Skip to main content
U.S. flag

An official website of the United States government

Official websites use .mil
A .mil website belongs to an official government organization in the United States.

Secure .mil websites use HTTPS
A lock ( ) or https:// means you’ve safely connected to the .gov website. Share sensitive information only on official, secure websites.

Army Publishing Directorate Heading Image

DA FORMS (Range 5000 - 5999)

There are 441 records.

ATTENTION: Some forms' pdf file may require download to view. For more details visit FAQs.
NUMBERSTATUSDATETITLEPROPONENT
DA FORM 5000-R ACTIVE09/1/1981APPLICANT INTERVIEW REPORT - JUDGE ADVOCATE GENERAL`S CORPS (LRA)TJAG
DA FORM 5007A ACTIVE02/1/2003MEDICAL RECORD - ALLERGY IMMUNOTHERAPY RECORD (SINGLE EXTRACT)TSG
DA FORM 5007B ACTIVE02/1/2003MEDICAL RECORD - ALLERGY IMMUNOTHERAPY RECORD (DOUBLE EXTRACT)TSG
DA FORM 5008 ACTIVE10/1/1981TELEPHONE MEDICAL ADVICE/CONSULTATION RECORDTSG
DA FORM 5009 ACTIVE02/1/2004MEDICAL RECORD - RELEASE AGAINST MEDICAL ADVICETSG
DA FORM 5017 ACTIVE09/1/2023CIVILIAN EMPLOYEE CONSENT STATEMENTG-1
DA FORM 5018 ACTIVE09/1/2023ASAP CLIENT`S CONSENT STATEMENT FOR RELEASE OF TREATMENT INFORMATIONG-1
DA FORM 5019 ACTIVE11/1/2001CONDITION OF EMPLOYMENT FOR CERTAIN CIVILIAN POSITIONS IDENTIFIED CRITICAL UNDER THE DEPARTMENT OF THE ARMY DRUG-FREE FEDERAL WORKPLACE PROGRAMG-1
DA FORM 5025-GI-R ACTIVE01/1/1987G. DESIGN DATA CHECKLIST PHYSICAL SECURITY ENHANCEMENT AGAINST TERRORIST THREAT (LRA)USACE
DA FORM 5025-G-R ACTIVE01/1/1987G. DESIGN DATA CHECKLIST PHYSICAL SECURITY ENHANCEMENT AGAINST TERRORIST THREAT (CONT`D) (LRA)USACE
DA FORM 5026-R ACTIVE03/1/1982RECORD OF CERTIFICATION - SMALL ARMS SHIPMENT CONTROL (LRA)AMC
DA FORM 5027-R ACTIVE07/1/1997MEDCASE PROGRAM REQUIREMENT (LRA)TSG
DA FORM 5028-R ACTIVE07/1/1997MEDCASE SUPPORT AND TRANSMITTAL FORM (LRA)TSG
DA FORM 5030 ACTIVE02/1/2020ENGINEER DIVER TRAINING APPLICATIONG-1
DA FORM 5032 ACTIVE12/1/2015FIELD ARTILLERY DELIVERED MINEFIELD PLANNING SHEETTRADOC
DA FORM 5070 ACTIVE04/1/2023JUSTIFICATION STATEMENT FOR .0015 CONTINGENCY FUNDSCID
DA FORM 5071 ACTIVE04/1/2023PAYING AGENT RECEIPT CONTROL AND CASH ACCOUNTABILITY JOURNALCID
DA FORM 5072 ACTIVE04/1/1982EMERGENCY ACTION STATEMENTG-3/5/7
DA FORM 5073 ACTIVE05/1/2001MAGNETIC COMPASS DEVIATION TABLE INSTALLATIONSG-4
DA FORM 5074-1-R ACTIVE02/1/1982RECORD OF AWARD OF ENTRY GRADE CREDIT (HEALTH SERVICES OFFICER) (LRA)TSG
DA FORM 5074-R ACTIVE02/1/1982RECORD OF AWARD OF ENTRY GRADE CREDIT (MEDICAL AND DENTAL OFFICERS) (LRA)TSG
DA FORM 5075 ACTIVE02/1/2016ARTILLERY SURVEY CONTROL POINTTRADOC
DA FORM 5097 ACTIVE11/1/1989THE INSPECTOR GENERAL OATHTIG
DA FORM 5097-1 ACTIVE11/1/1989INSPECTOR GENERAL OATH (NON-IG)TIG
DA FORM 5097-2 ACTIVE11/1/1989INSPECTOR GENERAL OATH (ACTING-IG)TIG
DA FORM 5097-A ACTIVE02/11/2016ASSIGNED IG CERTTIG
DA FORM 5104 ACTIVE05/1/1982ANALYSIS OF CUSTODIAL PERSONNEL REQUIREMENTSUSACE
DA FORM 5105 ACTIVE05/1/1982JANITORIAL STANDARDS CHECKLISTUSACE
DA FORM 5106 ACTIVE04/1/2022MISSION SUPPORT PLAN (MSP)ASA (AL&T)
DA FORM 5108-1-R ACTIVE05/1/1982POST INVESTMENT ANALYSIS (LRA)CSA
DA FORM 5108-2-R ACTIVE05/1/1982FEEDER REPORT TO ANNUAL PRODUCTIVITY REPORT - PECI (LRA)CSA
DA FORM 5108-R ACTIVE05/1/1982DOCUMENTATION FOR PRODUCTIVITY CAPITAL INVESTMENTS PROGRAM (LRA)CSA
DA FORM 5109 ACTIVE09/1/2002REQUEST TO SUPERIOR TO EXERCISE ARTICLE 15, UCMJ, JURISDICTIONTJAG
DA FORM 5110 ACTIVE09/1/2002ARTICLE 15-RECONCILIATION LOGTJAG
DA FORM 5111 ACTIVE11/1/2009SUMMARY COURT-MARTIAL RIGHTS NOTIFICATION/WAIVER STATEMENTTJAG
DA FORM 5112 ACTIVE09/1/2002CHECKLIST FOR PRETRIAL CONFINEMENTTJAG
DA FORM 5117 ACTIVE03/1/2007REASSIGNMENT CONTROL SHEETG-1
DA FORM 5118 ACTIVE10/1/2012REASSIGNMENT STATUS AND ELECTION STATEMENTG-1
DA FORM 5121 ACTIVE03/1/2007OVERSEA TOUR ELECTION STATEMENTG-1
DA FORM 5123 ACTIVE02/1/2015IN- AND OUT- PROCESSING RECORDS CHECKLISTG-1
DA FORM 5123-1 ACTIVE09/1/2023IN-PROCESSING PERSONNEL RECORDG-1
DA FORM 5137 ACTIVE03/1/2009APPLICATION FOR VOLUNTARY MOBILIZATION PREASSIGNMENTG-1
DA FORM 5138 ACTIVE09/1/2010SEPARATION ACTION CONTROL SHEETG-1
DA FORM 5140 ACTIVE06/1/1999CAUTION TAGUSACE
DA FORM 5146-R ACTIVE11/1/1982ASPHALT PAVEMENT INSPECTION SHEET (LRA)USACE
DA FORM 5147-R ACTIVE11/1/1982SECTION EVALUATION SUMMARY (LRA)USACE
DA FORM 5148-R ACTIVE11/1/1982PRESENT WORTH COMPUTATION (LRA)USACE
DA FORM 5149-1-R ACTIVE11/1/1982BRANCH IDENTIFICATION SUMMARY - CONTINUATION SHEET (LRA)USACE
DA FORM 5149-R ACTIVE11/1/1982BRANCH IDENTIFICATION SUMMARY (LRA)USACE
DA FORM 5150-R ACTIVE11/1/1982SECTION IDENTIFICATION RECORD (LRA)USACE
DA FORM 5151-R ACTIVE11/1/1982SECTION PAVEMENT STRUCTURE RECORD (LRA)USACE
DA FORM 5152-R ACTIVE11/1/1982SECTION MATERIALS PROPERTY RECORD (LRA)USACE
DA FORM 5153-R ACTIVE11/1/1982SECTION TRAFFIC RECORD (LRA)USACE
DA FORM 5154-R ACTIVE11/1/1982SECTION CONDITION RECORD (LRA)USACE
DA FORM 5155-R ACTIVE11/1/1982BRANCH MAINTENANCE AND REPAIR REQUIREMENTS (LRA)USACE
DA FORM 5156-R ACTIVE11/1/1982SECTION MAINTENANCE AND REPAIR RECORD (LRA)USACE
DA FORM 5160 ACTIVE09/1/2023TEST ADMINISTRATION STATEMENTG-1
DA FORM 5163 ACTIVE09/1/2010NONAPPROPRIATED FUND CENTRAL PAYROLL SYSTEM - TIPS, SERVICE CHARGES AND MEALS REPORTASA (FM&C)
DA FORM 5164-R ACTIVE09/1/1985HANDS-ON EVALUATION (LRA)TRADOC
DA FORM 5167 ACTIVE12/1/2008INCENTIVE AWARDS NOMINATION AND APPROVAL - NONAPPROPRIATED FUNDSG-1
DA FORM 5168-R ACTIVE06/1/1999SAFETY CLEARANCE ORDER (ELECTRICAL FACILITIES) (LRA)USACE
DA FORM 5179 ACTIVE06/1/1991MEDICAL RECORD - PREOPERATIVE/POSTOPERATIVE NURSING DOCUMENTTSG
DA FORM 5179-1 ACTIVE10/1/1987INTRAOPERATIVE DOCUMENTTSG
DA FORM 5181 ACTIVE02/1/2003SCREENING NOTE OF ACUTE MEDICAL CARETSG
DA FORM 5182-R ACTIVE03/1/1983SOIL SUCTION, WATER CONTENT AND SPECIFIC VOLUME (LRA)USACE
DA FORM 5184 ACTIVE05/1/1999CONSUMER COMPLAINTG-9
DA FORM 5187 ACTIVE09/1/2002APPLICATION FOR RESPITE CAREGIVERSG-9
DA FORM 5189 ACTIVE09/1/2002APPLICATION FOR RESPITE CARE FOR CHILDREN AND ADULTS WITH DISABILITIESG-9
DA FORM 5190 ACTIVE09/1/2002CLINICIAN`S INFORMATIONG-9
DA FORM 5191 ACTIVE09/1/2002INFORMATION ON INDIVIDUAL WITH DISABILITYG-9
DA FORM 5192 ACTIVE10/1/2003FAMILY IDENTIFICATION SHEET FOR A CHILD RECEIVING SERVICEG-9
DA FORM 5193 ACTIVE10/1/2003CHILD`S FACE AND WHEREABOUTS SHEETG-9
DA FORM 5195 ACTIVE10/1/2003HEALTH DATAG-9
DA FORM 5203 ACTIVE05/1/1983DODIC MASTER/LOT LOCATOR RECORDG-4
DA FORM 5212 ACTIVE05/1/2016GUNNER`S REFERENCE CARDTRADOC
DA FORM 5219 ACTIVE06/1/2009CHILD DEVELOPMENT SERVICES (CDS) FAMILY CHILD CARE (FCC) PROVIDER APPLICATIONG-9
DA FORM 5220-R ACTIVE07/1/1989CHILD DEVELOPMENT SERVICES (CDS) FAMILY CHILD CARE (FCC) PROVIDER BACKGROUND CLEARANCE REQUEST (LRA)G-9
DA FORM 5221-R ACTIVE07/1/1989CHILD DEVELOPMENT SERVICES (CDS) FAMILY CHILD CARE (FCC) CERTIFICATION, DENIAL/REVOCATION (LRA)G-9
DA FORM 5222-R ACTIVE07/1/1989CHILD DEVELOPMENT SERVICES (CDS) SPONSOR CONSENT FORM (LRA)G-9
DA FORM 5223-R ACTIVE07/1/1989CHILD DEVELOPMENT SERVICES (CDS) CHILD HEALTH ASSESSMENT (LRA)G-9
DA FORM 5224-R ACTIVE07/1/1989CHILD DEVELOPMENT SERVICES (CDS) CHILD AND FAMILY PROFILE (LRA)G-9
DA FORM 5225-R ACTIVE07/1/1989CHILD DEVELOPMENT SERVICES (CDS) MEDICAL DISPENSATION RECORD (LRA)G-9
DA FORM 5226-R ACTIVE07/1/1989CHILD DEVELOPMENT SERVICES (CDS) SPONSOR/PROGRAM AGREEMENT (LRA)G-9
DA FORM 5231 ACTIVE02/1/2019PUBLIC SERVICE COMMENDATION MEDALG-1
DA FORM 5246-R ACTIVE07/1/1989CHILD DEVELOPMENT SERVICES (CDS) REPORT (LRA)G-9
DA FORM 5248-R ACTIVE09/1/1983REPORT OF UNFAVORABLE INFORMATION FOR SECURITY DETERMINATION (LRA)PMG
DA FORM 5251-1-R ACTIVE03/1/1986CNCS KEY MANAGEMENT WORKSHEET (LRA)INSCOM
DA FORM 5251-R ACTIVE03/1/1986CONAUTH KEY MANAGEMENT WORKSHEET (LRA)INSCOM
DA FORM 5252-R ACTIVE11/1/1983STATEMENT - EVIDENCE OF CITIZENSHIP STATUS (LRA)TSG
DA FORM 5261-4 ACTIVE03/1/2018STUDENT LOAN REPAYMENT PROGRAM ADDENDUMG-1
DA FORM 5261-6 ACTIVE06/1/2016SELECTED RESERVE INCENTIVE PROGRAM - OFFICER ACCESSION BONUSG-1
DA FORM 5261-7 ACTIVE06/1/2016SELECTED RESERVE INCENTIVE PROGRAM - OFFICER AFFLIATION BONUSG-1
DA FORM 5273 ACTIVE01/1/1984HARBOR BOAT DECK AND ENGINE LOG FOR CLASS B VESSELSG-4
DA FORM 5289-R ACTIVE03/1/1984TRAVELING PURCHASE REQUEST (LRA)G-4
DA FORM 5291-2-R ACTIVE01/1/1986ARMY EXCEPTIONAL FAMILY MEMBER CHILD FUNCTIONAL QUESTIONNAIRE (LRA)G-9
DA FORM 5297 ACTIVE07/1/2002ABSTRACT OF VENDOR DELIVERIESG-4
DA FORM 5298 ACTIVE07/1/2002OPERATIONAL RATIONS ACCOUNTABILITYG-4
DA FORM 5303 ACTIVE03/1/2009VOLUNTEER AGREEMENT AFFIDAVITTSG
DA FORM 5304 ACTIVE07/1/2020FAMILY CARE PLAN COUNSELING CHECKLISTG-1
DA FORM 5305 ACTIVE07/1/2020FAMILY CARE PLANG-1
DA FORM 5310 ACTIVE10/1/2021RADAR FRIENDLY FIRE LOGTRADOC
DA FORM 5313-1-R ACTIVE02/1/1986NONAPPROPRIATED FUND PAYABLE/DISBURSEMENT VOUCHER CONTINUATION SHEET (LRA)ASA (FM&C)
DA FORM 5313-R ACTIVE02/1/1986NONAPPROPRIATED FUND PAYABLE/DISBURSEMENT VOUCHER (LRA)ASA (FM&C)
DA FORM 5314 ACTIVE12/1/1994PERSONAL SERVICES (COMPREHENSIVE) NON-APPROPRIATED FUND (NAF) EMPLOYEESASA (FM&C)
DA FORM 5318 ACTIVE06/1/2004FY NAF ANNUAL OPERATING BUDGET (EGA)G-9
DA FORM 5320-1 ACTIVE06/1/2004APF/NAF 5-YEAR FINANCIAL PLAN (EGA)G-9
DA FORM 5321 ACTIVE06/1/2004CPMC (PART A) CAPITAL PURCHASES (OVER $1,000), MAINTENANCE & REPAIR (OVER $2,500, UNDER $1M), AND MINOR CONSTRUCTION (UNDER $200K) (EGA)G-9
DA FORM 5322 ACTIVE06/1/2004MONTHLY CASH PROJECTION SCHEDULE (EGA)G-9
DA FORM 5323-R ACTIVE05/1/1984CASH BUDGET SUMMARY (LRA)G-9
DA FORM 5324-R ACTIVE05/1/1984CHECK COMPUTATION FOR DETERMINING NET INCOME (LRA)G-9
DA FORM 5325-R ACTIVE05/1/1984PACKAGE BEVERAGE BRANCH COMPUTATION OF INCOME DISTRIBUTION (LRA)G-9
DA FORM 5327 ACTIVE02/1/2009BONA FIDE DEPENDENT DECLARATION - MILITARYG-1
DA FORM 5328 ACTIVE02/1/2009BONA FIDE DEPENDENT DECLARATION (CIVILIAN)G-1
DA FORM 5329 ACTIVE07/1/2021ESCORT REPORTG-1
DA FORM 5330 ACTIVE05/1/1999RELEASE OF REMAINS FOR LOCAL DISPOSITIONG-1
DA FORM 5339 ACTIVE06/1/2001OCS APPLICANT`S COMMANDERS EVALUATION SHEETG-1
DA FORM 5344 ACTIVE09/1/1984HONORARY SERGEANT MAJOR OF THE REGIMENT APPOINTMENT CERTIFICATEAASA
DA FORM 5352 ACTIVE12/1/1994NONAPPROPRIATED FUNDS EARNINGS AND LEAVE STATEMENT (CONUS)ASA (FM&C)
DA FORM 5353-R ACTIVE11/1/1984BANK RECONCILIATION WORKSHEET (LRA)ASA (FM&C)
DA FORM 5359 ACTIVE06/1/2007LONG-RANGE SPECIAL ASSIGNMENT AIRLIFT MISSION (SAAM) FLYING HOURS REQUIREMENTSG-4
DA FORM 5368 ACTIVE12/1/2015QUICK FIRE PLANTRADOC
DA FORM 5369 ACTIVE04/1/2019ROTATION AGREEMENT - EMPLOYEES RECRUITED FROM THE UNITED STATESG-1
DA FORM 5370 ACTIVE04/1/2019ROTATION AGREEMENT - EMPLOYEES RECRUITED LOCALLY IN FOREIGN AREASG-1
DA FORM 5371 ACTIVE04/1/2019ROTATION AGREEMENT - EMPLOYEES RECRUITED FROM THE US TERRITORIES AND POSSESSIONSG-1
DA FORM 5374 ACTIVE02/1/2004PERFORMANCE ASSESSMENTTSG
DA FORM 5376 ACTIVE01/1/2009INDIVIDUAL TRAINING EVALUATION RECORDG-9
DA FORM 5377 ACTIVE01/1/2009FIRE AND EMERGENCY SERVICES TRAINING RECORDG-9
DA FORM 5379 ACTIVE08/1/2006APPARATUS MAINTENANCE CHECKLISTG-9
DA FORM 5380 ACTIVE01/1/2009FIRE APPARATUS TEST RECORDG-9
DA FORM 5381 ACTIVE01/1/2009BUILDING - FIRE RISK MANAGEMENT SURVEYG-9
DA FORM 5382 ACTIVE01/1/2009HAZARD/DEFICIENCY INSPECTION RECORDG-9
DA FORM 5383 ACTIVE01/1/2009HOT-WORK PERMITG-9
DA FORM 5384 ACTIVE01/1/2009WATER FLOW TESTG-9
DA FORM 5391-R ACTIVE06/1/1990WORKLOAD MANAGEMENT SYSTEM FOR NURSING INTERRATER RELIABILITY TESTING (LRA)TSG
DA FORM 5392 ACTIVE02/1/1985PATRIOT LOCATION/STATUS/CONDITION REPORTAMC
DA FORM 5393-R ACTIVE02/1/1985PATRIOT MULTIPLE LOCATION/STATUS/CONDITION REPORT (LRA)AMC
DA FORM 5394-1 ACTIVE06/1/2021PRINTING FACILITIES PRODUCTIVITY REPORTCIO
DA FORM 5396 ACTIVE12/1/2014OVERSEAS TOUR EXTENSION INCENTIVE PROGRAM MONTHLY REPORTG-1
DA FORM 5402 ACTIVE10/1/2008BARBER/BEAUTY SHOP INSPECTIONTSG
DA FORM 5407 ACTIVE03/1/1985AGENTS SPECIAL MISSION FUNDSASA (FM&C)
DA FORM 5409 ACTIVE08/1/2004INOPERATIVE EQUIPMENT REPORTG-4
DA FORM 5410 ACTIVE08/1/2004UNIT LEVEL DEADLINING PARTS REPORTG-4
DA FORM 5411-R ACTIVE04/1/1985BULK PETROLEUM STORAGE FACILITIES REPORT, ARMY (RCS: DRC-830) (LRA)G-4
DA FORM 5412 ACTIVE04/1/2019WAIVER OF COMPENSATION STATEMENTG-1
DA FORM 5414 ACTIVE04/1/2019ADMINISTRATIVE RETURN RIGHTS AGREEMENTG-1
DA FORM 5415 ACTIVE07/1/2019GARRISON CATEGORY COMPETITION CHECKLISTG-4
DA FORM 5416 ACTIVE07/1/2019FIELD CATEGORY TRAINING EVALUATION CHECKLISTG-4
DA FORM 5424-R ACTIVE05/1/1985TERRAIN MORTAR POSITION/SPECIAL CORRECTIONS WORKSHEET (LRA)TRADOC
DA FORM 5425 ACTIVE05/1/2023APPLICANT/NOMINEE PERSONAL FINANCIAL STATEMENTG-1
DA FORM 5426 ACTIVE03/1/2009BATTALION COMMAND TEAM RECRUITER CANDIDATE INTERVIEW AND EVALUATIONG-1
DA FORM 5427 ACTIVE08/1/2010COMPANY COMMANDER RECRUITER CANDIDATE INTERVIEW AND ASSESSMENTG-1
DA FORM 5429 ACTIVE09/1/2017CONDUCT OF FIRETRADOC
DA FORM 5429-R ACTIVE08/1/2013CONDUCT OF FIRETRADOC
DA FORM 5434 ACTIVE06/1/2019SPONSORSHIP PROGRAM COUNCELING AND INFORMATION SHEETG-1
DA FORM 5435 ACTIVE02/1/2016STATEMENT OF UNDERSTANDING - THE SELECTED RESERVE MONTGOMERY GI BILL (10 USC CHAPTER 1606)G-1
DA FORM 5435-1 ACTIVE02/1/2016STATEMENT OF UNDERSTANDING - THE SELECTED RESERVE MONTGOMERY GI BILL KICKER PROGRAM (10 USC 16131)G-1
DA FORM 5436 ACTIVE05/1/2017EXPLOSIVE ORDNANCE DISPOSAL (EOD) VOLUNTEER STATEMENTG-3/5/7
DA FORM 5437 ACTIVE05/1/2017VOLUNTARY WITHDRAWAL FROM EXPLOSIVE ORDNANCE DISPOSAL (EOD) STATEMENTG-3/5/7
DA FORM 5438 ACTIVE05/1/2017INVOLUNTARY TERMINATION FROM EXPLOSIVE ORDNANCE DISPOSAL (EOD) DUTIESG-3/5/7
DA FORM 5440 ACTIVE02/1/2004DELINEATION OF CLINICAL PRIVILEGES-ANESTHESIATSG
DA FORM 5440-1 ACTIVE02/1/2004DELINEATION OF CLINICAL PRIVILEGES-DENTISTRYTSG
DA FORM 5440-2 ACTIVE02/1/2004DELINEATION OF CLINICAL PRIVILEGES-FAMILY PRACTICETSG
DA FORM 5440-3 ACTIVE02/1/2004DELINEATION OF CLINICAL PRIVILEGES-INTERNAL MEDICINETSG
DA FORM 5440-4 ACTIVE02/1/2004DELINEATION OF CLINICAL PRIVILEGES-NEUROLOGYTSG
DA FORM 5440-5 ACTIVE02/1/2004DELINEATION OF CLINICAL PRIVILEGES-OBSTETRICS AND GYNECOLOGYTSG
DA FORM 5440-6 ACTIVE02/1/2004DELINEATION OF CLINICAL PRIVILEGES-OPTOMETRY SERVICETSG
DA FORM 5440-7 ACTIVE02/1/2004DELINEATION OF CLINICAL PRIVILEGES-PATHOLOGYTSG
DA FORM 5440-8 ACTIVE02/1/2004DELINEATION OF CLINICAL PRIVILEGES-PEDIATRICSTSG
DA FORM 5440-9 ACTIVE02/1/2004DELINEATION OF CLINICAL PRIVILEGES-PODIATRYTSG
DA FORM 5440-10 ACTIVE02/1/2004DELINEATION OF CLINICAL PRIVILEGES-PSYCHIATRYTSG
DA FORM 5440-11 ACTIVE02/1/2004DELINEATION OF CLINICAL PRIVILEGES-PSYCHOLOGYTSG
DA FORM 5440-12 ACTIVE02/1/2004DELINEATION OF CLINICAL PRIVILEGES-DIAGNOSTIC RADIOLOGYTSG
DA FORM 5440-13 ACTIVE02/1/2004DELINEATION OF CLINICAL PRIVILEGES-GENERAL SURGERYTSG
DA FORM 5440-14 ACTIVE02/1/2004DELINEATION OF CLINICAL PRIVILEGES-NURSE ANESTHETISTSTSG
DA FORM 5440-15 ACTIVE02/1/2004DELINEATION OF CLINICAL PRIVILEGES-CERTIFIED NURSE MIDWIVESTSG
DA FORM 5440-16 ACTIVE02/1/2004DELINEATION OF CLINICAL PRIVILEGES-NURSE PRACTITIONERTSG
DA FORM 5440-18 ACTIVE02/1/2004DELINEATION OF CLINICAL PRIVILEGES - PHYSICIAN ASSISTANTTSG
DA FORM 5440-19 ACTIVE02/1/2004DELINEATION OF CLINICAL PRIVILEGES-DIETETICSTSG
DA FORM 5440-20 ACTIVE02/1/2004DELINEATION OF CLINICAL PRIVILEGES-OCCUPATIONAL THERAPYTSG
DA FORM 5440-21 ACTIVE02/1/2004DELINEATION OF CLINICAL PRIVILEGES-PHYSICAL THERAPYTSG
DA FORM 5440-22 ACTIVE02/1/2004DELINEATION OF CLINICAL PRIVILEGESTSG
DA FORM 5440-23 ACTIVE02/1/2004DELINEATION OF CLINICAL PRIVILEGES-EMERGENCY MEDICINETSG
DA FORM 5440-24 ACTIVE02/1/2004DELINEATION OF CLINICAL PRIVILEGES-AEROSPACE MEDICINETSG
DA FORM 5440-25 ACTIVE02/1/2004DELINEATION OF CLINICAL PRIVILEGES-GENERAL MEDICAL OFFICERTSG
DA FORM 5440-28 ACTIVE02/1/2004DELINEATION OF CLINICAL PRIVILEGES - SOCIAL WORKTSG
DA FORM 5440-29 ACTIVE02/1/2004DELINEATION OF CLINICAL PRIVILEGES - ALLERGY/IMMUNOLOGYTSG
DA FORM 5440-30 ACTIVE02/1/2004DELINEATION OF CLINICAL PRIVILEGES - NEPHROLOGYTSG
DA FORM 5440-31 ACTIVE02/1/2004DELINEATION OF CLINICAL PRIVILEGES - CHIROPRACTICTSG
DA FORM 5440-32 ACTIVE02/1/2004DELINEATION OF CLINICAL PRIVILEGES - DERMATOLOGYTSG
DA FORM 5440-33 ACTIVE02/1/2004DELINEATION OF CLINICAL PRIVILEGES - UROLOGYTSG
DA FORM 5440-34 ACTIVE02/1/2004DELINEATION OF CLINICAL PRIVILEGES - BEHAVIORAL HEALTH PRACTITIONERTSG
DA FORM 5440-35 ACTIVE02/1/2004DELINEATION OF CLINICAL PRIVILEGES - PSYCHOLOGICAL ASSOCIATETSG
DA FORM 5440-36 ACTIVE02/1/2004DELINEATION OF CLINICAL PRIVILEGES - AUDIOLOGYTSG
DA FORM 5440-37 ACTIVE02/1/2004DELINEATION OF CLINICAL PRIVILEGES - SPEECH PATHOLOGYTSG
DA FORM 5440-38 ACTIVE02/1/2004DELINEATION OF CLINICAL PRIVILEGES - CLINICAL PHARMACYTSG
DA FORM 5440-39 ACTIVE02/1/2004DELINEATION OF CLINICAL PRIVILEGES - NUCLEAR MEDICINETSG
DA FORM 5440-40 ACTIVE02/1/2004DELINEATION OF CLINICAL PRIVILEGES - THERAPEUTIC RADIOLOGYTSG
DA FORM 5440-41 ACTIVE02/1/2004DELINEATION OF CLINICAL PRIVILEGES - PHYSICAL MEDICINE AND REHABILITATIONTSG
DA FORM 5440-42 ACTIVE02/1/2004DELINEATION OF CLINICAL PRIVILEGES - CARDIOLOGYTSG
DA FORM 5440-43 ACTIVE02/1/2004DELINEATION OF CLINICAL PRIVILEGES - OPHTHALMOLOGYTSG
DA FORM 5440-44 ACTIVE02/1/2004DELINEATION OF CLINICAL PRIVILEGES - OTOLARYNGOLOGYTSG
DA FORM 5440-45 ACTIVE02/1/2004DELINEATION OF CLINICAL PRIVILEGES - CARDIOVASCULAR SURGERYTSG
DA FORM 5440-46 ACTIVE02/1/2004DELINEATION OF CLINICAL PRIVILEGES - PULMONARY DISEASETSG
DA FORM 5440-47 ACTIVE02/1/2004DELINEATION OF CLINICAL PRIVILEGES - PREVENTIVE MEDICINETSG
DA FORM 5440-48 ACTIVE02/1/2004DELINEATION OF CLINICAL PRIVILEGES - ORAL & MAXILLOFACIAL SURGERYTSG
DA FORM 5440-49 ACTIVE02/1/2004DELINEATION OF CLINICAL PRIVILEGES - PLASTIC SURGERYTSG
DA FORM 5440-50 ACTIVE02/1/2004DELINEATION OF CLINICAL PRIVILEGES - VASCULAR SURGERYTSG
DA FORM 5440-51 ACTIVE02/1/2004DELINEATION OF CLINICAL PRIVILEGES - NEUROSURGERYTSG
DA FORM 5440-52 ACTIVE02/1/2004DELINEATION OF CLINICAL PRIVILEGES - CRITICAL CARE MEDICINETSG
DA FORM 5440-53 ACTIVE02/1/2004DELINEATION OF CLINICAL PRIVILEGES - OCCUPATIONAL MEDICINETSG
DA FORM 5440-54 ACTIVE02/1/2004DELINEATION OF CLINICAL PRIVILEGES - THORACIC SURGERYTSG
DA FORM 5440-55 ACTIVE02/1/2004DELINEATION OF CLINICAL PRIVILEGES - ORTHOPAEDICSTSG
DA FORM 5440-56 ACTIVE02/1/2004DELINEATION OF CLINICAL PRIVILEGES - BLOOD SERVICESTSG
DA FORM 5440-57 ACTIVE02/1/2004DELINEATION OF CLINICAL PRIVILEGES - PSYCHIATRIC ADVANCED PRACTICE NURSETSG
DA FORM 5440-58 ACTIVE02/1/2004DELINEATION OF CLINICAL PRIVILEGES - SUBSTANCE ABUSE REHABILITATIONTSG
DA FORM 5440A ACTIVE04/1/2009APPROVAL OF CLINICAL PRIVILEGES/STAFF APPOINTMENTTSG
DA FORM 5441 ACTIVE02/1/2004EVALUATION OF CLINICAL PRIVILEGES - ANESTHESIATSG
DA FORM 5441-1 ACTIVE02/1/2004EVALUATION OF CLINICAL PRIVILEGES-DENTISTRYTSG
DA FORM 5441-2 ACTIVE02/1/2004EVALUATION OF CLINICAL PRIVILEGES-FAMILY PRACTICETSG
DA FORM 5441-3 ACTIVE02/1/2004EVALUATION OF CLINICAL PRIVILEGES-INTERNAL MEDICINETSG
DA FORM 5441-4 ACTIVE02/1/2004EVALUATION OF CLINICAL PRIVILEGES-NEUROLOGYTSG
DA FORM 5441-5 ACTIVE02/1/2004EVALUATION OF CLINICAL PRIVILEGES-OBSTETRICS AND GYNECOLOGYTSG
DA FORM 5441-6 ACTIVE02/1/2004EVALUATION OF CLINICAL PRIVILEGES-OPTOMETRYTSG
DA FORM 5441-7 ACTIVE02/1/2004EVALUATION OF CLINICAL PRIVILEGES-PATHOLOGYTSG
DA FORM 5441-8 ACTIVE02/1/2004EVALUATION OF CLINICAL PRIVILEGES-PEDIATRICSTSG
DA FORM 5441-9 ACTIVE02/1/2004EVALUATION OF CLINICAL PRIVILEGES-PODIATRYTSG
DA FORM 5441-10 ACTIVE02/1/2004EVALUATION OF CLINICAL PRIVILEGES-PSYCHIATRYTSG
DA FORM 5441-11 ACTIVE02/1/2004EVALUATION OF CLINICAL PRIVILEGES - CLINICAL PSYCHOLOGYTSG
DA FORM 5441-12 ACTIVE02/1/2004EVALUATION OF CLINICAL PRIVILEGES - DIAGNOSTIC RADIOLOGYTSG
DA FORM 5441-13 ACTIVE02/1/2004EVALUATION OF CLINICAL PRIVILEGES - GENERAL SURGERYTSG
DA FORM 5441-14 ACTIVE02/1/2004EVALUATION OF CLINICAL PRIVILEGES-NURSE ANESTHETISTTSG
DA FORM 5441-15 ACTIVE02/1/2004EVALUATION OF CLINICAL PRIVILEGES - CERTIFIED NURSE MIDWIFETSG
DA FORM 5441-16 ACTIVE02/1/2004EVALUATION OF CLINICAL PRIVILEGES - NURSE PRACTITIONERTSG
DA FORM 5441-18 ACTIVE02/1/2004EVALUATION OF CLINICAL PRIVILEGES - PHYSICIAN ASSISTANTTSG
DA FORM 5441-19 ACTIVE02/1/2004EVALUATION OF CLINICAL PRIVILEGES - DIETETICSTSG
DA FORM 5441-20 ACTIVE02/1/2004EVALUATION OF CLINICAL PRIVILEGES - OCCUPATIONAL THERAPYTSG
DA FORM 5441-21 ACTIVE02/1/2004EVALUATION OF CLINICAL PRIVILEGES - PHYSICAL THERAPYTSG
DA FORM 5441-22 ACTIVE02/1/2004EVALUATION OF CLINICAL PRIVILEGESTSG
DA FORM 5441-23 ACTIVE02/1/2004EVALUATION OF CLINICAL PRIVILEGES - EMERGENCY MEDICINETSG
DA FORM 5441-24 ACTIVE02/1/2004EVALUATION OF CLINICAL PRIVILEGES - AEROSPACE MEDICINETSG
DA FORM 5441-25 ACTIVE02/1/2004EVALUATION OF CLINICAL PRIVILEGES - GENERAL MEDICAL OFFICERTSG
DA FORM 5441-28 ACTIVE02/1/2004EVALUATION OF CLINICAL PRIVILEGES - SOCIAL WORKTSG
DA FORM 5441-29 ACTIVE02/1/2004EVALUATION OF CLINICAL PRIVILEGES - ALLERGY/IMMUNOLOGYTSG
DA FORM 5441-30 ACTIVE02/1/2004EVALUATION OF CLINICAL PRIVILEGES - NEPHROLOGYTSG
DA FORM 5441-31 ACTIVE02/1/2004EVALUATION OF CLINICAL PRIVILEGES - CHIROPRACTICTSG
DA FORM 5441-32 ACTIVE02/1/2004EVALUATION OF CLINICAL PRIVILEGES - DERMATOLOGYTSG
DA FORM 5441-33 ACTIVE02/1/2004EVALUATION OF CLINICAL PRIVILEGES - UROLOGYTSG
DA FORM 5441-34 ACTIVE02/1/2004EVALUATION OF CLINICAL PRIVILEGES - BEHAVIORAL HEALTH PRACTITIONERTSG
DA FORM 5441-35 ACTIVE02/1/2004EVALUATION OF CLINICAL PRIVILEGES - PSYCHOLOGICAL ASSOCIATETSG
DA FORM 5441-36 ACTIVE02/1/2004EVALUATION OF CLINICAL PRIVILEGES - AUDIOLOGYTSG
DA FORM 5441-37 ACTIVE02/1/2004EVALUATION OF CLINICAL PRIVILEGES - SPEECH PATHOLOGYTSG
DA FORM 5441-38 ACTIVE02/1/2004EVALUATION OF CLINICAL PRIVILEGES - CLINICAL PHARMACYTSG
DA FORM 5441-39 ACTIVE02/1/2004EVALUATION OF CLINICAL PRIVILEGES - NUCLEAR MEDICINETSG
DA FORM 5441-40 ACTIVE02/1/2004EVALUATION OF CLINICAL PRIVILEGES - THERAPEUTIC RADIOLOGYTSG
DA FORM 5441-41 ACTIVE02/1/2004EVALUATION OF CLINICAL PRIVILEGES - PHYSICAL MEDICINE AND REHABILITATIONTSG
DA FORM 5441-42 ACTIVE02/1/2004EVALUATION OF CLINICAL PRIVILEGES - CARDIOLOGYTSG
DA FORM 5441-43 ACTIVE02/1/2004EVALUATION OF CLINICAL PRIVILEGES - OPHTHALMOLOGYTSG
DA FORM 5441-44 ACTIVE02/1/2004EVALUATION OF CLINICAL PRIVILEGES - OTOLARYNGOLOGYTSG
DA FORM 5441-45 ACTIVE02/1/2004EVALUATION OF CLINICAL PRIVILEGES - CARDIOVASCULAR SURGERYTSG
DA FORM 5441-46 ACTIVE02/1/2004EVALUATION OF CLINICAL PRIVILEGES - PULMONARY DISEASETSG
DA FORM 5441-47 ACTIVE02/1/2004EVALUATION OF CLINICAL PRIVILEGES - PREVENTIVE MEDICINETSG
DA FORM 5441-48 ACTIVE02/1/2004EVALUATION OF CLINICAL PRIVILEGES - ORAL & MAXILLOFACIAL SURGERYTSG
DA FORM 5441-49 ACTIVE02/1/2004EVALUATION OF CLINICAL PRIVILEGES - PLASTIC SURGERYTSG
DA FORM 5441-50 ACTIVE02/1/2004EVALUATION OF CLINICAL PRIVILEGES - VASCULAR SURGERYTSG
DA FORM 5441-51 ACTIVE02/1/2004EVALUATION OF CLINICAL PRIVILEGES - NEUROSURGERYTSG
DA FORM 5441-52 ACTIVE02/1/2004EVALUATION OF CLINICAL PRIVILEGES - CRITICAL CARE MEDICINETSG
DA FORM 5441-53 ACTIVE02/1/2004EVALUATION OF CLINICAL PRIVILEGES - OCCUPATIONAL MEDICINETSG
DA FORM 5441-54 ACTIVE02/1/2004EVALUATION OF CLINICAL PRIVILEGES - THORACIC SURGERYTSG
DA FORM 5441-55 ACTIVE02/1/2004EVALUATION OF CLINICAL PRIVILEGES - ORTHOPAEDICSTSG
DA FORM 5441-56 ACTIVE02/1/2004EVALUATION OF CLINICAL PRIVILEGES - BLOOD SERVICESTSG
DA FORM 5441-57 ACTIVE02/1/2004EVALUATION OF CLINICAL PRIVILEGES - PSYCHIATRIC ADVANCED PRACTICE NURSETSG
DA FORM 5441-58 ACTIVE02/1/2004EVALUATION OF CLINICAL PRIVILEGES - SUBSTANCE ABUSE REHABILITATIONTSG
DA FORM 5447 ACTIVE02/1/2016OFFICER SERVICE AGREEMENT SELECTED RESERVE EDUCATIONAL ASSISTANCE PROGRAM (SHORT TITLE: MONTGOMERY GI BILL)G-1
DA FORM 5448-R ACTIVE08/1/1985MOISTURE AND DENSITY TESTER FIELD DATA WORKSHEET (LRA)AMC
DA FORM 5449-R ACTIVE08/1/1985MOISTURE AND DENSITY TESTER (NUCLEAR METHOD) UTILIZATION LOG (LRA)AMC
DA FORM 5450-R ACTIVE08/1/1985MOISTURE AND DENSITY FIELD TEST SHEET (LRA)AMC
DA FORM 5456 ACTIVE11/1/2005WATER POINT INSPECTIONTSG
DA FORM 5457 ACTIVE11/1/2005POTABLE WATER CONTAINER INSPECTIONTSG
DA FORM 5458 ACTIVE11/1/2005SHOWER/DECONTAMINATION POINT INSPECTIONTSG
DA FORM 5459 ACTIVE11/1/2020AUTHORIZATION TO RELEASE INFORMATION FROM ARMY RECORDS ON NONSUPPORT/CHILD CUSTODY/PATERNITY INQUIRIESTJAG
DA FORM 5462 ACTIVE06/1/2009TIP ALLOCATION WORKSHEETG-9
DA FORM 5462-1 ACTIVE06/1/2009CONTINUATION OF TIP ALLOCATION WORKSHEETG-9
DA FORM 5480 ACTIVE02/1/2023MAINTENANCE REQUEST AND ASSIGNMENT REGISTERG-4
DA FORM 5484 ACTIVE01/1/2006MISSION SCHEDULE/BRIEFG-3/5/7
DA FORM 5498 ACTIVE04/1/1986US ARMY RECRUITING COMMAND AWARD FOR JROTC CERTIFICATE (S&I, CDR, U.S. ARMY RECRUITING COMMAND, ATTN: RCAPA-PA, FT. KNOX, KY 40121-2726)G-1
DA FORM 5500 ACTIVE06/1/2023BODY FAT CONTENT WORKSHEET (MALE)G-1
DA FORM 5501 ACTIVE06/1/2023BODY FAT CONTENT WORKSHEET (FEMALE)G-1
DA FORM 5505 ACTIVE01/1/1986CHAPLAIN/CHAPLIN ASSISTANT TRAINING RECORDCCH
DA FORM 5511 ACTIVE08/1/2006PERSONAL WEIGHT LOSS PROGRESSG-1
DA FORM 5512 ACTIVE09/1/2002RESPITE CARE AGREEMENTG-9
DA FORM 5513 ACTIVE01/1/2016KEY CONTROL REGISTER AND INVENTORYPMG
DA FORM 5514-R ACTIVE04/1/1986TAMIS TRAINING AMMUNITION FORECAST REPORT (LRA)G-4
DA FORM 5515 ACTIVE06/1/2021TRAINING AMMUNITION CONTROL DOCUMENTG-4
DA FORM 5515-1 ACTIVE06/1/2021TRAINING AMMUNITION CONTROL DOCUMENT CONTINUATION SHEETG-4
DA FORM 5517 ACTIVE02/1/2016STANDARD RANGE CARDTRADOC
DA FORM 5519-R ACTIVE04/1/1986TOOL SIGN OUT LOG/REGISTER (LRA)G-4
DA FORM 5521 ACTIVE08/1/2019RECORD OF EMERGENCY DATA AND DESIGNATION OF BENEFICIARY FOR UNPAID COMPENSATION OF DECEASED NAF EMPLOYEEG-1
DA FORM 5533 ACTIVE09/1/1999SMART DEPS SUGGESTION FORMG-4
DA FORM 5536 ACTIVE02/1/2016AGREEMENT HEALTH PROFESSIONALS LOAN REPAYMENT (HPLR)G-1
DA FORM 5550-R ACTIVE08/1/1986SPIROMETER CALIBRATION LOG (LRA)TSG
DA FORM 5551-R ACTIVE05/1/2009SPIROMETRY FLOW SHEETTSG
DA FORM 5556 ACTIVE12/1/2004PERSONNEL REQUIREMENTS DOCUMENTG-9
DA FORM 5557 ACTIVE09/1/2009INDIVIDUAL RELIABILITY SCREENING AND EVALUATION RECORDPMG
DA FORM 5560 ACTIVE04/1/2007NO SMOKING EXCEPT IN DESIGNATED SMOKING AREASG-9
DA FORM 5560-1 ACTIVE04/1/2007DESIGNATED SMOKING AREAG-9
DA FORM 5561-R ACTIVE07/1/1989WAITING LIST (LRA)G-9
DA FORM 5562-1-R ACTIVE09/1/1986NEEDS ASSESSMENT METHODOLOGY (LRA)G-9
DA FORM 5562-R ACTIVE07/1/1989CHILD DEVELOPMENT SERVICES NEEDS ASSESSMENT (LRA)G-9
DA FORM 5563-R ACTIVE07/1/1989DEMOGRAPHIC PROFILE (LRA)G-9
DA FORM 5567 ACTIVE11/1/2004ABSTRACT OF OFFERS (NONAPPROPRIATED FUNDS) (EGA) (AVAILABLE ONLY FROM ARMY NAF`S AUTOMATED PROCUREMENT SYSTEM, PRISM, AT HTTP://PRISM-WEB.MWRMIS.ARMY.MIL/PRISM)G-9
DA FORM 5567-1 ACTIVE11/1/2004ABSTRACT OF OFFERS, CONTINUATION SHEET FOR DA FORM 5567 (EGA) (AVAILABLE ONLY FROM ARMY NAF`S AUTOMATED PROCUREMENT SYSTEM, PRISM, AT HTTP://PRISM-WEB.MWRMIS.ARMY.MIL/PRISM)ACSIM
DA FORM 5567-1-SG ACTIVE06/1/2021ABSTRACT OF OFFERS - CONTINUATION SHEET FOR DA FORM 5567(EGA) (AVAILABLE ONLY FROM ARMY NAF AUTOMATED PROCUREMENT SYSTEM FOUND AT HTTPS://CLOUD.MWR.ARMY.MIL/SNACS.NET/SECURITY/LOGON.ASPX)G-9
DA FORM 5567-SG ACTIVE06/1/2021ABSTRACT OF OFFERS (NONAPPROPRIATED FUNDS) (EGA) (AVAILABLE ONLY FROM ARMY NAF AUTOMATED PROCUREMENT SYSTEM FOUND AT HTTPS://CLOUD.MWR.ARMY.MIL/SNACS.NET/SECURITY/LOGON.ASPX)G-9
DA FORM 5568 ACTIVE02/1/2003CHRONOLOGICAL RECORD OF WELL-BABY CARETSG
DA FORM 5569 ACTIVE02/1/2003ISONIAZID (INH) CLINIC FLOW SHEETTSG
DA FORM 5570 ACTIVE10/1/1986HEALTH QUESTIONNAIRE FOR DENTAL TREATMENTTSG
DA FORM 5572 ACTIVE12/1/2021GIFT AGREEMENTAASA
DA FORM 5573 ACTIVE06/1/2022INCOMING LOAN AGREEMENTAASA
DA FORM 5574 ACTIVE06/1/2022ASSURANCE OF COMPLIANCEAASA
DA FORM 5575 ACTIVE06/1/2022OUTGOING LOAN AGREEMENTAASA
DA FORM 5582 ACTIVE06/1/2021MISSILE FIRING DATA REPORT (ATACMS)G-4
DA FORM 5583 ACTIVE06/1/2021MISSILE FIRING DATA REPORT (HELLFIRE)G-4
DA FORM 5584-R ACTIVE11/1/1986VEHICLE FORECAST AND MOVEMENT SCHEDULES (LRA)SDDC
DA FORM 5585 ACTIVE04/1/2005ADDENDUM TO CERTIFICATE OF ACKNOWLEDGEMENT OF SERVICE REQUIREMENTS (DA FORM 3540) FOR ENLISTMENT INTO THE US ARMY RESERVE TROOP PROGRAM UNIT WARRANT OFFICER FLIGHT PROGRAMG-1
DA FORM 5586 ACTIVE04/1/2005ADDENDUM TO CERTIFICATE OF ACKNOWLEDGE OF SERVICE REQUIREMENT FOR ENLISTMENT INTO THE UNITED STATES ARMY RESERVE OFFICER CANDIDATE SCHOOL ENLISTMENT OPTIONG-1
DA FORM 5587 ACTIVE08/1/2004REPORT OF DRYDOCKING, PAINTING AND CONDITION OF VESSEL BOTTOMG-4
DA FORM 5599-R ACTIVE12/1/1986COMPUTATION-CONVERGENCE OF TRUE AZIMUTH TO GRID AZIMUTH (BUCS)(LRA)TRADOC
DA FORM 5605-1-R ACTIVE12/1/1986LIFE CYCLE COST ANALYSIS SAVINGS-TO-INVESTMENT RATIO (SIR) & DISCOUNTED PAYBACK CALCULATION (LRA)USACE
DA FORM 5605-2-R ACTIVE12/1/1986LIFE CYCLE COST ANALYSIS SUMMARY (LRA)USACE
DA FORM 5605-3-R ACTIVE12/1/1986LIFE CYCLE COST ANALYSIS - BASIC INPUT DATA SUMMARY (LRA)USACE
DA FORM 5605-4-R ACTIVE12/1/1986LIFE CYCLE COST ANALYSIS - PRESENT WORTH: CONVENTIONAL APPROACH (LRA)USACE
DA FORM 5605-5-R ACTIVE12/1/1986LIFE CYCLE COST ANALYSIS - PRESENT WORTH: ONE-STEP APPROACH (LRA)USACE
DA FORM 5612 ACTIVE01/1/1987CERTIFICATE OF APPRECIATION FOR ARMY SPOUSE (OF REENLISTEES)G-1
DA FORM 5613 ACTIVE12/1/1986DISPATCHER`S RECORD OF TRAIN MOVEMENTS (S&I COMMANDANT, USATALS, ATTN: ATSP-TDP, FT EUSTIS, VA 23604-5403)TRADOC
DA FORM 5614-R ACTIVE12/1/1986SUPERINTENDENT`S TELEGRAPHIC REPORT OF ACCIDENT (LRA)TRADOC
DA FORM 5615-R ACTIVE12/1/1986SET OUT REPORT (LRA)TRADOC
DA FORM 5616-R ACTIVE12/1/1986CAR INSPECTOR`S TRAIN REPORT (LRA)TRADOC
DA FORM 5617-R ACTIVE12/1/1986DAILY STATEMENT OF CARS ON HAND (LRA)TRADOC
DA FORM 5618-R ACTIVE12/1/1986CONDUCTOR`S WHEEL REPORT (LRA)TRADOC
DA FORM 5619-R ACTIVE12/1/1986DAILY EMPTY CAR SITUATION REPORT (LRA)TRADOC
DA FORM 5620-R ACTIVE12/1/1986DAILY INSTALLATION SITUATION REPORT (LRA)TRADOC
DA FORM 5621-R ACTIVE05/1/2006MEDICAL EQUIPMENT ELECTRICAL SAFETYTSG
DA FORM 5624-R ACTIVE05/1/2006DC DEFIBRILLATOR INSPECTION RECORDTSG
DA FORM 5627-R ACTIVE02/1/1988CASH PROPERTY AND RECONCILIATION RECORD (LRA)ASA (FM&C)
DA FORM 5628-R ACTIVE02/1/1987VOUCHER FOR SPECIAL MISSION FUNDS (SMF) EXPENDITURES (LRA)ASA (FM&C)
DA FORM 5643 ACTIVE07/1/2019PHYSICAL DEMANDS ANALYSIS WORKSHEETG-1
DA FORM 5645-A-R ACTIVE11/1/1992MANEUVER/PROCEDURE GRADE SLIP FOR OH-58D AVIATORS (LRA)USAAVNC
DA FORM 5646 ACTIVE03/1/2017STATEMENT OF CONDITIONS OF SERVICE - ACTIVE GUARD RESERVE (AGR)G-1
DA FORM 5648 ACTIVE09/1/2017AGR JOB AUTHORIZATION (REQUEST/CHANGE)G-1
DA FORM 5652 ACTIVE09/1/1987CIVILIAN AWARD FOR HUMANITARIAN SERVICEG-1
DA FORM 5654 ACTIVE02/1/2019CIVILIAN SERVICE ACHIEVEMENT MEDALG-1
DA FORM 5655 ACTIVE02/1/2019MERITORIOUS CIVILIAN SERVICE MEDALG-1
DA FORM 5661 ACTIVE10/1/2010DATA INTERCHANGE OF SUPPORT EQUIPMENT DATAG-4
DA FORM 5662 ACTIVE09/1/2009DATA INTERCHANGE SUMMARYG-4
DA FORM 5666 ACTIVE04/1/2022GAINING COMMAND FIELDING EVALUATIONASA (AL&T)
DA FORM 5669 ACTIVE07/1/2012PREVENTIVE MEDICINE COUNSELING RECORDG-1
DA FORM 5671 ACTIVE07/1/2003PARENTAL PERMISSIONG-9
DA FORM 5673 ACTIVE01/1/2000UNITED STATES ARMY MARINE CERTIFICATE (S&I USA TRANSPORTATION SCHOOL, ATTN: ATSP-OCT, FT EUSTIS, VA 23604)G-4
DA FORM 5677-R ACTIVE02/1/1988POLICY STATEMENT AND MEMORANDUM OF UNDERSTANDING FOR REVIEW AND RECEIPT OF R&D DOCUMENTS (LRA)ASA (AL&T)
DA FORM 5678-R ACTIVE02/1/1988POLICY STATEMENT AND MEMORANDUM OF UNDERSTANDING FOR PARTICIPATION IN THE U.S. ARMY POTENTIAL CONTRACTOR PROGRAM (LRA)ASA (AL&T)
DA FORM 5679-R ACTIVE02/1/1988POLICY STATEMENT AND STUDY AGREEMENT FOR PARTICIPATION IN THE U.S. ARMY R&D UNFUNDED STUDY PROGRAM (LRA)ASA (AL&T)
DA FORM 5682 ACTIVE04/1/2022MATERIEL REQUIREMENTS LISTASA (AL&T)
DA FORM 5685 ACTIVE02/1/2016NEW SPECIALIZED TRAINING ASSISTANCE PROGRAM (NEW STRAP) SERVICE AGREEMENTG-1
DA FORM 5687 ACTIVE03/1/2003INITIAL INSPECTION CHECKLIST FOR INDOOR RANGESCSA
DA FORM 5688 ACTIVE03/1/2003DETAILED INSPECTION CHECKLIST FOR INDOOR RANGESCSA
DA FORM 5689 ACTIVE08/1/1988OATH OF REENLISTMENTG-1
DA FORM 5690 ACTIVE10/1/2019RESERVE COMPONENTS CAREER COUNSELOR INTERVIEW RECORDG-1
DA FORM 5691 ACTIVE10/1/2019REQUEST FOR RESERVE COMPONENT ASSIGNMENT ORDERSG-1
DA FORM 5692 ACTIVE06/1/2021AMMUNITION CONSUMPTION CERTIFICATEG-4
DA FORM 5695 ACTIVE02/1/2023INFORMATION MANAGEMENT REQUIREMENT PROJECT DOCUMENTCIO
DA FORM 5698 ACTIVE05/1/2016WEAPONS LOCATION DATAUSAFAS
DA FORM 5699 ACTIVE05/1/2016HOWITZER RANGE CARDUSAFAS
DA FORM 5701-17 ACTIVE03/1/2016MI-17 PERFORMANCE PLANNING CARD (PPC)TRADOC
DA FORM 5701-47 ACTIVE12/1/2022CH-47 PERFORMANCE PLANNING CARDTRADOC
DA FORM 5701-58 ACTIVE03/1/2016OH 58D PERFORMANCE PLANNING CARDTRADOC
DA FORM 5701-60 ACTIVE03/1/2016H-60 PERFORMANCE PLANNING CARDTRADOC
DA FORM 5701-64 ACTIVE03/1/2016AH-64 PERFORMANCE PLANNING CARDTRADOC
DA FORM 5701-72 ACTIVE03/1/2016UH-72A PERFORMANCE PLANNING CARDTRADOC
DA FORM 5701-228 ACTIVE03/1/2016OH-58A/C AND TH-67 PERFORMANCE PLANNING CARDTRADOC
DA FORM 5703 ACTIVE10/1/1988PROTECTIVE SERVICE(S&I, HQDA, ATTN: DAMO-0DL, PENTAGON, WASH, DC 20310-0440)PMG
DA FORM 5706-R ACTIVE10/1/1988TRACK BULLETIN (LRA)TRADOC
DA FORM 5738-R ACTIVE02/1/1989SECTION II. ILLUSTRATED COMPONENTS LIST/HAND RECEIPT (LRA)G-4
DA FORM 5750 ACTIVE03/1/2004INADVERTENT DISCLOSURE OATHCSA
DA FORM 5752-R ACTIVE05/1/1989ROPE LOG (USAGE AND HISTORY) (LRA)TRADOC
DA FORM 5754 ACTIVE04/1/2009MALPRACTICE HISTORY AND CLINICAL PRIVILEGES QUESTIONNAIRETSG
DA FORM 5755 ACTIVE06/1/2021CONSIGNMENT AGREEMENT (NONAPPROPRIATED FUNDS)G-9
DA FORM 5755-1 ACTIVE06/1/2021CONSIGNMENT CONTROL SHEETG-9
DA FORM 5756 ACTIVE06/1/2021CONCESSIONAIRE CONTRACT-SHORT TERM (NONAPPROPRIATED FUNDS)G-9
DA FORM 5760-R ACTIVE07/1/1989CHILD DEVELOPMENT (CDS) MANAGEMENT PERSONNEL CUMULATIVE INDIVIDUAL EDUCATION PLAN (IEP) TRAINING RECORD (LRA)G-9
DA FORM 5761-1-R ACTIVE07/1/1989FAMILY CHILD CARE RISK ASSESSMENT TOOL OBSERVATION SUMMARY (LRA)G-9
DA FORM 5761-2-R ACTIVE07/1/1989FAMILY CHILD CARE (FCC) RISK ASSESSMENT TOOL INTERVIEW SUMMARY (LRA)G-9
DA FORM 5761-3-R ACTIVE07/1/1989FAMILY CHILD CARE (FCC) RISK ASSESSMENT TOOL REPORT (LRA)G-9
DA FORM 5761-R ACTIVE07/1/1989FAMILY CHILD CARE (FCC) RISK ASSESSMENT TOOL OBSERVATION INSTRUMENT (LRA)G-9
DA FORM 5762-R ACTIVE06/1/1989FAMILY CHILD CARE CERTIFICATION REQUIREMENTS (LRA)G-9
DA FORM 5763-R ACTIVE07/1/1989CHILD DEVELOPMENT SERVICES (CDS) INDIVIDUAL EDUCATION PLAN (IEP) FAMILY CHILD CARE (FCC) PROVISIONAL CERTIFICATION TRAINING RECORD (LRA)G-9
DA FORM 5764-R ACTIVE07/1/1989INDIVIDUAL EDUCATION PLAN CAREGIVER INITIAL TRAINING RECORD (LRA)G-9
DA FORM 5765-R ACTIVE07/1/1989CDS DIRECT SERVICE PERSONNEL ANNUAL INDIVIDUAL EDUCATION PLAN TRAINING RECORD (LRA)G-9
DA FORM 5766 ACTIVE09/1/1999CHAPLAINS` FUND VOUCHERCCH
DA FORM 5775 ACTIVE07/1/1989ARMY ACCIDENT PREVENTION AWARD OF ACCOMPLISHMENT IN SAFETYCSA
DA FORM 5777 ACTIVE04/1/2008U.S. ARMY SAFETY GUARDIAN AWARD (S&I, US ARMY COMBAT READINESS/SAFETY CENTER, ATTN: CHRISTOPHER BOKENFOHR, BLDG. 4905, 5TH AVE. FORT RUCKER, AL 36362)CSA
DA FORM 5778 ACTIVE07/1/1989ARMY AVIATION BROKEN WING AWARDCSA
DA FORM 5811 ACTIVE06/1/2021CERTIFICATE - LOST OR DAMAGED CLASS 5 AMMUNITION ITEMSG-4
DA FORM 5823 ACTIVE09/1/1989EQUIPMENT IDENTIFICATION CARDG-4
DA FORM 5830-R ACTIVE08/1/1989POL CREDIT CARD/AV FUEL IDENTAPLATE CONTROL LOG (LRA)G-4
DA FORM 5832-R ACTIVE08/1/1989PACKAGED PETROLEUM, OILS, AND LUBRICANTS SUBMISSION LOG (LRA)G-4
DA FORM 5840 ACTIVE07/1/2020CERTIFICATE OF ACCEPTANCE AS GUARDIAN OR ESCORTG-1
DA FORM 5841 ACTIVE07/1/2020POWER OF ATTORNEYG-1
DA FORM 5863 ACTIVE06/1/2009EXCEPTIONAL FAMILY MEMBER PROGRAM INFORMATION SHEETG-9
DA FORM 5880 ACTIVE04/1/1990HONORARY WARRANT OFFICER OF THE REGIMENTAASA
DA FORM 5888 ACTIVE09/1/2002FAMILY MEMBER DEPLOYMENT SCREENING SHEETG-9
DA FORM 5888-1 ACTIVE11/1/2006SCREENING OF FAMILY MEMBERS IN REMOTE OCONUS AREASG-9
DA FORM 5890 ACTIVE08/1/2010ACKNOWLEDGEMENT OF NOTIFICATION OF FORMAL PHYSICAL EVALUATION BOARD HEARINGG-1
DA FORM 5893 ACTIVE10/1/2018SOLDIER`S MEDICAL EVALUATION BOARD/PHYSICAL EVALUATION BOARD COUNSELING CHECKLISTG-1
DA FORM 5897 ACTIVE05/1/1999ARMY COMMUNITY SERVICE (ACS) CLIENT CASE RECORDG-9
DA FORM 5900 ACTIVE03/1/2013ARMY COMMUNITY SERVICE (ACS) GROUP SESSIONS LOGG-9
DA FORM 5904-R ACTIVE08/1/1990TOTAL PACKAGE APPROACH (TPA) CHECK LIST (LRA)SA
DA FORM 5911-2 ACTIVE06/1/2004NAF MAJOR CONSTRUCTION SCHEDULE (EGA)G-9
DA FORM 5911-E ACTIVE03/1/1997FIVE YEAR CASH PROJECTION SCHEDULE (EGA)G-9
DA FORM 5913 ACTIVE03/1/2006STRENGTH AND FEEDER REPORTG-4
DA FORM 5914 ACTIVE07/1/2002RATION CONTROL SHEETG-4
DA FORM 5941-R ACTIVE08/1/1990COMSEC MATERIAL DISPOSITION RECORD (LRA)CCSLA
DA FORM 5957 ACTIVE10/1/2020RADAR DEPLOYMENT ORDER (LRA)TRADOC
DA FORM 5960 ACTIVE01/1/2022BASIC ALLOWANCE FOR HOUSING (BAH) AUTHORIZATION AND DEPENDENCY DECLARATIONG-1
DA FORM 5963 ACTIVE09/1/1990YOUTH CERTIFICATE OF RECOGNITIONSA
DA FORM 5964 ACTIVE03/1/2017GUNNER'S EXAMINATION SCORECARD - MORTARSTRADOC
DA FORM 5965 ACTIVE02/1/2011BASIS OF ISSUE FOR CLOTHING AND INDIVIDUAL EQUIPMENT (CIE)ASA (AL&T)
DA FORM 5969 ACTIVE05/1/2016SECTION CHIEF`S REPORT (FOR 105-MM AND 155-MM HOWITZERS)TRADOC
DA FORM 5977 ACTIVE03/1/1991AUTHORIZATION CARDG-4
DA FORM 5978 ACTIVE03/1/1991CONTROL SHEETG-4
DA FORM 5982-E ACTIVE03/1/1991DISPATCH CONTROL LOG (EGA)G-4
DA FORM 5983-1-E ACTIVE03/1/1991OPERATOR`S QUALIFICATION RECORD (EGA)G-4
DA FORM 5983-E ACTIVE03/1/1991EQUIPMENT OPERATOR QUALIFICATION RECORD (EGA)G-4
DA FORM 5984-E ACTIVE03/1/1991OPERATOR`S PERMIT RECORD (EGA)G-4
DA FORM 5985-E ACTIVE03/1/1991EQUIPMENT CLASS NOUN REPORT (EGA)G-4
DA FORM 5987-1-E ACTIVE03/1/1991MOTOR EQUIPMENT DISPATCH - ALERT (EGA)G-3/5/7
DA FORM 5987-E ACTIVE03/1/1991MOTOR EQUIPMENT DISPATCH (EGA)G-4
DA FORM 5988-E ACTIVE03/1/1991EQUIPMENT MAINTENANCE AND INSPECTION WORKSHEET (EGA)G-4
DA FORM 5989-E ACTIVE03/1/1991MAINTENANCE REQUEST REGISTER (EGA)G-4
DA FORM 5990-E ACTIVE03/1/1991MAINTENANCE REQUEST (EGA)G-4
DA FORM 5991-E ACTIVE03/1/1991OIL ANALYSIS REQUEST (EGA)G-4
DA FORM 5992-E ACTIVE03/1/1991EQUIPMENT USAGE REPORT (EGA)G-4
U.S. Army Logo