DA Forms 5212 - 5438

The United States Army relies on a variety of forms and documents to manage its operations. Forms such as DA Form 5223-R for Child Health Assessment and DA Form 5231 for Public Service Commendation Medal recommendations are critical tools used by the Army to ensure that its personnel and programs are managed effectively. In this list, we will highlight some of the essential Army forms used in areas such as child development services, key management, and security determinations.

• DA Form 5212 - Gunner's Reference Card: A card used as a reference for gunners in the Army.
• DA Form 5219-R - Child Development Services (CDS) Family Child Care (FCC) Provider Application (LRA): An application used by providers to apply for Family Child Care certification in Army CDS programs.
• DA Form 5220-R - Child Development Services (CDS) Family Child Care (FCC) Provider Background Clearance Request (LRA): A form used to request background clearance for providers in Army CDS Family Child Care programs.
• DA Form 5221-R - Child Development Services (CDS) Family Child Care (FCC) Certification, Denial/Revocation (LRA): A form used to certify, deny, or revoke certification for Family Child Care providers in Army CDS programs.
• DA Form 5222-R - Child Development Services (CDS) Sponsor Consent Form (LRA): A form used to obtain consent from sponsors in Army CDS programs.
• DA Form 5223-R - Child Development Services (CDS) Child Health Assessment (LRA): A form used to document the health assessment of children in Army CDS programs.
• DA Form 5224-R - Child Development Services (CDS) Child and Family Profile (LRA): A form used to document the profile of children and families in Army CDS programs.
• DA Form 5225-R - Child Development Services (CDS) Medical Dispensation Record (LRA): A form used to document medical dispensation for children in Army CDS programs.
• DA Form 5226-R - Child Development Services (CDS) Sponsor/Program Agreement (LRA): An agreement used to establish the terms and conditions of sponsorship in Army CDS programs.
• DA Form 5231 - Public Service Commendation Medal: A form used to recommend Army personnel for the Public Service Commendation Medal.
• DA Form 5246-R - Child Development Services (CDS) Report (LRA): A report used to document information related to Army CDS programs.
• DA Form 5248-R - Report of Unfavorable Information for Security Determination (LRA): A report used to document unfavorable information related to security determinations in Army programs.
• DA Form 5251-1-R - CNCS Key Management Worksheet (LRA): A worksheet used to manage keys in Army CNCS programs.
• DA Form 5251-R - Conauth Key Management Worksheet (LRA): A worksheet used to manage authentication keys in Army programs.
• DA Form 5252-R - Statement - Evidence of Citizenship Status (LRA): A statement used to document the citizenship status of Army personnel.
• DA Form 5261-4 - Student Loan Repayment Program Addendum: An addendum used to document the Student Loan Repayment Program for Army personnel.
• DA Form 5261-6 - Selected Reserve Incentive Program - Officer Accession Bonus: A form used to document the Officer Accession Bonus in Army Selected Reserve Incentive Programs.
• DA Form 5261-7 - Selected Reserve Incentive Program - Officer Affliation Bonus: A form used to document the Officer Affiliation Bonus in Army Selected Reserve Incentive Programs.
• DA Form 5273 - Harbor Boat Deck and Engine Log for Class B Vessels: A log used to document the deck and engine status of class B vessels in Army harbor operations.
• DA Form 5289-R - Traveling Purchase Request (LRA): A request used to authorize purchases while traveling on official Army business.
• DA Form 5291-2-R - Army Exceptional Family Member Child Functional Questionnaire (LRA): A questionnaire used to assess the functional needs of exceptional family member children in Army programs.
• DA Form 5297 - Abstract of Vendor Deliveries: A summary used to document vendor deliveries in Army programs.
• DA Form 5298 - Operational Rations Accountability: A form used to document the accountability of operational rations in the Army.
• DA Form 5303 - Volunteer Agreement Affidavit: An affidavit used for volunteers in the Army.
• DA Form 5304 - Family Care Plan Counseling Checklist: A checklist used to document counseling related to family care plans in the Army.
• DA Form 5305 - Family Care Plan: A form used to document a family care plan for Army personnel.
• DA Form 5310 - Radar Friendly Fire Log: A log used to document radar friendly fire incidents in the Army.
• DA Form 5313-1-R - Nonappropriated Fund Payable/Disbursement Voucher Continuation Sheet (LRA): A continuation sheet used to document nonappropriated fund payable and disbursement vouchers in the Army.
• DA Form 5313-R - Nonappropriated Fund Payable/Disbursement Voucher (LRA): A form used to document nonappropriated fund payable and disbursement vouchers in the Army.
• DA Form 5314 - Personal Services (Comprehensive) Non-Appropriated Fund (NAF) Employees: A form used to document personal services provided by NAF employees in the Army.
• DA Form 5318 - FY NAF Annual Operating Budget (EGA): A form used to document the annual operating budget for NAF programs in the Army.
• DA Form 5320-1 - APF/NAF 5-Year Financial Plan (EGA): A form used to document the 5-year financial plan for Army APF and NAF programs.
• DA Form 5321 - CPMC (Part A) Capital Purchases (Over $1,000), Maintenance & Repair (Over $2,500, Under $1M), and Minor Construction (Under $200K) (EGA): A form used to document capital purchases, maintenance and repair, and minor construction in Army CPMC programs.
• DA Form 5322 - Monthly Cash Projection Schedule (EGA): A schedule used to project monthly cash flow in Army programs.
• DA Form 5323-R - Cash Budget Summary (LRA): A summary used to document the cash budget for Army programs.
• DA Form 5324-R - Check Computation for Determining Net Income (LRA): A form used to compute net income for Army programs.
• DA Form 5325-R - Package Beverage Branch Computation of Income Distribution (LRA): A form used to compute income distribution for package beverage branches in Army programs.
• DA Form 5327 - Bona Fide Dependent Declaration - Military: A form used to declare bona fide dependents for Army personnel.
• DA Form 5328 - Bona Fide Dependent Declaration (Civilian): A form used to declare bona fide dependents for Army civilians.
• DA Form 5329 - Escort Report: A report used to document escorts in Army operations.
• DA Form 5330 - Release of Remains for Local Disposition: A form used to release remains for local disposition in the Army.
• DA Form 5339 - OCS Applicant's Commanders Evaluation Sheet: An evaluation sheet used to assess OCS applicants in the Army.
• DA Form 5344 - Honorary Sergeant Major of the Regiment Appointment Certificate: A certificate used to appoint an Honorary Sergeant Major of the Regiment in the Army.
• DA Form 5352 - Nonappropriated Funds Earnings and Leave Statement (CONUS): A statement used to document earnings and leave for NAF employees in CONUS Army programs.
• DA Form 5353-R - Bank Reconciliation Worksheet (LRA): A worksheet used to reconcile bank statements in Army programs.
• DA Form 5359 - Long-Range Special Assignment Airlift Mission (SAAM) Flying Hours Requirements: A form used to document flying hours requirements for Army SAAM missions.
• DA Form 5368 - Quick Fire Plan: A plan used for quick response to fire incidents in Army operations.
• DA Form 5369 - Rotation Agreement - Employees Recruited from the United States: An agreement used for employee rotation in Army programs for employees recruited from the US.
• DA Form 5370 - Rotation Agreement - Employees Recruited Locally in Foreign Areas: An agreement used for employee rotation in Army programs for employees recruited locally in foreign areas.
• DA Form 5371 - Rotation Agreement - Employees Recruited from the US Territories and Possessions: An agreement used for employee rotation in Army programs for employees recruited from the US territories and possessions.
• DA Form 5374 - Performance Assessment: A form used to assess the performance of Army personnel.
• DA Form 5376 - Individual Training Evaluation Record: A record used to document individual training evaluations in the Army.
• DA Form 5377 - Fire and Emergency Services Training Record: A record used to document fire and emergency services training in the Army.
• DA Form 5379 - Apparatus Maintenance Checklist: A checklist used to document apparatus maintenance in the Army.
• DA Form 5380 - Fire Apparatus Test Record: A record used to document fire apparatus testing in the Army.
• DA Form 5381 - Building - Fire Risk Management Survey: A survey used to assess fire risk management in Army buildings.
• DA Form 5382 - Hazard/Deficiency Inspection Record: A record used to document hazard and deficiency inspections in the Army.
• DA Form 5383 - Hot-Work Permit: A permit used to authorize hot work operations in the Army.
• DA Form 5384 - Water Flow Test: A test used to measure water flow in Army operations.
• DA Form 5391-R - Workload Management System for Nursing Interrater Reliability Testing (LRA): A form used for interrater reliability testing in Army nursing workload management systems.
• DA Form 5392 - Patriot Location/Status/Condition Report: A report used to document the location, status, and condition of Patriot systems in the Army.
• DA Form 5393-R - Patriot Multiple Location/Status/Condition Report (LRA): A report used to document multiple locations, statuses, and conditions of Patriot systems in the Army.
• DA Form 5394-1 - Printing Facilities Productivity Report: A report used to document productivity in Army printing facilities.
• DA Form 5396 - Overseas Tour Extension Incentive Program Monthly Report: A report used to document the Overseas Tour Extension Incentive Program in the Army.
• DA Form 5402 - Barber/Beauty Shop Inspection: An inspection used to assess the quality of barber and beauty shop services in the Army.
• DA Form 5407 - Agents Special Mission Funds: A form used to document special mission funds for agents in the Army.
• DA Form 5409 - Inoperative Equipment Report: A report used to document inoperative equipment in the Army.
• DA Form 5410 - Unit Level Deadlining Parts Report: A report used to document unit-level deadlining parts in the Army.
• DA Form 5411-R - Bulk Petroleum Storage Facilities Report, Army (RCS: DRC-830) (LRA): A report used to document bulk petroleum storage facilities in the Army.
• DA Form 5412 - Waiver of Compensation Statement: A statement used to waive compensation in the Army.
• DA Form 5414 - Administrative Return Rights Agreement: An agreement used to establish administrative return rights in the Army.
• DA Form 5415 - Garrison Category Competition Checklist: A checklist used to assess garrison category competition in the Army.
• DA Form 5416 - Field Category Training Evaluation Checklist: A checklist used to evaluate training in field categories in the Army.
• DA Form 5424-R - Terrain Mortar Position/Special Corrections Worksheet (LRA): A worksheet used to document terrain mortar positions and special corrections in the Army.
• DA Form 5425 - Applicant/Nominee Personal Financial Statement: A statement used to document personal finances of Army applicants and nominees.
• DA Form 5426 - Battalion Command Team Recruiter Candidate Interview and Evaluation: A form used to evaluate and interview recruiter candidates for Army battalion command teams.
• DA Form 5427 - Company Commander Recruiter Candidate Interview and Assessment: A form used to assess and interview recruiter candidates for Army company commanders.
• DA Form 5429 - Conduct of Fire: A form used to document the conduct of fire during Army operations.
• DA Form 5429-R - Conduct of Fire: A form used to document the conduct of fire during Army operations.
• DA Form 5434 - Sponsorship Program Counseling and Information Sheet: A sheet used to provide counseling and information for Army sponsorship programs.
• DA Form 5435 - Statement of Understanding - The Selected Reserve Montgomery GI Bill (10 USC Chapter 1606): A statement used to document understanding of the Selected Reserve Montgomery GI Bill in the Army.
• DA Form 5435-1 - Statement of Understanding - The Selected Reserve Montgomery GI Bill Kicker Program (10 USC 16131): A statement used to document understanding of the Selected Reserve Montgomery GI Bill Kicker Program in the Army.
• DA Form 5436 - Explosive Ordnance Disposal (EOD) Volunteer Statement: A statement used to volunteer for EOD duties in the Army.
• DA Form 5437 - Voluntary Withdrawal from Explosive Ordnance Disposal (EOD) Statement: A statement used to voluntarily withdraw from EOD duties in the Army.
• DA Form 5438 - Involuntary Termination from Explosive Ordnance Disposal (EOD) Duties: A form used to document involuntary termination from EOD duties in the Army.

From managing child development services to recommending personnel for commendations, the Army relies on a wide range of forms and documents to support its mission. The forms listed above demonstrate the diverse needs of Army operations, from ensuring the health and safety of children in Army programs to managing authentication keys. By using these forms effectively, the Army can maintain the highest standards of performance and accountability across its many programs and missions.