Department of the Army (DA) Forms -- Complete Listing
Page 4 of 12: DA 3000
thru DA 3699
(1-2-3-5-6-7-8-9-10-11-12)
Also See our List of Commonly Used DA and DD Forms
| Form No. | Title | Version | XFDL | FF22 | FF99 | |
| DA 3020-R | MAGAZINE DATA CARD | V1.01 | XFDL | FF22 | FF99 | |
| DA 3022-R | ARMY DEPOT SURVEILLANCE RECORD | V1.00 | XFDL | FF22 | FF99 | |
| DA 3023 | GAGE RECORD | V1.01 | XFDL | FF22 | FF99 | |
| DA 3028-R | LIMITED ACCESS AUTHORIZATION | V1.00 | XFDL | FF22 | FF99 | |
| DA 3032 | SIGNATURE HEADCOUNT SHEET | V1.00 | XFDL | FF22 | FF99 | |
| DA 3034 | PRODUCTION SCHEDULE | V1.00ES | XFDL | FF22 | ||
| DA 3034-2 | DISPOSITION OF SUBSISTENCE | V1.01 | XFDL | |||
| DA 3056 | REPORT OF MISSING/RECOVERED FIREARMS, AMMUNITION AND EXPLOSIVES | V1.00 | XFDL | FF22 | ||
| DA 3068-1 | MARINE SERVICE RECORD | V1.00 | XFDL | FF22 | ||
| DA 3072-2 | APPLICANT'S MONTHLY FINANCIAL STATEMENT | V1.00 | XFDL | FF22 | FF99 | |
| DA 3072-R | WAIVER OF DISQUALIFICATION FOR REENLISTMENT/PROMOTION IN THE REGULARARMY | V1.00 | XFDL | FF22 | FF99 | |
| DA 3078 | PERSONAL CLOTHING REQUEST | V1.00 | XFDL | FF22 | ||
| DA 3081 | PERIODIC MEDICAL EXAMINATION (STATEMENT OF EXEMPTION | V1.00 | XFDL | FF22 | FF99 | |
| DA 3083 | MEDICAL EXAMINATION FOR CERTAIN GEOGRAPHICAL AREAS | V1.00 | XFDL | FF22 | FF99 | |
| DA 3120 | MISSILE FIRING DATA REPORT (HAWK & PATRIOT) | V1.00 | XFDL | FF22 | ||
| DA 3126 | APPLICATION AND CONTRACT FOR ESTABLISHMENT OF A JUNIOR RESERVE OFFICERS' TRAINING CORPS UNIT | APD V2.00 | XFDL | FF22 | FF99 | |
| DA 3126-1 | APPLICATION AND AGREEMENT FOR ESTABLISHMENT OF A NATIONAL DEFENSE CADET CORPS UNIT | V3.00 | XFDL | FF22 | FF99 | |
| DA 3136 | ROSTER AND STATEMENT | V1.00 | XFDL | FF22 | FF99 | |
| DA 3137 | ABSTRACT OF ENLISTED AND ORGANIZATIONAL LAUNDRY AND DRY CLEANING | V1.00 | XFDL | FF22 | FF99 | |
| DA 3151-R | AMMUNITION STORES SLIP | V1.00 | XFDL | FF22 | FF99 | |
| DA 3153 | MSA PATIENT LEDGER CARD | V1.00 | XFDL | FF22 | FF99 | |
| DA 3161 | REQUEST FOR ISSUE OR TURN-IN | V1.01 | XFDL | FF22 | FF99 | |
| DA 3161-1 | REQUEST FOR ISSUE OR TURN-IN (CONTINUATION SHEET) | V1.10 | XFDL | FF22 | FF99 | |
| DA 3164-R | SWIMMING POOL OPERATING LOG | V1.00 | XFDL | FF22 | FF99 | |
| DA 3169 | REPORT OF JUDICIAL DISCIPLINARY ACTIVITY IN THE ARMY | V1.01ES | XFDL | FF22 | FF99 | |
| DA 3175 | PRELIMINARY APPLICATION FOR ACTIVE DUTY SERVICE WITH THE JUDGE ADVOCATE GENERAL'S CORPS | V1.00 | XFDL | FF22 | FF99 | |
| DA 3180 | PERSONNEL SCREENING AND EVALUATION RECORD | V1.01 | XFDL | FF22 | FF99 | |
| DA 3234 | INVENTORY RECORD | V1.00 | XFDL | FF22 | FF99 | |
| DA 3234-1 | MONTHLY INVENTORY RECAP SHEET FOR DA FORM 3234 | V1.00 | XFDL | FF22 | FF99 | |
| DA 3238 | REQUEST FOR COPYRIGHT CLEARANCE ON MUSICAL OR DRAMATIC WORKS | V1.01 | XFDL | FF22 | ||
| DA 3238-1-R | REQUEST FOR ROYALTY CLEARANCE ON COPYRIGHTED MUSICAL AND/OR DRAMATIC WORKS (SUPPLEMENTAL) | V1.00 | XFDL | FF22 | FF99 | |
| DA 3252-R | PUNCH CARD TRANSMISSION WORKSHEET - RADIOISOTOPE INVENTORY AND LEAK TEST REPORT | V1.00 | XFDL | FF22 | FF99 | |
| DA 3254-R | OIL ANALYSIS RECOMMENDATION AND FEEDBACK | V1.00 | XFDL | FF22 | FF99 | |
| DA 3256 | PRESERVATION AND DEPRESERVATION GUIDE FOR MARINE EQUIPMENT | V1.00 | XFDL | FF22 | FF99 | |
| DA 3257 | PRESERVATION AND DEPRESERVATION GUIDE FOR RAILROAD EQUIPMENT | V1.00 | XFDL | FF22 | FF99 | |
| DA 3260 | IGLOO PLANOGRAPH (AMMUNITION) | V1.00 | XFDL | |||
| DA 3261 PDF ONLY | PLANOGRAPH FOR STANDARD MAGAZINE | |||||
| DA 3263 | AMMUNITION SPACE AND TONNAGE DATA SUMMARY | V1.00 | XFDL | FF22 | FF99 | |
| DA 3265 | EXPLOSIVE ORDNANCE INCIDENT REPORT | V1.000 | XFDL | FF22 | FF99 | |
| DA 3266-1 | ARMY MISSILE MATERIAL READINESS REPORT | V2.01 | XFDL | FF22 | FF99 | |
| DA 3266-2 | MISSILE MATERIEL CONDITION STATUS REPORT WORKSHEET | V1.00 | XFDL | FF22 | FF99 | |
| DA 3283 | STATEMENTS OF MEMBER REMOVED FROM THE TEMPORARY DISABILITY RETIRED LIST | V1.00 | XFDL | FF22 | ||
| DA 3294 | RATION REQUEST/ISSUE/TURN-IN SLIP | V1.01 | ||||
| DA 3295 | VOUCHER REGISTER AND GENERAL CONTROL | V1.00 | XFDL | FF22 | FF99 | |
| DA 3295-1 | ADJUSTMENT VOUCHER | V1.00 | XFDL | FF22 | FF99 | |
| DA 3318 | RECORD OF DEMANDS - TITLE INSERT | V2.01 | XFDL | FF22 | FF99 | |
| DA 3321 | REQUEST FOR ACKNOWLEDGMENT OF LOANED MEDICAL EQUIPMENT | V1.00 | FF22 | FF99 | ||
| DA 3328 | PROPERTY RECORD | V1.01 | XFDL | FF22 | FF99 | |
| DA 3328-1 | SERIAL/REGISTRATION NUMBER RECORD | V1.01 | XFDL | FF22 | FF99 | |
| DA 3337 | APPLICATION FOR ARMY RADIATION AUTHORIZATION | V1.00 | XFDL | FF22 | FF99 | |
| DA 3340-R | REQUEST FOR REENLISTMENT OR EXTENSION IN THE REGULAR ARMY | V1.00 | XFDL | FF22 | FF99 | |
| DA 3349 | PHYSICAL PROFILE | V1.02 | XFDL | FF22 | FF99 | |
| DA 3355 | PROMOTION POINT WORKSHEET | V1.00 | XFDL | FF22 | FF99 | |
| DA 3356 | BOARD MEMEBER APPRAISAL WORKSHEET | V1.00 | XFDL | FF22 | FF99 | |
| DA 3356-1 | USAR BOARD MEMBER APPRAISAL WORKSHEET | V1.00 | XFDL | FF22 | ||
| DA 3357 | BOARD RECOMMENDATION | V1.00 | XFDL | FF22 | FF99 | |
| DA 3362-1-R | BASIS OF ISSUE PLAN FEEDER DATA | V2.00 | FF22 | FF99 | ||
| DA 3362-2-R | COMMON TABLE OF ALLOWANCES BASIS OF ISSUE PLAN (CTA BOIP) | V1.10 | FF22 | FF99 | ||
| DA 3365 | AUTHORIZATION FOR MEDICAL WARNING TAG | V1.01 | XFDL | FF22 | FF99 | |
| DA 3425-R | MEDICAL FITNESS STATEMENT FOR ENROLLMENT IN BASIC COURSE, SENIOR ROTC | V1.00 | XFDL | FF22 | FF99 | |
| DA 3433 | OPTIONAL APPLICATION FOR NONAPPROPRIATED FUND EMPLOYMENT | V1.00ES | XFDL | FF22 | FF99 | |
| DA 3433-1 | SUPPLEMENTAL EMPLOYMENT APPLICATION FORM | V2.00ES | XFDL | FF22 | FF99 | |
| DA 3433-2 | SUPPLEMENTAL-A EMPLOYMENT APPLICATION FORM FOR CHILD-YOUTH SERVICES POSITIONS | V2.00ES | XFDL | FF22 | FF99 | |
| DA 3434 | NOTIFICATION OF PERSONNEL ACTION - NONAPPROPRIATED FUNDS EMPLOYEE | V3.01 | XFDL | FF22 | FF99 | |
| DA 3436 | DEPARTMENT OF THE ARMY APPOINTMENT AFFIDAVIT NONAPPROPRIATED FUNDS | V1.01 | XFDL | FF22 | FF99 | |
| DA 3437 | CERTIFICATE OF MEDICAL EXAMINATION | V2.01 | XFDL | FF22 | FF99 | |
| DA 3439 | NONAPPROPRIATED FUND INSTRUMENTALITY EMPLOYMENT INQUIRY | V1.01ES | XFDL | FF99 | ||
| DA 3440 | DEPARTMENT OF THE ARMY TRANSPORTATION AGREEMENT NONAPPROPRIATED FUND EMPLOYEE | V2.01ES | XFDL | FF22 | FF99 | |
| DA 3474 | MISSILE FIRING DATA REPORT (JAVELIN) | V1.00 | XFDL | FF22 | ||
| DA 3479-10-R | RESPONSIBILITY ASSIGNMENT | V1.00 | XFDL | FF22 | FF99 | |
| DA 3479-11-R | TACTICAL FACILITY TRAINING PROGRAM (FTP) AN/TSQ-198 TACTICAL TERMINAL CONTROL SYSTEM | V1.00 | XFDL | FF22 | FF99 | |
| DA 3479-12-R | TACTICAL FACILITY TRAINING PROGRAM (FTP) AN/GRC-206 TACTICAL TOWER SYSTEM | V1.00 | XFDL | FF22 | FF99 | |
| DA 3479-13-R | TACTICAL FACILITY TRAINING PROGRAM (FTP) AN/TSC-61B AIRSPACE INFORMATION CENTER | V1.00 | XFDL | FF22 | FF99 | |
| DA 3479-14-R | TACTICAL FACILITY TRAINING PROGRAM (FTP) AN/TSQ-221 TACTICAL AIRSPACE INTEGRATION SYSTEM (TAIS) | V1.00 | XFDL | FF22 | FF99 | |
| DA 3479-15-R | TACTICAL FACILITY TRAINING PROGRAM (FTP) AN/TSW-7A AIR TRAFFIC CONTROL CENTRAL | V1.00 | XFDL | FF22 | FF99 | |
| DA 3479-16-R | TACTICAL FACILITY TRAINING PROGRAM (FTP) AN/TSQ-71B LANDING CONTROL CENTER | V1.00 | XFDL | FF22 | FF99 | |
| DA 3479-17-R | TACTICAL FACILITY TRAINING PROGRAM (FTP) AN/TPN-31 AIR TRAFFIC NAVIGATION INTEGRATION AND COORDINATION SYSTEM (ATNAVICS) | V1.00 | XFDL | FF22 | FF99 | |
| DA 3479-18-R | TACITAL FACILITY TRAINING PROGRAM (FTP) AN/TSQ-70A TACTICAL TOWER SYSTEM | V1.00 | XFDL | FF22 | FF99 | |
| DA 3479-19-R | TACTICAL FACILITY TRAINING PROGRAM (FTP) AN/TSQ-97A TACTICAL TOWER SYSTEM | V1.01 | XFDL | FF22 | FF99 | |
| DA 3479-1-R | TRAINEE/CONTROLLER EVALUATION | V1.00 | XFDL | FF22 | FF99 | |
| DA 3479-6-R FILE 1/3 | ATC FACILITY AND PERSONNEL STATUS REPORT | V1.00 | XFDL | FF22 | FF99 | |
| DA 3479-6-R FILE 2/3 | ATC FACILITY AND PERSONNEL STATUS REPORT | V1.00 | FF22 | FF99 | ||
| DA 3479-6-R FILE 3/3 | ATC FACILITY AND PERSONNEL STATUS REPORT | V1.00 | FF22 | FF99 | ||
| DA 3479-8-R | TAPS TACTICAL APPROACH PUBLICATIONS SYSTEM | V1.02 | XFDL | FF22 | FF99 | |
| DA 3479-9-R FILE 1/3 | ATC MAINTENANCE PERSONNEL CERTIFICATION AND RELATED TRAINING RECORD | V1.00 | XFDL | FF22 | ||
| DA 3479-9-R FILE 2/3 | ATC MAINTENANCE PERSONNEL CERTIFICATION AND RELATED TRAINING RECORD | V1.00 | FF22 | |||
| DA 3479-9-R FILE 3/3 | ATC MAINTENANCE PERSONNEL CERTIFICATION AND RELATED TRAINING RECORD | V1.00 | FF22 | FF99 | ||
| DA 3479-R FILE 1/8 | TRAINING AND PROFICIENCY RECORD -AIR TRAFFIC CONTROLLER | V1.00 | XFDL | FF22 | FF99 | |
| DA 3479-R FILE 2/8 | TRAINING AND PROFICIENCY RECORD - AIR TRAFFIC CONTROLLER | V1.00 | FF22 | FF99 | ||
| DA 3479-R FILE 3/8 | TRAINING AND PROFICIENCY RECORD - AIR TRAFFIC CONTROLLER | V1.00 | FF22 | FF99 | ||
| DA 3479-R FILE 4/8 | TRAINING AND PROFICIENCY RECORD - AIR TRAFFIC CONTROLLER | V1.00 | FF22 | FF99 | ||
| DA 3479-R FILE 5/8 | TRAINING AND PROFICIENCY RECORD - AIR TRAFFIC CONTROLLER | V1.00 | FF22 | FF99 | ||
| DA 3479-R FILE 6/8 | TRAINING AND PROFICIENCY RECORD - AIR TRAFFIC CONTROLLER | V1.00 | FF22 | FF99 | ||
| DA 3479-R FILE 7/8 | TRAINING AND PROFICIENCY RECORD - AIR TRAFFIC CONTROLLER | V1.00 | FF22 | FF99 | ||
| DA 3479-R FILE 8/8 | TRAINING AND PROFICIENCY RECORD - AIR TRAFFIC CONTROLLER | V1.00 | FF22 | FF99 | ||
| DA 3484 | PHOTODOSIMETRY REPORT - EXPOSURE TO IONIZING RADIATION | V1.00 | XFDL | FF22 | FF99 | |
| DA 3496 | MILITARY JUDGE'S OATH | V1.00ES | XFDL | FF22 | FF99 | |
| DA 3497 | COUNSEL'S OATH | V1.00ES | XFDL | FF22 | FF99 | |
| DA 3499 | APPLICATION FOR RELIEF FROM COURT-MARTIAL FINDINGS AND/OR SENTENCE UNDER THE PROVISIONS OF TITLE 10, UNITED STATES CODE, SECTION 869 | V1.00 | XFDL | FF22 | ||
| DA 3501-1-R | PRECISION APPROACH RADAR (GCA) DATA | V1.00 | XFDL | FF22 | FF99 | |
| DA 3501-1-R IMAGE FILE | PRECISION APPROACH RADAR (GCA) DATA | V1.00 | IMG | |||
| DA 3501-R | GCA OPERATIONS LOG | V1.00 | XFDL | FF22 | FF99 | |
| DA 3502-R | DAILY REPORT OF AIR TRAFFIC CONTROL FACILITY | V1.00 | XFDL | FF22 | FF99 | |
| DA 3503-R | AIR TRAFFIC CONTROL POSITION LOG | V1.00 | XFDL | FF22 | FF99 | |
| DA 3508 | APPLICATION FOR REMISSION OR CANCELLATION OF INDEBTEDNESS | V1.00ES | XFDL | |||
| DA 3517-R | HAND GRENADE QUALIFICATION SCORECARD | V1.00 | XFDL | FF22 | ||
| DA 3524-R | SMALL ARMS AMMUNITION TRACE TEST RECORD | V1.00 | XFDL | FF22 | FF99 | |
| DA 3540 | CERTIFICATE AND ACKNOWLEDGMENT OF U.S. ARMY RESERVE SERVICE REQUIREMENTS AND METHODS OF FULFILLMENT | V1.00 | XFDL | FF22 | FF99 | |
| DA 3542 | ARMY DESIGNER CRAFTS CONTEST | V1.00 | XFDL | FF22 | FF99 | |
| DA 3544 | STATEMENT OF UNDERSTANDING - CONSCIENTIOUS OBJECTOR | V1.00 | XFDL | FF22 | ||
| DA 3546 | CONTROL RECORD FOR DINING FACILITY - DD FORM 1544 | V1.00 | XFDL | FF22 | FF99 | |
| DA 3574 | CERTIFICATE OF ACKNOWLEDGEMENT AND UNDERSTANDING OF SERVICE REQUIREMENTS FOR INDIVIDUALS APPLYING FOR APPOINTMENT IN THE USAR UNDER THE PROVISIONS OF AR 135-100, OR 135-101, AS APPLICABLE-INDIVIDUAL W/OUTPRIOR SERVICE | V1.00 | XFDL | FF22 | FF99 | |
| DA 3575 | CERTIFICATE OF ACKNOWLEDGEMENT AND UNDERSTANDING OF SERVICE REQUIREMENTS FOR INDIVIDUALS APPLYING FOR APPOINTMENT IN THE USAR UNDER THE PROVISIONS OF AR 135-100, OR AR 135-101, AS APPLICABLE-INDIVIDUALS WITHOUT A STATUTORY SERVICE OBLIGATION | V1.00 | XFDL | FF22 | FF99 | |
| DA 3583-R | METEOROLOGICAL DATA FOR ARTILLERY - AIR WEATHER SERVICE EXCHANGE | V1.00 | XFDL | FF22 | FF99 | |
| DA 3590 | REQUEST FOR DISPOSITI0N OR WAIVER | V1.00 | XFDL | FF22 | FF99 | |
| DA 3595-R | RECORD FIRE SCORECARD | V1.00 | XFDL | FF22 | ||
| DA 3601-R | SINGLE TARGET FIELD FIRING SCORECARD | V1.00 | XFDL | FF22 | FF99 | |
| DA 3611-R | FOOD SERVICE DIVISION - PATIENT SATISFACTION SURVEY | V1.00 | XFDL | FF22 | FF99 | |
| DA 3612 | NONAPPROPRIATED FUND INSTRUMENTALITY EMPLOYEE PERFORMANCE RATING | V1.00ES | XFDL | FF22 | FF99 | |
| DA 3626 | VEHICLE REGISTRATION/DRIVER RECORD | V1.01 | XFDL | FF22 | FF99 | |
| DA 3643 | DAILY ISSUES OF PETROLEUM PRODUCTS | V2.03 | XFDL | FF22 | FF99 | |
| DA 3644 | MONTHLY ABSTRACT OF ISSUES OF PETROLEUM PRODUCTS AND OPERATING SUPPLIES | V1.02 | XFDL | FF22 | FF99 | |
| DA 3645 FILE 1/2 | ORGANIZATIONAL CLOTHING AND INDIVIDUAL EQUIPMENT RECORD | V2.00 | XFDL | FF22 | FF99 | |
| DA 3645 FILE 2/2 | ORGANIZATIONAL CLOTHING AND INDIVIDUAL EQUIPMENT RECORD | V2.00 | FF22 | FF99 | ||
| DA 3645-1 FILE 1/2 | ADDITIONAL ORGANIZATIONAL CLOTHING AND INDIVIDUAL EQUIPMENT RECORD | V1.01 | XFDL | FF22 | FF99 | |
| DA 3645-1 FILE 2/2 | ADDITIONAL ORGANIZATIONAL CLOTHING AND INDIVIDUAL EQUIPMENT RECORD | V1.01 | FF22 | FF99 | ||
| DA 3647 | INPATIENT TREATMENT RECORD COVER SHEET | V1.10 | XFDL | FF22 | FF99 | |
| DA 3647-1 | INPATIENT TREATMENT RECORD COVER SHEET | V1.00 | XFDL | FF22 | FF99 | |
| DA 3662 |