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DA Form 5790-R is a U.S. Army document known as the "Request for Additional Authorized Controlled Substances." This form is used by military medical personnel to request additional controlled substances, such as narcotics or other medications, for use in medical treatment facilities. It includes information about the requester, the specific controlled substance being requested, and the justification for the request.
Who is required to file da form 5790 r?
DA Form 5790-R is required to be filed by a requester (individual or organization) who wants to request support or services from the U.S. Army Logistics Readiness Center.
How to fill out da form 5790 r?
To fill out the DA Form 5790-R (Request for Issue or Turn-In), follow these steps:
1. Download a copy of the DA Form 5790-R from a reliable source like the Department of the Army Publications website or obtain a physical copy from your unit's supply office.
2. Start with the header section of the form. Fill out the "DATE" field with the current date in the specified format (YYYYMMDD).
3. In the "FROM" section, provide your complete name, rank, and organization/unit.
4. In the "TO" section, write down the name, rank, organization, and contact information of the person or unit you are submitting the form to.
5. Move on to the "REQUEST" section. Indicate whether it is a "Request for Issue," "Request for Exchange," or "Request for Turn-In."
6. For a "Request for Issue," provide the required information for the items you are requesting. This includes the item description, stock number, quantity, and the unit of issue. If you need additional lines, use continuation sheets (DA Form 5790-1-R).
7. For a "Request for Exchange," include the same information as a request for issue but also indicate the additional items you will turn in for exchange.
8. For a "Request for Turn-In," list the items you intend to return. Provide the item description, stock number, and quantity.
9. In the "JUSTIFICATION" section, briefly explain why you are making this request or turn-in. This may include operational or maintenance requirements, damaged equipment, etc.
10. In the "APPROVAL AND SIGNATURE" section, leave the "DATE" field blank for now. This section is for the approval and signature of the responsible official, usually a unit supply officer or higher-ranking personnel.
11. Once the form is complete, review it for accuracy and completeness. Ensure all required fields are filled out.
12. Sign and date the form in the "PREPARER" section.
13. Submit the completed DA Form 5790-R to the appropriate personnel or unit for further processing.
Note: The steps mentioned above are a general guideline, and it is crucial to refer to specific instructions or consult with your unit's standard operating procedures (SOP) to verify any additional or unit-specific requirements when filling out the DA Form 5790-R.
What is the purpose of da form 5790 r?
DA Form 5790-R, also known as the Risk Management Worksheet, is a form used by the United States Army to assess and manage risks associated with military operations, activities, and training. The purpose of this form is to systematically identify hazards, assess their potential impact, and develop risk mitigation strategies. It helps commanders and leaders make informed decisions to minimize risks and ensure the safety and well-being of personnel and resources. The form is typically filled out by unit commanders or safety officers during the planning phase of a mission or activity.
What information must be reported on da form 5790 r?
DA Form 5790-R, Annual Army Transportation Certification - Motor Vehicle Mishap Report, is used to report and document the information related to motor vehicle mishaps or accidents that occur within the Army transportation system. The following information must be reported on DA Form 5790-R:
1. Unit Information: Identification of the unit involved in the accident such as unit name, type, and unit identification code (UIC).
2. Vehicle Information: Details about the vehicle involved in the mishap including the registration number, vehicle make and model, unit license number, type of vehicle, and unit serial number.
3. Driver Information: Driver's personal details including full name, rank, Social Security Number (SSN), and military occupational specialty (MOS), date of birth, and military driver's license number.
4. Accident Information: Detailed description of the mishap including the date, time, location, and specific weather conditions at the time of the accident.
5. Type of Accident: Indication of the type of accident, such as collision with a stationary object, collision with another vehicle, rollover, or jackknife.
6. Injuries and Damages: Information about injuries sustained by personnel involved in the accident, including the severity and any fatalities. Additionally, details regarding any damages sustained by the vehicle(s) involved and other property or equipment.
7. Witnesses: Names, ranks, and contact information of any witnesses to the accident.
8. Supervisors: Information about the immediate supervisors of the driver, including names, ranks, and contact information.
9. Contributing Factors: Reporting any factors that may have contributed to the accident, such as vehicle malfunctions, road conditions, driver error, or other relevant factors.
10. Enforcement Actions: Details of any enforcement actions taken, such as traffic tickets, warnings, or disciplinary actions, for individuals involved in the accident.
11. Chain of Custody Documentation: If any evidence or records were collected related to the mishap, a chain of custody documentation should be provided.
12. Summary: A summary of the accident, including recommended actions and preventative measures to avoid future mishaps.
It is important to note that the specific requirements for reporting may vary depending on the unit's regulations and local policies.
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