Official Department of the Army Forms

E-Forms by Range


DA 5443 thru DA 5799


Form Number Date Title Version PDF
DA 5447-R FEB 96 OFFICER SERVICE AGREEMENT SELECTED RESERVEEDUCATIONAL ASSISTANCE PROGRAM (SHORT TITLE: MONTGOMERY GIBILL) V1.01 Fill On-line
DA 5448-R AUG 85 MOISTURE & DENSITY TESTER FIELD DATAWORKSHEET V1.00 Fill On-line
DA 5450-R AUG 85 MOISTURE & DENSITY FIELD TEST SHEET V1.00 Fill On-line
DA 5454 SEP 09 REQUEST FOR ARMY/AMERICAN COUNCIL ON EDUCATIONREGISTRY TRANSCRIPT V1.00ES Fill On-line
DA 5456 NOV 05 WATER POINT INSPECTION V1.00 Fill On-line
DA 5457 NOV 05 POTABLE WATER CONTAINER INSPECTION V1.00 Fill On-line
DA 5458 NOV 05 SHOWER/DECONTAMINATION POINT INSPECTION V1.00 Fill On-line
DA 5459 OCT 03 AUTHORIZATION TO RELEASE INFORMATION FROM ARMYRECORDS ON NONSUPPORT/CHILD CUSTODY/PATERNITY INQUIRIES V1.00ES Fill On-line
DA 5462 JUN 09 TIP ALLOCATION WORKSHEET V1.00 Fill On-line
DA 5462-1 JUN 09 CONTINUATION OF TIP ALLOCATIONWORKSHEET V1.00 Fill On-line
DA 5463-R PDF ONLY OCT 85 PETROLEUM PRODUCTS TANK FARM OUTTURNRECORD Fill On-line
DA 5464-R PDF ONLY OCT 85 PETROLEUM PRODUCTS PIPELINE LEAKAGEREPORT Fill On-line
DA 5467-R OCT 85 CIVILIAN CLEARANCE RECORD V1.01 Fill On-line
DA 5468-R OCT 85 EXIT QUESTIONNAIRE V1.00 Fill On-line
DA 5472-R FEB 05 COMPUTER'S RECORD (MPI) V1.00 Fill On-line
DA 5473 MAR 08 PERFORMANCE REQUIREMENTS SUMMARY V1.00 Fill On-line
DA 5475 MAR 08 COR/QAE SURVEILLANCE SCHEDULE V1.00 Fill On-line
DA 5476 MAR 08 SURVEILLANCE ACTIVITY CHECKLIST V1.00 Fill On-line
DA 5477 MAR 08 CUSTOMER COMPLAINT RECORD V1.00ES Fill On-line
DA 5478 MAR 08 DECISION TABLE V1.00 Fill On-line
DA 5479 MAR 08 CONTRACT DISCREPANCY REPORT V1.01 Fill On-line
DA 5480 JUN 03 MAINTENANCE REQUEST AND ASSIGNMENTREGISTER V1.00 Fill On-line
DA 5481 MAR 08 TALLY CHECKLIST V1.00 Fill On-line
DA 5484 JAN 06 MISSION SCHEDULE/BRIEF V1.00 Fill On-line
DA 5500 AUG 06 BODY FAT CONTENT WORKSHEET (MALE) V1.02 Fill On-line
DA 5501 AUG 06 BODY FAT CONTENT WORKSHEET (FEMALE) V1.03 Fill On-line
DA 5511 AUG 06 PERSONAL WEIGHT LOSS PROGRESS V1.00 Fill On-line
DA 5512 SEP 02 RESPITE CARE AGREEMENT V1.00ES Fill On-line
DA 5513 SEP 06 KEY CONTROL REGISTER AND INVENTORY V1.00 Fill On-line
DA 5514-R APR 86 TAMIS TRAINING AMMUNITION FORECASTREPORT V2.01ES Fill On-line
DA 5515 MAY 04 TRAINING AMMUNITION CONTROL DOCUMENT V1.01 Fill On-line
DA 5515-1 MAY 04 TRAINING AMMUNITION CONTROL DOCUMENT CONTINUATIONSHEET V1.01 Fill On-line
DA 5517-R FEB 86 STANDARD RANGE CARD V1.01 Fill On-line
DA 5519-R APR 86 TOOL SIGN OUT LOG/REGISTER V1.00 Fill On-line
DA 5520 MAY 99 PHYSICAL AND DENTAL COMPARISON CHART V1.00 Fill On-line
DA 5521 OCT 01 RECORD OF EMERGENCY DATA AND DESIGNATION OFBENEFICIARY FOR UNPAID COMPENSATION OF DECEASED NAFEMPLOYEE V2.03ES Fill On-line
DA 5533 SEP 99 SMART/TIPS SUGGESTION FORM V1.00 Fill On-line
DA 5536-R JUN 86 AGREEMENT HEALTH PROFESSIONALS LOAN REPAYMENT(HPLR) V1.01 Fill On-line
DA 5548-1-R AUG 86 UNIT CLIMATE PROFILE (UCP) V1.00 Fill On-line
DA 5548-R AUG 86 UNIT CLIMATE PROFILE QUESTIONNAIRE V1.00 Fill On-line
DA 5550-R AUG 86 SPIROMETER CALIBRATION LOG V1.00 Fill On-line
DA 5551-R MAY 09 SPIROMETRY FLOW SHEET V1.00 Fill On-line
DA 5556 DEC 04 PERSONNEL REQUIREMENTS DOCUMENT V1.00 Fill On-line
DA 5557 SEP 06 INDIVIDUAL RELIABILITY SCREENING AND EVALUATIONRECORD V1.00 Fill On-line
DA 5560 APR 07 NO SMOKING EXCEPT IN DESIGNATED SMOKINGAREAS V1.00 Fill On-line
DA 5560-1 APR 07 DESIGNATED SMOKING AREA V1.00 Fill On-line
DA 5561-R PDF ONLY JUL 89 WAITING LIST Fill On-line
DA 5562-1-R PDF ONLY SEP 86 NEEDS ASSESSMENT METHODOLOGY Fill On-line
DA 5562-R JUL 89 CHILD DEVELOPMENT SERVICES NEEDSASSESSMENT V2.00 Fill On-line
DA 5563-R PDF ONLY JUL 89 DEMOGRAPHIC PROFILE Fill On-line
DA 5568 FEB 03 CHRONOLOGICAL RECORD OF WELL-BABY CARE V1.00 Fill On-line
DA 5569 FEB 03 ISONIAZID (INH) CLINIC FLOW SHEET V2.00 Fill On-line
DA 5572-R SEP 98 GIFT AGREEMENT V1.00 Fill On-line
DA 5573-R SEP 98 LOAN AGREEMENT V1.01 Fill On-line
DA 5574-R SEP 98 ASSURANCE OF COMPLIANCE V1.01 Fill On-line
DA 5575-R SEP 98 LOAN AGREEMENT (OUTGOING) V1.01 Fill On-line
DA 5582-R FEB 93 ATACMS MISSILE/MLRS PRACTICE ROCKET FIRING DATAREPORT (REPORT___OF___FOR THIS MISSION) V1.00ES Fill On-line
DA 5583 JAN 07 MISSILE FIRING DATA REPORT (HELLFIRE) V1.01 Fill On-line
DA 5584-R NOV 86 VEHICLE FORECAST AND MOVEMENT SCHEDULE V1.00 Fill On-line
DA 5585 APR 05 ADDENDUM TO CERTIFICATE OF ACKNOWLEDGEMENT OFSERVICE REQUIREMENTS (DA FORM 3540) FOR ENLISTMENT INTO THE US ARMYRESERVE TROOP PROGRAM UNIT WARRANT OFFICER FLIGHTPROGRAM V1.01 Fill On-line
DA 5586 APR 05 ADDENDUM TO CERTIFICATE OF ACKNOWLEDGEMENT OFSERVICE REQUIREMENT FOR ENLISTMENT INTO THE UNITED STATES ARMYRESERVE OFFICER CANDIDATE SCHOOL ENLISTMENT OPTION V1.01 Fill On-line
DA 5587 AUG 04 REPORT OF DRYDOCKING, PAINTING AND CONDITION OFVESSEL BOTTOM (FROM KEEL TO TOP OF BOOT TOP LINE) V1.00 Fill On-line
DA 5605-1-R DEC 86 LIFE CYCLE COST ANALYSIS Fill On-line
DA 5605-2-R DEC 86 LIFE CYCLE COST ANALYSIS SUMMARY V1.00 Fill On-line
DA 5605-3-R DEC 86 LIFE CYCLE COST ANALYSIS BASIC INPUT DATASUMMARY V1.00 Fill On-line
DA 5605-4-R DEC 86 LIFE CYCLE COST ANALYSIS PRESENT WORTH: COVENTIONALAPPROACH V1.00 Fill On-line
DA 5605-5-R DEC 86 LIFE CYCLE COST ANALYSIS V1.00 Fill On-line
DA 5614-R PDF ONLY DEC 86 SUPERINTENDENT'S TELEGRAPHIC REPORT OFACCIDENT Fill On-line
DA 5615-R PDF ONLY DEC 86 SET OUT REPORT Fill On-line
DA 5616-R PDF ONLY DEC 86 CAR INSPECTOR'S TRAIN REPORT Fill On-line
DA 5617-R PDF ONLY DEC 86 DAILY STATEMENT OF CARS ON HAND Fill On-line
DA 5618-R PDF ONLY DEC 86 CONDUCTOR'S WHEEL REPORT Fill On-line
DA 5619-R PDF ONLY DEC 86 DAILY EMPTY CAR SITUATION REPORT Fill On-line
DA 5620-R DEC 86 DAILY INSTALLATION SITUATON REPORT V1.01ES Fill On-line
DA 5621-R MAY 06 MEDICAL EQUIPMENT ELECTRICAL SAFETY V1.00 Fill On-line
DA 5624-R MAY 06 DC DEFIBRILLATORINSPECTION RECORD V1.00ES Fill On-line
DA 5627-R FEB 88 CASH, PROPERTY AND RECONCILIATIONRECORD V1.00 Fill On-line
DA 5628-R PDF ONLY FEB 87 VOUCHER FOR SPECIAL MISSION FUNDS (SMF)EXPENDITURES Fill On-line
DA 5642-R FEB 96 STATEMENT OF UNDERSTANDING AND SELECTED RESERVESERVICE AGREEMENT BASIC EDUCATIONAL ASSISTANCE ENTITLEMENT FORSERVICE IN THE SELECTED RESERVE (SHORT TITLE: (MONTGOMERY GI BILL2X4 PROGRAM) V1.02ES Fill On-line
DA 5643-R JUN 87 PHYSICAL DEMANDS ANALYSIS WORKSHEET V2.00 Fill On-line
DA 5645-B-R NOV 92 MANEUVER/PROCEDURE GRADE SLIP FOR OH-58D AEROSCOUTOBSERVERS V1.00 Fill On-line
DA 5646-R JUN 87 STATEMENT OF CONDITIONS OF SERVICE - ACTIVE GUARDRESERVE (AGR) V1.00 Fill On-line
DA 5647-R PDF ONLY JUN 87 STATEMENT OF CONDITIONS OF SERVICE - ACTIVE GUARDRESERVE (AGR) ACTIVE TRANSFER/CONVERSION ARMY RESERVE(ATCAR) Fill On-line
DA 5648-R JUN 87 AGR JOB AUTHORIZATION (REQUEST/CHANGE) V1.01ES Fill On-line
DA 5651 AUG 87 MESSAGE CONTROL LOG V3.00 Fill On-line
DA 5651-1 AUG 87 TERMINATING MESSAGE REGISTER V2.01 Fill On-line
DA 5661 MAR 01 DATA INTERCHANGE OF SUPPORT EQUIPMENTDATA V1.00 Fill On-line
DA 5662 MAR 01 DATA INTERCHANGE SUMMARY V1.00 Fill On-line
DA 5666 JUL 04 GAINING COMMAND FIELDING EVALUATION V1.00 Fill On-line
DA 5667-R PDF ONLY AUG 92 MANEUVER/PROCEDURE GRADE SLIP FOR CH-47 CREWMEMBERS Fill On-line
DA 5669 APR 05 PREVENTIVE MEDICINE COUNSELING RECORD V1.01 Fill On-line
DA 5671 JUL 03 PARENTAL PERMISSION V 1.00 Fill On-line
DA 5672-R JAN 88 MEAL CARD CONTROL BOOK LOG V1.00 Fill On-line
DA 5677-R PDF ONLY FEB 88 POLICY STATEMENT AND MEMORANDUM OF UNDERSTANDINGFOR REVIEW AND RECEIPT OF R&D DOCUMENTS Fill On-line
DA 5678-R FEB 88 POLICY STATEMENT AND MEMORANDUM OF UNDERSTANDINGFOR PARTICIPATION IN THE U.S. ARMY POTENTIAL CONTRACTORPROGRAM V1.01 Fill On-line
DA 5679-R PDF ONLY FEB 88 POLICY STATEMENT AND STUDY AGREEMENT FORPARTICIPATION IN THE U.S. ARMY R&D UNFUNDED STUDYPROGRAM Fill On-line
DA 5680 JUL 04 MATERIEL FIELDING TEAM AFTER ACTIONREPORT V1.00 Fill On-line
DA 5681 JUL 04 COORDINATION CHECKLIST AND REPORT V1.01ES Fill On-line
DA 5682 JUL 04 MATERIEL REQUIREMENTS LIST V1.00 Fill On-line
DA 5684 JUL 04 JOINT INVENTORY REPORT V1.02 Fill On-line
DA 5685-R MAR 90 NEW SPECIALIZED TRAINING ASSISTANCE PROGRAM (NEWSTRAP) SERVICE AGREEMENT V2.00 Fill On-line
DA 5687 MAR 03 INITIAL INSPECTION CHECKLIST FOR INDOORRANGES V1.00ES Fill On-line
DA 5688 MAR 03 DETAILED INSPECTION CHECKLIST FOR INDOORRANGES V1.00ES Fill On-line
DA 5690-R DEC 94 RESERVE COMPONENTS CAREER COUNSELOR INTERVIEWRECORD V1.00 Fill On-line
DA 5691-R MAY 98 REQUEST FOR RESERVE COMPONENT ASSIGNMENTORDERS V1.01 Fill On-line
DA 5692-R MAY 88 AMMUNITION CONSUMPTION CERTIFICATE V1.01 Fill On-line
DA 5695 JUN 99 INFORMATION MANAGEMENT REQUIREMENT/PROJECTDOCUMENT V1.00 Fill On-line
DA 5697 JUN 04 VISUAL INFORMATION (VI) ACTIVITY AUTHORIZATIONRECORD V1.01ES Fill On-line
DA 5698-R AUG 88 WEAPON LOCATION DATA V1.00 Fill On-line
DA 5701-47-R OCT 07 CH-47 PERFORMANCE PLANNING CARD V1.00 Fill On-line
DA 5701-58-R OCT 04 OH 58-D PERFORMANCE PLANNING CARD V1.00 Fill On-line
DA 5701-60-R OCT 07 H-60 PERFORMANCE PLANNING CARD V1.00 Fill On-line
DA 5701-64-R SEP 04 AH-64 PERFORMANCE PLANNING CARD V1.00 Fill On-line
DA 5701-228-R MAR 06 OH-58A/C PERFORMANCE PLANNING CARD V1.00 Fill On-line
DA 5704-R MAY 08 ALTERNATE PISTOL QUALIFICATION COURSESCORECARD V1.01ES Fill On-line
DA 5706-R OCT 88 TRACK BULLETIN V1.00 Fill On-line
DA 5748-R MAR 89 SHIPMENT UNIT PACKING LIST AND LOADDIAGRAM V1.00 Fill On-line
DA 5750 MAR 04 INADVERTENT DISCLOSURE OATH V1.01ES Fill On-line
DA 5752-R MAY 89 ROPE LOG (USAGE AND HISTORY) V1.01 Fill On-line
DA 5754 APR 09 MALPRACTICE HISTORY AND CLINICAL PRIVILEGESQUESTIONNAIRE V1.00ES Fill On-line
DA 5755 DEC 04 CONSIGNMENT AGREEMENT (NONAPPROPRIATEDFUNDS) V1.01ES Fill On-line
DA 5755-1 DEC 04 CONSIGNMENT CONTROL SHEET V1.01ES Fill On-line
DA 5756 DEC 04 CONCESSIONAIRE CONTRACT - SHORT TERM(NONAPPROPRIATED FUNDS) V1.01ES Fill On-line
DA 5760-R JUL 89 CHILD DEVELOPMENT SERVICES (CDS) MANAGEMENTPERSONNEL, CUMULATIVE INDIVIDUAL EDUCATION PLAN (IEP) TRAININGRECORD V1.10 Fill On-line
DA 5761-1-R JUL 89 FAMILY CHILD CARE (FCC) RISK ASSESSMENT TOOLOBSERVATION SUMMARY V2.00 Fill On-line
DA 5761-2-R JUL 89 FAMILY CHILD CARE (FCC) RISK ASSESSMENT TOOLINTERVIEW SUMMARY V2.00 Fill On-line
DA 5761-3-R JUL 89 FAMILY CHILD CARE (FCC) RISK ASSESSMENT TOOLREPORT V2.00 Fill On-line
DA 5761-R JUL 89 FAMILY CHILD CARE (FCC) RISK ASSESSMENT TOOLOBSERVATION V1.10 Fill On-line
DA 5762-R PDF ONLY JUL 89 FAMILY CHILD CARE (FCC) PROVISIONAL CERTIFICATIONRECORD OPERATIONAL REQUIREMENTS Fill On-line
DA 5763-R JUL 89 CHILD DEVELOPMENT SERVICES (CDS) INDIVIDUALEDUCATION PLAN (IEP), FAMILY CHILD CARE (FCC) PROVISIONALCERTIFICATION TRAINING RECORD V2.01ES Fill On-line
DA 5766 SEP 99 CHAPLAINS' FUND VOUCHER V1.00 Fill On-line
DA 5775 JUL 89 AWARD OF ACCOMPLISHMENT IN SAFETY Fill On-line
DA 5778 JUL 89 ARMY AVIATION BROKEN WING AWARD Fill On-line
DA 5785-R PDF ONLY JUN 89 SNIPER'S OBSERVATION LOG Fill On-line
DA 5786-R PDF ONLY JUN 89 SNIPER'S RANGE CARD Fill On-line
DA 5787-R PDF ONLY JUN 89 MILITARY SKETCH Fill On-line
DA 5788-R PDF ONLY SNIPER'S DATA CARD Fill On-line
DA 5789-R SEP 08 RECORD FIRING SCORECARD - KNOWN DISTANCECOURSE V1.01ES Fill On-line
DA 5790-R SEP 08 RECORD FIRING SCORECARD - SCALED TARGET ALTERNATECOURSE V1.01ES Fill On-line