DA Form 4170. Statement of Gains and Losses

DA Form 4170 is a statement form used by the U.S. Army to document gains and losses of equipment or property. This form is typically used during inventory inspections or when there is a change in custody or accountability of Army assets.

The form consists of sections where the responsible individual can provide information about the equipment or property being gained or lost. This includes details such as the item description, serial number, quantity, condition, and any remarks or explanations regarding the gain or loss.

Important fields this form include the item description, serial number, quantity, and condition of the equipment or property being gained or lost. Accurate and detailed information should be provided to maintain an accurate record of gains and losses.

Application Example: Army personnel responsible for managing equipment or property can use this form to document any gains or losses that occur. The form should completed with accurate and complete information about the items involved and the circumstances surrounding the gain or loss. This form is useful for maintaining accountability and tracking changes in the status of Army assets.

Related Forms: There may not be direct alternatives to DA Form 4170, as it specifically addresses gains and losses of Army equipment or property. However, other forms related to inventory management, property transfer, or asset tracking may exist, depending on the specific purpose or transaction.