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 4400 thru DA 4999
| Form Number | Date | Title | Version | |
|---|---|---|---|---|
| DA 4430 | SEP 02 | DEPARTMENT OF THE ARMY REPORT OF RESULT OFTRIAL | V1.00ES | Fill Online |
| DA 4441 | SEP 02 | UNITED STATES ARMY TRIAL DEFENSESERVICE | V1.00 | Fill Online |
| DA 4449 | AUG 94 | CLEMENCY ACTION RECORD | V1.01ES | Fill Online |
| DA 4450-R PDF ONLY | MAY 92 | BALLISTIC DENSITY OF TEMPERATURE | Fill Online | |
| DA 4459 | AUG 94 | PAROLE ACTION RECORD | V1.01ES | Fill Online |
| DA 4460-R | JUL 80 | ARMY LAW LIBRARY SHELF LIST | V1.00 | Fill Online |
| DA 4465 | NOV 01 | PATIENT INTAKE/SCREENING RECORD (PIR) | V2.00ES | Fill Online |
| DA 4466 | NOV 01 | PATIENT PROGRESS REPORT (PPR) | V1.00ES | Fill Online |
| DA 4469-R | MAY 92 | WIND COMPUTATION (ELECTRONIC OR VISUAL) | V1.00 | Fill Online |
| DA 4474-R | JUN 87 | REQUEST FOR ACCELERATED PAYMENT OF SRB - HARDSHIPOR COMPASSIONATE | V1.01 | Fill Online |
| DA 4475 | MAR 06 | DATA REQUIRED BY THE PRIVACY ACT OF 1974 PERSONALINFORMATION FROM THE NOK OF A DECEASED SERVICE MEMBER | V1.00 | Fill Online |
| DA 4497 | MAR 02 | INTERIM (ABBREVIATED) FLYING DUTY MEDICALEXAMINATION | V1.00 | Fill Online |
| DA 4502-R | DEC 82 | WORKSHEET FOR CALCULATING COST OF MANAGEMENTINFORMATION REQUIREMENTS/PRODUCTS | V1.00 | Fill Online |
| DA 4503-1-R | MAY 86 | ADP PRODUCT REVIEW EVALUATION | V1.00 | Fill Online |
| DA 4504 | OCT 78 | RECORD OF FIRE | V1.00 | Fill Online |
| DA 4505 | MAY 76 | 155mm NUCLEAR COMPUTATION-MET CORRECTIONTECHNIQUE | V1.00 | Fill Online |
| DA 4507 | OCT 09 | CREW MEMBER GRADE SLIP | V1.00 | Fill Online |
| DA 4507-1-R | AUG 95 | MANEUVER/PROCEDURE GRADE SLIP | V1.00 | Fill Online |
| DA 4507-2-R | AUG 95 | CONTINUATION COMMENT SLIP | V2.00 | Fill Online |
| DA 4511 | JUL 00 | REQUEST FOR LOGISTICS CATALOG DATA AND/ORINFORMATION | V1.00 | Fill Online |
| DA 4513 | MAY 76 | RECORD OF MISSIONS FIRED | V1.00 | Fill Online |
| DA 4524-R PDF ONLY | MAY 92 | BALLISTIC DENSITY FROM SURFACE DATA | Fill Online | |
| DA 4538 | JUL 02 | ABSTRACT OF ISSUES/SALES | V1.00 | Fill Online |
| DA 4550-R | APR 82 | MEAL CARD VERIFICATION FORM | V1.01 | Fill Online |
| DA 4552 | JUL 02 | KITCHEN REQUISITION | V1.01ES | Fill Online |
| DA 4560-R | DEC 82 | APPLICATION FOR APPROVAL OF ADP PRODUCT | V1.00 | Fill Online |
| DA 4570 | APR 99 | REGISTER OF PRINTING/DUPLICATINGREQUISITIONS | V1.01 | Fill Online |
| DA 4570-1 | APR 99 | COMMERCIAL PRINTING RECORD | V1.01 | Fill Online |
| DA 4571-R | NOV 83 | DATA REQUIRED BY THE PRIVACY ACT OF 1974(ELIGIBILITY FOR AMEDD OFFICER PROCUREMENT PROGRAMS - MISCELLANEOUSDOCUMENTATION) | V1.00 | Fill Online |
| DA 4572 | OCT 09 | STATEMENT OF UNDERSTANDING FOR APPOINTMENT AS ACOMMISSIONED OFFICER | V1.00ES | Fill Online |
| DA 4573 | MAR 82 | DOCUMENT CONTROL AND DESTRUCTIONCERTIFICATE | V1.01 | Fill Online |
| DA 4574-R | NOV 76 | RADIOPHARMACEUTICAL STOCK RECORD | V1.00 | Fill Online |
| DA 4591-R | MAY 98 | RETENTION DATA WORKSHEET | V1.00 | Fill Online |
| DA 4598-R | DEC 82 | INSTALLATION CASH TRANSFER REQUEST | V1.00 | Fill Online |
| DA 4601-R | MAR 77 | REPORT OF MANPOWER AND FISCAL RESOURCES IN SUPPORTOF THE CIVILIAN EQUAL EMPLOYMENT OPPORTUNITY PROGRAM | V1.00 | Fill Online |
| DA 4604 | SEP 06 | SECURITY CONSTRUCTION STATEMENT | V1.00 | Fill Online |
| DA 4605-R PDF ONLY | AUG 90 | DEPARTMENT OF THE ARMY MUNITIONS CONTROL CASEPROCESSING WORKSHEET | Fill Online | |
| DA 4610-R | SEP 96 | EQUIPMENT CHANGES IN MTOE/TDA | V2.00 | Fill Online |
| DA 4612-R | OCT 93 | NUMBER AND TYPES OF DECORATIONSAPPROVED | V1.00 | Fill Online |
| DA 4620-R | JUN 77 | SPECIAL C-E AUTHORIZATION REQUEST | V1.01 | Fill Online |
| DA 4644-R | DEC 82 | ARMY RESERVE REENLISTMENT DATA | V1.00 | Fill Online |
| DA 4651 | AUG 05 | REQUEST FOR RESERVE COMPONENT ASSIGNMENT ORATTACHMENT | V1.00 | Fill Online |
| DA 4655-R | JAN 83 | TARGET LIST WORKSHEET | V1.00 | Fill Online |
| DA 4656-R | JAN 83 | SCHEDULING WORK SHEET | V1.00 | Fill Online |
| DA 4657 | MAY 05 | STATEMENT OF RETIREMENT - ELIGIBLE SOLDIER -REMAINING SERVICE OBLIGATION | V1.00 | Fill Online |
| DA 4658 | MAY 05 | STATEMENT OF RETIREMENT - ELIGIBLE SOLDIER - NOTELIGIBLE TO REENLIST | V1.00 | Fill Online |
| DA 4664-1-R | JUN 83 | TEMPEST INSPECTION REPORT SUPPLEMENT - FACILITYPROFILE | V1.00 | Fill Online |
| DA 4664-R | JUN 83 | TEMPEST INSPECTION REPORT | V1.00 | Fill Online |
| DA 4665 | MAR 00 | PATIENT'S TRUST FUND--DAILY SUMMARYRECORD | V1.01 | Fill Online |
| DA 4669-R | AUG 90 | COMSEC MATERIAL VOUCHER CONTROLREGISTER | V1.00 | Fill Online |
| DA 4677 | OCT 78 | THERAPEUTIC DOCUMENTATION CARE PLAN(NON-MEDICATION) | V1.00 | Fill Online |
| DA 4678 | FEB 79 | THERAPEUTIC DOCUMENTATION CARE PLAN(MEDICATIONS) | V1.01 | Fill Online |
| DA 4691 | FEB 04 | INITIAL APPLICATION FOR CLINICAL PRIVILEGES ANDSTAFF APPOINTMENT | V1.00 | Fill Online |
| DA 4691-1 | FEB 04 | APPLICATION FOR RENEWAL OF CLINICAL PRIVILEGES ANDSTAFF APPOINTMENT | V1.01 | Fill Online |
| DA 4700 | FEB 03 | MEDICAL RECORD-SUPPLEMENTAL MEDICALDATA | V1.00 | Fill Online |
| DA 4701-R | APR 85 | REQUEST FOR AVFUELS IDENTAPLATES | V1.00 | Fill Online |
| DA 4702-R | APR 85 | MONTHLY BULK PETROLEUM ACCOUNTINGSUMMARY | V2.01 | Fill Online |
| DA 4707 | JUL 78 | ENTRANCE PHYSICAL STANDARDS BOARD (EPSBD)PROCEEDINGS | V1.01 | Fill Online |
| DA 4708 | SEP 78 | QUANTITY CHANGE FOR SUBSTITUTE IN PROPERTYBOOK | V1.01 | Fill Online |
| DA 4711 | MAR 07 | STATEMENT OF LAW VIOLATIONS | V1.00 | Fill Online |
| DA 4713 | JUL 03 | VOLUNTEER DAILY TIME RECORD | V1.01 | Fill Online |
| DA 4719 | JUN 09 | CHILD DEVELOPMENT SERVICES (CDS) REGISTRATIONCARD | V1.00ES | Fill Online |
| DA 4727 PDF ONLY | SEP 78 | FIELD RECORD AND COMPUTATIONS -TELLUROMENTER | Fill Online | |
| DA 4730 | JUN 05 | CERTIFICATE FOR PERFORMANCE OF HAZARDOUSDUTY | V1.01 | Fill Online |
| DA 4734-R | OCT 78 | DEPARTMENT OF THE ARMY UNITED STATES OF AMERICAINVENTION DISCLOSURE | V1.00 | Fill Online |
| DA 4753 | OCT 78 | NOTICE OF UNSAFE OR UNHEALTHFUL WORKINGCONDITION | V2.00 | Fill Online |
| DA 4754 | OCT 78 | VIOLATION INVENTORY LOG | V2.00 | Fill Online |
| DA 4755 | OCT 78 | EMPLOYEE REPORT OF ALLEGED UNSAFE OR UNHEALTHFULWORKING CONDITIONS | V2.01 | Fill Online |
| DA 4756 | OCT 78 | INSTALLATION HAZARD ABATEMENT PLAN | V2.00 | Fill Online |
| DA 4757 | SEP 84 | REGISTRATION/SPECIAL CORRECTION WORKSHEET | V2.00 | Fill Online |
| DA 4762 | JUN 04 | ATHLETE'S APPLICATION | V1.01 | Fill Online |
| DA 4787 | MAR 07 | REASSIGNMENT PROCESSING | V1.01 | Fill Online |
| DA 4789 | JUN 79 | STATEMENT OF ENTITLEMENT TO SELECTIVE REENLISTMENTBONUS | V1.00 | Fill Online |
| DA 4790 | NOV 06 | CERTIFICATION FOR DISTRIBUTION OF PUBLICATION(S) INSUPPORT OF GOVERNMENT CONTRACT | V1.00 | Fill Online |
| DA 4797 FILE 1/2 | JAN 04 | INTERNATIONAL STANDARDIZATION AGREEMENTRATIFICATION-IMPLEMENTATION DATA SHEET | V1.02 | Fill Online |
| DA 4797 FILE 2/2 | JAN 04 | INTERNATIONAL STANDARDIZATION AGREEMENTRATIFICATION-IMPLEMENTATION DATA SHEET | V1.01 | Fill Online |
| DA 4797-1 | JAN 04 | INTERNATIONAL STANDARDIZATION AGREEMENT REVIEW DATASHEET | V1.01 | Fill Online |
| DA 4799-R PDF ONLY | AUG 79 | PROBATIONARY AGENT MONTHLY EVALUATIONREPORT | Fill Online | |
| DA 4809-R | APR 82 | MEAL CARD CONTROL REGISTER | V1.00 | Fill Online |
| DA 4815 | APR 99 | FORMS CONTROL REGISTER | V1.00 | Fill Online |
| DA 4817-R PDF ONLY | DEC 85 | CONSENT/NONCONSENT TO DISCLOSE PERSONALINFORMATION | Fill Online | |
| DA 4824 | APR 05 | ADDENDUM TO CERTIFICATE AND ACKNOWLEDGEMENT OFSERVICE REQUIREMENTS (DA FORM 3540) FOR ALL PERSONNEL APPLYING FORPARTICPATION IN THE RESERVE OFFICER TRAINING CORPS(ROTC)/SIMULTANEOUS MEMBERSHIP PROGRAM (SMP) | V2.00 | Fill Online |
| DA 4826 | APR 05 | ADDENDUM TO CERTIFICATE AND ACKNOWLEDGEMENT OFSERVICE REQUIREMENTS (DA FORM 3540) FOR ENLISTMENT UNDER THEALTERNATE TRAINING PROGRAM | V1.00 | Fill Online |
| DA 4831-R FILE 1/2 | NOV 79 | CALIBRATION AND REPAIR PROGRAM REPORT | V1.01 | Fill Online |
| DA 4831-R FILE 2/2 | NOV 79 | CALIBRATION AND REPAIR PROGRAM REPORT | V1.00 | Fill Online |
| DA 4833 | JUN 04 | COMMANDER'S REPORT OF DISCIPLINARY ORADMINISTRATIVE ACTION | V1.00 | Fill Online |
| DA 4836 | SEP 04 | OATH OF EXTENSION OF ENLISTMENT ORREENLISTMENT | V1.01 | Fill Online |
| DA 4838-R | JAN 80 | MAINTENANCE PROCESS ANALYSIS WORKSHEET | V1.00 | Fill Online |
| DA 4839 | JAN 80 | CAREER INTERN PROGRAM CERTIFICATE OFACHIEVEMENT | Fill Online | |
| DA 4840-R | SEP 96 | REQUEST FOR TYPE CLASSIFICATION EXEMPTION/LIN FORCOMMERCIAL EQUIPMENT | V1.01 | Fill Online |
| DA 4841-R | JUL 89 | CHILD DEVELOPMENT SERVICES (CDS) PROGRAM/FACILITYREPORT | V1.00 | Fill Online |
| DA 4843 | APR 04 | GUEST/ATTENDANCE SHEET | V1.00 | Fill Online |
| DA 4850-1-R PDF ONLY | DEC 94 | NONAPPROPRIATED FUNDS TIME AND ATTENDANCESUPPLEMENT REPORT | Fill Online | |
| DA 4856 | MAR 06 | DEVELOPMENTAL COUNSELING FORM | V2.00 | Fill Online |
| DA 4876 | JUN 05 | REQUEST AND RELEASE OF MEDICAL INFORMATION TOCOMMUNICATIONS MEDIA | V1.02ES | Fill Online |
| DA 4878 | JUN 04 | ARMY CHESS TOURNAMENT APPLICATION | V1.00 | Fill Online |
| DA 4880-R | MAY 80 | SUPPLEMENTAL CONTRACTOR COST REPORT | V1.00 | Fill Online |
| DA 4881 | JUL 04 | AGREEMENT FOR THE LOAN OF US ARMYMATERIEL | V1.00 | Fill Online |
| DA 4881-1 | JUL 04 | AGREEMENT FOR THE LOAN OF US ARMY MATERIELCERTIFICATE FOR SIGNATURE BY AN ALTERNATE | V1.00 | Fill Online |
| DA 4881-2 | JUL 04 | MILITARY PROPERTY OF THE UNITED STATES - EXHIBIT1 | V1.00 | Fill Online |
| DA 4881-3 | JUL 04 | SURETY BOND FOR SAFEKEEPING OF PUBLIC PROPERTY ANDGUARANTEEING REIMBURSEMENT TO THE GOVERNMENT FOR EXPENSES INCIDENTTO THE LOAN OF ARMY MATERIEL - EXHIBIT II | V1.00 | Fill Online |
| DA 4881-4 | JUL 04 | POWER OF ATTORNEY | V1.00 | Fill Online |
| DA 4881-5 | JUL 04 | AGREEMENT FOR THE LEASE OF US ARMYMATERIEL | V1.00 | Fill Online |
| DA 4881-6 | JUL 04 | REQUEST AND APPROVAL FOR LOAN OR LEASE OF EQUIPMENTAND LOAN OR LEASE AGREEMENT | V1.00 | Fill Online |
| DA 4884-R PDF ONLY | MAY 92 | WEATHER DATA FOR SOUND RANGING | Fill Online | |
| DA 4886 | MAY 93 | ISSUE-IN-KIND-PERSONAL CLOTHING RECORD | V1.10 | Fill Online |
| DA 4888-R | OCT 04 | C-12 TAKEOFF AND LANDING DATA (TOLD) | V1.000 | Fill Online |
| DA 4909 | SEP 06 | ARMY FLYING ACTIVITY ANNUAL STATUSREPORT | V1.01 | Fill Online |
| DA 4916 | JUN 09 | CERTIFICATE OF SERVICE/ATTEMPTEDSERVICE | V1.00ES | Fill Online |
| DA 4917 | JUN 09 | ADVICE AS TO APPELLATE RIGHTS | V1.00ES | Fill Online |
| DA 4918 | JUN 09 | PETITION FOR GRANT OF REVIEW IN THE UNITED STATESCOURT OF APPEALS FOR THE ARMED FORCES | V1.00ES | Fill Online |
| DA 4919 | JUN 09 | REQUEST FOR FINAL ACTION | V1.00ES | Fill Online |
| DA 4922 | SEP 99 | CHAPLAINS' FUND GENERAL LEDGER | V1.00 | Fill Online |
| DA 4922-1 | SEP 99 | CHAPLAINS' FUND GENERAL LEDGER(CONTINUATION) | V1.00 | Fill Online |
| DA 4923 | SEP 99 | CHAPLAINS' FUND CHARGE PURCHASE REQUEST MEMORANDUMRECORD | V1.00 | Fill Online |
| DA 4924 | SEP 99 | CHAPLAINS' FUND PROPERTY RECORD | V1.00 | Fill Online |
| DA 4925 | SEP 99 | CHAPLAINS' FUND STATEMENT OF ASSETS | V1.00 | Fill Online |
| DA 4926 | SEP 99 | CHAPLAINS' FUND ANNUAL SUMMARY FINANCIAL DATAREPORT | V1.00 | Fill Online |
| DA 4927-R | JUN 88 | PHYSICIANS COMPARABILITY ALLOWANCE SERVICEAGREEMENT | V2.00 | Fill Online |
| DA 4930 | SEP 06 | ALARM/INTRUSION DETECTION RECORD | V1.00 | Fill Online |
| DA 4935 | AUG 05 | REQUEST FOR UNIT VACANCY FILL (AR140-10) | V1.01 | Fill Online |
| DA 4939 | MAR 09 | GENERAL/FLAG OFFICER'S QUARTERS QUARTERLYOBLIGATIONS REPORT | V1.00ES | Fill Online |
| DA 4941 | MAY 05 | STATEMENT OF OPTIONS, QUALITATIVE MANAGEMENTPROGRAM (QMP) | V1.00 | Fill Online |
| DA 4944-R | JUL 92 | REPORT ON LEGAL ASSISTANCE SERVICES | V1.00 | Fill Online |
| DA 4945 | JUL 02 | DINING FACILITY MODERNIZATION PLANDEVELOPMENT | V1.00 | Fill Online |
| DA 4948-R | NOV 89 | FREEDOM OF INFORMATION ACT (FOIA)/OPERATIONSSECURITY (OPSEC) DESK TOP GUIDE | V1.01 | Fill Online |
| DA 4949 | JAN 82 | ADMINISTRATIVE ADJUSTMENT REPORT (AAR) | V1.10 | Fill Online |
| DA 4951 | APR 99 | LEASE/PURCHASE ANALYSIS FOR COPYING/DUPLICATINGMACHINES | V1.01 | Fill Online |
| DA 4965 | JUN 99 | COMMAND LOGISTICS REVIEW PROGRAM OBSERVATIONWORKSHEET | V1.00 | Fill Online |
| DA 4975 | JUN 04 | ARMY ART CONTEST | V1.01 | Fill Online |
| DA 4977-R | JAN 87 | INDIVIDUAL READY RESERVE BONUS PROGRAM -AGREEMENT | V1.00 | Fill Online |
| DA 4982-1-R | NOV 88 | M90 VELOCIMETER WORK SHEET | V1.00 | Fill Online |
| DA 4982-R | NOV 88 | MUZZLE VELOCITY RECORD | V1.00 | Fill Online |
| DA 4985 | JAN 02 | NAF REFERRAL AND SELECTION LIST (NonappropriatedFund Employment) | V2.00ES | Fill Online |
| DA 4989-R | MAR 86 | WARRANT OFFICER FLIGHT TRAININGAPPLICATION | V1.00 | Fill Online |
| DA 4991-R | MAY 98 | DECLINATION OF CONTINUED SERVICESTATEMENT | V1.00 | Fill Online |
| DA 4995-1-R | OCT 81 | ANNUAL STATUS REPORT OF EXEMPTED LASERS | V1.01 | Fill Online |
| DA 4995-R | OCT 81 | LASER EXEMPTION FROM FEDERAL STANDARDS | V1.00 | Fill Online |
| DA 4996-R | APR 94 | QUALITY CONTROL CARD | V1.00 | Fill Online |
| DA 4997-R | AUG 81 | LOCATOR CARD | V1.00 | Fill Online |
| DA 4998-R | APR 94 | QUALITY CONTROL AND SURVEILLANCE RECORD FOR TOEMEDICAL ASSEMBLAGES | V1.00 | Fill Online |
| DA 4999 | JAN 82 | DUE IN RECORD | V1.00 | Fill Online |
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)