DA Forms 2465 - 3234

DA Forms 2465  -  3234

The Army relies on a variety of forms to keep track of personnel information, document equipment and supplies, and assess and mitigate risk in operations. In this list, we will explore some of the commonly used forms in the Army that serve these purposes.

  • DA Form 2465 - Client Legal Assistance Record: Record of legal assistance provided to clients.
  • DA Form 2510 - Storage Item Data Change Document: Document used to request changes to storage item data.
  • DA Form 2569 - Attorney of Record Designation for Civilian Counsel: Form used to designate a civilian attorney as an attorney of record in military legal proceedings.
  • DA Form 2590 - Formal Complaint of Discrimination: Form used to file a formal complaint of discrimination.
  • DA Form 2600 - Referral and Selection Register: Register of referrals and selections for employment or other opportunities.
  • DA Form 2601-1 - MET Data Correction Sheet for Mortars: Correction sheet used for Mortar Effects Table (MET) data.
  • DA Form 2627 - Record of Proceedings Under Article 15, UCMJ: Record of legal proceedings under Article 15 of the Uniform Code of Military Justice (UCMJ).
  • DA Form 2627-1 - Summarized Record of Proceedings Under Article 15, UCMJ: Summary of legal proceedings under Article 15 of the UCMJ.
  • DA Form 2627-2 - Record of Supplementary Action Under Article 15, UCMJ: Record of supplementary actions taken under Article 15 of the UCMJ.
  • DA Form 2631 - Medical Care-Third Party Liability Notification: Notification of third-party liability for medical care expenses.
  • DA Form 2650-R - Production Equipment Visual Inspection Record (LRA): Record of visual inspections performed on production equipment.
  • DA Form 2653-R - COMSEC Account - Daily Shift Inventory (LRA): Inventory record for Communications Security (COMSEC) accounts.
  • DA Form 2662-R - United States Army EPW Identity Card (LRA): Identity card issued to Enemy Prisoners of War (EPWs).
  • DA Form 2663-R - Fingerprint Card (LRA): Card used to record fingerprints of individuals.
  • DA Form 2664-R - Weight Register (Prisoner of War) (LRA): Register of weights for Prisoners of War (POWs).
  • DA Form 2665-R - Capture Card for Prisoner of War (LRA): Card used to record information about captured POWs.
  • DA Form 2666-R - Prisoner of War Notification of Address (LRA): Notification of change of address for POWs.
  • DA Form 2667-R - Prisoner of War Mail (Letter) (LRA) (ED Jul 63 Will Be Used): Record of mail sent to POWs.
  • DA Form 2668 - Prisoner of War Mail (Post Card): Record of post card mail sent to POWs.
  • DA Form 2669 - Certificate of Death: Certificate issued to certify an individual's death.
  • DA Form 2670-R - Mixed Medical Commission Certificate for EPW (LRA): Certificate issued by a medical commission for EPWs.
  • DA Form 2671-R - Certificate of Direct Repatriation for EPW (LRA): Certificate issued to authorize the direct repatriation of EPWs.
  • DA Form 2672-R - Classification Questionnaire for Officer Retained Personnel (LRA): Questionnaire used to classify retained officer personnel.
  • DA Form 2673-R - Classification Questionnaire for Enlisted Retained Personnel (LRA): Questionnaire used to classify retained enlisted personnel.
  • DA Form 2674-R - Enemy Prisoner of War/Civilian Internee Strength Report (LRA): Report on the strength of EPWs and civilian internees.
  • DA Form 2675-R - Certification of Work Incurred Injury or Disability (LRA): Certification of injury or disability incurred at work.
  • DA Form 2677-R - United States Army Civilian Internee Identity Card (LRA): Identity card issued to civilian internees held by the US Army.
  • DA Form 2678-R - Civilian Internee Natl-Internment Card (LRA): Card used to identify and track civilian internees.
  • DA Form 2679-R - Civilian Internee Letter (LRA): Letter sent to notify civilian internees of important information.
  • DA Form 2680-R - Civilian Internee Natl-Post Card (LRA): Post card sent to civilian internees to communicate with them.
  • DA Form 2696 - Operational Hazard Report: Report on operational hazards encountered during military operations.
  • DA Form 2707 - Dry Cleaning List (For Piece Rate Patrons): List of items submitted for dry cleaning by piece-rate patrons.
  • DA Form 2736-R - International Balance of Payments Transactions, Nonappropriated Fund Transactions (LRA): Record of international financial transactions for non-appropriated fund activities.
  • DA Form 2741 - Laundry List (For Piece-Rate Patrons): List of items submitted for laundry by piece-rate patrons.
  • DA Form 2765 - Request for Issue or Turn-In: Form used to request the issue or turn-in of equipment or supplies.
  • DA Form 2765-1 - Request for Issue or Turn-In: Form used to request the issue or turn-in of ammunition.
  • DA Form 2773 - Statement of Identification: Form used to verify an individual's identification.
  • DA Form 2785-1-R - Installation Natural Resources Report: Part II - Forest Management (LRA): Report on forest management at military installations.
  • DA Form 2785-2-R - Installation Natural Resources Report: Part II - Fish and Wildlife Management (LRA): Report on fish and wildlife management at military installations.
  • DA Form 2785-R - Installation Natural Resources Report: Part I - Land Use and Construction (LRA): Report on land use and construction at military installations.
  • DA Form 2788-R - Technical Data Feeder Report (LRA): Report of technical data to be fed into a database or system.
  • DA Form 2801 - Polygraph Examination Statement of Consent: Consent statement for individuals undergoing polygraph examinations.
  • DA Form 2805 - Polygraph Examination Authorization: Authorization form for individuals undergoing polygraph examinations.
  • DA Form 2806 - Physical Security Survey Report: Report on physical security surveys conducted on military installations or facilities.
  • DA Form 2806-1 - Physical Security Inspection Report: Report on physical security inspections conducted on military installations or facilities.
  • DA Form 2807 - Military Working Dog Training and Utilization Record: Record of training and utilization for military working dogs.
  • DA Form 2818 - Firearms Authorization: Form used to authorize individuals to carry firearms.
  • DA Form 2823 - Sworn Statement: Sworn statement given by individuals for legal purposes.
  • DA Form 2871-R - Invention Rights Questionnaire (LRA): Questionnaire used to determine invention rights for government employees.
  • DA Form 2872-R - Request for Determination of Invention Rights (LRA): Request for determination of invention rights for government employees.
  • DA Form 2873-R - License of Invention (LRA): License issued for inventions owned by the US government.
  • DA Form 2874-R - Assignment of Invention (LRA): Form used to assign invention rights from a government employee to another entity.
  • DA Form 2886 - Laundry List for Military Personnel: List of items submitted for laundry by military personnel.
  • DA Form 2924 - Hospital Food Service - Dietary History Record: Record of dietary history for hospital patients.
  • DA Form 2927 - Hospital Food Service - Telephone Diet Order: Form used to order a special diet for hospital patients.
  • DA Form 2930 - Hospital Food Service - Kitchen Requisition: Requisition form for food and supplies in hospital kitchens.
  • DA Form 2946-R - 40-mm Grenade Launcher Scorecard: Scorecard used for training on the 40-mm grenade launcher.
  • DA Form 2947-R - Analysis of Balances in Suspense (LRA): Analysis of financial balances held in suspense accounts.
  • DA Form 2969-1-R - Food Cost and Feeding Strength Summary, US Army Reserves (LRA): Summary report of food costs and feeding strength for the US Army Reserve.
  • DA Form 2970 - Headcount Report: Report of personnel headcounts at military installations or facilities.
  • DA Form 2978 - Container and Dunnage Fabrication Work Order: Work order for fabrication of containers and dunnage.
  • DA Form 2979 - Container and Dunnage Fabrication Work Order and Production Control Register: Work order and production control register for container and dunnage fabrication.
  • DA Form 2984 - Very Seriously Ill/Seriously Ill/Special Category Patient Report: Report on the medical status of seriously ill or special category patients.
  • DA Form 2985 - Admission and Coding Information: Form used to gather admission and coding information for hospital patients.
  • DA Form 3020 - Magazine Data Card: Record of data for ammunition storage magazines.
  • DA Form 3022 - Army Depot Surveillance Record: Record of surveillance activities at army depots.
  • DA Form 3022-SG - Army Depot Surveillance Record: Special Guard edition of the Army Depot Surveillance Record.
  • DA Form 3023 - Gage Record: Record of calibration and maintenance of measurement gauges.
  • DA Form 3031 - Arts and Crafts Center Safety and Equipment Qualification Card: Qualification card for safety and equipment use at arts and crafts centers.
  • DA Form 3031-1 - Automotive Skills Shop Safety and Equipment Qualification Card: Qualification card for safety and equipment use at automotive skills shops.
  • DA Form 3032 - Signature Headcount Sheet: Sheet used to record headcounts with signatures for accountability purposes.
  • DA Form 3034 - Production Schedule: Schedule of production for goods or services.
  • DA Form 3034-2 - Disposition of Subsistence: Record of the disposition of subsistence items.
  • DA Form 3056 - Report of Missing/Recovered Firearms, Ammunition and Explosives: Report of missing or recovered firearms, ammunition, and explosives.
  • DA Form 3063 - Army Community Service (ACS) Management Report (System Generated Located at www.acsstaff.org): Management report for Army Community Service (ACS).
  • DA Form 3068 - Marine Service Book (S&I, Department of the Army, Marine Qualification Division, Career Sea Pay Office, Bldg 705, Rm 12, Fort Eustis, VA 23604-5407): Service book for Marines in the US Army.
  • DA Form 3068-1 - Marine Service Record: Record of service for Marines in the US Army.
  • DA Form 3072 - Waiver of Disqualification for Continued Service in the Regular Army: Form used to waive disqualification for continued service in the regular army.
  • DA Form 3072-2 - Applicant's Monthly Financial Statement: Statement of financial status for applicants seeking military service.
  • DA Form 3078 - Personal Clothing Request: Request for personal clothing items issued by the US Army.
  • DA Form 3083 - Medical Examination for Certain Geographical Areas: Form used to gather medical examination information for individuals serving in certain geographical areas.
  • DA Form 3120 - Missile Firing Data Report (Patriot): Report of data for missile firing exercises using Patriot missiles.
  • DA Form 3126 - Application and Contract for Establishment of a Junior Reserve Officers' Training Corps Unit: Application and contract for establishing a Junior Reserve Officers' Training Corps unit.
  • DA Form 3126-1 - Application and Contract for Establishment of a National Defense Cadet Corps Unit: Application and contract for establishing a National Defense Cadet Corps unit.
  • DA Form 3136 - Roster and Statement: Roster and statement form used for various purposes in the US Army.
  • DA Form 3137 - Abstract of Enlisted and Organizational Laundry and Dry Cleaning: Abstract report of laundry and dry cleaning services for enlisted personnel and organizational units.
  • DA Form 3151 - Ammunition Stores Slip: Slip used to document ammunition stores transactions.
  • DA Form 3154 - MSA Invoice and Receipt: Invoice and receipt form for Material Storage Areas (MSA).
  • DA Form 3155 - MSA Cash Record: Cash record form for Material Storage Areas (MSA).
  • DA Form 3161 - Request for Issue or Turn-In: Form used to request the issue or turn-in of equipment or supplies.
  • DA Form 3161-1 - Request for Issue and Turn-In (Continuation Sheet): Continuation sheet for the DA Form 3161 for additional items.
  • DA Form 3164-R - Swimming Pool Operating Log (LRA): Log for operating and maintaining swimming pools in the US Army.
  • DA Form 3168 - Posthumous Promotion Certificate (Enlisted) S&I,CDR, HRC, ATTN: AHRC-PDC-C (Mr. Johnson), 1600 Spearhead Division Avenue, Department 450 Fort Knox, KY 40122-5405): Certificate of posthumous promotion for enlisted personnel in the US Army.
  • DA Form 3169 - Report of Judicial Disciplinary Activity in the Army: Report of judicial disciplinary activity in the US Army.
  • DA Form 3180 - Personnel Screening and Evaluation Record: Record of personnel screening and evaluation for security clearances and access.
  • DA Form 3180-1 - Chemical and Biological Personnel Reliability Program Statement of Understanding: Personnel statement of understanding for the Chemical and Biological Personnel Reliability Program.
  • DA Form 3180-2 - Chemical and Biological Personnel Screening and Evaluation Record: Record of personnel screening and evaluation for the Chemical and Biological Personnel Reliability Program.
  • DA Form 3180-3 - Chemical and Biological Personnel Reliability Program (PRP) Status Report: Status report for the Chemical and Biological Personnel Reliability Program.
  • DA Form 3234 - Inventory Record: Record of inventory for equipment and supplies.
  • DA Form 3234-1 - Monthly Inventory Recap Sheet for DA Form 3234: Recap sheet for monthly inventory records on DA Form 3234.

These forms, such as DA Form 461-5 for documenting neurobehavioral status exams, DA Form 4700 for personal property record keeping, and DA Form 4833 for assessing and mitigating risk, are crucial to maintaining organization and efficiency within the Army. By accurately filling out these forms, Army personnel can help ensure the success of their unit's mission. Whether requesting reserve component assignment or documenting counseling sessions, each form plays an important role in supporting the Army's efforts.

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