Official Department of the Army Forms

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OPM Forms  GSA Forms

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

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