Department of the Army (DA) Forms

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Featured Equipment

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

DA3700 to DA4399

Form Number	Date	Title	Version	XFDL	PDF
DA 3703-R	AUG 78	PRODUCT QUALITY INSPECTION SUMMARY	V1.01ES	XFDL	PDF-F
DA 3705	JAN 80	RECEIPT FOR OUTPATIENT TREATMENT/DENTAL RECORDS	V1.02ES	XFDL	PDF-F
DA 3711	NOV 01	ARMY SUBSTANCE ABUSE PROGRAM (ASAP) RESOURCE AND PERFORMANCE REPORT (RAPR)	V1.01ES	XFDL	PDF-F
DA 3715	JAN 02	US ARMY NONAPPROPRIATED FUNDS - DISPOSITION OF RETIREMENT BENEFITS	V1.01ES	XFDL	PDF-F
DA 3725	JUL 84	ARMY RESERVE STATUS AND ADDRESS VERIFICATION	V1.01ES	XFDL	PDF-F
DA 3733-R	JAN 82	SSSC ACCOUNT CARD	V1.01ES	XFDL	PDF-F
DA 3734-R	JAN 82	CUSTOMER TRANSACTION LEDGER ACCOUNT (CTLA)	V1.00	XFDL	PDF-F
DA 3735-R	JAN 82	SELF-SERVICE SUPPLY CENTER MONTHLY SUMMARY JOURNAL AND STATEMENT OF OPERATIONS	V1.00	XFDL	PDF-F
DA 3736-R	JAN 82	STATEMENT OF CUSTOMER ACCOUNTS	V1.00	XFDL	PDF-F
DA 3739	JAN 96	APPLICATION FOR COMPASSIONATE ACTIONS	V1.03	XFDL	PDF
DA 3744	SEP 02	AFFIDAVIT SUPPORTING REQUEST FOR AUTHORIZATION TO SEARCH AND SEIZE OR APPREHEND	V1.01ES	XFDL	PDF-F
DA 3745	SEP 02	SEARCH AND SEIZURE AUTHORIZATION	V1.02ES	XFDL	PDF-F
DA 3745-1	SEP 02	APPREHENSION AUTHORIZATION	V1.01ES	XFDL	PDF-F
DA 3746-R	JUL 71	ITEM DATA CARD	V1.00	XFDL	PDF-F
DA 3749	MAY 09	EQUIPMENT RECEIPT	V1.00ES	XFDL	PDF-F
DA 3750	JAN 80	CENTRALIZED MATERIEL SERVICE ITEM REQUEST AND ISSUE	V1.00	XFDL	PDF-F
DA 3758-R	DEC 96	CALIBRATION AND REPAIR REQUIREMENTS WORKSHEET	V2.02ES	XFDL	PDF-F
DA 3761	OCT 08	PUBLIC HEALTH NURSING ACTIVITIES REPORT	V2.00	XFDL	PDF-F
DA 3779	SEP 71	LOCATION PLACARD	V1.00	XFDL	PDF-F
DA 3780	SEP 71	PALLET COUNT			PDF
DA 3787-R	SEP 71	DEPOT RECORD OF LOCATION SURVEY	V1.00	XFDL	PDF-F
DA 3800	AUG 86	CAREER REFERRAL LIST - NONAPPROPRIATED FUNDS	V1.02ES	XFDL	PDF-F
DA 3821	JAN 72	REPORT OF ADMINISTRATIVE OFFICER OF THE DAY	V1.02ES	XFDL	PDF-F
DA 3822	MAR 11	REPORT OF MENTAL STATUS EVALUATION	V1.09ES	XFDL	PDF-F
DA 3824	FEB 03	UROLOGIC EXAMINATION	V1.00	XFDL	PDF-F
DA 3830	JUN 04	NONAPPROPRIATED FUND BANK BALANCES	V1.01	XFDL	PDF-F
DA 3838	SEP 07	APPLICATION FOR SHORT COURSE TRAINING	V1.02ES	XFDL	PDF-F
DA 3853-1	MAY 72	INNAGE GAGE SHEET (USING INNAGE TAPE AND BOB)	V1.02ES	XFDL	PDF-F
DA 3853-2	MAY 72	OUTAGE GAGE SHEET	V1.02ES	XFDL	PDF-F
DA 3853-3	MAY 72	OUTAGE GAGE SHEET	V1.02ES	XFDL	PDF-F
DA 3857	APR 72	COMMERCIAL DELIVERIES OF BULK PETROLEUM PRODUCTS CHECKLIST	V1.02ES	XFDL	PDF-F
DA 3862	JUN 72	CONTROLLED SUBSTANCES STOCK RECORD	V1.00	XFDL	PDF-F
DA 3865-R PDF ONLY	JUN 76	SHORT AND LONG RANGE TRANSPORTATION REQUIREMENTS REPORTS - MANUAL			PDF
DA 3872	APR 09	NURSING SERVICE PERSONNEL TIME SCHEDULE	V1.00ES	XFDL	PDF-F
DA 3880-R	JUL 72	IMPROVED HAWK LOCATION/STATUS REPORT	V1.00	XFDL	PDF-F
DA 3881	NOV 89	RIGHTS WARNING PROCEDURE/WAIVER CERTIFICATE	V2.02ES	XFDL	PDF-F
DA 3887	APR 10	NURSING DEPARTMENT - ARMY NURSE CORPS DATA	V1.00	XFDL	PDF-F
DA 3888	FEB 03	MEDICAL RECORD - NURSING HISTORY AND ASSESSMENT	V1.01ES	XFDL	PDF-F
DA 3888-2	JUN 91	MEDICAL RECORD - NURSING CARE PLAN	V1.01	XFDL	PDF-F
DA 3888-3	JUN 91	MEDICAL RECORD - NURSING DISCHARGE SUMMARY	V1.01ES	XFDL	PDF-F
DA 3889	APR 09	NURSING UNIT 24 HOUR REPORT	V1.00	XFDL	PDF-F
DA 3889-1	APR 09	NURSING UNIT 24 HOUR REPORT - CONTINUATION SHEET	V1.00	XFDL	PDF-F
DA 3894	OCT 72	HOSPITAL REPORT OF DEATH	V2.02ES	XFDL	PDF-F
DA 3897	MAY 09	TUBERCULOSIS REGISTRY	V1.00	XFDL	PDF-F
DA 3900	SEP 72	BILLS REGISTER SUPPLIES AND SERVICES NON PERSONAL	V1.00	XFDL	PDF-F
DA 3903	JUL 05	MULTI-MEDIA/VISUAL INFORMATION (M/VI) WORK ORDER	V1.01ES	XFDL	PDF-F
DA 3904	AUG 72	PUBLIC VOUCHER FOR MEDICAL EXAMINATION	V1.01ES	XFDL	PDF-F
DA 3916	JAN 09	DAILY LOG OF TRUCK TRIPS FOR REFUSE COLLECTION AND DISPOSAL	V1.00	XFDL	PDF-F
DA 3917	JAN 09	REFUSE COLLECTION AND DISPOSAL	V1.00ES	XFDL	PDF-F
DA 3918-R	JUL 90	FACSIMILE TRANSMITTAL HEADER SHEET	V3.00	XFDL	PDF-F
DA 3938	DEC 77	LOCAL SERVICE REQUEST (LSR)	V2.02	XFDL	PDF-F
DA 3943	OCT 72	ANNUAL DRY PIPE VALVE INSPECTION AND TRIPPING TEST	V1.00	XFDL	PDF-F
DA 3945	DEC 98	MILITARY POLICE RADIO LOG	V1.01	XFDL	PDF-F
DA 3946	DEC 98	MILITARY POLICE TRAFFIC ACCIDENT REPORT	V1.02ES	XFDL	PDF-F
DA 3947	SEP 83	MEDICAL EVALUATION BOARD PROCEEDINGS	V3.03ES	XFDL	PDF-F
DA 3949	SEP 09	CONTROLLED SUBSTANCES RECORD	V1.00	XFDL	PDF-F
DA 3949-1	SEP 14	CONTROLLED SUBSTANCES INVENTORY	V1.00		PDF-F
DA 3953	MAR 91	PURCHASE REQUEST AND COMMITMENT	V2.05ES	XFDL	PDF-F
DA 3964	JUL 79	CLASSIFIED DOCUMENT ACCOUNTABILITY RECORD	V2.00	XFDL	PDF-F
DA 3973	JAN 03	VOUCHER REGISTER OF LIBRARY MATERIALS	V1.00	XFDL	PDF-F
DA 3974	NOV 72	INSTALLATION BLOCK TICKET	V1.00	XFDL	PDF-F
DA 3975	DEC 98	MILITARY POLICE REPORT	V1.03ES	XFDL	PDF-F
DA 3975-1	DEC 98	MILITARY POLICE REPORT-ADDITIONAL OFFENSES	V1.01		PDF
DA 3975-2	DEC 98	MILITARY POLICE REPORT - ADDITIONAL SUBJECTS	V1.01		PDF
DA 3975-3	DEC 98	MILITARY POLICE REPORT - ADDITIONAL VICTIMS	V1.01		PDF
DA 3975-4	DEC 98	MILITARY POLICE REPORT - ADDITIONAL PERSONS RELATED TO REPORT	V2.01		PDF
DA 3975-5	DEC 98	MILITARY POLICE REPORT - ADDITIONAL PROPERTY	V1.01		PDF
DA 3981	DEC 72	TRANSFER OF PATIENT	V1.02	XFDL	PDF-F
DA 3982	DEC 72	MEDICAL AND DENTAL APPOINTMENT	V1.01	XFDL	PDF-F
DA 3984	DEC 72	DENTAL TREATMENT PLAN	V1.02ES	XFDL	PDF-F
DA 3986-R	OCT 93	PERSONNEL ASSET INVENTORY	V2.00	XFDL	PDF-F
DA 3988	JUL 02	EQUIPMENT REPLACEMENT RECORD	V1.01ES	XFDL	PDF-F
DA 3992	MAY 07	NARCOTICS OR EXPLOSIVES DETECTOR DOG TRAINING AND UTILIZATION RECORD	V1.00	XFDL	PDF-F
DA 3996	DEC 72	ABSTRACT OF LAUNDRY WORK ACCOMPLISHED FOR INDIVIDUAL PATRONS	V2.00	XFDL	PDF-F
DA 3997	DEC 98	MILITARY POLICE DESK BLOTTER	V1.02	XFDL	PDF-F
DA 3999-3-R	JUL 80	WORKLOAD ACCOUNTING DAILY STATUS SHEET	V1.00	XFDL	PDF-F
DA 4005	JAN 73	AUTOMATIC SPRINKLER & STANDPIPE EQUIPMENTS INSPECTIONS & TESTS	V1.00	XFDL	PDF-F
DA 4017	APR 10	REQUEST FOR PERSONNEL ACTION - NONAPPROPRIATED FUND INSTRUMENTALITY	V1.00ES	XFDL	PDF-F
DA 4029	MAR 73	PATIENT'S CLEARANCE RECORD	V1.02ES	XFDL	PDF-F
DA 4036	MAR 07	MEDICAL AND DENTAL PREPARATION FOR OVERSEAS MOVEMENT	V1.01ES	XFDL	PDF-F
DA 4062	OCT 04	TMDE ACQUISITION APPROVAL ANALYSIS DATA	V1.01ES	XFDL	PDF-F
DA 4072	DEC 04	RECORD OF NEGOTIATIONS (NON APPROPRIATED FUNDS)	V1.01ES	XFDL	PDF-F
DA 4078	JUN 73	PROPERTY CONTROL AND DEPRECIATION RECORD	V1.00	XFDL	PDF-F
DA 4079	JUN 73	DEPRECIATION EXPENSE CONTROL (FURNITURE, FIXTURES & EQUIPMENT)	V1.00	XFDL	PDF-F
DA 4080	JUN 73	TRANSFERS BETWEEN ACTIVITIES	V2.01ES	XFDL	PDF-F
DA 4082	FEB 84	DAILY CASHIER'S RECORD	V1.00	XFDL	PDF-F
DA 4083-R	NOV 85	VENDING OR AMUSEMENT MACHINE COLLECTIONS	V1.00	XFDL	PDF-F
DA 4084-R	JUN 73	INVESTMENT REGISTER	V1.00	XFDL	PDF-F
DA 4090-R	OCT 88	COMBINED REGISTER OF TRAINS AND COMPARISON OF WATCHES	V1.00	XFDL	PDF-F
DA 4093-R	OCT 88	STATION RECORD OF TRAIN MOVEMENTS AND OPERATOR'S TRANSFER	V1.00	XFDL	PDF-F
DA 4103	JUN 99	VISUAL INFORMATION (VI) PRODUCT LOAN ORDER	V1.01ES	XFDL	PDF-F
DA 4106	FEB 04	INCIDENT REPORT	V1.01ES	XFDL	PDF-F
DA 4107	MAR 82	OPERATION REQUEST AND WORKSHEET	V1.02ES	XFDL	PDF-F
DA 4126-R	DEC 94	BAR TO REENLISTMENT CERTIFICATE	V1.01	XFDL	PDF-F
DA 4137	JUL 76	EVIDENCE/PROPERTY CUSTODY DOCUMENT	V1.00	XFDL	PDF-F
DA 4138-R	JAN 74	MONTHLY AUTHORIZATION CONTROL RECORD	V1.00	XFDL	PDF-F
DA 4139-R	JAN 74	APPLICATION FOR LOAN (CIVILIAN WELFARE FUND)	V1.01ES	XFDL	PDF-F
DA 4140-R	JAN 74	LOAN CONTRACT (CIVILIAN WELFARE FUND)	V1.01ES	XFDL	PDF-F
DA 4153-R	MAR 93	EQUIPMENT SURVEY WORKSHEET	V1.01ES	XFDL	PDF-F
DA 4159	MAY 09	REQUEST FOR MEDICAL CARE IN A FEDERAL MEDICAL TREATMENT FACILITY OUTSIDE DEPARTMENT OF DEFENSE	V1.00ES	XFDL	PDF-F
DA 4160	OCT 73	PATIENT'S PERSONAL EFFECTS AND CLOTHING RECORD	V1.00	XFDL	PDF-F
DA 4162	JUL 03	VOLUNTEER SERVICE RECORD	V1.01ES	XFDL	PDF-F
DA 4170	JUL 02	STATEMENT OF GAINS AND LOSSES	V1.01ES	XFDL	PDF-F
DA 4179	AUG 10	LEAVE CONTROL LOG	V1.00	XFDL	PDF-F
DA 4186	MAR 07	MEDICAL RECOMMENDATION FOR FLYING DUTY	V1.01ES	XFDL	PDF-F
DA 4187	MAY 14	PERSONNEL ACTION	V1.03ES		PDF-F
DA 4197-R	MAY 92	RADIOSONDE DATA	V1.01ES	XFDL	PDF-F
DA 4201	JAN 74	HIGH BURST (MEAN POINT OF IMPACT) REGISTRATION	V1.00	XFDL	PDF-F
DA 4213	APR 76	SUPPLEMENTAL DATA FOR ARMY MEDICAL SERVICE RESERVE OFFICERS	V1.01ES	XFDL	PDF-F
DA 4221	FEB 03	DIABETIC RECORD	V1.00	XFDL	PDF-F
DA 4230-R	APR 93	SUPPLEMENTAL SIGNATURE SHEET	V2.00	XFDL	PDF-F
DA 4237-R	AUG 85	DETAINEE PERSONNEL RECORD	V1.01ES	XFDL	PDF-F
DA 4254	FEB 03	REQUEST FOR PRIVATE MEDICAL INFORMATION	V1.01ES	XFDL	PDF-F
DA 4283	SEP 03	FACILITIES ENGINEERING WORK REQUEST	V1.00	XFDL	PDF-F
DA 4306-R PDF ONLY	FEB 84	CONGRESSIONAL NOTIFICATION OF PROPOSED AWARDS			PDF
DA 4312-R PDF ONLY	OCT 74	RETENTION CONTROL SHEET			PDF
DA 4316	JUN 04	APPLICATION FOR BUILDING INSURANCE	V1.01	XFDL	PDF-F
DA 4316-1	JUN 04	APPLICATION FOR ARMY FLYING ACTIVITY AIRCRAFT INSURANCE	V1.01	XFDL	PDF-F
DA 4322	JUN 01	ARMY OFFICER CANDIDATE CONTRACT AND SERVICE AGREEMENT	V1.01ES	XFDL	PDF-F
DA 4339	MAY 99	MORTUARY ACTIVITY & STATUS REPORT (OVERSEAS)	V1.01	XFDL	PDF-F
DA 4347-R	FEB 75	REQUEST FOR CAR MOVEMENT	V1.01ES	XFDL	PDF-F
DA 4359	FEB 03	AUTHORIZATION FOR PSYCHIATRIC SERVICE TREATMENT	V1.01ES	XFDL	PDF-F
DA 4372-1-R	AUG 90	SUPPLEMENTAL DATA SHEET-SECURITY ASSISTANCE SUPPORTABILITY STATEMENT(FOR INTERNAL ARMY USE)	V1.00	XFDL	PDF-F
DA 4372-R	AUG 90	SECURITY ASSISTANCE SUPPORTABILITY STATEMENT	V1.00	XFDL	PDF-F
DA 4379	APR 01	AMMUNITION MALFUNCTION REPORT	V1.00	XFDL	PDF-F
DA 4379-1	APR 01	MISSILE AND ROCKET MALFUNCTION REPORT	V1.01ES	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

DA3700 to DA4399

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

DA3700 to DA4399

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