Department of the Army (DA) Forms

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Advanced Combat Shirt (ACS), Type I (Crew Neck), OCP (Operational Camouflage Pattern), Flame-Resistant (FR), Various NSN's
Emergency Bandage (Israeli Pressure Dressing), 6-Inch, NSN 6510-01-492-2275
Hemostatic Bandage (QuikClot Combat Gauze), Z-Fold, NSN 6510-01-562-3325
Combat Application Tourniquet (C-A-T), Generation 7 (Gen-7), NSN 6515-01-521-7976, Black

Property Accountability

Department of the Army (DA) Forms - ArmyProperty.com

DA 0001 to DA 1299 DA 1300 to DA 2199 DA 2200 to DA 2999

DA 3000 to DA 3699 DA 3700 to DA 4399 DA 4400 to DA 4999

DA 5000 to DA 5299 DA 5300 to DA 5442 DA 5443 to DA 5799

DA 5800 to DA 7359 DA 7360 to DA 7499 DA 7500 to DA 9999

DA5800 to DA7359

Form Number	Date	Title	Version	XFDL	PDF
DA 5811-R	AUG 89	CERTIFICATE - LOST OR DAMAGED CLASS 5 AMMUNITION ITEMS	V1.02ES	XFDL	PDF-F
DA 5812-R PDF ONLY	NOV 92	MANEUVER/PROCEDURE GRADE SLIP FOR AH-1 AVIATORS			PDF
DA 5817	JUL 01	ZENITH DISTANCE/VERTICAL ANGLE	V1.00	XFDL	PDF-F
DA 5818	JUL 01	GENERAL SURVEY NOTES	V1.00	XFDL	PDF-F
DA 5819	JUL 01	FIELD SHEET, INFRARED	V1.01ES	XFDL	PDF-F
DA 5820	JUL 01	THREE-WIRE LEVELING	V1.00	XFDL	PDF-F
DA 5821	JUL 01	AIRFIELD COMPILATION REPORT	V1.00	XFDL	PDF-F
DA 5822	JUL 01	PRECISION APPROACH RADAR (GCA) DATA (IMAGE FILE NEEDED WITH THIS FORM)	V1.00	XFDL	PDF-F
DA 5823	SEP 89	EQUIPMENT IDENTIFICATION CARD	V1.02ES	XFDL	PDF-F
DA 5827	JUL 01	INSTRUMENT LANDING SYSTEM DATA	V1.00	XFDL	PDF-F
DA 5830-R	AUG 89	POL CREDIT CARD/AV FUEL INDENTAPLATE CONTROL LOG	V1.01ES	XFDL	PDF-F
DA 5831-R	AUG 89	PETROLEUM PRODUCT INVENTORY CONTROL SHEET	V1.00	XFDL	PDF-F
DA 5832-R	AUG 89	PACKAGED PETROLEUM, OILS, AND LUBRICANTS SUBMISSION LOG	V1.00	XFDL	PDF-F
DA 5840	JUN 10	CERTIFICATE OF ACCEPTANCE AS GUARDIAN OR ESCORT	V1.00ES	XFDL	PDF-F
DA 5841	SEP 09	POWER OF ATTORNEY	V1.00	XFDL	PDF-F
DA 5863	JUN 09	EXCEPTIONAL FAMILY MEMBER PROGRAM INFORMATION SHEET	V1.00ES	XFDL	PDF-F
DA 5865-R	APR 93	MANEUVER/PROCEDURE GRADE SLIP FOR OH-58/OH-6 AVIATORS	V1.00	XFDL	PDF-F
DA 5866-R	APR 93	MANEUVER/PROCEDURE GRADE SLIP FOR OH-58/OH-6 AO/AFSO	V1.00	XFDL	PDF-F
DA 5888	SEP 02	FAMILY MEMBER DEPLOYMENT SCREENING SHEET	V1.00ES	XFDL	PDF-F
DA 5888-1	NOV 06	SCREENING OF FAMILY MEMBERS IN REMOTE OCONUS AREAS	V1.00	XFDL	PDF-F
DA 5889	AUG 10	PEB REFERRAL TRANSMITTAL DOCUMENT	V1.00ES	XFDL	PDF-F
DA 5890	AUG 10	ACKNOWLEDGMENT OF NOTIFICATION OF FORMAL PHYSICAL EVALUATION BOARD HEARING	V1.00ES	XFDL	PDF-F
DA 5891	AUG 10	ACKNOWLEDGMENT OF COUNSELING ON LEGAL/PROCEDURAL RIGHTS	V1.00ES	XFDL	PDF-F
DA 5892	DEC 08	PEBLO ESTIMATED DISABILITY COMPENSATION WORKSHEET	V2.01	XFDL	PDF-F
DA 5893	SEP 14	SOLDIER'S MEDICAL EVALUATION BOARD/PHYSICAL EVALUATION BOARD COUNSELING CHECKLIST	v1.00ES		PDF-F
DA 5895-R	MAY 90	ATC FACILITIES REQUEST	V1.00	XFDL	PDF-F
DA 5897	MAY 99	ARMY COMMUNITY SERVICE (ACS) CLIENT CASE RECORD	V1.01ES	XFDL	PDF
DA 5900	MAR 13	ARMY COMMUNITY SERVICE (ACS) GROUP SESSIONS LOG	V1.00	XFDL	PDF-F
DA 5904-R	AUG 90	TOTAL PACKAGE APPROACH CHECKLIST	V1.00	XFDL	PDF-F
DA 5912-R	AUG 90	WORKSHEET FOR AIEP REPORT	V1.00	XFDL	PDF-F
DA 5913	MAR 06	STRENGTH AND FEEDER REPORT	V1.02ES	XFDL	PDF-F
DA 5914	JUL 02	RATION CONTROL SHEET	V1.00	XFDL	PDF-F
DA 5935-R	JAN 10	CIPMS RECRUITMENT BONUS SERVICE AGREEMENT	V1.00	XFDL	PDF-F
DA 5941-R	AUG 90	COMSEC MATERIAL DISPOSITION RECORD	V1.20	XFDL	PDF-F
DA 5960	SEP 90	AUTHORIZATION TO START, STOP, OR CHANGE BASIC ALLOWANCE FOR QUARTERS (BAQ), AND/OR VARIABLE HOUSING ALLOWANCE (VHA)	V2.04ES	XFDL	PDF-F
DA 5965	FEB 11	BASIS OF ISSUE FOR CLOTHING AND INDIVIDUAL EQUIPMENT (CIE)	V1.00	XFDL	PDF-F
DA 5978	MAR 91	CONTROL SHEET	V1.02	XFDL	PDF-F
DA 6125	AUG 11	ROAD TEST SCORE SHEET	V1.00	XFDL	PDF-F
DA 6285	JUN 01	INTERVIEW PLAN #2 STRUCTURED INTERVIEW ARMY PRECOMMISSIONING SELECTION COLLEGE BACKGROUND AND/OR MILITARY SERVICE	V1.00	XFDL	PDF-F
DA 7000	JUL 14	DELEGATION OF AUTHORITY - ARMY MILITARY CLOTHING SALES STORES	V1.00ES	XFDL	PDF-F
DA 7001	FEB 03	OPERATING ROOM SCHEDULE	V1.00	XFDL	PDF-F
DA 7004-R	JUN 91	ADDENDUM TO CERTIFICATE OF ACKNOWLEDGEMENT OF SERVICE REQUIREMENTS (DA FORM 3540) FOR ENROLLMENT INTO THE U.S. ARMY RESERVE SPECIALIZEDTRAINING FOR ARMY READINESS (STAR) PROGRAM	V1.02ES	XFDL	PDF-F
DA 7095	FEB 03	ASAP OUTPATIENT DISCHARGE SUMMARY	V1.00	XFDL	PDF-F
DA 7096	FEB 03	ASAP OUTPATIENT AFTERCARD PLAN	V1.01ES	XFDL	PDF-F
DA 7097	FEB 03	ASAP OUTPATIENT PROBLEM LIST AND TREATMENT PLAN REVIEW	V1.01ES	XFDL	PDF-F
DA 7098	FEB 03	ASAP OUTPATIENT TREATMENT PLAN AND REVIEW	V1.01	XFDL	PDF-F
DA 7099	FEB 03	ASAP OUTPATIENT BIOPSYCHOSOCIAL EVALUATION	V1.00		PDF-F
DA 7120-1-R	DEC 09	CREW MEMBER TASK PERFORMANCE AND EVALUATION REQUIREMENTS	V1.00	XFDL	PDF-F
DA 7120-2-R	DEC 09	CREW MEMBER TASK PERFORMANCE AND EVALUATION REQUIREMENTS CONTINUATION SHEET	V1.00	XFDL	PDF-F
DA 7120-3-R	DEC 09	CREW MEMBER TASK PERFORMANCE AND EVALUATION REQUIREMENTS REMARKS AND CERTIFICATION	v1.00	XFDL	PDF-F
DA 7120-R	DEC 09	COMMANDER'S TASK LIST	V1.01ES	XFDL	PDF-F
DA 7122-R	DEC 09	CREW MEMBER TRAINING RECORD	v1.00	XFDL	PDF-F
DA 7169	JUL 02	TROOP ISSUE SUBSISTENCE MANAGEMENT REPORT	V1.01ES	XFDL	PDF-F
DA 7174-R	MAY 97	MOCS PROPOSAL CHECKLIST	V1.00	XFDL	PDF-F
DA 7194	MAR 08	HISTORICAL WORKLOAD DATA	V1.00		PDF
DA 7206	AUG 10	APPLICATION TO PERFORM LEGAL ASSISTANCE WORK FOR RETIREMENT POINTS AND TO BE LISTED IN THE JAGC RESERVE OFFICER LEGAL ASSISTANCE DIRECTORY	v1.00ES	XFDL	PDF-F
DA 7212	JAN 07	MISSILE FIRING DATA REPORT (STINGER)	V1.01ES	XFDL	PDF-F
DA 7213-R	FEB 93	MISSILE FIRING DATA REPORT (DRAGON AND TOW)	V1.01	XFDL	PDF-F
DA 7214	JUN 09	APPLICANT ACKNOWLEDGE OF EMPLOYER OBLIGATION	V1.00ES	XFDL	PDF-F
DA 7215	OCT 03	RELEASE/CONSENT STATEMENT	V1.01ES	XFDL	PDF-F
DA 7222	MAR 10	SENIOR SYSTEM CIVILIAN EVALUATION REPORT	V1.02ES	XFDL	PDF-F
DA 7222-1	AUG 98	CIVILIAN EVALUATION REPORT SUPPORT FORM	V2.05ES	XFDL	PDF-F
DA 7223	MAR 10	BASE SYSTEM CIVILIAN EVALUATION REPORT	V1.00ES	XFDL	PDF-F
DA 7223-1	AUG 98	BASE SYSTEM CIVILIAN PERFORMANCE COUNSELING CHECKLIST/RECORD	V1.01ES	XFDL	PDF-F
DA 7224	MAR 14	SEMI-ANNUAL POSITIVE ACCOUNTABILITY POSTAGE ADMINISTRATION SYSTEM	V1.00	XFDL	PDF
DA 7224-1	MAR 14	ADVANCE DEPOSIT TRUST ACCOUNT (ADTA) WORKSHEET	V1.00	XFDL	PDF
DA 7224-2	MAR 14	PRIVATE CARRIER SERVICE WORKSHEET	V1.00	XFDL	PDF
DA 7232	JAN 14	MLRS FDC FIRE MISSION LOG	V1.00	XFDL	PDF-F
DA 7233	JAN 14	MLRS LAUNCHER FIRE MISSION LOG	V1.00	XFDL	PDF-F
DA 7246	JUN 09	EXCEPTIONAL FAMILY MEMBER PROGRAM (EFMP) SCREENING QUESTIONNAIRE	V1.00ES	XFDL	PDF-F
DA 7249-R	MAY 98	CERTIFICATE AND ACKNOWLEDGEMENT OF SERVICE REQUIREMENTS AND METHODS OF UFLFILLMENT FOR INDIVIDUALS ENLISTING OR TRANSFERRING INTO UNITS OF THE ARMY NATIONAL GUARD UPON REFRAD/DISCHARGE FROM ACTIVE ARMY SERVICE	V1.00	XFDL	PDF
DA 7267-R	MAR 93	CHECKLIST FOR ROUTINE INSPECTION OF SWIMMING POOLS	V1.00	XFDL	PDF-F
DA 7273	MAR 12	ACCESS AGREEMENT FOR ORAL HISTORY MATERIALS	V1.00	XFDL	PDF-F
DA 7274	JUN 93	SPONSORSHIP PROGRAM SURVEY	V2.01	XFDL	PDF-F
DA 7278-R	AUG 93	RISK LEVEL WORKSHEET	V2.01	XFDL	PDF-F
DA 7279	SEP 10	EQUAL OPPORTUNITY COMPLAINT FORM	V1.00	XFDL	PDF-F
DA 7279-1	DEC 05	EQUAL OPPORTUNITY COMPLAINT RESOLUTION ASSESSMENT	V1.00	XFDL	PDF-F
DA 7281	SEP 09	COMMAND ORIENTED ARMS, AMMUNITIONS, AND EXPLOSIVES (AA&E) SECURITY SCREENING AND EVALUATION RECORD	V1.00ES	XFDL	PDF-F
DA 7287-R PDF ONLY	SEP 93	COMPUTATION OF DATUM-TO-DATUM COORDINATE TRASFORMATION (PROGRAM 14--LISTED DATUMS)(BUCS)			PDF
DA 7288-R PDF ONLY	SEP 93	COMPUTATION OF DATUM-TO-DATUM COORDINATE TRANSFORMATION (PROGRAM 15-GAUSS-KRUGER [GK](BUCS)			PDF
DA 7289-R PDF ONLY	SEP 93	COMPUTATION OF DATUM-TO-DATUM COORDINATE TRANSFORMATION (PROGRAM 16-USER-DEFINED (BUCS)			PDF
DA 7301-R	DEC 93	OFFICER SERVICE COMPUTATION FOR RETIREMENT	V3.00	XFDL	PDF-F
DA 7302	APR 10	DISPOSITION OF REMAINS STATEMENT	V1.00	XFDL	PDF-F
DA 7303	JAN 94	DONOR\RECIPIENT HISTORY INTERVIEW	V1.01	XFDL	PDF-F
DA 7304-R	AUG 06	SCORECARD FOR M249 AR	V1.02ES	XFDL	PDF-F
DA 7305	OCT 13	WORKSHEET FOR TELEPHONIC NOTIFICATION OF AVIATION ACCIDENT/INCIDENT	V1.00	XFDL	PDF-F
DA 7306	OCT 13	WORKSHEET FOR TELEPHONIC NOTIFICATION OF GROUND ACCIDENT	V1.00	XFDL	PDF-F
DA 7307-R	APR 94	COST ESTIMATING WORKSHEET-FACILITY ALTERATION	V1.00	XFDL	PDF-F
DA 7308-R PDF ONLY	JAN 97	CHILD DEVELOPMENT CENTER (CDC) PLAY AREA SAFETY INSPECTION SUMMARY			PDF
DA 7309-R PDF ONLY	JAN 97	CHILD DEVELOPMENT CENTER (CDC) PLAY AREA INVENTORY			PDF
DA 7310-R PDF ONLY	JAN 97	CHILD DEVELOPMENT CENTER (CDC) PLAY AREA CHECLIST			PDF
DA 7317	OCT 03	CHILD ABUSE/SAFETY VIOLATION HOTLINE INTAKE INFORMATION	V1.00	XFDL	PDF-F
DA 7317-1	OCT 03	CHILD ABUSE/SAFETY VIOLATION HOTLINE 7-DAY FOLLOW-UP INFORMATION	V1.01ES	XFDL	PDF-F
DA 7317-2	OCT 03	CHILD ABUSE/SAFETY VIOLATION HOTLINE 90-DAY FOLLOW-UP INFORMATION	V1.02ES	XFDL	PDF
DA 7318	OCT 03	INITIAL REPORT OF CHILD ABUSE IN DOD OPERATED OR SANCTIONED ACTIVITIES	V1.01	XFDL	PDF-F
DA 7318-1	OCT 03	FOLLOW-UP/INTERIM REPORT OF CHILD ABUSE IN DOD OPERATED OR SANCTIONED ACTIVITIES	V1.00	XFDL	PDF-F
DA 7318-2	OCT 03	CLOSE OUT REPORT FOR REPORTS OF CHILD ABUSE IN DOD OPERATED OR SANCTIONED ACTIVITIES	V1.01ES	XFDL	PDF-F
DA 7325-R PDF ONLY	JUL 94	CONCEALMENT EXERCISE SCORECARD			PDF
DA 7331-R	AUG 03	GUNNER'S SKILL TEST - PART 1	1.00	XFDL	PDF-F
DA 7332-R	AUG 03	GUNNER'S SKILL TEST - PART 2	V1.00	XFDL	PDF-F
DA 7333	OCT 09	TOW GUNNERY TABLES 1 AND 2:INDIVIDUAL GUNNERY	V1.00	XFDL	PDF-F
DA 7334	OCT 09	TOW GUNNERY TABLES 3 AND 4: ADVANCED GUNNERY	V1.00	XFDL	PDF-F
DA 7335-R	AUG 03	TOW GUNNERY TABLES 5 AND 6: BASELINE TFTT GUNNERY	V1.00	XFDL	PDF-F
DA 7336-R	AUG 03	TOW GUNNERY TABLE 7: SQUAD GUNNERY PRACTICE	V1.00	XFDL	PDF-F
DA 7337-R	AUG 03	TOW GUNNERY TABLE 8: SQUAD GUNNERY QUALIFICATION	V1.00	XFDL	PDF-F
DA 7338-R	AUG 03	TOW GUNNERY TABLE 9: SECTION GUNNERY PRACTICE	V1.00	XFDL	PDF-F
DA 7339-R	AUG 03	TOW GUNNERY TABLE 10: SECTION GUNNERY QUALIFICATION	V1.00	XFDL	PDF-F
DA 7340-R	AUG 03	TOW GUNNERY TABLE 11: PLATOON GUNNERY PRACTICE	V1.00	XFDL	PDF-F
DA 7341-R	AUG 03	TOW GUNNERY TABLE 12: PLATOON GUNNERY QUALIFICATION	V1.00	XFDL	PDF-F
DA 7345-R	JUL 13	GR/CS TAKEOFF AND LANDING DATA CARD	V1.00	XFDL	PDF-F
DA 7348-R	NOV 94	UNSURFACED ROAD INSPECTION SHEET	V1.00	XFDL	PDF-F
DA 7349	MAY 14	INITIAL MEDICAL REVIEW - ANNUAL MEDICAL CERTIFICATE	V1.00ES	XFDL	PDF-F
DA 7351	SEP 02	EXCEPTIONAL FAMILY MEMBER PROGRAM (EFMP) ASSESSMENT GUIDE	V1.00	XFDL	PDF-F
DA 7352-R	JAN 96	M712 COPPERHEAD MET + VE WORK SHEET	V1.01	XFDL	PDF-F
DA 7353-R	JAN 96	UNIVERSAL SAFETY T	V1.00	XFDL	PDF-F
DA 7356-R	SEP 96	COMPUTATION OF AZIMUTH AND DISTANCE FROM COORDINATES (FED MSR)	V1.00	XFDL	PDF-F
DA 7357-R	SEP 96	COMPUTATION OF COORDINATES AND HEIGHT FROM AZIMUTH, DISTANCE, AND VERTICAL ANGLE (FED MSR)	V1.00	XFDL	PDF-F
DA 7358-R	SEP 96	COMPUTATION OF PLANE TRIANGLE COORDINATES AND HEIGHT FROM ONE SIDE, THREE ANGLES, AND VERTICAL ANGLE (FED MSR)	V1.00	XFDL	PDF-F
DA 7359-R	SEP 96	COMPUTATION OF COORDINATES AND HEIGHT BY THREE-POINT RESECTION (FED MSR)	V1.00	XFDL	PDF-F

DA 0001 to DA 1299 DA 1300 to DA 2199 DA 2200 to DA 2999

DA 3000 to DA 3699 DA 3700 to DA 4399 DA 4400 to DA 4999

DA 5000 to DA 5299 DA 5300 to DA 5442 DA 5443 to DA 5799

DA 5800 to DA 7359 DA 7360 to DA 7499 DA 7500 to DA 9999

New in the forums

News Feed

Featured Equipment

Property Accountability

DA 0001 to DA 1299 DA 1300 to DA 2199 DA 2200 to DA 2999

DA 3000 to DA 3699 DA 3700 to DA 4399 DA 4400 to DA 4999

DA 5000 to DA 5299 DA 5300 to DA 5442 DA 5443 to DA 5799

DA 5800 to DA 7359 DA 7360 to DA 7499 DA 7500 to DA 9999

DA5800 to DA7359

DA 0001 to DA 1299 DA 1300 to DA 2199 DA 2200 to DA 2999

DA 3000 to DA 3699 DA 3700 to DA 4399 DA 4400 to DA 4999

DA 5000 to DA 5299 DA 5300 to DA 5442 DA 5443 to DA 5799

DA 5800 to DA 7359 DA 7360 to DA 7499 DA 7500 to DA 9999

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DA 0001 to DA 1299	DA 1300 to DA 2199	DA 2200 to DA 2999
DA 3000 to DA 3699	DA 3700 to DA 4399	DA 4400 to DA 4999
DA 5000 to DA 5299	DA 5300 to DA 5442	DA 5443 to DA 5799
DA 5800 to DA 7359	DA 7360 to DA 7499	DA 7500 to DA 9999

New in the forums

News Feed

Featured Equipment

Property Accountability

DA 0001 to DA 1299 DA 1300 to DA 2199 DA 2200 to DA 2999 DA 3000 to DA 3699 DA 3700 to DA 4399 DA 4400 to DA 4999 DA 5000 to DA 5299 DA 5300 to DA 5442 DA 5443 to DA 5799 DA 5800 to DA 7359 DA 7360 to DA 7499 DA 7500 to DA 9999

DA5800 to DA7359

DA 0001 to DA 1299 DA 1300 to DA 2199 DA 2200 to DA 2999 DA 3000 to DA 3699 DA 3700 to DA 4399 DA 4400 to DA 4999 DA 5000 to DA 5299 DA 5300 to DA 5442 DA 5443 to DA 5799 DA 5800 to DA 7359 DA 7360 to DA 7499 DA 7500 to DA 9999

About Us

Connections

Policies

DA 0001 to DA 1299 DA 1300 to DA 2199 DA 2200 to DA 2999

DA 3000 to DA 3699 DA 3700 to DA 4399 DA 4400 to DA 4999

DA 5000 to DA 5299 DA 5300 to DA 5442 DA 5443 to DA 5799

DA 5800 to DA 7359 DA 7360 to DA 7499 DA 7500 to DA 9999

DA 0001 to DA 1299 DA 1300 to DA 2199 DA 2200 to DA 2999

DA 3000 to DA 3699 DA 3700 to DA 4399 DA 4400 to DA 4999

DA 5000 to DA 5299 DA 5300 to DA 5442 DA 5443 to DA 5799

DA 5800 to DA 7359 DA 7360 to DA 7499 DA 7500 to DA 9999