Official Department of the Army Forms

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OPM Forms  GSA Forms

DA3700_to_DA4399
Form Number Date Title Version XFDL PDF
DA 3703-R AUG 78 PRODUCT QUALITY INSPECTION SUMMARY V1.00 XFDL PDF
DA 3705 JAN 80 RECEIPT FOR OUTPATIENT TREATMENT/DENTAL RECORDS V1.01 XFDL PDF
DA 3711 NOV 01 ARMY SUBSTANCE ABUSE PROGRAM (ASAP) RESOURCE AND PERFORMANCE REPORT (RAPR) V1.00ES XFDL PDF
DA 3715 JAN 02 US ARMY NONAPPROPRIATED FUNDS - DISPOSITION OF RETIREMENT BENEFITS V1.01ES XFDL PDF
DA 3725 JUL 84 ARMY RESERVE STATUS AND ADDRESS VERIFICATION V1.00 XFDL PDF
DA 3733-R JAN 82 SSSC ACCOUNT CARD V1.01ES XFDL PDF
DA 3734-R JAN 82 CUSTOMER TRANSACTION LEDGER ACCOUNT (CTLA) V1.00 XFDL PDF
DA 3735-R JAN 82 SELF-SERVICE SUPPLY CENTER MONTHLY SUMMARY JOURNAL AND STATEMENT OF OPERATIONS V1.00 XFDL PDF
DA 3736-R JAN 82 STATEMENT OF CUSTOMER ACCOUNTS V1.00 XFDL PDF
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
DA 3745 SEP 02 SEARCH AND SEIZURE AUTHORIZATION V1.01ES XFDL PDF
DA 3745-1 SEP 02 APPREHENSION AUTHORIZATION V1.00ES XFDL PDF
DA 3746-R JUL 71 ITEM DATA CARD V1.00 XFDL PDF-F
DA 3749 MAY 09 EQUIPMENT RECEIPT V1.00ES XFDL PDF
DA 3750 JAN 80 CENTRALIZED MATERIEL SERVICE ITEM REQUEST AND ISSUE V1.00 XFDL PDF
DA 3758-R DEC 96 CALIBRATION AND REPAIR REQUIREMENTS WORKSHEET V2.02 XFDL PDF
DA 3761 OCT 08 PUBLIC HEALTH NURSING ACTIVITIES REPORT V2.00 XFDL PDF
DA 3779 SEP 71 LOCATION PLACARD V1.00 XFDL PDF
DA 3780 SEP 71 PALLET COUNT

PDF
DA 3787-R SEP 71 DEPOT RECORD OF LOCATION SURVEY V1.00 XFDL PDF
DA 3800 AUG 86 CAREER REFERRAL LIST - NONAPPROPRIATED FUNDS V1.01 XFDL PDF
DA 3821 JAN 72 REPORT OF ADMINISTRATIVE OFFICER OF THE DAY V1.01 XFDL PDF
DA 3822 MAR 11 REPORT OF MENTAL STATUS EVALUATION V1.09ES XFDL PDF
DA 3824 FEB 03 UROLOGIC EXAMINATION V1.00 XFDL PDF
DA 3830 JUN 04 NONAPPROPRIATED FUND BANK BALANCES V1.01 XFDL PDF
DA 3838 SEP 07 APPLICATION FOR SHORT COURSE TRAINING V1.02 XFDL PDF
DA 3853-1 MAY 72 INNAGE GAGE SHEET (USING INNAGE TAPE AND BOB) V1.01 XFDL PDF
DA 3853-2 MAY 72 OUTAGE GAGE SHEET V1.01 XFDL PDF
DA 3853-3 MAY 72 OUTAGE GAGE SHEET V1.01 XFDL PDF
DA 3857 APR 72 COMMERCIAL DELIVERIES OF BULK PETROLEUM PRODUCTS CHECKLIST V1.02 XFDL PDF
DA 3862 JUN 72 CONTROLLED SUBSTANCES STOCK RECORD V1.00 XFDL PDF
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
DA 3880-R JUL 72 IMPROVED HAWK LOCATION/STATUS REPORT V1.00 XFDL PDF
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
DA 3888 FEB 03 MEDICAL RECORD - NURSING HISTORY AND ASSESSMENT V1.00 XFDL PDF
DA 3888-2 JUN 91 MEDICAL RECORD - NURSING CARE PLAN V1.01 XFDL PDF
DA 3888-3 JUN 91 MEDICAL RECORD - NURSING DISCHARGE SUMMARY V1.00ES XFDL PDF
DA 3889 APR 09 NURSING UNIT 24 HOUR REPORT V1.00 XFDL PDF
DA 3889-1 APR 09 NURSING UNIT 24 HOUR REPORT - CONTINUATION SHEET V1.00 XFDL PDF
DA 3894 OCT 72 HOSPITAL REPORT OF DEATH V2.02ES XFDL PDF
DA 3897 MAY 09 TUBERCULOSIS REGISTRY V1.00 XFDL PDF
DA 3900 SEP 72 BILLS REGISTER SUPPLIES AND SERVICES NON PERSONAL V1.00 XFDL PDF
DA 3903 JUL 05 MULTI-MEDIA/VISUAL INFORMATION (M/VI) WORK ORDER V1.00 XFDL PDF
DA 3904 AUG 72 PUBLIC VOUCHER FOR MEDICAL EXAMINATION V1.00 XFDL PDF
DA 3916 JAN 09 DAILY LOG OF TRUCK TRIPS FOR REFUSE COLLECTION AND DISPOSAL V1.00 XFDL PDF
DA 3917 JAN 09 REFUSE COLLECTION AND DISPOSAL V1.00ES XFDL PDF
DA 3918-R JUL 90 FACSIMILE TRANSMITTAL HEADER SHEET V3.00 XFDL PDF
DA 3938 DEC 77 LOCAL SERVICE REQUEST (LSR) V2.02 XFDL PDF
DA 3943 OCT 72 ANNUAL DRY PIPE VALVE INSPECTION AND TRIPPING TEST V1.00 XFDL PDF
DA 3945 DEC 98 MILITARY POLICE RADIO LOG V1.01 XFDL PDF
DA 3946 FILE 1/2 DEC 98 MILITARY POLICE TRAFFIC ACCIDENT REPORT V1.01 XFDL PDF
DA 3946 FILE 2/2 DEC 98 MILITARY POLICE TRAFFIC ACCIDENT REPORT V1.01
PDF
DA 3947 SEP 83 MEDICAL EVALUATION BOARD PROCEEDINGS V3.03ES XFDL PDF
DA 3949 SEP 09 CONTROLLED SUBSTANCES RECORD V1.00 XFDL PDF
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
DA 3973 JAN 03 VOUCHER REGISTER OF LIBRARY MATERIALS V1.00 XFDL PDF
DA 3974 NOV 72 INSTALLATION BLOCK TICKET V1.00 XFDL PDF-F
DA 3975 FILE 1/3 DEC 98 MILITARY POLICE REPORT V1.01 XFDL PDF
DA 3975 FILE 2/3 DEC 98 MILITARY POLICE REPORT V1.01
PDF
DA 3975 FILE 3/3 DEC 98 MILITARY POLICE REPORT V1.01
PDF
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
DA 3982 DEC 72 MEDICAL AND DENTAL APPOINTMENT V1.01 XFDL PDF-F
DA 3984 DEC 72 DENTAL TREATMENT PLAN V1.02 XFDL PDF
DA 3986-R OCT 93 PERSONNEL ASSET INVENTORY V2.00 XFDL PDF
DA 3988 JUL 02 EQUIPMENT REPLACEMENT RECORD V1.00ES XFDL PDF
DA 3992 MAY 07 NARCOTICS OR EXPLOSIVES DETECTOR DOG TRAINING AND UTILIZATION RECORD V1.00 XFDL PDF
DA 3996 DEC 72 ABSTRACT OF LAUNDRY WORK ACCOMPLISHED FOR INDIVIDUAL PATRONS V2.00 XFDL PDF
DA 3997 DEC 98 MILITARY POLICE DESK BLOTTER V1.01 XFDL PDF
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
DA 4017 APR 10 REQUEST FOR PERSONNEL ACTION - NONAPPROPRIATED FUND INSTRUMENTALITY V1.00ES XFDL PDF
DA 4029 MAR 73 PATIENT'S CLEARANCE RECORD V1.01 XFDL PDF
DA 4036 MAR 07 MEDICAL AND DENTAL PREPARATION FOR OVERSEAS MOVEMENT V1.00 XFDL PDF
DA 4062 OCT 04 TMDE ACQUISITION APPROVAL ANALYSIS DATA V1.00 XFDL PDF
DA 4072 DEC 04 RECORD OF NEGOTIATIONS (NON APPROPRIATED FUNDS) V1.00 XFDL PDF
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
DA 4080 JUN 73 TRANSFERS BETWEEN ACTIVITIES V2.01ES XFDL PDF
DA 4082 FEB 84 DAILY CASHIER'S RECORD V1.00 XFDL PDF
DA 4083-R NOV 85 VENDING OR AMUSEMENT MACHINE COLLECTIONS V1.00 XFDL PDF
DA 4084-R JUN 73 INVESTMENT REGISTER V1.00 XFDL PDF
DA 4090-R OCT 88 COMBINED REGISTER OF TRAINS AND COMPARISON OF WATCHES V1.00 XFDL PDF
DA 4093-R OCT 88 STATION RECORD OF TRAIN MOVEMENTS AND OPERATOR'S TRANSFER V1.00 XFDL PDF
DA 4103 JUN 99 VISUAL INFORMATION (VI) PRODUCT LOAN ORDER V1.00 XFDL PDF
DA 4106 FEB 04 INCIDENT REPORT V1.01 XFDL PDF
DA 4107 MAR 82 OPERATION REQUEST AND WORKSHEET V1.01 XFDL PDF
DA 4126-R DEC 94 BAR TO REENLISTMENT CERTIFICATE V1.01 XFDL PDF
DA 4137 JUL 76 EVIDENCE/PROPERTY CUSTODY DOCUMENT V1.00 XFDL PDF
DA 4138-R JAN 74 MONTHLY AUTHORIZATION CONTROL RECORD V1.00 XFDL PDF
DA 4139-R JAN 74 APPLICATION FOR LOAN (CIVILIAN WELFARE FUND) V1.00 XFDL PDF
DA 4140-R JAN 74 LOAN CONTRACT (CIVILIAN WELFARE FUND) V1.00 XFDL PDF
DA 4153-R MAR 93 EQUIPMENT SURVEY WORKSHEET V1.01 XFDL PDF
DA 4159 MAY 09 REQUEST FOR MEDICAL CARE IN A FEDERAL MEDICAL TREATMENT FACILITY OUTSIDE DEPARTMENT OF DEFENSE V1.00ES XFDL PDF
DA 4160 OCT 73 PATIENT'S PERSONAL EFFECTS AND CLOTHING RECORD V1.00 XFDL PDF
DA 4162 JUL 03 VOLUNTEER SERVICE RECORD V1.01 XFDL PDF
DA 4170 JUL 02 STATEMENT OF GAINS AND LOSSES V1.00ES XFDL PDF
DA 4179 AUG 10 LEAVE CONTROL LOG V1.00 XFDL PDF
DA 4186 MAR 07 MEDICAL RECOMMENDATION FOR FLYING DUTY V1.00 XFDL PDF
DA 4187 JAN 00 PERSONNEL ACTION V1.02ES XFDL PDF-F
DA 4187-1-R APR 95 PERSONNEL ACTION FORM ADDENDUM V1.10ES XFDL PDF-F
DA 4188 AUG 10 MILITARY PERSONNEL OFFICE/FINANCE OFFICE VERIFICATION OF MPRJ AND PFR V1.00 XFDL PDF
DA 4197-R MAY 92 RADIOSONDE DATA V1.00 XFDL PDF
DA 4201 JAN 74 HIGH BURST (MEAN POINT OF IMPACT) REGISTRATION V1.00 XFDL PDF
DA 4213 APR 76 SUPPLEMENTAL DATA FOR ARMY MEDICAL SERVICE RESERVE OFFICERS V1.01 XFDL PDF
DA 4221 FEB 03 DIABETIC RECORD V1.00 XFDL PDF
DA 4230-R APR 93 SUPPLEMENTAL SIGNATURE SHEET V2.00 XFDL PDF
DA 4237-R AUG 85 DETAINEE PERSONNEL RECORD V1.00 XFDL PDF
DA 4254 FEB 03 REQUEST FOR PRIVATE MEDICAL INFORMATION V1.01ES XFDL PDF
DA 4283 SEP 03 FACILITIES ENGINEERING WORK REQUEST V1.00 XFDL PDF
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
DA 4316-1 JUN 04 APPLICATION FOR ARMY FLYING ACTIVITY AIRCRAFT INSURANCE V1.01 XFDL PDF
DA 4322 JUN 01 ARMY OFFICER CANDIDATE CONTRACT AND SERVICE AGREEMENT V1.00 XFDL PDF
DA 4339 MAY 99 MORTUARY ACTIVITY & STATUS REPORT (OVERSEAS) V1.01 XFDL PDF
DA 4347-R FEB 75 REQUEST FOR CAR MOVEMENT V1.00 XFDL PDF
DA 4359 FEB 03 AUTHORIZATION FOR PSYCHIATRIC SERVICE TREATMENT V1.01ES XFDL PDF
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
DA 4379 APR 01 AMMUNITION MALFUNCTION REPORT V1.01 XFDL PDF
DA 4379-1 APR 01 MISSILE AND ROCKET MALFUNCTION REPORT V1.00 XFDL PDF

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