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

DA5443 to DA5799

Form Number	Date	Title	Version	XFDL	PDF
DA 5447	AUG 10	OFFICER SERVICE AGREEMENT SELECTED RESERVE EDUCATIONAL ASSISTANCE PROGRAM (SHORT TITLE: MONTGOMERY GI BILL)	V1.00ES	XFDL	PDF-F
DA 5448-R	AUG 85	MOISTURE & DENSITY TESTER FIELD DATA WORKSHEET	V1.00	XFDL	PDF-F
DA 5450-R	AUG 85	MOISTURE & DENSITY FIELD TEST SHEET	V1.00	XFDL	PDF-F
DA 5454	SEP 09	REQUEST FOR ARMY/AMERICAN COUNCIL ON EDUCATION REGISTRY TRANSCRIPT	V1.00ES	XFDL	PDF-F
DA 5456	NOV 05	WATER POINT INSPECTION	V1.01ES	XFDL	PDF-F
DA 5457	NOV 05	POTABLE WATER CONTAINER INSPECTION	V1.01ES	XFDL	PDF-F
DA 5458	NOV 05	SHOWER/DECONTAMINATION POINT INSPECTION	V1.01ES	XFDL	PDF-F
DA 5459	OCT 03	AUTHORIZATION TO RELEASE INFORMATION FROM ARMY RECORDS ON NONSUPPORT/CHILD CUSTODY/PATERNITY INQUIRIES	V1.01ES	XFDL	PDF-F
DA 5462	JUN 09	TIP ALLOCATION WORKSHEET	V1.00	XFDL	PDF-F
DA 5462-1	JUN 09	CONTINUATION OF TIP ALLOCATION WORKSHEET	V1.00	XFDL	PDF-F
DA 5463-R PDF ONLY	OCT 85	PETROLEUM PRODUCTS TANK FARM OUTTURN RECORD			PDF
DA 5464-R PDF ONLY	OCT 85	PETROLEUM PRODUCTS PIPELINE LEAKAGE REPORT			PDF
DA 5472-R	FEB 05	COMPUTER'S RECORD (MPI)	V1.00		PDF
DA 5473	MAR 08	PERFORMANCE REQUIREMENTS SUMMARY	V1.00	XFDL	PDF-F
DA 5475	MAR 08	COR/QAE SURVEILLANCE SCHEDULE	V1.00	XFDL	PDF-F
DA 5476	MAR 08	SURVEILLANCE ACTIVITY CHECKLIST	V1.00	XFDL	PDF-F
DA 5477	MAR 08	CUSTOMER COMPLAINT RECORD	V1.01ES	XFDL	PDF-F
DA 5478	MAR 08	DECISION TABLE	V1.00	XFDL	PDF-F
DA 5479	MAR 08	CONTRACT DISCREPANCY REPORT	V1.01ES	XFDL	PDF-F
DA 5480	JUN 03	MAINTENANCE REQUEST AND ASSIGNMENT REGISTER	V1.00	XFDL	PDF-F
DA 5481	MAR 08	TALLY CHECKLIST	V1.00	XFDL	PDF-F
DA 5484	JAN 06	MISSION SCHEDULE/BRIEF	V1.00	XFDL	PDF-F
DA 5501	MAY 13	BODY FAT CONTENT WORKSHEET (Female)	V1.00ES	XFDL	PDF-F
DA 5500	MAY 13	BODY FAT CONTENT WORKSHEET (Male)	V1.00ES	XFDL	PDF-F
DA 5511	AUG 06	PERSONAL WEIGHT LOSS PROGRESS	V1.00	XFDL	PDF-F
DA 5512	SEP 02	RESPITE CARE AGREEMENT	V1.01ES	XFDL	PDF-F
DA 5513	SEP 06	KEY CONTROL REGISTER AND INVENTORY	V1.00	XFDL	PDF-F
DA 5514-R	APR 86	TAMIS TRAINING AMMUNITION FORECAST REPORT	V2.01ES	XFDL	PDF-F
DA 5515	MAY 04	TRAINING AMMUNITION CONTROL DOCUMENT	V1.03ES	XFDL	PDF-F
DA 5515-1	MAY 04	TRAINING AMMUNITION CONTROL DOCUMENT CONTINUATION SHEET	V1.01	XFDL	PDF-F
DA 5517-R	FEB 86	STANDARD RANGE CARD	V1.01	XFDL	PDF-F
DA 5519-R	APR 86	TOOL SIGN OUT LOG/REGISTER	V1.00	XFDL	PDF-F
DA 5520	MAY 99	PHYSICAL AND DENTAL COMPARISON CHART	V1.00	XFDL	PDF-F
DA 5521	OCT 01	RECORD OF EMERGENCY DATA AND DESIGNATION OF BENEFICIARY FOR UNPAID COMPENSATION OF DECEASED NAF EMPLOYEE	V2.03ES	XFDL	PDF-F
DA 5533	SEP 99	SMART/TIPS SUGGESTION FORM	V1.00	XFDL	PDF-F
DA 5536	AUG 10	AGREEMENT HEALTH PROFESSIONALS LOAN REPAYMENT (HPLR)	V1.00ES	XFDL	PDF-F
DA 5550-R	AUG 86	SPIROMETER CALIBRATION LOG	V1.00	XFDL	PDF-F
DA 5551-R	MAY 09	SPIROMETRY FLOW SHEET	V1.00	XFDL	PDF-F
DA 5556	DEC 04	PERSONNEL REQUIREMENTS DOCUMENT	V1.00	XFDL	PDF-F
DA 5557	SEP 09	INDIVIDUAL RELIABILITY SCREENING AND EVALUATION RECORD	V1.00ES	XFDL	PDF-F
DA 5560	APR 07	NO SMOKING EXCEPT IN DESIGNATED SMOKING AREAS	V1.00		PDF
DA 5560-1	APR 07	DESIGNATED SMOKING AREA	V1.00		PDF
DA 5561-R PDF ONLY	JUL 89	WAITING LIST			PDF
DA 5562-1-R PDF ONLY	SEP 86	NEEDS ASSESSMENT METHODOLOGY			PDF
DA 5562-R	JUL 89	CHILD DEVELOPMENT SERVICES NEEDS ASSESSMENT	V2.00	XFDL	PDF-F
DA 5563-R PDF ONLY	JUL 89	DEMOGRAPHIC PROFILE			PDF
DA 5568	FEB 03	CHRONOLOGICAL RECORD OF WELL-BABY CARE	V1.00	XFDL	PDF-F
DA 5569	FEB 03	ISONIAZID (INH) CLINIC FLOW SHEET	V3.00	XFDL	PDF-F
DA 5572-R	SEP 98	GIFT AGREEMENT	V1.00	XFDL	PDF-F
DA 5573-R	SEP 98	LOAN AGREEMENT	V1.01	XFDL	PDF-F
DA 5574-R	SEP 98	ASSURANCE OF COMPLIANCE	V1.01	XFDL	PDF-F
DA 5575-R	SEP 98	LOAN AGREEMENT (OUTGOING)	V1.01ES	XFDL	PDF-F
DA 5582-R	FEB 93	ATACMS MISSILE/MLRS PRACTICE ROCKET FIRING DATA REPORT (REPORT___OF___FOR THIS MISSION)	V1.01ES	XFDL	PDF-F
DA 5583	JAN 07	MISSILE FIRING DATA REPORT (HELLFIRE)	V1.01	XFDL	PDF-F
DA 5584-R	NOV 86	VEHICLE FORECAST AND MOVEMENT SCHEDULE	V1.00	XFDL	PDF-F
DA 5585	APR 05	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	V1.01	XFDL	PDF-F
DA 5586	APR 05	ADDENDUM TO CERTIFICATE OF ACKNOWLEDGEMENT OF SERVICE REQUIREMENT FOR ENLISTMENT INTO THE UNITED STATES ARMY RESERVE OFFICER CANDIDATE SCHOOL ENLISTMENT OPTION	V1.01	XFDL	PDF-F
DA 5587	AUG 04	REPORT OF DRYDOCKING, PAINTING AND CONDITION OF VESSEL BOTTOM (FROM KEEL TO TOP OF BOOT TOP LINE)	V1.01ES	XFDL	PDF-F
DA 5605-1-R	DEC 86	LIFE CYCLE COST ANALYSIS			PDF
DA 5605-2-R	DEC 86	LIFE CYCLE COST ANALYSIS SUMMARY	V1.00	XFDL	PDF-F
DA 5605-3-R	DEC 86	LIFE CYCLE COST ANALYSIS BASIC INPUT DATA SUMMARY	V1.00	XFDL	PDF-F
DA 5605-4-R	DEC 86	LIFE CYCLE COST ANALYSIS PRESENT WORTH: COVENTIONAL APPROACH	V1.00	XFDL	PDF-F
DA 5605-5-R	DEC 86	LIFE CYCLE COST ANALYSIS	V1.00	XFDL	PDF-F
DA 5614-R PDF ONLY	DEC 86	SUPERINTENDENT'S TELEGRAPHIC REPORT OF ACCIDENT			PDF
DA 5615-R PDF ONLY	DEC 86	SET OUT REPORT			PDF
DA 5616-R PDF ONLY	DEC 86	CAR INSPECTOR'S TRAIN REPORT			PDF
DA 5617-R PDF ONLY	DEC 86	DAILY STATEMENT OF CARS ON HAND			PDF
DA 5618-R PDF ONLY	DEC 86	CONDUCTOR'S WHEEL REPORT			PDF
DA 5619-R PDF ONLY	DEC 86	DAILY EMPTY CAR SITUATION REPORT			PDF
DA 5620-R	DEC 86	DAILY INSTALLATION SITUATON REPORT	V1.02ES	XFDL	PDF-F
DA 5621-R	MAY 06	MEDICAL EQUIPMENT ELECTRICAL SAFETY	V1.00	XFDL	PDF-F
DA 5624-R	MAY 06	DC DEFIBRILLATORINSPECTION RECORD	V1.00ES	XFDL	PDF-F
DA 5627-R	FEB 88	CASH, PROPERTY AND RECONCILIATION RECORD	V1.00	XFDL	PDF-F
DA 5628-R PDF ONLY	FEB 87	VOUCHER FOR SPECIAL MISSION FUNDS (SMF) EXPENDITURES			PDF
DA 5642-R	FEB 96	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)	V1.02ES	XFDL	PDF
DA 5643-R	JUN 87	PHYSICAL DEMANDS ANALYSIS WORKSHEET	V2.00	XFDL	PDF-F
DA 5645-B-R	NOV 92	MANEUVER/PROCEDURE GRADE SLIP FOR OH-58D AEROSCOUT OBSERVERS	V1.00	XFDL	PDF-F
DA 5646	AUG 10	STATEMENT OF CONDITIONS OF SERVICE - ACTIVE GUARD RESERVE (AGR)	V1.00ES	XFDL	PDF-F
DA 5647-R PDF ONLY	JUN 87	STATEMENT OF CONDITIONS OF SERVICE - ACTIVE GUARD RESERVE (AGR) ACTIVE TRANSFER/CONVERSION ARMY RESERVE (ATCAR)			PDF
DA 5648	AUG 10	AGR JOB AUTHORIZATION (REQUEST/CHANGE)	V1.00ES	XFDL	PDF-F
DA 5651	AUG 87	MESSAGE CONTROL LOG	V3.00	XFDL	PDF-F
DA 5651-1	AUG 87	TERMINATING MESSAGE REGISTER	V2.01ES	XFDL	PDF-F
DA 5661	OCT 10	DATA INTERCHANGE OF SUPPORT EQUIPMENT DATA	V1.00	XFDL	PDF-F
DA 5662	SEP 09	DATA INTERCHANGE SUMMARY	V1.00	XFDL	PDF-F
DA 5666	JAN 13	GAINING COMMAND FIELDING EVALUATION	V1.00ES	XFDL	PDF-F
DA 5667-R PDF ONLY	AUG 92	MANEUVER/PROCEDURE GRADE SLIP FOR CH-47 CREW MEMBERS			PDF
DA 5669	JUL 12	PREVENTIVE MEDICINE COUNSELING RECORD	V1.02ES	XFDL	PDF-F
DA 5671	JUL 03	PARENTAL PERMISSION	V1.01ES	XFDL	PDF-F
DA 5672-R	JAN 88	MEAL CARD CONTROL BOOK LOG	V1.00	XFDL	PDF-F
DA 5677-R PDF ONLY	FEB 88	POLICY STATEMENT AND MEMORANDUM OF UNDERSTANDING FOR REVIEW AND RECEIPT OF R&D DOCUMENTS			PDF
DA 5678-R	FEB 88	POLICY STATEMENT AND MEMORANDUM OF UNDERSTANDING FOR PARTICIPATION IN THE U.S. ARMY POTENTIAL CONTRACTOR PROGRAM	V1.01ES	XFDL	PDF-F
DA 5679-R PDF ONLY	FEB 88	POLICY STATEMENT AND STUDY AGREEMENT FOR PARTICIPATION IN THE U.S. ARMY R&D UNFUNDED STUDY PROGRAM			PDF
DA 5682	JUL 14	MATERIEL REQUIREMENTS LIST	V1.00	XFDL	PDF-F
DA 5685	AUG 10	NEW SPECIALIZED TRAINING ASSISTANCE PROGRAM (New STRAP) SERVICE AGREEMENT	V1.00ES	XFDL	PDF-F
DA 5687	MAR 03	INITIAL INSPECTION CHECKLIST FOR INDOOR RANGES	V1.00ES	XFDL	PDF-F
DA 5688	MAR 03	DETAILED INSPECTION CHECKLIST FOR INDOOR RANGES	V1.00ES	XFDL	PDF-F
DA 5690-R	DEC 94	RESERVE COMPONENTS CAREER COUNSELOR INTERVIEW RECORD	V1.00	XFDL	PDF
DA 5691-R	MAY 98	REQUEST FOR RESERVE COMPONENT ASSIGNMENT ORDERS	V1.01	XFDL	PDF
DA 5692-R	MAY 88	AMMUNITION CONSUMPTION CERTIFICATE	V1.01ES	XFDL	PDF-F
DA 5695	JUN 99	INFORMATION MANAGEMENT REQUIREMENT/PROJECT DOCUMENT	V1.01ES	XFDL	PDF-F
DA 5697	JUN 04	VISUAL INFORMATION (VI) ACTIVITY AUTHORIZATION RECORD	V1.01ES	XFDL	PDF-F
DA 5698-R	AUG 88	WEAPON LOCATION DATA	V1.00	XFDL	PDF-F
DA 5701-47-R	APR 13	CH-47 PERFORMANCE PLANNING CARD	V1.00	XFDL	PDF-F
DA 5701-58-R	MAR 13	OH 58D PERFORMANCE PLANNING CARD	V1.00	XFDL	PDF-F
DA 5701-60-R	MAY 13	H-60 PERFORMANCE PLANNING CARD	V1.00	XFDL	PDF-F
DA 5701-64-R	MAY 13	AH-64 PERFORMANCE PLANNING CARD	V1.00	XFDL	PDF-F
DA 5701-72-R	NOV 13	UH-72A PERFORMANCE PLANNING CARD	V1.00	XFDL	PDF
DA 5701-17	MAR 13	Mi-17 PERFORMANCE PLANNING CARD (PPC)	V1.00	XFDL	PDF-F
DA 5701-228	DEC 13	OH-58A/C AND TH-67 PERFORMANCE PLANNING CARD	V1.00	XFDL	PDF-F
DA 5704-R	MAY 08	ALTERNATE PISTOL QUALIFICATION COURSE SCORECARD	V1.01ES	XFDL	PDF
DA 5706-R	OCT 88	TRACK BULLETIN	V1.00	XFDL	PDF-F
DA 5748-R	MAR 89	SHIPMENT UNIT PACKING LIST AND LOAD DIAGRAM	V1.01ES	XFDL	PDF-F
DA 5750	MAR 04	INADVERTENT DISCLOSURE OATH	V1.01ES	XFDL	PDF-F
DA 5752-R	MAY 89	ROPE LOG (USAGE AND HISTORY)	V1.01	XFDL	PDF-F
DA 5754	APR 09	MALPRACTICE HISTORY AND CLINICAL PRIVILEGES QUESTIONNAIRE	V1.00ES	XFDL	PDF-F
DA 5755	DEC 04	CONSIGNMENT AGREEMENT (NONAPPROPRIATED FUNDS)	V1.01ES	XFDL	PDF-F
DA 5755-1	DEC 04	CONSIGNMENT CONTROL SHEET	V1.01ES	XFDL	PDF-F
DA 5756	DEC 04	CONCESSIONAIRE CONTRACT - SHORT TERM (NONAPPROPRIATED FUNDS)	V1.01ES	XFDL	PDF-F
DA 5760-R	JUL 89	CHILD DEVELOPMENT SERVICES (CDS) MANAGEMENT PERSONNEL, CUMULATIVE INDIVIDUAL EDUCATION PLAN (IEP) TRAINING RECORD	V1.10	XFDL	PDF-F
DA 5761-1-R	JUL 89	FAMILY CHILD CARE (FCC) RISK ASSESSMENT TOOL OBSERVATION SUMMARY	V2.01ES	XFDL	PDF-F
DA 5761-2-R	JUL 89	FAMILY CHILD CARE (FCC) RISK ASSESSMENT TOOL INTERVIEW SUMMARY	V2.01ES	XFDL	PDF-F
DA 5761-3-R	JUL 89	FAMILY CHILD CARE (FCC) RISK ASSESSMENT TOOL REPORT	V2.00	XFDL	PDF-F
DA 5761-R	JUL 89	FAMILY CHILD CARE (FCC) RISK ASSESSMENT TOOL OBSERVATION	V1.10	XFDL	PDF-F
DA 5762-R PDF ONLY	JUL 89	FAMILY CHILD CARE (FCC) PROVISIONAL CERTIFICATION RECORD OPERATIONAL REQUIREMENTS			PDF
DA 5763-R	JUL 89	CHILD DEVELOPMENT SERVICES (CDS) INDIVIDUAL EDUCATION PLAN (IEP), FAMILY CHILD CARE (FCC) PROVISIONAL CERTIFICATION TRAINING RECORD	V2.01ES	XFDL	PDF-F
DA 5766	SEP 99	CHAPLAINS' FUND VOUCHER	V1.01ES	XFDL	PDF-F
DA 5775	JUL 89	AWARD OF ACCOMPLISHMENT IN SAFETY	V2.00	XFDL	PDF-F
DA 5778	JUL 89	ARMY AVIATION BROKEN WING AWARD	V1.00	XFDL	PDF-F
DA 5789-R	JAN 11	RECORD FIRING SCORECARD -- KNOWN DISTANCE COURSE	V1.00ES	XFDL	PDF-F
DA 5790-R	JAN 11	RECORD FIRING SCORECARD--SCALED TARGET ALTERNATE COURSE	V1.00ES	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

DA5443 to DA5799

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

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

DA5443 to DA5799

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