DA Form 1622-1-R. Affidavits of Individual Sureties (LRA)

DA Form 1622-1-R is an affidavit form used by individual sureties (LRA - Lien Release Authority) to provide a sworn statement regarding their financial capacity to act as a surety for a contract. This form consists of various fields to record personal information, financial information, and a sworn statement. It is crucial to accurately fill out this form to ensure the validity and reliability of the individual surety.

Application Example: This form is often used in contracting processes when an individual offers themselves as a surety for a contract. By completing this form, the individual demonstrates their financial capacity to fulfill the obligations of a surety. This form helps the Department of Army assess the suitability of an individual surety and mitigate financial risks associated with contracts.

Related Form: The equivalent civilian form to DA Form 1622-1-R is the Standard Form 28, Affidavit of Individual Surety. Both forms serve the same purpose of providing a sworn statement by an individual surety, but the DA Form 1622-1-R is specifically designed for use within the Department of Army.