| DA 5000-R |
SEP 81 |
APPLICANT'S INTERVIEW REPORT-JUDGE ADVOCATE GENERAL'S CORPS |
V1.01 |
XFDL |
PDF |
| DA 5007A |
FEB 03 |
MEDICAL RECORD - ALLERGY IMMUNOTHERAPY RECORD |
V1.02ES |
XFDL |
PDF |
| DA 5007B |
FEB 03 |
MEDICAL RECORD - ALLERGY IMMUNOTHERAPY RECORD |
V1.02ES |
XFDL |
PDF |
| DA 5008 |
OCT 81 |
TELEPHONE MEDICAL ADVICE/CONSULTATION RECORD |
V1.01 |
XFDL |
PDF |
| DA 5009 |
FEB 04 |
RELEASE AGAINST MEDICAL ADVICE |
V1.01ES |
XFDL |
PDF |
| DA 5011 |
AUG 05 |
TRAINING EVALUATION SUMMARY |
V1.01ES |
XFDL |
PDF |
| DA 5016-R |
APR 84 |
CHRONOLOGICAL RECORD OF MILITARY SERVICE |
V1.00 |
XFDL |
PDF |
| DA 5017 |
NOV 01 |
CIVILIAN EMPLOYEE CONSENT STATEMENT |
V2.00ES |
XFDL |
PDF |
| DA 5018-R |
NOV 81 |
ADAPCP CLIENT'S CONSENT STATEMENT FOR RELEASE OF TREATMENT INFORMATION |
V3.00ES |
XFDL |
PDF |
| DA 5019 |
NOV 01 |
CONDITION OF EMPLOYMENT FOR CERTAIN CIVILIAN POSITIONS IDENTIFIED CRITICAL UNDER THE DEPARTMENT OF THE ARMY DRUG-FREE FEDERAL WORKPLACE PROGRAM |
V3.00ES |
XFDL |
PDF |
| DA 5026-R |
MAR 82 |
RECORD OF CERTIFICATION SMALL ARMS SHIPMENT CONTROL |
V1.01ES |
XFDL |
PDF |
| DA 5027-R |
JUL 97 |
MEDCASE PROGRAM REQUIREMENT |
V1.03ES |
XFDL |
PDF |
| DA 5028-R |
JUL 97 |
MEDCASE SUPPORT AND TRANSMITTAL FORM |
V1.00 |
XFDL |
PDF |
| DA 5030 |
AUG 10 |
ENGINEER DIVER TRAINING APPLICATION |
v1.00 |
XFDL |
PDF |
| DA 5032-R |
JAN 82 |
FIELD ARTILLERY DELIVERED MINEFIELD PLANNING SHEET |
V1.00 |
XFDL |
PDF |
| DA 5033-R PDF ONLY |
DEC 81 |
LIMITED SURFACE OBSERVATION |
|
|
PDF |
| DA 5051-10-R |
JUL 90 |
MAINTENANCE TEST FLIGHT MANEUVERS GRADE SLIP (OV/RV-1) |
V1.00 |
XFDL |
PDF |
| DA 5051-1-R |
APR 93 |
MAINTENANCE TEST FLIGHT MANEUVERS GRADE SLIP (OH-58A/C) |
V1.00 |
XFDL |
PDF |
| DA 5051-2-R |
NOV 92 |
MAINTENANCE TEST FLIGHT MANEUVERS GRADE SLIP (UH-1) |
V1.00 |
XFDL |
PDF |
| DA 5051-4-R |
NOV 92 |
MAINTENANCE TEST FLIGHT MANEUVERS GRADE SLIP (AH-1) |
V1.01 |
XFDL |
PDF |
| DA 5051-5-R |
AUG 92 |
MAINTENANCE TEST FLIGHT MANEUVERS GRADE SLIP (CH-47) |
V1.00 |
XFDL |
PDF |
| DA 5051-7-R |
APR 93 |
MAINTENANCE TEST FLIGHT MANEUVERS GRADE SLIP (OH-6) |
V1.00 |
XFDL |
PDF |
| DA 5051-9-R |
JUL 90 |
MAINTENANCE TEST FLIGHT MANEUVERS GRADE SLIP (CH-54) |
V1.00 |
XFDL |
PDF |
| DA 5056 |
FEB 02 |
ACTEDS INTERN WORK YEAR REQUIREMENTS |
V1.00 |
XFDL |
PDF |
| DA 5070 |
JAN 11 |
JUSTIFICATION STATEMENT FOR .0015 CONTINGENCY FUNDS |
V1.00ES |
XFDL |
PDF |
| DA 5071 |
JAN 11 |
PAYING AGENT RECEIPT CONTROL AND CASH ACCOUNTABILITY JOURNAL |
V1.00ES |
XFDL |
PDF |
| DA 5072 |
APR 82 |
EMERGENCY ACTION STATEMENT |
V1.00 |
XFDL |
PDF |
| DA 5073 |
MAY 01 |
MAGNETIC COMPASS DEVIATION TABLE |
V1.00 |
XFDL |
PDF |
| DA 5074-1-R |
FEB 82 |
RECORD OF AWARD OF ENTRY GRADE CREDIT (HEALTH SERVICES OFFICERS) |
V1.00 |
XFDL |
PDF |
| DA 5074-R |
FEB 82 |
RECORD OF AWARD OF ENTRY GRADE CREDIT (MEDICAL AND DENTAL OFFICERS) |
V1.00 |
XFDL |
PDF |
| DA 5075-R |
MAR 82 |
ARTILLERY SURVEY CONTROL POINT |
V1.00 |
XFDL |
PDF |
| DA 5095-A-R |
JUL 87 |
FIRE MISSION SUMMARY (CLASSIFIED WHEN FILLED IN) |
V1.00 |
|
PDF |
| DA 5095-B-R |
JUL 87 |
FIRE PLAN SUMMARY |
V1.00 |
|
PDF |
| DA 5105 PDF ONLY |
MAY 82 |
JANITORIAL STANDARDS CHECKLIST |
|
|
PDF |
| DA 5106 |
JAN 13 |
MISSION SUPPORT PLAN (MSP) |
V1.00 |
XFDL |
PDF |
| DA 5108-R |
MAY 82 |
DOCUMENTATION FOR PRODUCTIVITY CAPITAL INVESTMENT PROGRAMS |
V1.00 |
XFDL |
PDF |
| DA 5109 |
SEP 02 |
REQUEST TO SUPERIOR TO EXERCISE ARTICLE 15, UCMJ, JURISDICTION |
V1.00ES |
XFDL |
PDF |
| DA 5110 |
SEP 02 |
ARTICLE 15-RECONCILIATION LOG |
V1.00 |
XFDL |
PDF |
| DA 5111 |
NOV 09 |
SUMMARY COURT-MARTIAL RIGHTS NOTIFICATION/WAVER STATEMENT |
V1.00ES |
XFDL |
PDF |
| DA 5112 |
SEP 02 |
CHECKLIST FOR PRETRIAL CONFINEMENT |
V1.01ES |
XFDL |
PDF |
| DA 5117 |
MAR 07 |
REASSIGNMENT CONTROL SHEET |
V1.00 |
XFDL |
PDF |
| DA 5118 |
OCT 12 |
REASSIGNMENT STATUS AND ELECTION STATEMENT |
V1.00ES |
XFDL |
PDF |
| DA 5121 |
MAR 07 |
OVERSEAS TOUR ELECTION STATEMENT |
V1.00 |
XFDL |
PDF |
| DA 5123 |
APR 10 |
IN- AND OUT-PROCESSING RECORDS CHECKLIST |
V1.00 |
XFDL |
PDF |
| DA 5123-1 |
APR 10 |
IN-PROCESSING PERSONNEL RECORD |
V1.00 |
XFDL |
PDF |
| DA 5137 |
MAR 09 |
APPLICATION FOR VOLUNTARY MOBILIZATION PREASSIGNMENT |
V1.00ES |
XFDL |
PDF |
| DA 5138 |
SEP 10 |
SEPARATION ACTION CONTROL SHEET |
V1.00 |
XFDL |
PDF |
| DA 5146-R |
NOV 82 |
ASPHALT PAVEMENT INSPECTION SHEET |
V1.00 |
XFDL |
PDF |
| DA 5147-R |
NOV 82 |
SECTION EVALUATION SUMMARY |
V1.00 |
XFDL |
PDF |
| DA 5148-R |
NOV 82 |
PRESENT WORTH COMPUTATION |
V1.00 |
XFDL |
PDF |
| DA 5149-1-R |
NOV 82 |
BRANCH IDENTIFICATION SUMMARY CONTINUATION SHEET |
V1.00 |
XFDL |
PDF |
| DA 5149-R |
NOV 82 |
BRANCH IDENTIFICATION SUMMARY |
V2.00 |
XFDL |
PDF |
| DA 5150-R |
NOV 82 |
SECTION IDENTIFICATION RECORD |
V1.00 |
XFDL |
PDF |
| DA 5151-R |
NOV 82 |
SECTION PAVEMENT STRUCTURE RECORD |
V1.00 |
XFDL |
PDF |
| DA 5152-R |
NOV 82 |
SECTION MATERIALS PROPERTIES RECORD |
V1.00 |
XFDL |
PDF |
| DA 5153-R |
NOV 82 |
SECTION TRAFFIC RECORD |
V1.00 |
XFDL |
PDF |
| DA 5155-R |
NOV 82 |
BRANCH MAINTENANCE & REPAIR REQUIREMENTS |
V1.00 |
XFDL |
PDF |
| DA 5156-R |
NOV 82 |
SECTION MAINTENANCE AND REPAIR RECORD |
V1.00 |
XFDL |
PDF |
| DA 5159 |
OCT 07 |
INVENTORY OF ARMY PERSONNEL TEST MATERIAL |
V1.00 |
XFDL |
PDF |
| DA 5160 |
SEP 09 |
TEST ADMINISTRATION STATEMENT |
V1.00ES |
XFDL |
PDF |
| DA 5161-1-R |
OCT 01 |
FOOD ESTABLISHMENT SANITATION INSPECTION - REMARKS FORM |
V1.00 |
XFDL |
PDF |
| DA 5161-R |
OCT 01 |
COMPREHENSIVE FOOD ESTABLISHMENT INSPECTION |
V1.00ES |
XFDL |
PDF |
| DA 5162-R |
OCT 01 |
ROUTINE FOOD ESTABLISHMENT INSPECTION REPORT |
V1.00ES |
XFDL |
PDF |
| DA 5163 |
SEP 10 |
NONAPPROPRIATED FUND CENTRAL PAYROLL SYSTEM TIPS, SERVICE CHARGES AND MEALS REPORT |
V1.00ES |
XFDL |
PDF |
| DA 5164-R |
SEP 85 |
HANDS-ON EVALUATION |
V2.01 |
XFDL |
PDF |
| DA 5165-R |
JUN 10 |
FIELD EXPEDIENT SQUAD BOOK |
V1.00 |
XFDL |
PDF |
| DA 5167 |
DEC 08 |
INCENTIVE AWARDS NOMINATION AND APPROVAL - NONAPPROPRIATED FUNDS |
V1.00ES |
XFDL |
PDF |
| DA 5168-R |
JUN 99 |
SAFETY CLEARANCE ORDER (ELECTRICAL FACILITIES) |
V1.00 |
XFDL |
PDF |
| DA 5170-R |
MAY 86 |
PROPONENT MANAGEMENT INFORMATION REQUIREMENT REVIEW |
V1.02 |
XFDL |
PDF |
| DA 5178 |
SEP 10 |
PROJECT DEVELOPMENT IDENTIFIER (PDI) AND PROJECT DEVELOPMENT SKILL IDENTIFIER (PDSI) |
V1.00 |
XFDL |
PDF |
| DA 5179 |
JUN 91 |
MEDICAL RECORD PREOPERATIVE/POSTOPERATIVE NURSING DOCUMENT |
V1.02 |
XFDL |
PDF |
| DA 5179-1 |
OCT 87 |
MEDICAL RECORD INTRAOPERATIVE DOCUMENT |
V1.01 |
XFDL |
PDF |
| DA 5181 |
FEB 03 |
SCREENING NOTE OF ACUTE MEDICAL CARE |
V1.00ES |
XFDL |
PDF |
| DA 5182-R |
MAR 83 |
SOIL SUCTION, WATER CONTENT, AND SPECIFIC VOLUME |
V1.00 |
XFDL |
PDF |
| DA 5184 |
MAY 99 |
CONSUMER COMPLAINT |
V1.00 |
XFDL |
PDF |
| DA 5187 |
JUN 09 |
APPLICATION FOR RESPITE CAREGIVERS |
V1.00ES |
XFDL |
PDF |
| DA 5188 |
SEP 02 |
MEDICAL REPORT ON APPLICANT FOR CERTIFICATION TO PROVIDE CARE FOR CHILDREN OR ADULTS WITH DISABILITIES |
V1.00ES |
XFDL |
PDF |
| DA 5189 |
SEP 02 |
APPLICATION FOR RESPITE CARE FOR CHILDREN AND ADULTS WITH DISABILITIES |
V1.00 |
XFDL |
PDF |
| DA 5190 |
SEP 02 |
CLINICIAN'S INFORMATION |
V1.00ES |
XFDL |
PDF |
| DA 5191 |
SEP 02 |
INFORMATION ON INDIVIDUAL WITH DISABILITY |
V1.00ES |
XFDL |
PDF |
| DA 5192 |
OCT 03 |
FAMILY IDENTIFICATION SHEET FOR A CHILD RECEIVING SERVICE |
V1.00 |
XFDL |
PDF |
| DA 5193 |
OCT 03 |
CHILD'S FACE AND WHEREABOUTS SHEET |
V1.00 |
XFDL |
PDF |
| DA 5195 |
OCT 03 |
HEALTH DATA |
V1.00 |
XFDL |
PDF |
| DA 5203 |
MAY 83 |
DODIC MASTER/LOT LOCATOR RECORD |
V1.00 |
XFDL |
PDF |
| DA 5212-R PDF ONLY |
MAY 83 |
GUNNER'S REFERENCE CARD (LRA) |
|
|
PDF |
| DA 5219 |
JUN 09 |
CHILD DEVELOPMENT SERVICES (CDS) FAMILY CHILD CARE (FCC) PROVIDER APPLICATION |
V1.00ES |
XFDL |
PDF |
| DA 5220-R |
JUL 89 |
CHILD DEVELOPMENT SERVICES (CDS) FAMILY CHILD CARE (FCC) PROVIDER BACKGROUND CLEARANCE REQUEST |
V2.01 |
XFDL |
PDF |
| DA 5221-R |
JUL 89 |
CHILD DEVELOPMENT SERVICES (CDS) FAMILY CHILD CARE (FCC) CERTIFICATION DENIAL/ REVOCATION |
V2.00 |
XFDL |
PDF |
| DA 5222-R |
JUL 89 |
CHILD DEVELOPMENT SERVICES (CDS) SPONSOR CONSENT |
V3.00ES |
XFDL |
PDF |
| DA 5223-R |
JUL 89 |
CHILD DEVELOPMENT SERVICES (CDS) CHILD HEALTH ASSESSMENT |
V2.00 |
XFDL |
PDF |
| DA 5224-R |
JUL 89 |
CHILD DEVELOPMENT SERVICES (CDS) CHILD AND FAMILY PROFILE |
V2.00 |
XFDL |
PDF |
| DA 5225-R |
JUL 89 |
CHILD DEVELOPMENT SERVICES (CDS) MEDICAL DISPENSATION RECORD |
V2.00 |
XFDL |
PDF |
| DA 5226-R |
JUL 89 |
CHILD DEVELOPMENT SERVICE (CDS) SPONSOR/ PROGRAM AGREEMENT |
V3.00 |
XFDL |
PDF |
| DA 5227 |
FEB 02 |
DA EMPLOYMENT AND MOBILITY AGREEMENT FOR DA ACTEDS INTERNS |
V1.00ES |
XFDL |
PDF |
| DA 5228 |
FEB 02 |
DEPARTMENT OF THE ARMY PRESIDENTIAL MANAGEMENT INTERN MOBILITY AGREEMENT |
V1.00ES |
XFDL |
PDF |
| DA 5234-R |
JUL 83 |
OER CONTROL LOG |
V1.00 |
XFDL |
PDF |
| DA 5237 |
SEP 10 |
PSNCO EER SUSPENSE ROSTER |
V1.00 |
XFDL |
PDF |
| DA 5239-R |
SEP 08 |
100-, 200-, AND 300-METER DOWNRANGE FEEDBACK SCORECARD |
V1.00 |
XFDL |
PDF |
| DA 5241-R |
SEP 08 |
SINGLE AND MULTIPLE TARGETS FIELD FIRE II SCORECARD |
V1.00 |
XFDL |
PDF |
| DA 5246-R |
JUL 89 |
ARMY CHILD DEVELOPMENT SERVICES (CDS) REPORT |
V1.01 |
XFDL |
PDF |
| DA 5248-R |
SEP 83 |
REPORT OF UNFAVORABLE INFORMATION FOR SECURITY DETERMINATION |
V1.20 |
XFDL |
PDF |
| DA 5250 |
AUG 83 |
ROTC SCHOLARSHIP - RESERVE FORCES DUTY |
V1.00 |
XFDL |
PDF |
| DA 5251-R PDF ONLY |
MAR 86 |
CONAUTH KEY MANAGEMENT WORKSHEET |
|
|
PDF |
| DA 5252-R PDF ONLY |
NOV 83 |
STATEMENT - EVIDENCE OF CITIZENSHIP STATUS |
|
|
PDF |
| DA 5257-R |
DEC 83 |
STINGER GUNNER PERFORMANCE EVALUATION SHEET |
V1.00 |
|
PDF |
| DA 5258-R |
DEC 83 |
REDEYE GUNNER PERFORMANCE EVALUATION SHEET |
V1.00 |
|
PDF |
| DA 5261-1-R |
NOV 84 |
SELECTED RESERVE INCENTIVE PROGRAM - EDUCATIONAL ASSISTANCE ADDENDUM |
V2.00 |
XFDL |
PDF |
| DA 5261-2-R |
FEB 96 |
SELECTED RESERVE INCENTIVE PROGRAM - REENLISTMENT/EXTENSION BONUS ADDENDUM |
V2.00 |
XFDL |
PDF |
| DA 5261-3-R |
FEB 96 |
SELECTED RESERVE INCENTIVE PROGRAM - AFFILIATION BONUS ADDENDUM |
V3.01 |
XFDL |
PDF |
| DA 5261-4-R |
FEB 96 |
STUDENT LOAN REPAYMENT PROGRAM ADDENDUM |
V3.00 |
XFDL |
PDF |
| DA 5261-5-R |
FEB 96 |
SELECTED RESERVE INCENTIVE PROGRAM - USAR PRIOR SERVICE ENLISTMENT BONUS ADDENDUM |
V1.00 |
XFDL |
PDF |
| DA 5261-R |
FEB 96 |
SELECTED RESERVE INCENTIVE PROGRAM - ENLISTMENT BONUS ADDENDUM |
V2.01 |
XFDL |
PDF |
| DA 5286 |
JAN 84 |
INDIVIDUAL BASIC TRAINING (BT), ADVANCED INDIVIDUAL TRAINING (AIT), ONE STATION UNIT TRAINING (OSUT) |
V1.01 |
XFDL |
PDF |
| DA 5286-1 |
JAN 84 |
INDIVIDUAL TRAINING RECORD (CONTINUATION SHEET),BASIC TRAINING (BT), ADVANCED INDIVIDUAL TRAINING (AIT), ONE STATION UNIT TRAINING (OSUT) |
V1.01 |
XFDL |
PDF |
| DA 5289-R |
MAR 84 |
TRAVELING PURCHASE REQUEST |
V1.00 |
XFDL |
PDF |
| DA 5297 |
JUL 02 |
ABSTRACT OF VENDOR DELIVERIES |
V1.00 |
XFDL |
PDF |
| DA 5298 |
JUL 02 |
OPERTIONAL RATIONS ACCOUNTABILITY |
V1.00 |
XFDL |
PDF |