Official Department of the Army Forms

E-Forms by Range

DA 0001 thru DA 1299 DA 3700 thru DA 4399 DA 5443 thru DA 5799 DA 1300 thru DA 2199 DA 4400 thru DA 4999 DA 5800 thru DA 7359 DA 2200 thru DA 2999 DA 5000 thru DA 5299 DA 7360 thru DA 7499 DA 3000 thru DA 3699 DA 5300 thru DA 5442 DA 7500 thru DA 9999 LABELS, GPO, HQDA, JCP, OF, OGE, OPM Standard Forms (SF)

DA 3700 thru DA 4399


Form Number Date Title Version PDF
DA 3703-R AUG 78 PRODUCT QUALITY INSPECTION SUMMARY V1.00 Fill On-line
DA 3705 JAN 80 RECEIPT FOR OUTPATIENT TREATMENT/DENTALRECORDS V1.01 Fill On-line
DA 3711 NOV 01 ARMY SUBSTANCE ABUSE PROGRAM (ASAP) RESOURCE ANDPERFORMANCE REPORT (RAPR) V1.00ES Fill On-line
DA 3715 JAN 02 US ARMY NONAPPROPRIATED FUNDS - DISPOSITION OFRETIREMENT BENEFITS V1.01ES Fill On-line
DA 3725 JUL 84 ARMY RESERVE STATUS AND ADDRESSVERIFICATION V1.00 Fill On-line
DA 3733-R JAN 82 SSSC ACCOUNT CARD V1.01ES Fill On-line
DA 3734-R JAN 82 CUSTOMER TRANSACTION LEDGER ACCOUNT(CTLA) V1.00 Fill On-line
DA 3735-R JAN 82 SELF-SERVICE SUPPLY CENTER MONTHLY SUMMARY JOURNALAND STATEMENT OF OPERATIONS V1.00 Fill On-line
DA 3736-R JAN 82 STATEMENT OF CUSTOMER ACCOUNTS V1.00 Fill On-line
DA 3739 JAN 96 APPLICATION FOR COMPASSIONATE ACTIONS V1.03 Fill On-line
DA 3744 SEP 02 AFFIDAVIT SUPPORTING REQUEST FOR AUTHORIZATION TOSEARCH AND SEIZE OR APPREHEND V1.01ES Fill On-line
DA 3745 SEP 02 SEARCH AND SEIZURE AUTHORIZATION V1.01ES Fill On-line
DA 3745-1 SEP 02 APPREHENSION AUTHORIZATION V1.00ES Fill On-line
DA 3746-R JUL 71 ITEM DATA CARD V1.00 Fill On-line
DA 3749 MAY 09 EQUIPMENT RECEIPT V1.00ES Fill On-line
DA 3750 JAN 80 CENTRALIZED MATERIEL SERVICE ITEM REQUEST ANDISSUE V1.00 Fill On-line
DA 3751-R AUG 71 BAYONET COURSE QUALIFICATION SCORESHEET V1.00 Fill On-line
DA 3752-R AUG 71 LANE SCORER'S RECORD FOR BAYONET TEST V1.00 Fill On-line
DA 3758-R DEC 96 CALIBRATION AND REPAIR REQUIREMENTSWORKSHEET V2.02 Fill On-line
DA 3761 OCT 08 PUBLIC HEALTH NURSING ACTIVITIES REPORT V2.00 Fill On-line
DA 3779 SEP 71 LOCATION PLACARD V1.00 Fill On-line
DA 3780 PDF ONLY SEP 71 PALLET COUNT Fill On-line
DA 3787-R SEP 71 DEPOT RECORD OF LOCATION SURVEY V1.00 Fill On-line
DA 3800 AUG 86 CAREER REFERRAL LIST - NONAPPROPRIATEDFUNDS V1.01 Fill On-line
DA 3821 JAN 72 REPORT OF ADMINISTRATIVE OFFICER OF THEDAY V1.01 Fill On-line
DA 3824 FEB 03 UROLOGIC EXAMINATION V1.00 Fill On-line
DA 3830 JUN 04 NONAPPROPRIATED FUND BANK BALANCES V1.01 Fill On-line
DA 3838 SEP 07 APPLICATION FOR SHORT COURSE TRAINING V1.02 Fill On-line
DA 3853-1 MAY 72 INNAGE GAGE SHEET (USING INNAGE TAPE ANDBOB) V1.01 Fill On-line
DA 3853-2 MAY 72 OUTAGE GAGE SHEET V1.01 Fill On-line
DA 3853-3 MAY 72 OUTAGE GAGE SHEET V1.01 Fill On-line
DA 3857 APR 72 COMMERCIAL DELIVERIES OF BULK PETROLEUM PRODUCTSCHECKLIST V1.02 Fill On-line
DA 3862 JUN 72 CONTROLLED SUBSTANCES STOCK RECORD V1.00 Fill On-line
DA 3865-R PDF ONLY JUN 76 SHORT AND LONG RANGE TRANSPORTATION REQUIREMENTSREPORTS - MANUAL Fill On-line
DA 3872 APR 09 NURSING SERVICE PERSONNEL TIME SCHEDULE V1.00ES Fill On-line
DA 3880-R JUL 72 IMPROVED HAWK LOCATION/STATUS REPORT V1.00 Fill On-line
DA 3881 NOV 89 RIGHTS WARNING PROCEDURE/WAIVERCERTIFICATE V2.01 Fill On-line
DA 3888 FEB 03 MEDICAL RECORD - NURSING HISTORY ANDASSESSMENT V1.00 Fill On-line
DA 3888-2 JUN 91 MEDICAL RECORD - NURSING CARE PLAN V1.01 Fill On-line
DA 3888-3 JUN 91 MEDICAL RECORD - NURSING DISCHARGESUMMARY V1.00ES Fill On-line
DA 3889 APR 09 NURSING UNIT 24 HOUR REPORT V1.00 Fill On-line
DA 3889-1 APR 09 NURSING UNIT 24 HOUR REPORT - CONTINUATIONSHEET V1.00 Fill On-line
DA 3894 OCT 72 HOSPITAL REPORT OF DEATH V2.02ES Fill On-line
DA 3897 MAY 09 TUBERCULOSIS REGISTRY V1.00 Fill On-line
DA 3900 SEP 72 BILLS REGISTER SUPPLIES AND SERVICES NONPERSONAL V1.00 Fill On-line
DA 3903 JUL 05 MULTI-MEDIA/VISUAL INFORMATION (M/VI) WORKORDER V1.00 Fill On-line
DA 3904 AUG 72 PUBLIC VOUCHER FOR MEDICAL EXAMINATION V1.00 Fill On-line
DA 3916 JAN 09 DAILY LOG OF TRUCK TRIPS FOR REFUSE COLLECTION ANDDISPOSAL V1.00 Fill On-line
DA 3917 JAN 09 REFUSE COLLECTION AND DISPOSAL V1.00ES Fill On-line
DA 3918-R JUL 90 FACSIMILE TRANSMITTAL HEADER SHEET V3.00 Fill On-line
DA 3938 DEC 77 LOCAL SERVICE REQUEST (LSR) V2.02 Fill On-line
DA 3943 OCT 72 ANNUAL DRY PIPE VALVE INSPECTION AND TRIPPINGTEST V1.00 Fill On-line
DA 3945 DEC 98 MILITARY POLICE RADIO LOG V1.01 Fill On-line
DA 3946 FILE 1/2 DEC 98 MILITARY POLICE TRAFFIC ACCIDENT REPORT V1.01 Fill On-line
DA 3946 FILE 2/2 DEC 98 MILITARY POLICE TRAFFIC ACCIDENT REPORT V1.01 Fill On-line
DA 3947 SEP 83 MEDICAL EVALUATION BOARD PROCEEDINGS V3.00ES Fill On-line
DA 3949 SEP 09 CONTROLLED SUBSTANCES RECORD V1.00 Fill On-line
DA 3950 JUN 91 FLOWSHEET FOR VITAL SIGNS AND OTHERPARAMETERS V1.01 Fill On-line
DA 3953 MAR 91 PURCHASE REQUEST AND COMMITMENT V2.00 Fill On-line
DA 3964 JUL 79 CLASSIFIED DOCUMENT ACCOUNTABILITYRECORD V2.00 Fill On-line
DA 3973 JAN 03 VOUCHER REGISTER OF LIBRARY MATERIALS V1.00 Fill On-line
DA 3974 NOV 72 INSTALLATION BLOCK TICKET V1.00 Fill On-line
DA 3975 FILE 1/3 DEC 98 MILITARY POLICE REPORT V1.01 Fill On-line
DA 3975 FILE 2/3 DEC 98 MILITARY POLICE REPORT V1.01 Fill On-line
DA 3975 FILE 3/3 DEC 98 MILITARY POLICE REPORT V1.01 Fill On-line
DA 3975-1 DEC 98 MILITARY POLICE REPORT-ADDITIONALOFFENSES V1.01 Fill On-line
DA 3975-2 DEC 98 MILITARY POLICE REPORT - ADDITIONALSUBJECTS V1.01 Fill On-line
DA 3975-3 DEC 98 MILITARY POLICE REPORT - ADDITIONALVICTIMS V1.01 Fill On-line
DA 3975-4 DEC 98 MILITARY POLICE REPORT - ADDITIONAL PERSONS RELATEDTO REPORT V2.01 Fill On-line
DA 3975-5 DEC 98 MILITARY POLICE REPORT - ADDITIONALPROPERTY V1.01 Fill On-line
DA 3981 DEC 72 TRANSFER OF PATIENT V1.02 Fill On-line
DA 3982 DEC 72 MEDICAL AND DENTAL APPOINTMENT V1.01 Fill On-line
DA 3983 DEC 72 PATIENTS' TRUST FUND AUTHORIZATION FOR DEPOSIT ORWITHDRAWAL OF FUNDS AND VALUABLES V1.02ES Fill On-line
DA 3984 DEC 72 DENTAL TREATMENT PLAN V1.02 Fill On-line
DA 3986-R OCT 93 PERSONNEL ASSET INVENTORY V2.00 Fill On-line
DA 3988 JUL 02 EQUIPMENT REPLACEMENT RECORD V1.00ES Fill On-line
DA 3992 MAY 07 NARCOTICS OR EXPLOSIVES DETECTOR DOG TRAINING ANDUTILIZATION RECORD V1.00 Fill On-line
DA 3996 DEC 72 ABSTRACT OF LAUNDRY WORK ACCOMPLISHED FORINDIVIDUAL PATRONS V2.00 Fill On-line
DA 3997 DEC 98 MILITARY POLICE DESK BLOTTER V1.01 Fill On-line
DA 3999-3-R JUL 80 WORKLOAD ACCOUNTING DAILY STATUS SHEET V1.00 Fill On-line
DA 4005 JAN 73 AUTOMATIC SPRINKLER & STANDPIPE EQUIPMENTSINSPECTIONS & TESTS V1.00 Fill On-line
DA 4017 JUN 93 REQUEST FOR PERSONNEL ACTION - NONAPPROPRIATED FUNDINSTRUMENTALITY V2.01 Fill On-line
DA 4029 MAR 73 PATIENT'S CLEARANCE RECORD V1.01 Fill On-line
DA 4036 MAR 07 MEDICAL AND DENTAL PREPARATION FOR OVERSEASMOVEMENT V1.00 Fill On-line
DA 4062 OCT 04 TMDE ACQUISITION APPROVAL ANALYSIS DATA V1.00 Fill On-line
DA 4072 DEC 04 RECORD OF NEGOTIATIONS (NON APPROPRIATEDFUNDS) V1.00 Fill On-line
DA 4078 JUN 73 PROPERTY CONTROL AND DEPRECIATIONRECORD V1.00 Fill On-line
DA 4079 JUN 73 DEPRECIATION EXPENSE CONTROL (FURNITURE, FIXTURES& EQUIPMENT) V1.00 Fill On-line
DA 4080 JUN 73 TRANSFERS BETWEEN ACTIVITIES V2.01ES Fill On-line
DA 4082 FEB 84 DAILY CASHIER'S RECORD V1.00 Fill On-line
DA 4083-R NOV 85 VENDING OR AMUSEMENT MACHINECOLLECTIONS V1.00 Fill On-line
DA 4084-R JUN 73 INVESTMENT REGISTER V1.00 Fill On-line
DA 4090-R OCT 88 COMBINED REGISTER OF TRAINS AND COMPARISON OFWATCHES V1.00 Fill On-line
DA 4093-R OCT 88 STATION RECORD OF TRAIN MOVEMENTS AND OPERATOR'STRANSFER V1.00 Fill On-line
DA 4103 JUN 99 VISUAL INFORMATION (VI) PRODUCT LOANORDER V1.00 Fill On-line
DA 4106 FEB 04 INCIDENT REPORT V1.01 Fill On-line
DA 4107 MAR 82 OPERATION REQUEST AND WORKSHEET V1.01 Fill On-line
DA 4126-R DEC 94 BAR TO REENLISTMENT CERTIFICATE V1.01 Fill On-line
DA 4137 JUL 76 EVIDENCE/PROPERTY CUSTODY DOCUMENT V1.00 Fill On-line
DA 4138-R JAN 74 MONTHLY AUTHORIZATION CONTROL RECORD V1.00 Fill On-line
DA 4139-R JAN 74 APPLICATION FOR LOAN (CIVILIAN WELFAREFUND) V1.00 Fill On-line
DA 4140-R JAN 74 LOAN CONTRACT (CIVILIAN WELFARE FUND) V1.00 Fill On-line
DA 4153-R MAR 93 EQUIPMENT SURVEY WORKSHEET V1.01 Fill On-line
DA 4159 MAY 09 REQUEST FOR MEDICAL CARE IN A FEDERAL MEDICALTREATMENT FACILITY OUTSIDE DEPARTMENT OF DEFENSE V1.00ES Fill On-line
DA 4160 OCT 73 PATIENT'S PERSONAL EFFECTS AND CLOTHINGRECORD V1.00 Fill On-line
DA 4162 JUL 03 VOLUNTEER SERVICE RECORD V1.01 Fill On-line
DA 4170 JUL 02 STATEMENT OF GAINS AND LOSSES V1.00ES Fill On-line
DA 4179 AUG 03 LEAVE CONTROL LOG V1.100 Fill On-line
DA 4186 MAR 07 MEDICAL RECOMMENDATION FOR FLYING DUTY V1.00 Fill On-line
DA 4187 JAN 00 PERSONNEL ACTION V1.01ES Fill On-line
DA 4187-1-R APR 95 PERSONNEL ACTION FORM ADDENDUM V1.10 Fill On-line
DA 4188 JUL 83 MILITARY PERSONNEL OFFICE/FINANCE OFFICEVERIFICATION OF MPRJ AND PFR V1.00 Fill On-line
DA 4197-R MAY 92 RADIOSONDE DATA V1.00 Fill On-line
DA 4201 JAN 74 HIGH BURST (MEAN POINT OF IMPACT)REGISTRATION V1.00 Fill On-line
DA 4213 APR 76 SUPPLEMENTAL DATA FOR ARMY MEDICAL SERVICE RESERVEOFFICERS V1.01 Fill On-line
DA 4221 FEB 03 DIABETIC RECORD V1.00 Fill On-line
DA 4230-R APR 93 SUPPLEMENTAL SIGNATURE SHEET V2.00 Fill On-line
DA 4237-R AUG 85 DETAINEE PERSONNEL RECORD V1.00 Fill On-line
DA 4254 FEB 03 REQUEST FOR PRIVATE MEDICAL INFORMATION V1.01ES Fill On-line
DA 4255-R JAN 85 INITIAL ACTIVE DUTY ASSIGNMENT INSTRUCTIONSREQUEST V1.01 Fill On-line
DA 4283 SEP 03 FACILITIES ENGINEERING WORK REQUEST V1.00 Fill On-line
DA 4306-R PDF ONLY FEB 84 CONGRESSIONAL NOTIFICATION OF PROPOSEDAWARDS Fill On-line
DA 4312-R PDF ONLY OCT 74 RETENTION CONTROL SHEET Fill On-line
DA 4316 JUN 04 APPLICATION FOR BUILDING INSURANCE V1.01 Fill On-line
DA 4316-1 JUN 04 APPLICATION FOR ARMY FLYING ACTIVITY AIRCRAFTINSURANCE V1.01 Fill On-line
DA 4322 JUN 01 ARMY OFFICER CANDIDATE CONTRACT AND SERVICEAGREEMENT V1.00 Fill On-line
DA 4339 MAY 99 MORTUARY ACTIVITY & STATUS REPORT(OVERSEAS) V1.01 Fill On-line
DA 4347-R FEB 75 REQUEST FOR CAR MOVEMENT V1.00 Fill On-line
DA 4359 FEB 03 AUTHORIZATION FOR PSYCHIATRIC SERVICETREATMENT V1.00ES Fill On-line
DA 4372-1-R AUG 90 SUPPLEMENTAL DATA SHEET-SECURITY ASSISTANCESUPPORTABILITY STATEMENT(FOR INTERNAL ARMY USE) V1.00 Fill On-line
DA 4372-R AUG 90 SECURITY ASSISTANCE SUPPORTABILITYSTATEMENT V1.00 Fill On-line
DA 4379 APR 01 AMMUNITION MALFUNCTION REPORT V1.01 Fill On-line
DA 4379-1 APR 01 MISSILE AND ROCKET MALFUNCTION REPORT V1.00 Fill On-line

DA 0001 thru DA 1299 DA 3700 thru DA 4399 DA 5443 thru DA 5799 DA 1300 thru DA 2199 DA 4400 thru DA 4999 DA 5800 thru DA 7359 DA 2200 thru DA 2999 DA 5000 thru DA 5299 DA 7360 thru DA 7499 DA 3000 thru DA 3699 DA 5300 thru DA 5442 DA 7500 thru DA 9999 LABELS, GPO, HQDA, JCP, OF, OGE, OPM Standard Forms (SF)