DA Form 5160: Test Administration Statement – Download PDF – U.S. Army Soldiers preparing for personnel classification tests, language proficiency exams, or aptitude batteries often encounter DA Form 5160. This official document ensures examinees are eligible, mentally and physically ready, and aware of testing policies.
What Is DA Form 5160?
DA Form 5160, titled Test Administration Statement, is a U.S. Army form used exclusively for in-service examinees. It certifies that a Soldier is fit to take a specific test and meets eligibility requirements.
The current version (September 2023) is prescribed by AR 611-5, Personnel and Classification Testing, with the proponent being the Deputy Chief of Staff, G-1 (DCS, G-1). It replaced earlier versions and remains active.
Download the official PDF here: DA Form 5160 (September 2023).
Purpose of the Test Administration Statement
The primary purpose is to confirm the examinee is mentally and physically able to test on the scheduled date. It also verifies compliance with retest intervals and other eligibility rules for Army personnel tests.
It serves as a Privacy Act statement and documents the Soldier’s understanding of rights and responsibilities. Completing it is generally required before testing; failure to do so may disqualify the examinee.
Key tests that commonly require this form include:
- Defense Language Proficiency Test (DLPT)
- Defense Language Aptitude Battery (DLAB)
- Selection Instrument for Flight Training (SIFT)
- Armed Forces Classification Test (AFCT)
- Other Army personnel tests per AR 611-5
Who Must Complete DA Form 5160?
The form is designated FOR IN-SERVICE EXAMINEES ONLY. It applies to active-duty Soldiers, Army National Guard, and U.S. Army Reserve personnel taking classification or aptitude tests.
It is typically completed just before the test session under the supervision of the Test Examiner or Test Control Officer.
How to Fill Out DA Form 5160: Step-by-Step?
The form is straightforward and usually one page. Here are the main blocks (based on the current version):
- Name of Examinee
- Rank
- Date (YYYYMMDD)
- Unit of Assignment
- Name of Test or Battery
- Name of Test Examiner
- Test Site Location
- Test Account ID
Block 9: Read and acknowledge the statement about not being required to test if extenuating circumstances exist (fatigue, illness, etc.). Check the appropriate box:
- I AM PHYSICALLY AND MENTALLY ABLE TO BE TESTED THIS DATE.
- Or request rescheduling.
Block 10: Certify eligibility by checking applicable statements regarding previous tests and retest waiting periods (e.g., no DLPT in last 9 months, SIFT limits, etc.). Provide exception-to-policy documentation if needed.
Signatures: The examinee and examiner sign and date the form.
Soldiers should read every statement carefully. False statements can lead to administrative or UCMJ actions (Article 107).
Key Eligibility and Retest Rules
The form enforces strict retest policies from AR 611-5:
- DLPT: No test in the same language within the last 9 months.
- DLAB: Limits on attempts and minimum wait times.
- SIFT: Specific waiting periods and attempt limits.
- ASVAB/AFCT: Generally 6 months between tests.
Always confirm current rules with your Test Control Officer, as policies can have exceptions via command approval.
Importance of Proper Test Administration
Using DA Form 5160 helps maintain test integrity, ensures fair conditions, and protects Soldiers from testing while impaired. Proper use supports accurate scoring for personnel decisions, career progression, and assignments.
Test administrators must follow standardized procedures in AR 611-5 for security, environment, and scoring.
Where to Get Help and Additional Resources?
- Official source: Army Publishing Directorate (APD)
- Your unit’s Test Control Officer or Education Center
- AR 611-5: Personnel and Classification Testing (current regulation)
- Local personnel or career counselor for retest waivers
Note: Always use the latest version from the official Army Publishing Directorate link provided above to ensure compliance.
This form plays a critical role in Army personnel testing programs. Understanding and correctly completing it helps Soldiers advance their careers through accurate aptitude and qualification assessments. For the most current guidance, consult AR 611-5 and your chain of command.
This article is for informational purposes and is based on publicly available official U.S. Army publications as of 2026. Policies may change—verify with official sources.