DA Forms 4571 - 4967

The U.S. Army relies on a variety of forms to manage critical information related to its personnel, facilities, and operations. In this list, we will cover some of the essential forms used by the Army for purposes such as documenting promotions, tracking inventory, scheduling tasks, and more.

One of the most important forms in this list is the DA Form 4572 - Statement of Understanding for Appointment as a Commissioned Officer. This form serves as an agreement between the individual being appointed and the Army, outlining the responsibilities and expectations of commissioned officers.

Another critical form is the DA Form 4604 - Security Construction Statement. This form is used to document security construction requirements for Army facilities, ensuring that all necessary measures are taken to protect personnel and sensitive information.

Other significant forms in this list include the DA Form 4591 - Retention Counseling Record, which documents retention counseling sessions for Army personnel, and the DA Form 4655 - Target List Worksheet, which is used to document target information for Army operations.

• DA Form 4571-R - Data Required by the Privacy Act of 1974 (Eligibility for AMEDD Officer Procurement Programs Miscellaneous Documentation) (LRA): Used to gather personal information under the Privacy Act of 1974 for eligibility in Army Medical Department officer procurement programs.
• DA Form 4572 - Statement of Understanding for Appointment as a Commissioned Officer: Used to document an individual's understanding and agreement with appointment as a commissioned officer in the Army.
• DA Form 4574-R - Radiopharmaceutical Record (LRA): Used to record radiopharmaceutical activity and inventory for Army medical facilities.
• DA Form 4591 - Retention Counseling Record: Used to document retention counseling sessions for Army personnel.
• DA Form 4592 * - Certificate of Promotion (Ed Jan 77 will be used): Used to certify the promotion of Army personnel.
• DA Form 4598-R - Installation Cash Transfer Request (LRA): Used to request cash transfers between Army installations for activities under the Local Recreation Activities program.
• DA Form 4604 - Security Construction Statement: Used to document security construction requirements for Army facilities.
• DA Form 4605-R - Department of the Army Munitions Control Case Processing Worksheet (LRA): Used to process munitions control cases for activities under the Local Recreation Activities program.
• DA Form 4612 - Number and Types of Decorations Approved: Used to document decorations approved for Army personnel.
• DA Form 4630-R-E - Guest Housing Occupancy Report (EGA): Used to report occupancy data for guest housing at Army installations for personnel with enlisted grade A.
• DA Form 4640 - Harbor Boat Deck Department Log for Class A&B Vessels: Used to log activity and maintenance for Army harbor boat decks.
• DA Form 4644-R - Army Reserve Reenlistment Data (LRA): Used to record and report reenlistment data for Army Reserve personnel.
• DA Form 4651 - Request for Reserve Component Assignment or Attachment: Used to request assignment or attachment to the Army Reserve.
• DA Form 4655 - Target List Worksheet: Used to document target information for Army operations.
• DA Form 4656 - Scheduling Worksheet: Used to schedule tasks and activities for Army units.
• DA Form 4660 - Military Auxiliary Radio System Station License (S&I USACC, FT Huachuca, AZ 85613): Used to license Military Auxiliary Radio System stations for Army use.
• DA Form 4664-1-R - Tempest Inspection Report Supplement - Facility Profile (LRA): Used as a supplement to DA Form 4664-R to provide additional facility profile information for tempest inspection reports.
• DA Form 4664-R - Tempest Inspection Report (LRA): Used to report tempest inspection findings for Army facilities.
• DA Form 4665 - Patients' Trust Fund - Daily Summary Record: Used to record daily activity for the Patients' Trust Fund in Army medical facilities.
• DA Form 4669-R - COMSEC Material Voucher Control Register: Used to control and track the distribution of communications security materials within the Army.
• DA Form 4677 - Therapeutic Documentation Care Plan (Non-Medications): Used to document non-medication therapeutic care plans for Army patients.
• DA Form 4678 - Therapeutic Documentation Care Plan (Medication): Used to document medication therapeutic care plans for Army patients.
• DA Form 4689 - Civilian Service Commendation Medal: Used to recommend Army civilian personnel for the Civilian Service Commendation Medal.
• DA Form 4691 - Initial Application for Clinical Privileges and Staff Appointment: Used to apply for clinical privileges and staff appointment in Army medical facilities.
• DA Form 4691-1 - Application for Renewal of Clinical Privileges and Staff Appointment: Used to renew clinical privileges and staff appointment in Army medical facilities.
• DA Form 4693-R - Certificate of Medical Officer (LRA): Used to certify the medical condition of Army personnel for medical purposes.
• DA Form 4700 - Medical Record - Supplemental Medical Data: Used to record supplemental medical data for Army personnel.
• DA Form 4701-R - Request for AVFUELS Identaplates (LRA): Used to request identification plates for aviation fuel tanks for activities under the Local Recreation Activities program.
• DA Form 4702-R - Monthly Bulk Petroleum Accounting Summary (LRA): Used to report monthly bulk petroleum accounting data for Army units.
• DA Form 4702-R-E - Monthly Bulk Petroleum Accounting Summary (EGA): Used to report monthly bulk petroleum accounting data for Army units for personnel with enlisted grade A.
• DA Form 4707 - Entrance Physical Standards Board (EPSBD) Proceedings: Used to document proceedings and decisions made by the Entrance Physical Standards Board for Army personnel.
• DA Form 4708 - Quantity Change for Substitute in Property Book (EGA): Used to record changes in quantity for substitute items in the Army's property book for personnel with enlisted grade A.
• DA Form 4713 - Volunteer Daily Time Record: Used to record daily volunteer time for Army volunteers.
• DA Form 4719 - Child Development Services (CDS) Registration Card: Used to register children for the Army's Child Development Services program.
• DA Form 4722 - US Army Nonappropriated Fund Vehicle Registration (S&I, Department of the Army, IMCOM G9, ATTN Army Central Insurance Fund, 2455 Reynolds Road, Ft. Sam Houston, TX 78234): Used to register nonappropriated fund vehicles for Army use.
• DA Form 4730 - Certificate for Non-Performance of Hazardous Duty: Used to certify that an individual did not perform hazardous duty during a specific period of time.
• DA Form 4734-R - Invention Disclosure (LRA): Used to disclose inventions developed by Army personnel for activities under the Local Recreation Activities program.
• DA Form 4753 - Notice No. of Unsafe or Unhealthful Working Condition: Used to notify management of unsafe or unhealthful working conditions in Army facilities.
• DA Form 4754 - Violation Inventory Log: Used to log violations of safety and health regulations in Army facilities.
• DA Form 4755 - Employee Report of Alleged Unsafe or Unhealthful Working Conditions: Used by employees to report alleged unsafe or unhealthful working conditions in Army facilities.
• DA Form 4756 - Installation Hazard Abatement Plan: Used to develop a plan for correcting hazards in Army installations.
• DA Form 4757 - Registration/Special Correction Work Sheet: Used to document registration and special corrections for Army personnel.
• DA Form 4762 - Athlete's Application: Used to apply for participation in Army athletic programs.
• DA Form 4787 - Reassignment Processing: Used to process reassignments for Army personnel.
• DA Form 4789 - Statement of Entitlement to Retention Incentive: Used to document entitlement to retention incentives for Army personnel.
• DA Form 4790 - Certification for Distribution of Publication(s) in Support of Government Contract: Used to certify that publications were distributed in support of a government contract.
• DA Form 4797 - International Standardization Agreement Ratification-Implementation Data Sheet: Used to report ratification and implementation data for international standardization agreements.
• DA Form 4797-1 - International Standardization Agreement Review Data Sheet (to be used for reviews of promulgated agreements): Used to review promulgated international standardization agreements.
• DA Form 4824 - Addendum to Certificate and Acknowledgement of Service Requirements (DA Form 3540) for All Personnel Applying for Participation in the Reserve Officer Training Corps (ROTC)/Simultaneous Membership Program (SMP): Used as an addendum to DA Form 3540 for Army personnel applying for participation in ROTC/SMP.
• DA Form 4826 - Addendum to Certificate and Acknowledgement of Service Requirements (DA Form 3540) for Enlistment Under the Alternate Training Program: Used as an addendum to DA Form 3540 for Army personnel enlisting under the Alternate Training Program.
• DA Form 4831-R - Calibration and Repair Program Report (LRA): A report used to document the calibration and repair of equipment.
• DA Form 4833 - Commander's Report of Disciplinary or Administrative Action: A form used to document disciplinary or administrative action taken against Army personnel.
• DA Form 4836 - Oath of Extension of Enlistment or Reenlistment: An oath taken by Army personnel when extending their enlistment or reenlisting.
• DA Form 4838-R - Maintenance Process Analysis Worksheet (LRA): A worksheet used to analyze maintenance processes in order to improve efficiency.
• DA Form 4841-R - Child Development Services (CDS) Program/Facility Report (LRA): A report used to document the status of CDS programs and facilities.
• DA Form 4843 - Guest/Attendance Sheet: A sheet used to record attendance at Army events.
• DA Form 4850 - Nonappropriated Funds Time and Attendance Report: A report used to document time worked by nonappropriated fund employees.
• DA Form 4850-1-R - Nonappropriated Funds Time and Attendance Supplement Report (LRA): A supplement report used to provide additional information for the Nonappropriated Funds Time and Attendance Report.
• DA Form 4853-R - Nonappropriated Funds Time and Attendance Transmittal No (LRA): A transmittal form used to submit the Nonappropriated Funds Time and Attendance Report.
• DA Form 4856 - Developmental Counseling Form: A form used to document counseling sessions between a leader and subordinate to improve performance.
• DA Form 4858-R - Year End Field Summary (LRA): A summary report used to document field operations for the previous year.
• DA Form 4872 - Certificate of Promotion to Noncommissioned Officers: A certificate used to recognize promotion to noncommissioned officer rank.
• DA Form 4873 - Certificate of Appointment to Command Sergeant Major: A certificate used to recognize appointment to the rank of Command Sergeant Major.
• DA Form 4874 - Certificate of Promotion (Promotion to Specialists Grades): A certificate used to recognize promotion to specialist rank.
• DA Form 4875-R - Schedule of Outstanding Requests for Billing Adjustment or Duplicate Billings (LRA): A schedule used to track outstanding billing requests and duplicate billings.
• DA Form 4876 - Request and Release of Medical Information to Communications Media: A form used to request and release medical information to communications media.
• DA Form 4878 - Army Chess Tournament Application: An application form used to apply for participation in Army chess tournaments.
• DA Form 4880-R - Supplemental Contractor Cost Report (LRA): A report used by contractors to document supplemental costs associated with a project.
• DA Form 4881 - Agreement for the Loan of US Army Materiel: An agreement used to loan US Army materiel to another entity.
• DA Form 4881-1 - Agreement for the Loan of US Army Materiel Certificate for Signature by an Alternate: A certificate used to document an alternate's signature on an agreement for the loan of US Army materiel.
• DA Form 4881-2 - Military Property of the United States - Exhibit I: An exhibit used to document military property of the United States.
• DA Form 4881-3 - Surety Bond for Safekeeping of Public Property and Guaranteeing Reimbursement to the Government for Expenses Incident to the Loan of Army Materiel - Exhibit II: An exhibit used to document a surety bond for the safekeeping of public property and guaranteeing reimbursement to the government for expenses incident to the loan of Army materiel.
• DA Form 4881-4 - Power of Attorney (for Transactions Involving Treasury Bonds): A form used as a power of attorney for transactions involving treasury bonds.
• DA Form 4881-5 - Agreement for the Lease of US Army Materiel: An agreement used to lease US Army materiel to another entity.
• DA Form 4881-6 - Request and Approval for Loan or Lease of Equipment and Loan or Lease Agreement: A form used to request and approve the loan or lease of equipment, as well as document the loan or lease agreement.
• DA Form 4886 - Issue-in-Kind-Personal Clothing Record: A record used to issue personal clothing items to Army personnel.
• DA Form 4908 - Army Emergency Relief Annual Fund Campaign: A form used to document contributions to the Army Emergency Relief fund.
• DA Form 4909 - Army Flying Activity Annual Status Report: A report used to document the status of Army flying activities.
• DA Form 4916 - Certificate of Service/Attempted Service: A certificate used to document attempts at service for legal purposes.
• DA Form 4917 - Advice as to Appellate Rights: A form used to advise individuals of their appellate rights in legal proceedings.
• DA Form 4918 - Petition for Grant of Review in the United States Court of Appeals for the Armed Forces: A petition used to request a review of legal proceedings in the United States Court of Appeals for the Armed Forces.
• DA Form 4919 - Request for Final Action: A form used to request final action on a matter.
• DA Form 4922 - Chaplains' Fund General Ledger: A ledger used to track financial transactions related to the Chaplains' Fund.
• DA Form 4922-1 - Chaplains' Fund General Ledger (Continuation): A continuation of the Chaplains' Fund General Ledger used to track additional financial transactions.
• DA Form 4923 - Chaplains' Fund Charge Purchase Request Memorandum Record: A record used to request and approve charges to the Chaplains' Fund.
• DA Form 4924 - Chaplain's Fund Property Record: A record used to track property owned by the Chaplains' Fund.
• DA Form 4925 - Chaplains' Fund Statement of Assets: A statement used to document the assets held by the Chaplains' Fund.
• DA Form 4926 - Chaplains' Fund Annual Summary Financial Data Report: A report used to summarize the financial data of the Chaplains' Fund for the year.
• DA Form 4930 - Alarm/Intrusion Detection Record: A record used to document alarm and intrusion detection system activity.
• DA Form 4939 - General/Flag Officer's Quarters Quarterly Obligations Report: A report used to document obligations related to general/flag officer quarters.
• DA Form 4939-R-E - General/Flag Officer's Quarters Quarterly Obligations Reports (EGA): An electronic version of the General/Flag Officer's Quarters Quarterly Obligations Report.
• DA Form 4944-R - Report on Legal Assistance Services (LRA): A report used to document legal assistance services provided to Army personnel.
• DA Form 4945 - Dining Facility Modernization Plan Development: A form used to develop dining facility modernization plans.
• DA Form 4948 - Freedom of Information Act (FOIA)/Operations Security (OPSEC) Desk Top Guide: A guide used to provide information on Freedom of Information Act (FOIA) and Operations Security (OPSEC).
• DA Form 4949 - Administrative Adjustment Report: A report used to document administrative adjustments made to Army personnel records.
• DA Form 4950 - The Good Conduct Medal: A certificate used to recognize the awarding of the Good Conduct Medal.
• DA Form 4951 - Lease/Purchase Analysis for Copying/Duplicating Machines: An analysis used to evaluate lease or purchase options for copying/duplicating machines.
• DA Form 4967-R - Cash Flow Budget (LRA): A budget used to track cash flow for Army operations.

In conclusion, the forms mentioned in this list play a vital role in the functioning of the U.S. Army. They help manage and track crucial information related to personnel, facilities, and operations, ensuring that the Army is prepared and ready to carry out its mission. Accurate and timely completion of these forms is crucial for maintaining the Army's operational readiness and supporting the troops who serve our country. The Army's use of these forms demonstrates its commitment to accountability and responsible management of its resources.