Here are some of the fillable and editable Department of Army (DA) Forms.
| Form Name | Form Description |
| DA 4 | Department Of The Army Certification For Authentication Of Records |
| DA 5 | Army Staffing Form (For Command Use Only) |
| DA 5-129 | Gage Observation – Precipitation-Stream |
| DA 5-130 | Flood Prediction – Local, Regional, Central |
| DA 6 | Duty Roster |
| DA 8-272 | Centralized Materiel Section – Non-Expendable Technical Equipment Chargeout Record |
| DA 10-161 | Industrial Storage Battery Service Record |
| DA 11-2 | Internal Control Evaluation Certification |
| DA 12 | Request For Establishment Of A Publications Account |
| DA 12-99 | Initial Distribution Requirements For Publications |
| DA 17 | Requisition For Publications And Blank Forms |
| DA 17-1 | Requisition For Publications And Blank Forms (Continuation Sheet) |
| DA 54 | Record Of Personal Effects |
| DA 61 | Application For Appointment |
| DA 67-9 | Officer Evaluation Report |
| DA 67-10-1 | Company Grade Plate (O1 – O3; Wo1 – Cw2) Officer Evaluation Report |
| DA 67-10-1A | Officer Evaluation Report Support Form |
| DA 67-10-2 | Field Grade Plate (O4 – O5; Cw3 – Cw5) Officer Evaluation Report |
| DA 67-10-3 | Strategic Grade Plate (O6) Officer Evaluation Report |
| DA 67-10-4 | Strategic Grade Plate General Officer Evaluation Report |
| DA 71 | Oath Of Office – Military Personnel |
| DA 78 | Recommendation For Promotion To 1Lt/Cw2 |
| DA 85 | Scorecard For M249 And M240 Machine Guns |
| DA 87 | Certificate Of Training |
| DA 137-1 | Unit Clearance Record |
| DA 137-2 | Installation Clearance Record |
| DA 160 | Application For Active Duty |
| DA 200 | Transmittal Record |
| DA 260 | Request For Publishing – Da Administrative Publications |
| DA 260-1 | Request For Publishing – Da Training, Doctrinal, Technical And Equipment Publications |
| DA 272 | Register Of Vouchers To Stock Record Account |
| DA 285 | Technical Report Of U.S. Army Ground Accident |
| DA 285-A | Technical Report Of U.S. Army Ground Accident Index A |
| DA 285-B | Technical Report Of U.S. Army Ground Accident Index B |
| DA 285-O | Technical Report Of U.S. Army Ground Accident Statement Of Reviewing Officials |
| DA 285-W | Technical Report Of U.S. Army Ground Accident Summary Of Witness Interview |
| DA 330 | Language Proficiency Questionnaire |
| DA 335-R | Application For Approval Of Management Information Requirement (Lra) |
| DA 337 | Request For Approval Of Disposal Of Buildings And Improvements |
| DA 348 | Equipment Operator`S Qualification Record (Except Aircraft) |
| DA 361 | Civilian Sponsored Unit Agreement (Also Available In Pdf Format At Web Site Www.Usapa.Army.Mil) |
| DA 370 | Request For Alteration And Repairs |
| DA 373-R | Lease Of Trailer Site (Lra) |
| DA 410 | Receipt For Accountable Form |
| DA 444 | Inventory Adjustment Report (Iar) |
| DA 479 | Publication And Blank Form Stock Record Card (Vertical File) |
| DA 479-1 | Publication And Blank Form Stock Record Card (Visible File) |
| DA 543 | Request For Records |
| DA 581 | Request For Issue And Turn-In Of Ammunition |
| DA 581-1 | Request For Issue And Turn-In Of Ammunition (Continuation Sheet) |
| DA 591 | Application For Initial (Educational) Delay From Entry On Active Duty And Supplemental Agreement |
| DA 591E | Rotc Supplemental Service Agreement (Initial Educational Delay) |
| DA 591F-R | Ecp Student Supplemental Service Agreement (Post-Graduate Delay) (Lra) |
| DA 591G | Rotc Supplemental Service Agreement For Special Medical Program Participants |
| DA 591H | Rotc Supplemental Service Agreement (Army Chaplaincy) (To Rotc Contracts Executed On And After 1 June 1984) |
| DA 597 | Army Senior Reserve Officers` Training Corps (Rotc) Nonscholarship Cadet Contract |
| DA 597-1 | Acknowledgement Of Understanding, Nonscholarship Two Year Program |
| DA 621 | Strategic And Critical Material Stored In Army Installations |
| DA 647 | Personnel Register |
| DA 647-1 | Personnel Register |
| DA 703 | Intelligence Contingency Fund Cash Blotter |
| DA 759-1 | Individual Flight Record And Flight Certificate-Army (Aircraft Closeout) |
| DA 759-3 | Individual Flight Records And Flight Certificate-Army (Flight Pay Work Sheet) |
| DA 833 | License To Use Army Reserve Facilities |
| DA 918 | Application For Establishment Of An Army Senior Reserve Officers` Training Corps Unit (S&I Hqda, Attn: Tapc-Opp-P, Alexandria, Va 22332-0418) |
| DA 918B | Amendment To Application And Agreement For Establishment Of An Army Reserve Officers Training Corps Unit (S&I, Hqda, Attn: Tapc-Opp-P 200 Stovall St, Alexandria, Va 22332-0418) |
| DA 1085-R | Management Information Requirements And Adp Product Review Schedule (Lra) |
| DA 1086-R | Periodic Review Of Management Information Requirements – Preparing Agency Response And Recommendations (Lra) |
| DA 1112 | Building Preventive Maintenance Record |
| DA 1129-R | Record Of Prisoners` Personal Deposit Fund (Lra) |
| DA 1134-R | Request For Withdrawal Of Personal Property (Lra) |
| DA 1135-R | Personal Property Permit (Lra) |
| DA 1144 | Request For Dossier/Index Check |
| DA 1208 | Report Of Claims Officer |
| DA 1222 | Routing Slip |
| DA 1259-R | Teletypewriter Conference Record (Lra) |
| DA 1260-R | Telecon Item (Lra) |
| DA 1296 | Stock Accounting Record |
| DA 1297 | Stock Accounting Record Title Insert |
| DA 1298 | Due Out Record |
| DA 1300-2 | Computation Card |
| DA 1300-3 | Summary Accounting Transfer Record Of Supply Item |
| DA 1300-4 | Reorder Point Record |
| DA 1306 | Statement Of Jump And Loading Manifest |
| DA 1323 | Funding Authorization Document |
| DA 1323-1 | Program/Fund Authorization Schedule (S&I, Ocrd) |
| DA 1506 | Statement Of Service – For Computation Of Length Of Service For Pay Purposes |
| DA 1599 | Initial Listing Of Nonappropriated Fund Instrumentalities |
| DA 1600 | Changed Listing Of Nonappropriated Fund Instrumentalities |
| DA 1613 | Records Cross Reference |
| DA 1622-1-R | Affidavits Of Individual Sureties (Lra) |
| DA 1622-R | Bond For Safekeeping Of Government Property Issued To Educational Institutions (Lra) |
| DA 1659 | Financial Liability Investigation Of Property Loss Register |
| DA 1666 | Claims Settlement Agreement |
| DA 1668 | Small Claims Certificate |
| DA 1669 | Request For National Stock Number And Department Of Defense Identification Code For Ammunition And Explosive Supplies |
| DA 1696 | Enlistment/Reenlistment Qualifying Application (Specially Recruited Personnel) |
| DA 1703-R | Eligibility Cross Reference Data (Lra) |
| DA 1704-R | Parole Statement (Lra) |
| DA 1756 | Chaplains` Fund Purchase Order And Receiving Record |
| DA 1829 | Hospital Food Service – Ward Diet Roster |
| DA 1845 | Schedule Of Manpower Studies/Surveys |
| DA 1854-R | Daily Transfer Summary (Lra) |
| DA 1857 | Statement Of Account |
| DA 1970 | House Staff Evaluation Report |
| DA 1974 | Laundry List (Medical Treatment Facility And Organization) |
| DA 1991 | Stock Record Card |
| DA 1994 | Petty Cash Voucher |
| DA 2000-3 | Installation Inventory Count Card |
| DA 2011 | Comsec Aids Items Register (Using Unit) |
| DA 2011-1 | Comsec Equipment Items Register (Using Unit) |
| DA 2062 | Hand Receipt/Annex Number |
| DA 2063-R | Prescribed Load List (Lra) |
| DA 2064 | Document Register For Supply Actions |
| DA 2076 | Abstract Of Laundry Or Dry Cleaning Organizational Work |
| DA 2088-1-R | Report Of Tire Retreading-Command Summary (Lra) |
| DA 2088-R | Installation Report Of Tire Retreading (Lra) |
| DA 2099 | Contract For Sale Of Utilities And Related Services |
| DA 2107 | Nonappropriated Fund – Receipt And Disbursement Voucher |
| DA 2122 | Record Of Interment/Inurnment (S&I Arlington National Cemetery, Attn: Annc-A, Arlington, Va) |
| DA 2142 | Pay Inquiry |
| DA 2173 | Statement Of Medical Examination And Duty Status |
| DA 2182 | Inventory Of Public Property |
| DA 2188-1 | Lhmbc/Mfcs Data Sheet |
| DA 2249 | Chaplains` Fund Statement Of Operations And Net Worth |
| DA 2258 | Depreservation Guide For Vehicles And Equipment |
| DA 2339 | Application For Voluntary Retirement |
| DA 2362-R | Subsidiary Currency Ledger (Lra) |
| DA 2374-R | Notification Of Foreign Visit (Lra) |
| DA 2385 | Temporary Grave/Niche Marker (S&I Arlington National Cemetery, Attn: Annc-A, Arlington, Va) |
| DA 2386 | Agreement For Interment |
| DA 2397 | Technical Report Of Us Army Aircraft Accident Part I – Statement Of Reviewing Officials |
| DA 2397-1 | Technical Report Of Us Army Aircraft Accident Part Ii – Summary |
| DA 2397-2 | Technical Report Of Us Army Aircraft Accident Part Iii – Findings And Recommendations |
| DA 2397-3 | Technical Report Of U.S. Army Aircraft Accident Part Iv – Narrative |
| DA 2397-4 | Technical Report Of U.S. Army Aircraft Accident Part V – Summary Of Witness Interview |
| DA 2397-5 | Technical Report Of U.S. Army Aircraft Accident Part Vi – Wreckage Distribution |
| DA 2397-6 | Technical Report Of U.S. Army Aircraft Accident Part Vii – In-Flight Or Terrain Impact And Crash Damage Data |
| DA 2397-7 | Technical Report Of U.S. Army Aircraft Accident Part Viii – Maintenance And Material Data |
| DA 2397-9 | Technical Report Of U.S. Army Aircraft Accident Part X – Injury/Occupational Illness Data |
| DA 2397-11 | Technical Report Of U.S. Army Aircraft Accident Part Xii – Weather/Environmental |
| DA 2397-12 | Technical Report Of U.S. Army Aircraft Accident Part Xiii – Fire |
| DA 2397-13 | Technical Report Of U.S. Army Aircraft Accident Index A |
| DA 2397-14 | Technical Report Of U.S. Army Aircraft Accident Index B |
| DA 2397-AB | Abbreviated Aviation Accident Report (Aaar) For All Class C, D, E, F, Combat A And B, And All Aircraft Ground |
| DA 2397-U | Unmanned Aircraft System Accident Report (Uasar) |
| DA 2401 | Organization Control Record For Equipment |
| DA 2405 | Maintenance Request Register |
| DA 2406 | Materiel Condition Status Report |
| DA 2408 | Equipment Log Assembly (Records) |
| DA 2408-4 | Weapon Record Data |
| DA 2408-4-1 | Weapon Record Data |
| DA 2408-4-2 | Weapon Sighting Data (Oh-58D) |
| DA 2408-4-3 | Weapon Sighting Data (Ah-64A) |
| DA 2408-4-4 | Weapon Sighting Data (Ah-64) |
| DA 2408-5 | Equipment Modification Record |
| DA 2408-5-1 | Equipment Modification Record (Component) |
| DA 2408-9 | Equipment Control Record |
| DA 2408-12 | Army Aviator`S Flight Record |
| DA 2408-13 | Aircraft Status Information Record |
| DA 2408-13-1 | Aircraft Nspection And Maintenance Record |
| DA 2408-13-2 | Related Maintenance Actions Record |
| DA 2408-13-3 | Aircraft Technical Inspection Worksheet |
| DA 2408-14 | Uncorrected Fault Record |
| DA 2408-14-1 | Uncorrected Fault Record (Aircraft) |
| DA 2408-15 | Historical Record For Aircraft |
| DA 2408-15-2 | Aircraft Vibration Record |
| DA 2408-16 | Aircraft Component Historical Record |
| DA 2408-16-1 | History Recorder, Component, Module Record |
| DA 2408-16-2 | Auxiliary Power Unit And Component Record |
| DA 2408-17 | Aircraft Inventory Record |
| DA 2408-18 | Equipment Inspection List |
| DA 2408-19 | Aircraft Engine Turbine Wheel Historical Record |
| DA 2408-19-1 | T53/T55 Turbine Engine Analysis Check Record |
| DA 2408-19-2 | T700 Series Turbine Engine Analysis Check Record |
| DA 2408-19-3 | Engine Conponent Operating Hours Record |
| DA 2408-19-4 | Engine Power Assurance Test Record |
| DA 2408-20 | Oil Analysis Log |
| DA 2408-21 | Multiplace Life Raft Inspection And Maintenance Record |
| DA 2408-22 | Helmet And Attached Equipment Inspection/Maintenance Record |
| DA 2408-23 | Survival Radio/Emergency Location Transmitter Inspection Record |
| DA 2408-24 | Survival Kit/Vest Inspection And Maintenance Record |
| DA 2408-27 | Life Preserver Data |
| DA 2408-28 | Oxygen Console Service Record |
| DA 2408-29 | Anti-Exposure Coveralls Inspection Record |
| DA 2408-30 | Nvg Inspection And Maintenance Record |
| DA 2408-31 | Aircraft Identification Card |
| DA 2408-33 | Meter Tracked Component Record |
| DA 2408-34 | Oh-58D Side/Transverse Roof Beam Record |
| DA 2410 | Component Removal/Repair/Install/Gain/Loss Record |
| DA 2415 | Ammunition Condition Report |
| DA 2446 | Request For Orders |
| DA 2453-R | Statement Of Health And Medical Examination (Lra) |
| DA 2465 | Client Legal Assistance Record |
| DA 2569-R | Attorney Of Record Designation (Civilian And Individual Military Counsel) |
| DA 2590 | Formal Complaint Of Discrimination |
| DA 2609 | Historical Property Catalog |
| DA 2627-1 | Summarized Record Of Proceedings Under Article 15, Ucmj |
| DA 2627-2 | Record Of Supplementary Action Under Article 15, Ucmj |
| DA 2631 | Medical Care-Third Party Liability Notification |
| DA 2650-R | Production Equipment Visual Inspection Record (Lra) |
| DA 2653-R | Comsec Account – Daily Shift Inventory (Lra) |
| DA 2662-R | United States Army Epw Identity Card (Lra) |
| DA 2663-R | Fingerprint Card (Lra) |
| DA 2664-R | Weight Register (Prisoner Of War) (Lra) |
| DA 2665-R | Capture Card For Prisoner Of War (Lra) |
| DA 2666-R | Prisoner Of War Notification Of Address (Lra) |
| DA 2667-R | Prisoner Of War Mail (Letter) (Lra) (Ed Jul 63 Will Be Used) |
| DA 2668 | Prisoner Of War Mail (Post Card) |
| DA 2669 | Certificate Of Death |
| DA 2670-R | Mixed Medical Commission Certificate For Epw (Lra) |
| DA 2671-R | Certificate Of Direct Repatriation For Epw (Lra) |
| DA 2672-R | Classification Questionnaire For Officer Retained Personnel (Lra) |
| DA 2673-R | Classification Questionnaire For Enlisted Retained Personnel (Lra) |
| DA 2675-R | Certification Of Work Incurred Injury Or Disability (Lra) |
| DA 2677-R | United States Army Civilian Internee Identity Card (Lra) |
| DA 2679-R | Civilian Internee Letter (Lra) |
| DA 2684-R | Cemetery Operations – Utilization Of Gravesites (Lra) |
| DA 2696 | Operational Hazard Report |
| DA 2707 | Dry Cleaning List (For Piece Rate Patrons) |
| DA 2736-R | International Balance Of Payments Transactions, Nonappropriated Fund Transactions (Lra) |
| DA 2741 | Laundry List (For Piece-Rate Patrons) |
| DA 2765-1 | Request For Issue Or Turn-In |
| DA 2773 | Statement Of Identification |
| DA 2801 | Polygraph Examination Statement Of Consent |
| DA 2805 | Polygraph Examination Authorization |
| DA 2806 | Physical Security Survey Report |
| DA 2806-1 | Physical Security Inspection Report |
| DA 2807 | Military Working Dog Training And Utilization Record |
| DA 2871-R | Invention Rights Questionnaire (Lra) |
| DA 2872-R | Request For Determination Of Invention Rights (Lra) |
| DA 2873-R | License Of Invention (Lra) |
| DA 2874-R | Assignment Of Invention (Lra) |
| DA 2886 | Laundry List For Military Personnel |
| DA 2924 | Hospital Food Service – Dietary History Record (Also Available In Pdf Format At Web Site Www.Usapa.Army.Mil) |
| DA 2927 | Hospital Food Service – Telephone Diet Order |
| DA 2930 | Hospital Food Service – Kitchen Requisition (Also Available In Pdf Format At Web Site Www.Usapa.Army.Mil) |
| DA 2946-R | 40-Mm Grenade Launcher Scorecard |
| DA 2947-R | Analysis Of Balances In Suspense (Lra) |
| DA 2970 | Headcount Report |
| DA 2978 | Container And Dunnage Fabrication Work Order |
| DA 2979 | Container And Dunnage Fabrication Work Order And Production Control Register |
| DA 2984 | Very Seriously Ill/Seriously Ill/Special Category Patient Report |
| DA 2985 | Admission And Coding Information |
| DA 3020-R | Magazine Data Card (Lra) |
| DA 3022 | Army Depot Surveillance Record |
| DA 3023 | Gage Record |
| DA 3032 | Signature Headcount Sheet |
| DA 3034 | Production Schedule |
| DA 3034-2 | Disposition Of Subsistence |
| DA 3056 | Report Of Missing/Recovered Firearms, Ammunition And Explosives |
| DA 3068-1 | Marine Service Record |
| DA 3072-2 | Applicant`S Monthly Financial Statement |
| DA 3078 | Personal Clothing Request |
| DA 3083 | Medical Examination For Certain Geographical Areas |
| DA 3120 | Missile Firing Data Report (Hawk & Patriot) |
| DA 3126 | Application And Contract For Establishment Of A Junior Reserve Officers` Training Corps Unit (S&I, Hqda, Attn: Tapc-Opp-P, 200 Stovall St., Alexandria, Va 22332-0418) |
| DA 3126-1 | Application And Agreement For Establishment Of A National Defense Cadet Corps Unit (S&I Milpercen) |
| DA 3136 | Roster And Statement |
| DA 3137 | Abstract Of Enlisted And Organizational Laundry And Dry Cleaning |
| DA 3151-R | Ammunition Stores Slip (Lra) |
| DA 3164-R | Swimming Pool Operating Log (Lra) |
| DA 3169 | Report Of Judicial Disciplinary Activity In The Army |
| DA 3180 | Personnel Screening And Evaluation Record |
| DA 3180-3 | Chemical And Biological Personnel Reliability Program (Prp) Status Report |
| DA 3234 | Inventory Record |
| DA 3234-1 | Monthly Inventory Recap Sheet For Da Form 3234 |
| DA 3238 | Request For Copyright Clearance On Musical Or Dramatic Works |
| DA 3252-R | Punchcard Transmission Worksheet – Radioisotope Inventory And Leak Test Report (Lra) |
| DA 3254-R | Oil Analysis Recommendation And Feedback (Lra) |
| DA 3256 | Preservation And Depreservation Guide For Marine Equipment. |
| DA 3257 | Preservation And Depreservation Guide For Railroad Equipment. |
| DA 3260 | Igloo Planograph |
| DA 3261 | Planograph For Standard Magazine (Ammunition) (Also Available In Pdf Format At Web Site Www.Usapa.Army.Mil) |
| DA 3263 | Ammunition Space And Tonnage Data Summary |
| DA 3265 | Explosive Ordnance Incident Report |
| DA 3266-1 | Army Missile Materiel Readiness Report |
| DA 3283 | Statements Of Member Removed From The Temporary Disability Retired List |
| DA 3295 | Voucher Register And General Control |
| DA 3295-1 | Adjustment Voucher |
| DA 3318 | Records Of Demands – Title Insert |
| DA 3328 | Property Record |
| DA 3328-1 | Serial/Registration Number Record |
| DA 3337 | Application For Army Radiation Authorization |
| DA 3349 | Physical Profile (Https://Medpros.Mods.Army.Mil/Eprofile/Default.Aspx?Returnurl=%2Feprofile%2Fadmin%2Fusersmanager.Aspx) |
| DA-3355 | Promotion Point Worksheet (United States Army Reserve) |
| DA 3365 | Authorization For Medical Warning Tag |
| DA 3425-R | Medical Fitness Statement For Enrollment In Basic Course, Senior Rotc (Lra). |
| DA 3434 | Notification Of Personnel Action – Nonappropriated Funds Employee |
| DA 3436 | Department Of The Army Appointment Affidavit (Nonappropriated Funds) |
| DA 3440 | Department Of The Army Transportation Agreement Nonappropriated Fund Employee |
| DA 3474 | Missile Firing Data Report (Javelin) |
| DA 3479 | Training And Proficiency Record – Air Traffic Controller |
| DA 3496 | Military Judge`S Oath |
| DA 3497 | Counsel`S Oath |
| DA 3499 | Application For Relief From Court-Martial Findings And/Or Sentence Under The Provisions Of Title 10, United States Code, Section 869 |
| DA 3503 | Air Traffic Control Position Log |
| DA 3517-R | Hand Grenade Qualification Scorecard |
| DA 3524-R | Small Arms Ammunition Trace Test Record (Lra) |
| DA 3540 | Certificate And Acknowledgement Of U.S. Army Reserve Service Requirements And Methods Of Fulfillment |
| DA 3546 | Control Record For Dining Facility – Dd Form 1544 |
| DA 3574 | Certificate Of Acknowledgement And Understanding Of Service Requirements For Individuals Applying For Appointment In The Usar Under The Provisions Of Ar 135-100 Or 135-101 As Applicable – Individuals Without Prior Service |
| DA 3575 | Certificate Of Acknowledgement And Understanding Of Service Requirements For Individuals Applying For Appointment In The Usar Under The Provisions Of Ar 135-100 Or Ar 135-101, As Applicable – Individuals Without A Statutory Service Obligation |
| DA 3611-R | Food Service Division-Patient Satisfaction Survey (Lra) |
| DA 3626 | Vehicle Registration/Driver Record |
| DA 3644 | Monthly Abstract Of Issues Of Petroleum Products And Operating Supplies |
| DA 3645-1 | Additional Organizational Clothing And Individual Equipment Record |
| DA 3647 | Inpatient Treatment Record Cover Sheet |
| DA 3647-1 | Inpatient Treatment Record Cover Sheet (For Plate Imprinting) |
| DA 3662 | Longbow Hellfire Missile Firing Data Report |
| DA 3665 | Annual Commercial Design Motor Vehicle Requirements Review |
| DA 3677 | Computer Met Message |
| DA 3680 | Parade Of American Music Entry For Army Performers |
| DA 3680-1 | Parade Of American Music Entry For Army Composers |
| DA 3685 | Jumps-Jss Pay Elections |
| DA 3696 | Patient`S Deposit Record |
| DA 3697-R | Subvoucher For Distribution From Confidential Funds (Lra) |
| DA 3703-R | Product Quality Inspection Summary (Lra) |
| DA 3705 | Receipt For Outpatient Treatment/Dental Records |
| DA 3711 | Army Substance Abuse Program (Asap) Resource And Performance Report (Rapr) |
| DA 3733-R | Self-Service Supply Center Account Card (Lra) |
| DA 3734-R | Customer Transaction Ledger Account (Ctla) (Lra) |
| DA 3735-R | Self-Service Supply Center Monthly Summary Journal And Statement Of Operations (Lra) |
| DA 3736-R | Statement Of Customer Accounts (Lra). |
| DA 3744 | Affidavit Supporting Request For Authorization To Search And Seize Or Apprehend |
| DA 3745 | Search And Seizure Authorization |
| DA 3745-1 | Apprehension Authorization |
| DA 3746-R | Item Data Card (Lra) |
| DA 3749 | Equipment Receipt |
| DA 3750 | Centralized Materiel Service Item Request And Issue |
| DA 3758-R | Calibration And Repair Requirements Worksheet (Lra) |
| DA 3761 | Public Health Nursing Activities Report |
| DA 3780 | Pallet Count (Also Available In Pdf Format At Web Site Www.Usapa.Army.Mil) |
| DA 3787-R | Depot Report Of Location Survey (Lra) |
| DA 3821 | Report Of Administrative Officer Of The Day |
| DA 3824 | Urologic Examination |
| DA 3830 | Nonappropriated Fund Bank Balances |
| DA 3838 | Application For Short Course Training |
| DA 3857 | Commercial Deliveries Of Bulk Petroleum Products Checklist |
| DA 3862 | Controlled Substances Stock Record |
| DA 3865-R | Short- And Long-Range Transportation Requirements Report – Manual (Lra) (Jun 73 Ed Will Be Used Til Exhausted) (Also Available In Pdf Format At Web Site Www.Usapa.Army.Mil) |
| DA 3872 | Nursing Service Personnel Time Schedule |
| DA 3880-R | Improved Hawk Location/Status Report (Lra) |
| DA 3881 | Rights Warning Procedure/Waiver Certificate |
| DA 3887 | Nursing Department – Army Nurse Corps Data |
| DA 3888 | Medical Record – Nursing History And Assessment |
| DA 3888-2 | Medical Record – Nursing Care Plan |
| DA 3888-3 | Medical Record – Nursing Discharge Summary |
| DA 3889 | Nursing Unit 24-Hour Report |
| DA 3889-1 | Nursing Unit 24-Hour Report – Continuation Sheet |
| DA 3894 | Hospital Report Of Death |
| DA 3897 | Tuberculosis Registry |
| DA 3900 | Bills Register Supplies And Services Nonpersonal |
| DA 3903 | Multi-Media/Visual Information (M/Vi) Work Order |
| DA 3904 | Public Voucher For Medical Examination |
| DA 3916 | Daily Log Of Truck Trips For Refuse Collection And Disposal |
| DA 3917 | Refuse Collection And Disposal |
| DA 3943 | Annual Dry Pipe Valve Inspection And Tripping Test |
| DA 3945 | Military Police Radio Log |
| DA 3946 | Military Police Traffic Accident Report |
| DA 3949 | Controlled Substances Record |
| DA 3949-1 | Controlled Substances Inventory |
| DA 3964 | Classified Document Accountability Record |
| DA 3973 | Voucher Register Of Library Materials |
| DA 3974 | Installation Block Ticket |
| DA 3981 | Transfer Of Patient |
| DA 3984 | Dental Treatment Plan |
| DA 3986 | Personnel Asset Inventory |
| DA 3988 | Equipment Replacement Record |
| DA 3992 | Narcotics Or Explosives Detector Dog Training And Utilization Record |
| DA 3996 | Abstract Of Laundry Work Accomplished For Individual Patrons |
| DA 3999-3-R | Workload Accounting Daily Status Sheet (Lra) |
| DA 4005 | Automatic Sprinkler And Standpipe Equipments Inspections And Tests |
| DA 4029 | Patient`S Clearance Record |
| DA 4036 | Medical And Dental Preparation For Overseas Movement |
| DA 4062 | Tmde Acquisition Approval Analysis Data |
| DA 4072 | Record Of Negotiations (Nonappropriated Funds) |
| DA 4079 | Depreciation Expense Control (Furniture Fixtures And Equipment) |
| DA 4080 | Transfers Between Activities |
| DA 4082 | Daily Cashier`S Record |
| DA 4083-R | Vending Or Amusement Machine Collections (Lra) |
| DA 4084-R | Investment Register (Lra) |
| DA 4090-R | Combined Register Of Trains And Comparisons Of Watches (Lra) |
| DA 4093-R | Station Record Of Train Movements And Operator`S Transfer (Lra) |
| DA 4103 | Visual Information (Vi) Product Loan Order |
| DA 4106 | Incident Report |
| DA 4107 | Operation Request And Worksheet |
| DA 4137 | Evidence/Property Custody Document |
| DA 4138-R | Monthly Authorization Control Record (Lra) |
| DA 4139-R | Application For Loan (Civilian Welfare Fund) (Lra) |
| DA 4140-R | Loan Contract (Civilian Welfare Fund) (Lra) |
| DA 4153-R | Equipment Survey Work Sheet (Lra) |
| DA 4159 | Request For Medical Care In A Federal Medical Treatment Facility Outside Department Of Defense |
| DA 4160 | Patient`S Personal Effects And Clothing Record |
| DA 4162 | Volunteer Service Record |
| DA 4170 | Statement Of Gains And Losses |
| DA 4179 | Leave Control Log |
| DA 4200 | Met Data Correction Sheet |
| DA 4201 | High Burst (Mean Point Of Impact) Registration |
| DA 4213 | Supplemental Data For Army Medical Service Reserve Officers |
| DA 4221 | Diabetic Record |
| DA 4230-R | Supplemental Signature Sheet (Lra) |
| DA 4237-R | Detainee Personnel Record (Lra) |
| DA 4254 | Request For Private Medical Information |
| DA 4312-R | Retention Control Sheet (Lra) |
| DA 4316 | Application For Building Insurance |
| DA 4316-1 | Application For Army Flying Activity Aircraft Insurance |
| DA 4322 | Army Officer Candidate Contract And Service Agreement |
| DA 4339 | Mortuary Activity And Status Report (Overseas) |
| DA 4359 | Authorization For Psychiatric Service Treatment |
| DA 4372-R | Security Assistance Supportability Statement (Lra) |
| DA 4441 | United States Army Trial Defense Service |
| DA 4449 | Clemency Action Record |
| DA 4459 | Parole Action Record |
| DA 4465 | Patient Intake/Screening Record (Pir) |
| DA 4466 | Patient Progress Report (Ppr) |
| DA 4474 | Request For Accelerated Payment Of Srb-Hardship Or Compassionate |
| DA 4475 | Data Required By The Privacy Act Of 1974 Personal Information From The Nok Of A Deceased Service Member |
| DA 4497 | Interim (Abbreviated) Flying Duty Medical Examination |
| DA 4502-R | Worksheet For Calculating Cost Of Management Information Requirements/Products (Lra) |
| DA 4503-1-R | Adp Product Review Evaluation (Lra) |
| DA 4504 | Record Of Fire |
| DA 4511 | Request For Logistics Catalog Data And/Or Information |
| DA 4538 | Abstract Of Issues/Sales |
| DA 4550 | Meal Card Verification Form |
| DA 4552 | Kitchen Requisition |
| DA 4560-R | Application For Approval Of Adp Product (Lra) |
| DA 4570 | Register Of Printing/Duplicating Requisitions |
| DA 4570-1 | Commercial Printing Record |
| DA 4571-R | Data Required By The Privacy Act Of 1974 (Eligibility For Amedd Officer Procurement Programs Miscellaneous Documentation) (Lra) |
| DA 4572 | Statement Of Understanding For Appointment As A Commissioned Officer |
| DA 4574-R | Radiopharmaceutical Record (Lra) |
| DA 4598-R | Installation Cash Transfer Request (Lra) |
| DA 4604 | Security Construction Statement |
| DA 4605-R | Department Of The Army Munitions Control Case Processing Worksheet (Lra) |
| DA 4612 | Number And Types Of Decorations Approved |
| DA 4644-R | Army Reserve Reenlistment Data (Lra) |
| DA 4651 | Request For Reserve Component Assignment Or Attachment |
| DA 4655-R | Target List Worksheet |
| DA 4657 | Statement Of Retirement – Eligible Soldier – Remaining Service Obligation |
| DA 4658 | Statement Of Retirement – Eligible Soldier – Not Eligible To Reenlist |
| DA 4664-1-R | Tempest Inspection Report Supplement – Facility Profile (Lra) |
| DA 4664-R | Tempest Inspection Report (Lra) |
| DA 4665 | Patients` Trust Fund – Daily Summary Record |
| DA 4669-R | Comsec Material Voucher Control Register |
| DA 4677 | Therapeutic Documentation Care Plan (Non-Medications) |
| DA 4678 | Therapeutic Documentation Care Plan (Medication) |
| DA 4691 | Initial Application For Clinical Privileges And Staff Appointment |
| DA 4691-1 | Application For Renewal Of Clinical Privileges And Staff Appointment |
| DA 4700 | Medical Record – Supplemental Medical Data |