before you leave.

If you need assistance while on leave, do not hesitate to call me or the unit at _________ or your gaining unit at DSN _________ or CMCL ________.

You are required to keep your approved leave form (DA Form 31, Request And Authority For Leave), your LES, and this counseling statement with you at all times while on leave. This is your authorization to be on leave.

Before you leave, provide your travel itinerary and emergency contact phone numbers to me or the secretary.

TRAVEL EXPENSES: Ensure that you have enough money to cover all travel expenses. You will be reimbursed for all your expenses after your arrival but you may be required to pay for most of it up front. If you do not have adequate funds for travel, contact the Army Personnel Assistance Point (PAP) at 404-569-5740 (Atlanta) or 972-574-0388/(800) 770-5580 (Dallas).


a. If you require medical treatment while on leave, report to the nearest military medical facility. In the absence of such a facility, report to a uniformed services treatment facility or Veteran's Administration facility if possible.
b. Medical treatment at government expense is authorized only for emergencies when treatment cannot be obtained from government facilities or when prior approval is obtained. You can obtain local area listings of the TRICARE Health Providers nearest your leave location by contacting their office.
c. A member who is unable to report to duty upon expiration of leave because of illness or injury must advise the leave approving authority. A family member, attending physician, representative at the nearest MTF, or American Red Cross (ARC) representative may act on the member's behalf when the member is incapacitated and unable to provide notification.
d. Upon returning from leave, the member must present a statement from the nearest medical treatment facility (MTF) or attending physician regarding the member's medical condition.

This form will be destroyed upon: reassignment (other than rehabilitative transfers), separation at ETS, or upon retirement. For separation requirements and notification of loss of benefits/consequences see local directives and AR 635-200.

  DA FORM 4856-E, JUN 99                         EDITION OF JUN 85 IS OBSOLETE

Plan of Action:

  • Complete the Battalion out-processing checklist at least 7 days before travel.
  • Update your training records at least 7 days before travel.
  • Confirm with your sponsor that you have reservations with billeting.
  • Leave an itinerary of planned travel and contact information

  Session Closing: (The leader summarizes the key points of the session and checks to ensure the subordinate understands the plan of action. The subordinate agrees/disagrees and provides remarks if appropriate)

Individual counseled:       I agree / disagree with the information above

Individual counseled remarks:



Signature of Individual Counseled: _ _ _ _ _ _ _ _ _ _ _ Date: _ _ _ _ _ _

Leader Responsibilities: : (Leader's responsibilities in implementing the plan of action)

I will ensure that you are properly counseled on your responsibilities connected with taking leave.


Signature of Counselor: _ _ _ _ _ _ _ _ _ _ _ _ _ Date: _ _ _ _ _ _ _

Assessment: (Did the plan of action achieve the desired results? This section is completed by both the leader and the individual counseled and provides useful information for follow-up counseling)

Counselor: _ _ _ _ _ _ _ _ _ _ _ _ _ Individual Counseled: _ _ _ _ _ _ _ _ _ _ _
Date:_ _ _ _ _ _ _

Note: Both the counselor and the individual counseled should retain a record of the counseling.

  DA FORM 4856-E (Reverse)                    

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