Phone: (703) 269-0013

 

Department of the Army (DA) Forms -- Complete Listing

Page 4 of 12:  DA 3000 thru DA 3699
(1-2-3-5-6-7-8-9-10-11-12)

Also See our List of Commonly Used DA and DD Forms

Form No. Title Version XFDL PDF FF22 FF99
DA 3020-R MAGAZINE DATA CARD V1.01 XFDL PDF FF22 FF99
DA 3022-R ARMY DEPOT SURVEILLANCE RECORD V1.00 XFDL PDF FF22 FF99
DA 3023 GAGE RECORD V1.01 XFDL PDF FF22 FF99
DA 3028-R LIMITED ACCESS AUTHORIZATION V1.00 XFDL PDF FF22 FF99
DA 3032 SIGNATURE HEADCOUNT SHEET V1.00 XFDL PDF FF22 FF99
DA 3034 PRODUCTION SCHEDULE V1.00ES XFDL PDF FF22  
DA 3034-2 DISPOSITION OF SUBSISTENCE V1.01 XFDL PDF    
DA 3056 REPORT OF MISSING/RECOVERED FIREARMS, AMMUNITION AND EXPLOSIVES V1.00 XFDL PDF FF22  
DA 3068-1 MARINE SERVICE RECORD V1.00 XFDL PDF FF22  
DA 3072-2 APPLICANT'S MONTHLY FINANCIAL STATEMENT V1.00 XFDL PDF FF22 FF99
DA 3072-R WAIVER OF DISQUALIFICATION FOR REENLISTMENT/PROMOTION IN THE REGULARARMY V1.00 XFDL PDF FF22 FF99
DA 3078 PERSONAL CLOTHING REQUEST V1.00 XFDL PDF FF22  
DA 3081 PERIODIC MEDICAL EXAMINATION (STATEMENT OF EXEMPTION V1.00 XFDL PDF FF22 FF99
DA 3083 MEDICAL EXAMINATION FOR CERTAIN GEOGRAPHICAL AREAS V1.00 XFDL PDF FF22 FF99
DA 3120 MISSILE FIRING DATA REPORT (HAWK & PATRIOT) V1.00 XFDL PDF FF22  
DA 3126 APPLICATION AND CONTRACT FOR ESTABLISHMENT OF A JUNIOR RESERVE OFFICERS' TRAINING CORPS UNIT APD V2.00 XFDL PDF FF22 FF99
DA 3126-1 APPLICATION AND AGREEMENT FOR ESTABLISHMENT OF A NATIONAL DEFENSE CADET CORPS UNIT V3.00 XFDL PDF FF22 FF99
DA 3136 ROSTER AND STATEMENT V1.00 XFDL PDF FF22 FF99
DA 3137 ABSTRACT OF ENLISTED AND ORGANIZATIONAL LAUNDRY AND DRY CLEANING V1.00 XFDL PDF FF22 FF99
DA 3151-R AMMUNITION STORES SLIP V1.00 XFDL PDF FF22 FF99
DA 3153 MSA PATIENT LEDGER CARD V1.00 XFDL PDF FF22 FF99
DA 3161 REQUEST FOR ISSUE OR TURN-IN V1.01 XFDL PDF FF22 FF99
DA 3161-1 REQUEST FOR ISSUE OR TURN-IN (CONTINUATION SHEET) V1.10 XFDL PDF FF22 FF99
DA 3164-R SWIMMING POOL OPERATING LOG V1.00 XFDL PDF FF22 FF99
DA 3169 REPORT OF JUDICIAL DISCIPLINARY ACTIVITY IN THE ARMY V1.01ES XFDL PDF FF22 FF99
DA 3175 PRELIMINARY APPLICATION FOR ACTIVE DUTY SERVICE WITH THE JUDGE ADVOCATE GENERAL'S CORPS V1.00 XFDL PDF FF22 FF99
DA 3180 PERSONNEL SCREENING AND EVALUATION RECORD V1.01 XFDL PDF FF22 FF99
DA 3234 INVENTORY RECORD V1.00 XFDL PDF FF22 FF99
DA 3234-1 MONTHLY INVENTORY RECAP SHEET FOR DA FORM 3234 V1.00 XFDL PDF FF22 FF99
DA 3238 REQUEST FOR COPYRIGHT CLEARANCE ON MUSICAL OR DRAMATIC WORKS V1.01 XFDL PDF FF22  
DA 3238-1-R REQUEST FOR ROYALTY CLEARANCE ON COPYRIGHTED MUSICAL AND/OR DRAMATIC WORKS (SUPPLEMENTAL) V1.00 XFDL PDF FF22 FF99
DA 3252-R PUNCH CARD TRANSMISSION WORKSHEET - RADIOISOTOPE INVENTORY AND LEAK TEST REPORT V1.00 XFDL PDF FF22 FF99
DA 3254-R OIL ANALYSIS RECOMMENDATION AND FEEDBACK V1.00 XFDL PDF FF22 FF99
DA 3256 PRESERVATION AND DEPRESERVATION GUIDE FOR MARINE EQUIPMENT V1.00 XFDL PDF FF22 FF99
DA 3257 PRESERVATION AND DEPRESERVATION GUIDE FOR RAILROAD EQUIPMENT V1.00 XFDL PDF FF22 FF99
DA 3260 IGLOO PLANOGRAPH (AMMUNITION) V1.00 XFDL PDF    
DA 3261 PDF ONLY PLANOGRAPH FOR STANDARD MAGAZINE     PDF    
DA 3263 AMMUNITION SPACE AND TONNAGE DATA SUMMARY V1.00 XFDL PDF FF22 FF99
DA 3265 EXPLOSIVE ORDNANCE INCIDENT REPORT V1.000 XFDL PDF FF22 FF99
DA 3266-1 ARMY MISSILE MATERIAL READINESS REPORT V2.01 XFDL PDF FF22 FF99
DA 3266-2 MISSILE MATERIEL CONDITION STATUS REPORT WORKSHEET V1.00 XFDL PDF FF22 FF99
DA 3283 STATEMENTS OF MEMBER REMOVED FROM THE TEMPORARY DISABILITY RETIRED LIST V1.00 XFDL PDF FF22  
DA 3294 RATION REQUEST/ISSUE/TURN-IN SLIP V1.01   PDF    
DA 3295 VOUCHER REGISTER AND GENERAL CONTROL V1.00 XFDL PDF FF22 FF99
DA 3295-1 ADJUSTMENT VOUCHER V1.00 XFDL PDF FF22 FF99
DA 3318 RECORD OF DEMANDS - TITLE INSERT V2.01 XFDL PDF FF22 FF99
DA 3321 REQUEST FOR ACKNOWLEDGMENT OF LOANED MEDICAL EQUIPMENT V1.00     FF22 FF99
DA 3328 PROPERTY RECORD V1.01 XFDL PDF FF22 FF99
DA 3328-1 SERIAL/REGISTRATION NUMBER RECORD V1.01 XFDL PDF FF22 FF99
DA 3337 APPLICATION FOR ARMY RADIATION AUTHORIZATION V1.00 XFDL PDF FF22 FF99
DA 3340-R REQUEST FOR REENLISTMENT OR EXTENSION IN THE REGULAR ARMY V1.00 XFDL PDF FF22 FF99
DA 3349 PHYSICAL PROFILE V1.02 XFDL PDF FF22 FF99
DA 3355 PROMOTION POINT WORKSHEET V1.00 XFDL PDF FF22 FF99
DA 3356 BOARD MEMEBER APPRAISAL WORKSHEET V1.00 XFDL PDF FF22 FF99
DA 3356-1 USAR BOARD MEMBER APPRAISAL WORKSHEET V1.00 XFDL PDF FF22  
DA 3357 BOARD RECOMMENDATION V1.00 XFDL PDF FF22 FF99
DA 3362-1-R BASIS OF ISSUE PLAN FEEDER DATA V2.00   PDF FF22 FF99
DA 3362-2-R COMMON TABLE OF ALLOWANCES BASIS OF ISSUE PLAN (CTA BOIP) V1.10   PDF FF22 FF99
DA 3365 AUTHORIZATION FOR MEDICAL WARNING TAG V1.01 XFDL PDF FF22 FF99
DA 3425-R MEDICAL FITNESS STATEMENT FOR ENROLLMENT IN BASIC COURSE, SENIOR ROTC V1.00 XFDL PDF FF22 FF99
DA 3433 OPTIONAL APPLICATION FOR NONAPPROPRIATED FUND EMPLOYMENT V1.00ES XFDL PDF FF22 FF99
DA 3433-1 SUPPLEMENTAL EMPLOYMENT APPLICATION FORM V2.00ES XFDL PDF FF22 FF99
DA 3433-2 SUPPLEMENTAL-A EMPLOYMENT APPLICATION FORM FOR CHILD-YOUTH SERVICES POSITIONS V2.00ES XFDL PDF FF22 FF99
DA 3434 NOTIFICATION OF PERSONNEL ACTION - NONAPPROPRIATED FUNDS EMPLOYEE V3.01 XFDL PDF FF22 FF99
DA 3436 DEPARTMENT OF THE ARMY APPOINTMENT AFFIDAVIT NONAPPROPRIATED FUNDS V1.01 XFDL PDF FF22 FF99
DA 3437 CERTIFICATE OF MEDICAL EXAMINATION V2.01 XFDL PDF FF22 FF99
DA 3439 NONAPPROPRIATED FUND INSTRUMENTALITY EMPLOYMENT INQUIRY V1.01ES XFDL PDF   FF99
DA 3440 DEPARTMENT OF THE ARMY TRANSPORTATION AGREEMENT NONAPPROPRIATED FUND EMPLOYEE V2.01ES XFDL PDF FF22 FF99
DA 3474 MISSILE FIRING DATA REPORT (JAVELIN) V1.00 XFDL PDF FF22  
DA 3479-10-R RESPONSIBILITY ASSIGNMENT V1.00 XFDL PDF FF22 FF99
DA 3479-11-R TACTICAL FACILITY TRAINING PROGRAM (FTP) AN/TSQ-198 TACTICAL TERMINAL CONTROL SYSTEM V1.00 XFDL PDF FF22 FF99
DA 3479-12-R TACTICAL FACILITY TRAINING PROGRAM (FTP) AN/GRC-206 TACTICAL TOWER SYSTEM V1.00 XFDL PDF FF22 FF99
DA 3479-13-R TACTICAL FACILITY TRAINING PROGRAM (FTP) AN/TSC-61B AIRSPACE INFORMATION CENTER V1.00 XFDL PDF FF22 FF99
DA 3479-14-R TACTICAL FACILITY TRAINING PROGRAM (FTP) AN/TSQ-221 TACTICAL AIRSPACE INTEGRATION SYSTEM (TAIS) V1.00 XFDL PDF FF22 FF99
DA 3479-15-R TACTICAL FACILITY TRAINING PROGRAM (FTP) AN/TSW-7A AIR TRAFFIC CONTROL CENTRAL V1.00 XFDL PDF FF22 FF99
DA 3479-16-R TACTICAL FACILITY TRAINING PROGRAM (FTP) AN/TSQ-71B LANDING CONTROL CENTER V1.00 XFDL PDF FF22 FF99
DA 3479-17-R TACTICAL FACILITY TRAINING PROGRAM (FTP) AN/TPN-31 AIR TRAFFIC NAVIGATION INTEGRATION AND COORDINATION SYSTEM (ATNAVICS) V1.00 XFDL PDF FF22 FF99
DA 3479-18-R TACITAL FACILITY TRAINING PROGRAM (FTP) AN/TSQ-70A TACTICAL TOWER SYSTEM V1.00 XFDL PDF FF22 FF99
DA 3479-19-R TACTICAL FACILITY TRAINING PROGRAM (FTP) AN/TSQ-97A TACTICAL TOWER SYSTEM V1.01 XFDL PDF FF22 FF99
DA 3479-1-R TRAINEE/CONTROLLER EVALUATION V1.00 XFDL PDF FF22 FF99
DA 3479-6-R FILE 1/3 ATC FACILITY AND PERSONNEL STATUS REPORT V1.00 XFDL PDF FF22 FF99
DA 3479-6-R FILE 2/3 ATC FACILITY AND PERSONNEL STATUS REPORT V1.00   PDF FF22 FF99
DA 3479-6-R FILE 3/3 ATC FACILITY AND PERSONNEL STATUS REPORT V1.00   PDF FF22 FF99
DA 3479-8-R TAPS TACTICAL APPROACH PUBLICATIONS SYSTEM V1.02 XFDL PDF FF22 FF99
DA 3479-9-R FILE 1/3 ATC MAINTENANCE PERSONNEL CERTIFICATION AND RELATED TRAINING RECORD V1.00 XFDL PDF FF22  
DA 3479-9-R FILE 2/3 ATC MAINTENANCE PERSONNEL CERTIFICATION AND RELATED TRAINING RECORD V1.00   PDF FF22  
DA 3479-9-R FILE 3/3 ATC MAINTENANCE PERSONNEL CERTIFICATION AND RELATED TRAINING RECORD V1.00   PDF FF22 FF99
DA 3479-R FILE 1/8 TRAINING AND PROFICIENCY RECORD -AIR TRAFFIC CONTROLLER V1.00 XFDL PDF FF22 FF99
DA 3479-R FILE 2/8 TRAINING AND PROFICIENCY RECORD - AIR TRAFFIC CONTROLLER V1.00   PDF FF22 FF99
DA 3479-R FILE 3/8 TRAINING AND PROFICIENCY RECORD - AIR TRAFFIC CONTROLLER V1.00   PDF FF22 FF99
DA 3479-R FILE 4/8 TRAINING AND PROFICIENCY RECORD - AIR TRAFFIC CONTROLLER V1.00   PDF FF22 FF99
DA 3479-R FILE 5/8 TRAINING AND PROFICIENCY RECORD - AIR TRAFFIC CONTROLLER V1.00   PDF FF22 FF99
DA 3479-R FILE 6/8 TRAINING AND PROFICIENCY RECORD - AIR TRAFFIC CONTROLLER V1.00   PDF FF22 FF99
DA 3479-R FILE 7/8 TRAINING AND PROFICIENCY RECORD - AIR TRAFFIC CONTROLLER V1.00   PDF FF22 FF99
DA 3479-R FILE 8/8 TRAINING AND PROFICIENCY RECORD - AIR TRAFFIC CONTROLLER V1.00   PDF FF22 FF99
DA 3484 PHOTODOSIMETRY REPORT - EXPOSURE TO IONIZING RADIATION V1.00 XFDL PDF FF22 FF99
DA 3496 MILITARY JUDGE'S OATH V1.00ES XFDL PDF FF22 FF99
DA 3497 COUNSEL'S OATH V1.00ES XFDL PDF FF22 FF99
DA 3499 APPLICATION FOR RELIEF FROM COURT-MARTIAL FINDINGS AND/OR SENTENCE UNDER THE PROVISIONS OF TITLE 10, UNITED STATES CODE, SECTION 869 V1.00 XFDL PDF FF22  
DA 3501-1-R PRECISION APPROACH RADAR (GCA) DATA V1.00 XFDL PDF FF22 FF99
DA 3501-1-R IMAGE FILE PRECISION APPROACH RADAR (GCA) DATA V1.00     IMG  
DA 3501-R GCA OPERATIONS LOG V1.00 XFDL PDF FF22 FF99
DA 3502-R DAILY REPORT OF AIR TRAFFIC CONTROL FACILITY V1.00 XFDL PDF FF22 FF99
DA 3503-R AIR TRAFFIC CONTROL POSITION LOG V1.00 XFDL PDF FF22 FF99
DA 3508 APPLICATION FOR REMISSION OR CANCELLATION OF INDEBTEDNESS V1.00ES XFDL PDF    
DA 3517-R HAND GRENADE QUALIFICATION SCORECARD V1.00 XFDL PDF FF22  
DA 3524-R SMALL ARMS AMMUNITION TRACE TEST RECORD V1.00 XFDL PDF FF22 FF99
DA 3540 CERTIFICATE AND ACKNOWLEDGMENT OF U.S. ARMY RESERVE SERVICE REQUIREMENTS AND METHODS OF FULFILLMENT V1.00 XFDL PDF FF22 FF99
DA 3542 ARMY DESIGNER CRAFTS CONTEST V1.00 XFDL PDF FF22 FF99
DA 3544 STATEMENT OF UNDERSTANDING - CONSCIENTIOUS OBJECTOR V1.00 XFDL PDF FF22  
DA 3546 CONTROL RECORD FOR DINING FACILITY - DD FORM 1544 V1.00 XFDL PDF FF22 FF99
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-INDIVIDUAL W/OUTPRIOR SERVICE V1.00 XFDL PDF FF22 FF99
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 V1.00 XFDL PDF FF22 FF99
DA 3583-R METEOROLOGICAL DATA FOR ARTILLERY - AIR WEATHER SERVICE EXCHANGE V1.00 XFDL PDF FF22 FF99
DA 3590 REQUEST FOR DISPOSITI0N OR WAIVER V1.00 XFDL PDF FF22 FF99
DA 3595-R RECORD FIRE SCORECARD V1.00 XFDL PDF FF22  
DA 3601-R SINGLE TARGET FIELD FIRING SCORECARD V1.00 XFDL PDF FF22 FF99
DA 3611-R FOOD SERVICE DIVISION - PATIENT SATISFACTION SURVEY V1.00 XFDL PDF FF22 FF99
DA 3612 NONAPPROPRIATED FUND INSTRUMENTALITY EMPLOYEE PERFORMANCE RATING V1.00ES XFDL PDF FF22 FF99
DA 3626 VEHICLE REGISTRATION/DRIVER RECORD V1.01 XFDL PDF FF22 FF99
DA 3643 DAILY ISSUES OF PETROLEUM PRODUCTS V2.03 XFDL PDF FF22 FF99
DA 3644 MONTHLY ABSTRACT OF ISSUES OF PETROLEUM PRODUCTS AND OPERATING SUPPLIES V1.02 XFDL PDF FF22 FF99
DA 3645 FILE 1/2 ORGANIZATIONAL CLOTHING AND INDIVIDUAL EQUIPMENT RECORD V2.00 XFDL PDF FF22 FF99
DA 3645 FILE 2/2 ORGANIZATIONAL CLOTHING AND INDIVIDUAL EQUIPMENT RECORD V2.00   PDF FF22 FF99
DA 3645-1 FILE 1/2 ADDITIONAL ORGANIZATIONAL CLOTHING AND INDIVIDUAL EQUIPMENT RECORD V1.01 XFDL PDF FF22 FF99
DA 3645-1 FILE 2/2 ADDITIONAL ORGANIZATIONAL CLOTHING AND INDIVIDUAL EQUIPMENT RECORD V1.01   PDF FF22 FF99
DA 3647 INPATIENT TREATMENT RECORD COVER SHEET V1.10 XFDL PDF FF22 FF99
DA 3647-1 INPATIENT TREATMENT RECORD COVER SHEET V1.00 XFDL PDF FF22 FF99
DA 3662 LONGBOW HELLFIRE MISSILE FIRING DATA REPORT V1.00 XFDL PDF FF22  
DA 3665 ANNUAL COMMERCIAL DESIGN MOTOR VEHICLE REQUIREMENTS REVIEW V1.00 XFDL PDF FF22 FF99
DA 3666 STATEMENT OF PHYSICAL ABILITY FOR LIGHT DUTY WORK V2.01 XFDL PDF FF22 FF99
DA 3675-R BALLISTIC MESSAGE V1.01 XFDL PDF FF22  
DA 3676-R FALLOUT MESSAGE V1.01 XFDL PDF FF22  
DA 3677-R COMPUTER MET MESSAGE V1.01 XFDL PDF FF22  
DA 3680 PARADE OF AMERICAN MUSIC ENTRY FOR ARMY PERFORMERS V1.00   PDF FF22 FF99
DA 3680-1 PARADE OF AMERICAN MUSIC ENTRY FOR ARMY COMPOSERS V1.00 XFDL PDF FF22 FF99
DA 3685 JUMPS - JSS PAY ELECTIONS V3.00 XFDL PDF FF22 FF99
DA 3696 PATIENT'S DEPOSIT RECORD V1.01 XFDL PDF FF22 FF99
DA 3697-R SUBVOUCHER FOR DISBURSEMENT FROM CONFIDENTIAL FUNDS CONFIDENTIAL (WHEN FILLED IN) V1.00 XFDL PDF FF22 FF99

Page 4 of 12:  DA 3000 thru DA 3699
(1-2-3-5-6-7-8-9-10-11-12)

Also See our List of Commonly Used DA and DD Forms

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