DA Form 1857. Statement of Account
The DA Form 1857 is used to provide a statement of account for individuals or organizations within the Department of Army. It is used to document financial transactions, such as payments received or expenses incurred, and to reconcile any discrepancies in account balances.
DA Form 1970. House Staff Evaluation Report
The DA Form 1970 is used to evaluate the performance of house staff members in medical facilities. It consists of several parts, including the identification section, which includes the name, rank, and specialty of the staff member being evaluated.
DA Form 1974. Laundry List (Medical Treatment Facility and Organization)
The DA Form 1974 is used in medical treatment facilities and organizations to keep track of laundry items that need cleaning or repair. It consists of a list of items, including clothing, linens, and other fabric-based materials, that require attention.
DA Form 1991. Stock Record Card
The DA Form 1991 is used to keep track of stock levels and transactions for various items in military supply chains. It consists of different sections, including the identification section, stock record section, and transaction record section.
DA Form 1994. Petty Cash Voucher
The DA Form 1994, also known as the Petty Cash Voucher, is used to document and track petty cash transactions within the Department of Army. The form consists of several parts, including the voucher itself, a receipt section, and a summary section.
DA Form 200. Transmittal Record
The DA Form 200, also known as the Transmittal Record, is used to document the transfer of items or documents from one party to another within the Department of Army.
Form LIC 9240. Entrance Checklist Small Family Home - California
Form LIC 9240 is used in California by small family homes to document and track the process of admitting an individual or individuals into their home. This form is completed by small family home operators when accepting residents for care and support.
Form LIC 9241. Entrance Checklist Adult Care Facilities - California
Form LIC 9241 is used in California by adult care facilities to document and track the process of admitting an individual into their facility. This form is completed by facility personnel when accepting residents for care and support.
Form LIC 9242. Entrance Checklist Residential Care Facilities For The Elderly - California
Form LIC 9242 is used in California by residential care facilities for the elderly (RCFE) to document and track the process of admitting an elderly individual into their facility. This form is completed by RCFE personnel when accepting residents for care and support.
Form LIC 9263. Form 1-1: Resident Population - California
Form LIC 9263 is used in California by care facilities to report and track the resident population within their facility. This form is completed on an annual basis by the facility operator or administrator.