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

Page 9 of 12:  DA 5443 thru DA 5799
(1-2-3-4-5-6-7-8-10-11-12)

Also See our List of Commonly Used DA and DD Forms

Form No. Title Version XFDL PDF FF22 FF99
DA 5447-R OFFICER SERVICE AGREEMENT SELECTED RESERVE EDUCATIONAL ASSISTANCE PROGRAM (SHORT TITLE: MONTGOMERY GI BILL) V1.00 XFDL PDF FF22 FF99
DA 5448-R MOISTURE & DENSITY TESTER FIELD DATA WORKSHEET V1.00 XFDL PDF FF22 FF99
DA 5450-R MOISTURE & DENSITY FIELD TEST SHEET V1.00 XFDL PDF FF22 FF99
DA 5454 REQUEST FOR ARMY/AMERICAN COUNCIL ON EDUCATION REGISTRY TRANSCRIPT V1.00 XFDL PDF FF22  
DA 5456 WATER POINT INSPECTION V1.00 XFDL PDF FF22  
DA 5457 POTABLE WATER CONTAINER INSPECTION V1.00 XFDL PDF FF22  
DA 5458 SHOWER/DECONTAMINATION POINT INSPECTION V1.00 XFDL PDF FF22  
DA 5459 AUTHORIZATION TO RELEASE INFORMATION FROM ARMY RECORDS ON NONSUPPORT/CHILD CUSTODY/PATERNITY INQUIRIES V1.00 XFDL PDF FF22 FF99
DA 5462 TIP ALLOCATION WORKSHEET V1.00 XFDL PDF FF22 FF99
DA 5462-1 CONTINUATION OF TIP ALLOCATION WORKSHEET V1.00 XFDL PDF FF22 FF99
DA 5463-R PDF ONLY PETROLEUM PRODUCTS TANK FARM OUTTURN RECORD     PDF    
DA 5464-R PDF ONLY PETROLEUM PRODUCTS PIPELINE LEAKAGE REPORT     PDF    
DA 5467-R CIVILIAN CLEARANCE RECORD V1.00 XFDL PDF FF22  
DA 5468-R EXIT QUESTIONNAIRE V1.00   PDF FF22 FF99
DA 5472-R COMPUTER'S RECORD (MPI) V1.00   PDF FF22 FF99
DA 5473-R PERFORMANCE REQUIREMENTS SUMMARY V1.00 XFDL PDF FF22 FF99
DA 5475-R COR/QAE SURVEILLANCE SCHEDULE V1.00 XFDL PDF FF22 FF99
DA 5476-R SURVEILLANCE ACTIVITY CHECKLIST V1.00 XFDL PDF FF22 FF99
DA 5477-R CUSTOMER COMPLAINT RECORD V1.01 XFDL PDF FF22 FF99
DA 5478-R DECISION TABLE V1.00 XFDL PDF FF22 FF99
DA 5479-R CONTRACT DISCREPANCY REPORT V1.01 XFDL PDF FF22 FF99
DA 5480 MAINTENANCE REQUEST AND ASSIGNMENT REGISTER V1.00 XFDL PDF FF22 FF99
DA 5481-R TALLY CHECKLIST V1.00 XFDL PDF FF22 FF99
DA 5484 MISSION SCHEDULE/BRIEF V1.00 XFDL PDF FF22  
DA 5500 BODY FAT CONTENT WORKSHEET (MALE) V1.00 XFDL PDF FF22  
DA 5501 BODY FAT CONTENT WORKSHEET (FEMALE) V1.00 XFDL PDF FF22  
DA 5511 PERSONAL WEIGHT LOSS PROGRESS V1.00 XFDL PDF FF22  
DA 5512 RESPITE CARE AGREEMENT V1.00ES XFDL PDF FF22 FF99
DA 5513 KEY CONTROL REGISTER AND INVENTORY V1.00 XFDL PDF FF22  
DA 5514-R TAMIS TRAINING AMMUNITION FORECAST REPORT V2.01ES XFDL PDF FF22 FF99
DA 5515 TRAINING AMMUNITION CONTROL DOCUMENT V1.01 XFDL PDF FF22 FF99
DA 5515-1 TRAINING AMMUNITION CONTROL DOCUMENT CONTINUATION SHEET V1.01 XFDL PDF FF22 FF99
DA 5517-R STANDARD RANGE CARD V1.01 XFDL PDF FF22 FF99
DA 5517-R IMAGE FILE STANDARD RANGE CARD V1.01     IMG  
DA 5519-R TOOL SIGN OUT LOG/REGISTER V1.00 XFDL PDF FF22 FF99
DA 5520 PHYSICAL AND DENTAL COMPARISON CHART V1.00 XFDL PDF FF22 FF99
DA 5521 RECORD OF EMERGENCY DATA AND DESIGNATION OF BENEFICIARY FOR UNPAID COMPENSATION OF DECEASED NAF EMPLOYEE V2.02ES XFDL PDF FF22 FF99
DA 5533 SMART/TIPS SUGGESTION FORM V1.00 XFDL PDF FF22 FF99
DA 5536-R AGREEMENT HEALTH PROFESSIONALS LOAN REPAYMENT (HPLR) V1.00 XFDL PDF FF22 FF99
DA 5548-1-R UNIT CLIMATE PROFILE (UCP) V1.00 XFDL PDF FF22 FF99
DA 5548-R UNIT CLIMATE PROFILE QUESTIONNAIRE V1.00 XFDL PDF FF22 FF99
DA 5550-R SPIROMETER CALIBRATION LOG V1.00 XFDL PDF FF22 FF99
DA 5551-R SPIROMETRY FLOW SHEET V1.00 XFDL PDF FF22 FF99
DA 5556 PERSONNEL REQUIREMENTS DOCUMENT V1.00 XFDL PDF FF22 FF99
DA 5557 INDIVIDUAL RELIABILITY SCREENING AND EVALUATION RECORD V1.00 XFDL PDF FF22  
DA 5560 NO SMOKING EXCEPT IN DESIGNATED SMOKING AREAS V1.00   PDF    
DA 5560-1 DESIGNATED SMOKING AREA V1.00   PDF    
DA 5561-R PDF ONLY WAITING LIST     PDF    
DA 5562-1-R PDF ONLY NEEDS ASSESSMENT METHODOLOGY     PDF    
DA 5562-R CHILD DEVELOPMENT SERVICES NEEDS ASSESSMENT V2.00 XFDL PDF FF22 FF99
DA 5563-R PDF ONLY DEMOGRAPHIC PROFILE     PDF    
DA 5568 CHRONOLOGICAL RECORD OF WELL-BABY CARE V1.00 XFDL PDF FF22 FF99
DA 5569 ISONIAZID (INH) CLINIC FLOW SHEET V2.00 XFDL PDF FF22 FF99
DA 5572-R GIFT AGREEMENT V1.00 XFDL PDF FF22 FF99
DA 5573-R LOAN AGREEMENT V1.00 XFDL PDF FF22 FF99
DA 5574-R ASSURANCE OF COMPLIANCE V1.00 XFDL PDF FF22 FF99
DA 5575-R LOAN AGREEMENT (OUTGOING) V1.00 XFDL PDF FF22 FF99
DA 5582-R ATACMS MISSILE/MLRS PRACTICE ROCKET FIRING DATA REPORT (REPORT___OF___FOR THIS MISSION) V1.00 XFDL PDF FF22 FF99
DA 5583 MISSILE FIRING DATA REPORT (HELLFIRE) V1.01 XFDL PDF FF22  
DA 5584-R VEHICLE FORECAST AND MOVEMENT SCHEDULE V1.00 XFDL PDF FF22 FF99
DA 5585 ADDENDUM TO CERTIFICATE OF ACKNOWLEDGEMENT OF SERVICE REQUIREMENTS (DA FORM 3540) FOR ENLISTMENT INTO THE US ARMY RESERVE TROOP PROGRAM UNIT WARRANT OFFICER FLIGHT PROGRAM V1.00 XFDL PDF FF22  
DA 5586 ADDENDUM TO CERTIFICATE OF ACKNOWLEDGEMENT OF SERVICE REQUIREMENT FOR ENLISTMENT INTO THE UNITED STATES ARMY RESERVE OFFICER CANDIDATE SCHOOL ENLISTMENT OPTION V1.00 XFDL PDF FF22  
DA 5587 REPORT OF DRYDOCKING, PAINTING AND CONDITION OF VESSEL BOTTOM (FROM KEEL TO TOP OF BOOT TOP LINE) V1.00 XFDL PDF FF22 FF99
DA 5605-1-R PDF ONLY LIFE CYCLE COST ANALYSIS     PDF    
DA 5605-2-R LIFE CYCLE COST ANALYSIS SUMMARY V1.00 XFDL PDF FF22 FF99
DA 5605-3-R LIFE CYCLE COST ANALYSIS BASIC INPUT DATA SUMMARY V1.00 XFDL PDF FF22 FF99
DA 5605-4-R LIFE CYCLE COST ANALYSIS PRESENT WORTH: COVENTIONAL APPROACH V1.00 XFDL PDF FF22 FF99
DA 5605-5-R LIFE CYCLE COST ANALYSIS V1.00 XFDL PDF FF22 FF99
DA 5614-R PDF ONLY SUPERINTENDENT'S TELEGRAPHIC REPORT OF ACCIDENT     PDF    
DA 5615-R PDF ONLY SET OUT REPORT     PDF    
DA 5616-R PDF ONLY CAR INSPECTOR'S TRAIN REPORT     PDF    
DA 5617-R PDF ONLY DAILY STATEMENT OF CARS ON HAND     PDF    
DA 5618-R PDF ONLY CONDUCTOR'S WHEEL REPORT     PDF    
DA 5619-R PDF ONLY DAILY EMPTY CAR SITUATION REPORT     PDF    
DA 5620-R DAILY INSTALLATION SITUATON REPORT V1.01 XFDL PDF FF22 FF99
DA 5621-R LEAKAGE CURRENT MEASUREMENTS, GENERAL V1.00 XFDL PDF FF22 FF99
DA 5622-R LEAKAGE CURRENT MEASUREMENTS, EKG V1.00 XFDL   FF22 FF99
DA 5622-R IMAGE FILE LEAKAGE CURRENT MEASUREMENTS, EKG V1.00     IMG  
DA 5624-R DC DEFIBRILLATOR INSPECTION RECORD V1.01 XFDL PDF FF22  
DA 5627-R CASH, PROPERTY AND RECONCILIATION RECORD V1.00 XFDL PDF FF22 FF99
DA 5628-R PDF ONLY VOUCHER FOR SPECIAL MISSION FUNDS (SMF) EXPENDITURES     PDF    
DA 5642-R STATEMENT OF UNDERSTANDING AND SELECTED RESERVE SERVICE AGREEMENT BASIC EDUCATIONAL ASSISTANCE ENTITLEMENT FOR SERVICE IN THE SELECTED RESERVE (SHORT TITLE: (MONTGOMERY GI BILL 2X4 PROGRAM) V1.01 XFDL PDF FF22 FF99
DA 5643-R PHYSICAL DEMANDS ANALYSIS WORKSHEET V2.00 XFDL PDF FF22 FF99
DA 5645-B-R MANEUVER/PROCEDURE GRADE SLIP FOR OH-58D AEROSCOUT OBSERVERS V1.00 XFDL PDF FF22 FF99
DA 5646-R STATEMENT OF CONDITIONS OF SERVICE - ACTIVE GUARD RESERVE (AGR) V1.00 XFDL PDF FF22 FF99
DA 5647-R PDF ONLY STATEMENT OF CONDITIONS OF SERVICE - ACTIVE GUARD RESERVE (AGR) ACTIVE TRANSFER/CONVERSION ARMY RESERVE (ATCAR)     PDF    
DA 5648-R AGR JOB AUTHORIZATION (REQUEST/CHANGE) V1.00 XFDL PDF FF22 FF99
DA 5651 MESSAGE CONTROL LOG V3.00 XFDL PDF FF22 FF99
DA 5651-1 TERMINATING MESSAGE REGISTER V2.00 XFDL PDF FF22 FF99
DA 5661 DATA INTERCHANGE OF SUPPORT EQUIPMENT DATA V1.00 XFDL PDF FF22 FF99
DA 5662 DATA INTERCHANGE SUMMARY V1.00 XFDL PDF FF22 FF99
DA 5666 GAINING COMMAND FIELDING EVALUATION V1.00 XFDL PDF FF22 FF99
DA 5667-R PDF ONLY MANEUVER/PROCEDURE GRADE SLIP FOR CH-47 CREW MEMBERS     PDF    
DA 5669 PREVENTIVE MEDICINE COUNSELING RECORD V1.00 XFDL PDF FF22  
DA 5671 PARENTAL PERMISSION V 1.00 XFDL PDF FF22 FF99
DA 5672-R MEAL CARD CONTROL BOOK LOG V1.00 XFDL PDF FF22 FF99
DA 5677-R PDF ONLY POLICY STATEMENT AND MEMORANDUM OF UNDERSTANDING FOR REVIEW AND RECEIPT OF R&D DOCUMENTS     PDF    
DA 5678-R POLICY STATEMENT AND MEMORANDUM OF UNDERSTANDING FOR PARTICIPATION IN THE U.S. ARMY POTENTIAL CONTRACTOR PROGRAM V1.00 XFDL PDF FF22 FF99
DA 5679-R PDF ONLY POLICY STATEMENT AND STUDY AGREEMENT FOR PARTICIPATION IN THE U.S. ARMY R&D UNFUNDED STUDY PROGRAM     PDF    
DA 5680 MATERIEL FIELDING TEAM AFTER ACTION REPORT V1.00 XFDL PDF FF22 FF99
DA 5681 FILE 1/2 COORDINATION CHECKLIST AND REPORT V1.00 XFDL PDF FF22 FF99
DA 5681 FILE 2/2 COORDINATION CHECKLIST AND REPORT V1.00   PDF FF22 FF99
DA 5682 MATERIEL REQUIREMENTS LIST V1.00 XFDL PDF FF22 FF99
DA 5684 JOINT INVENTORY REPORT V1.00 XFDL PDF FF22 FF99
DA 5685-R NEW SPECIALIZED TRAINING ASSISTANCE PROGRAM (NEW STRAP) SERVICE AGREEMENT V2.00 XFDL PDF FF22 FF99
DA 5690-R RESERVE COMPONENTS CAREER COUNSELOR INTERVIEW RECORD V1.00 XFDL PDF FF22 FF99
DA 5691-R REQUEST FOR RESERVE COMPONENT ASSIGNMENT ORDERS V1.00 XFDL PDF FF22  
DA 5692-R AMMUNITION CONSUMPTION CERTIFICATE V1.01 XFDL PDF FF22 FF99
DA 5695 INFORMATION MANAGEMENT REQUIREMENT/PROJECT DOCUMENT V1.00 XFDL PDF FF22 FF99
DA 5696-1-R INSTALLATION WORK CENTER SUMMARY V2.00 XFDL PDF FF22 FF99
DA 5696-2-R WORK CENTER STANDARD COMPUTATION V1.10 XFDL PDF FF22 FF99
DA 5696-3-R ADDITIVE/EXCLUSION/DEVIATION COMPUTATION V1.10 XFDL PDF FF22 FF99
DA 5696-4-R WORKLOAD FACTOR/MAN-HOUR COLLECTION V2.00 XFDL PDF FF22 FF99
DA 5696-5-R MANPOWER EXCEPTION V2.00 XFDL PDF FF22 FF99
DA 5696-6-R MANPOWER GRADE & SKILL DISTRIBUTION SUMMARY V1.10 XFDL PDF FF22 FF99
DA 5696-R STANDARDS APPLICATION SUMMARY V2.00 XFDL PDF FF22 FF99
DA 5697 VISUAL INFORMATION (VI) ACTIVITY AUTHORIZATION RECORD V1.00 XFDL PDF FF22 FF99
DA 5698-R WEAPON LOCATION DATA V1.00 XFDL PDF FF22 FF99
DA 5701-228-R OH-58A/C PERFORMANCE PLANNING CARD V1.00 XFDL PDF FF22  
DA 5701-47-R CH-47 PERFORMANCE PLANNING CARD V1.00   PDF FF22  
DA 5701-58-R OH 58-D PERFORMANCE PLANNING CARD V1.00 XFDL PDF FF22  
DA 5701-60-R H-60 PERFORMANCE PLANNING CARD V1.00   PDF FF22  
DA 5701-64-R AH-64 PERFORMANCE PLANNING CARD V1.00 XFDL PDF FF22 FF99
DA 5704-R ALTERNATE PISTOL QUALIFICATION COURSE SCORECARD V1.00 XFDL PDF FF22  
DA 5706-R TRACK BULLETIN V1.00 XFDL PDF FF22 FF99
DA 5748-R SHIPMENT UNIT PACKING LIST AND LOAD DIAGRAM V1.00 XFDL PDF FF22 FF99
DA 5750 INADVERTENT DISCLOSURE OATH V1.00 XFDL PDF FF22 FF99
DA 5752-R ROPE LOG (USAGE AND HISTORY) V1.01 XFDL PDF FF22 FF99
DA 5754 MALPRACTICE HISTORY AND CLINICAL PRIVILEGES QUESTIONNAIRE V1.00 XFDL PDF FF22 FF99
DA 5755 CONSIGNMENT AGREEMENT (NONAPPROPRIATED FUNDS) V1.00 XFDL PDF FF22 FF99
DA 5755-1 CONSIGNMENT CONTROL SHEET V1.00 XFDL PDF FF22 FF99
DA 5756 CONCESSIONAIRE CONTRACT - SHORT TERM (NONAPPROPRIATED FUNDS) V1.00 XFDL PDF FF22 FF99
DA 5760-R CHILD DEVELOPMENT SERVICES (CDS) MANAGEMENT PERSONNEL, CUMULATIVE INDIVIDUAL EDUCATION PLAN (IEP) TRAINING RECORD V1.10 XFDL PDF FF22 FF99
DA 5761-1-R FAMILY CHILD CARE (FCC) RISK ASSESSMENT TOOL OBSERVATION SUMMARY V2.00 XFDL PDF FF22 FF99
DA 5761-2-R FAMILY CHILD CARE (FCC) RISK ASSESSMENT TOOL INTERVIEW SUMMARY V2.00 XFDL PDF FF22 FF99
DA 5761-3-R FAMILY CHILD CARE (FCC) RISK ASSESSMENT TOOL REPORT V2.00 XFDL PDF FF22 FF99
DA 5761-R FAMILY CHILD CARE (FCC) RISK ASSESSMENT TOOL OBSERVATION V1.10 XFDL PDF FF22 FF99
DA 5762-R PDF ONLY FAMILY CHILD CARE (FCC) PROVISIONAL CERTIFICATION RECORD OPERATIONAL REQUIREMENTS     PDF    
DA 5763-R CHILD DEVELOPMENT SERVICES (CDS) INDIVIDUAL EDUCATION PLAN (IEP), FAMILY CHILD CARE (FCC) PROVISIONAL CERTIFICATION TRAINING RECORD V2.00 XFDL PDF FF22 FF99
DA 5766 CHAPLAINS' FUND VOUCHER V1.00 XFDL PDF FF22 FF99
DA 5785-R PDF ONLY SNIPER'S OBSERVATION LOG     PDF    
DA 5786-R PDF ONLY SNIPER'S RANGE CARD     PDF    
DA 5787-R PDF ONLY MILITARY SKETCH     PDF    
DA 5788-R PDF ONLY SNIPER'S DATA CARD     PDF    
DA 5789-R RECORD FIRING SCORECARD * KNOWN DISTANCE COURSE V1.00 XFDL PDF FF22 FF99
DA 5790-R RECORD FIRING SCORECARD *SCALED TARGET ALTERNATE COURSE V1.00 XFDL PDF FF22  

Page 9 of 12:  DA 5443 thru DA 5799
(1-2-3-4-5-6-7-8-10-11-12)

Also See our List of Commonly Used DA and DD Forms

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