Army Forms Archive

DA Form 5248-R — REPORT OF UNFAVORABLE INFORMATION FOR SECURITY DETERMINATION (LRA)

report of unfavorable information for security determination (lra)

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DA Form 5248-R is a DA series document issued for use across the Department of the Army. Official title: REPORT OF UNFAVORABLE INFORMATION FOR SECURITY DETERMINATION (LRA). Purpose: report of unfavorable information for security determination (lra). The current edition carries the date 09/01/1983 and is listed with a publication status of ACTIVE. The form runs to 1 page(s) and contains approximately 162 entry fields.

The office of primary responsibility is PMG. Use is prescribed by AR 190-56, which defines when the form is raised and where it goes afterward. The form is normally completed by the subject of the entries or by administrative personnel maintaining the record, then reviewed and signed as the governing authority directs.

Available formats: PDF, XFDL. Each is a rendering of the same official layout; the content is identical across them and only the means of completion differs. The pdf is the reference copy. Fillable pdf carries interactive form fields; a printable pdf is the same page image without them, intended for pen entry after printing.

Any modern browser or reader will display a pdf. Interactive fields behave more predictably in a standalone reader than in an in-browser viewer, which sometimes shows fields it cannot store. An xfdl copy is published as well. It is IBM Lotus Forms, the format carried by several Army systems, and it needs the Lotus Forms Viewer; pdf readers and word processors will not open it.

Every format is available at no charge and without sign-up. Files are distributed exactly as published, with no changes to the page.

What the form asks for

  • ACTION
  • ALIASES
  • BIRTH_DATE
  • BIRTH_PL
  • CDRS_RECOM
  • COL_SUSPND
  • CURR_CLNC
  • ContentArea1
  • DATE
  • DATE_GRANT
  • DATE_INVES
  • FINAL
  • FOLLOW_UP
  • Group1
  • INCLOSURES
  • INITIAL
  • NAME
  • NOT_SUSPND
  • OFFENSE
  • OTHER
  • Page1
  • R153
  • R154
  • R155

The blocks are worked through in the order they appear on the sheet. At the head sit the identifying entries: name, identification number, unit, date. Because the filed record is indexed on these, they precede everything substantive.

Interactive fields are filled by typing into them. Movement between fields is by tab, following the order established when the form was constructed, which usually tracks the page layout. Check boxes and radio groups are set by clicking, and exclusive groups permit one selection at a time. A one-line field has no wrap: text beyond its width prints truncated even when the screen shows it. Overlong content is placed in remarks or on a continuation, not forced into the field.

The signature block is completed last and by hand or by an accepted electronic means. An unsigned form is a draft. Where a second signature is called for — reviewing official, approving authority, witness — each is applied in the order the blocks appear and dated as of application, not as of preparation. Blank mandatory fields are the most frequent defect; a nil entry is marked as such rather than left empty. Other recurring faults: transposed digits in identification numbers, dates in the wrong order of day and month, and stale copies retaining prior data because a working file was reused instead of a fresh blank form.

A Privacy Act statement appears on the form where personal information is collected. It sets out the authority for collection, the purpose, the routine uses, and whether disclosure is mandatory or voluntary. The statement is read before entry, not after. Completed copies carry personal data and are handled and stored under the safeguards applicable to that data.

Disposition of the completed document follows the prescribing authority — delivery to the office it names, transmission through the unit administrative channel, or placement in the individual's record, according to circumstance. The preparer keeps a copy. Retention is governed by the applicable records schedule, not by office custom.

Associated documents are located through the series and number scheme. Forms in the DA series with the same proponent or the same prescribing directive tend to be used as a set, and any form named on the face of another normally accompanies it. Continuations, cover sheets, and transmittals fall into this category and are gathered before the package is sent.

An edition stands until the proponent issues a revision. The printed edition date identifies the version, and a copy held locally is checked against the edition now in force before reuse. Prior executions under a superseded edition are not reopened for that reason.

What is offered here are copies of published Department of the Army documents, made available for download. The site is independent of the Department of the Army and publishes no forms of its own. The material is informational and not legal advice, and no statement is made about whether any office will accept a given document. Questions of entry, requirement, or eligibility go to the proponent or the servicing administrative office.

Questions and answers

What is DA Form 5248-R?
REPORT OF UNFAVORABLE INFORMATION FOR SECURITY DETERMINATION (LRA)
Which edition is current?
09/01/1983
Who is responsible for this form?
PMG
In which formats can it be downloaded?
PDF, XFDL, PDF

Publisher notes

  1. 41-ITEM ALSO PRODUCED IN ELECTRONIC MEDIA

Other forms in the series