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