Department of the Army (DA) Forms -- Complete Listing
Page 5 of 12: DA 3700
thru DA 4399
(1-2-3-4-6-7-8-9-10-11-12)
Also See our List of Commonly Used DA and DD Forms
| Form No. | Title | Version | XFDL | FF22 | FF99 | |
| DA 3703-R | PRODUCT QUALITY INSPECTION SUMMARY | V1.00 | XFDL | FF22 | FF99 | |
| DA 3705 | RECEIPT FOR OUTPATIENT TREATMENT/DENTAL RECORDS | V1.01 | XFDL | FF22 | FF99 | |
| DA 3711 | ARMY SUBSTANCE ABUSE PROGRAM (ASAP) RESOURCE AND PERFORMANCE REPORT (RAPR) | V1.00ES | XFDL | FF22 | ||
| DA 3715 | US ARMY NONAPPROPRIATED FUNDS - DISPOSITION OF RETIREMENT BENEFITS | V1.00ES | XFDL | FF22 | FF99 | |
| DA 3725 | ARMY RESERVE STATUS AND ADDRESS VERIFICATION | V1.00 | XFDL | FF22 | FF99 | |
| DA 3733-R | SSSC ACCOUNT CARD | V1.01ES | XFDL | FF22 | FF99 | |
| DA 3734-R | CUSTOMER TRANSACTION LEDGER ACCOUNT (CTLA) | V1.00 | XFDL | FF22 | FF99 | |
| DA 3735-R | SELF-SERVICE SUPPLY CENTER MONTHLY SUMMARY JOURNAL AND STATEMENT OF OPERATIONS | V1.00 | XFDL | FF22 | FF99 | |
| DA 3736-R | STATEMENT OF CUSTOMER ACCOUNTS | V1.00 | XFDL | FF22 | FF99 | |
| DA 3739 | APPLICATION FOR COMPASSIONATE ACTIONS | V1.02 | XFDL | FF22 | ||
| DA 3744 | AFFIDAVIT SUPPORTING REQUEST FOR AUTHORIZATION TO SEARCH AND SEIZE OR APPREHEND | V1.00ES | XFDL | FF22 | FF99 | |
| DA 3745 | SEARCH AND SEIZURE AUTHORIZATION | V1.01ES | XFDL | FF22 | FF99 | |
| DA 3745-1 | APPREHENSION AUTHORIZATION | V1.00ES | XFDL | FF22 | FF99 | |
| DA 3746-R | ITEM DATA CARD | V1.00 | XFDL | FF22 | FF99 | |
| DA 3749 | EQUIPMENT RECEIPT | V1.00 | XFDL | FF22 | FF99 | |
| DA 3750 | CENTRALIZED MATERIEL SERVICE ITEM REQUEST AND ISSUE | V1.00 | XFDL | FF22 | FF99 | |
| DA 3750-1 | CENTRALIZED MATERIEL SERVICE ITEM REQUEST AND ISSUE -- CONTINUATION | V1.00 | XFDL | FF22 | FF99 | |
| DA 3751-R | BAYONET COURSE QUALIFICATION SCORESHEET | V1.00 | XFDL | FF22 | FF99 | |
| DA 3752-R | LANE SCORER'S RECORD FOR BAYONET TEST | V1.00 | XFDL | FF22 | FF99 | |
| DA 3758-R | CALIBRATION AND REPAIR REQUIREMENTS WORKSHEET | V2.00 | XFDL | FF22 | ||
| DA 3761 | COMMUNITY HEALTH NURSING ACTIVITIES | V2.00 | XFDL | FF22 | FF99 | |
| DA 3763 | COMMUNITY HEALTH NURSING - CASE REFERRAL | V1.00 | XFDL | FF22 | FF99 | |
| DA 3779 | LOCATION PLACARD | V1.00 | XFDL | FF22 | FF99 | |
| DA 3780 PDF ONLY | PALLET COUNT | |||||
| DA 3787-R | DEPOT RECORD OF LOCATION SURVEY | V1.00 | XFDL | FF22 | FF99 | |
| DA 3800 | CAREER REFERRAL LIST - NONAPPROPRIATED FUNDS | V1.01 | XFDL | FF22 | ||
| DA 3821 | REPORT OF ADMINISTRATIVE OFFICER OF THE DAY | V1.01 | XFDL | FF22 | FF99 | |
| DA 3824 | UROLOGIC EXAMINATION | V1.00 | XFDL | FF22 | FF99 | |
| DA 3824 IMAGE FILE | UROLOGIC EXAMINATION | V1.00 | IMG | |||
| DA 3824 IMAGE FILE | UROLOGIC EXAMINATION | 1 | IMG | |||
| DA 3830 | NONAPPROPRIATED FUND BANK BALANCES | V1.01 | XFDL | FF22 | FF99 | |
| DA 3838 | APPLICATION FOR SHORT COURSE TRAINING | V1.01 | FF22 | |||
| DA 3853-1 | INNAGE GAGE SHEET (USING INNAGE TAPE AND BOB) | V1.01 | XFDL | FF22 | FF99 | |
| DA 3853-2 | OUTAGE GAGE SHEET | V1.01 | XFDL | FF22 | FF99 | |
| DA 3853-3 | OUTAGE GAGE SHEET | V1.01 | XFDL | FF22 | FF99 | |
| DA 3857 | COMMERCIAL DELIVERIES OF BULK PETROLEUM PRODUCTS CHECKLIST | V1.02 | XFDL | FF22 | FF99 | |
| DA 3862 | CONTROLLED SUBSTANCES STOCK RECORD | V1.00 | XFDL | FF22 | FF99 | |
| DA 3865-R PDF ONLY | SHORT AND LONG RANGE TRANSPORTATION REQUIREMENTS REPORTS - MANUAL | |||||
| DA 3872 | NURSING SERVICE PERSONNEL TIME SCHEDULE | V1.00 | XFDL | FF22 | FF99 | |
| DA 3880-R | IMPROVED HAWK LOCATION/STATUS REPORT | V1.00 | XFDL | FF22 | FF99 | |
| DA 3881 | RIGHTS WARNING PROCEDURE/WAIVER CERTIFICATE | V2.01 | XFDL | FF22 | FF99 | |
| DA 3888 | MEDICAL RECORD - NURSING HISTORY AND ASSESSMENT | V1.00 | XFDL | FF22 | FF99 | |
| DA 3888-2 | MEDICAL RECORD - NURSING CARE PLAN | V1.01 | XFDL | FF22 | FF99 | |
| DA 3888-3 | MEDICAL RECORD - NURSING DISCHARGE SUMMARY | V1.00 | XFDL | FF22 | FF99 | |
| DA 3889 | NURSING UNIT 24 HOUR REPORT | V1.00 | XFDL | FF22 | FF99 | |
| DA 3889-1 | NURSING UNIT 24 HOUR REPORT - CONTINUATION SHEET | V1.00 | XFDL | FF22 | FF99 | |
| DA 3894 | HOSPITAL REPORT OF DEATH | V2.01 | XFDL | FF22 | FF99 | |
| DA 3897 | TUBERCULOSIS REGISTRY | V1.00 | XFDL | FF22 | FF99 | |
| DA 3900 | BILLS REGISTER SUPPLIES AND SERVICES NON PERSONAL | V1.00 | XFDL | FF22 | FF99 | |
| DA 3903 | MULTI-MEDIA/VISUAL INFORMATION (M/VI) WORK ORDER | V1.00 | XFDL | FF22 | ||
| DA 3904 | PUBLIC VOUCHER FOR MEDICAL EXAMINATION | V1.00 | XFDL | FF22 | FF99 | |
| DA 3916 | DAILY LOG OF TRUCK TRIPS FOR REFUSE COLLECTION AND DISPOSAL | V1.00 | XFDL | FF22 | FF99 | |
| DA 3917 | REFUSE COLLECTION AND DISPOSAL | V1.00 | XFDL | FF22 | FF99 | |
| DA 3918-R | FACSIMILE TRANSMITTAL HEADER SHEET | V3.00 | XFDL | FF22 | FF99 | |
| DA 3938 | LOCAL SERVICE REQUEST (LSR) | V2.02 | XFDL | FF22 | FF99 | |
| DA 3943 | ANNUAL DRY PIPE VALVE INSPECTION AND TRIPPING TEST | V1.00 | XFDL | FF22 | FF99 | |
| DA 3945 | MILITARY POLICE RADIO LOG | V1.01 | XFDL | FF22 | FF99 | |
| DA 3946 FILE 1/2 | MILITARY POLICE TRAFFIC ACCIDENT REPORT | V1.01 | XFDL | FF22 | FF99 | |
| DA 3946 FILE 2/2 | MILITARY POLICE TRAFFIC ACCIDENT REPORT | V1.01 | FF22 | FF99 | ||
| DA 3947 | MEDICAL EVALUATION BOARD PROCEEDINGS | V1.02 | XFDL | FF22 | FF99 | |
| DA 3949 | CONTROLLED SUBSTANCES RECORD | V1.01 | XFDL | FF22 | FF99 | |
| DA 3950 | FLOWSHEET FOR VITAL SIGNS AND OTHER PARAMETERS | V1.01 | XFDL | FF22 | FF99 | |
| DA 3953 | PURCHASE REQUEST AND COMMITMENT | V2.00 | XFDL | FF22 | FF99 | |
| DA 3964 | CLASSIFIED DOCUMENT ACCOUNTABILITY RECORD | V2.00 | XFDL | FF22 | FF99 | |
| DA 3973 | VOUCHER REGISTER OF LIBRARY MATERIALS | V1.00 | XFDL | FF22 | FF99 | |
| DA 3974 | INSTALLATION BLOCK TICKET | V1.00 | XFDL | FF22 | FF99 | |
| DA 3975 FILE 1/3 | MILITARY POLICE REPORT | V1.01 | XFDL | FF22 | FF99 | |
| DA 3975 FILE 2/3 | MILITARY POLICE REPORT | V1.01 | FF22 | FF99 | ||
| DA 3975 FILE 3/3 | MILITARY POLICE REPORT | V1.01 | FF22 | |||
| DA 3975-1 | MILITARY POLICE REPORT-ADDITIONAL OFFENSES | V1.01 | XFDL | FF22 | FF99 | |
| DA 3975-2 | MILITARY POLICE REPORT - ADDITIONAL SUBJECTS | V1.01 | XFDL | FF22 | FF99 | |
| DA 3975-3 | MILITARY POLICE REPORT - ADDITIONAL VICTIMS | V1.01 | XFDL | FF22 | FF99 | |
| DA 3975-4 | MILITARY POLICE REPORT - ADDITIONAL PERSONS RELATED TO REPORT | V2.01 | XFDL | FF22 | FF99 | |
| DA 3975-5 | MILITARY POLICE REPORT - ADDITIOONAL PROPERTY | V1.01 | XFDL | FF22 | FF99 | |
| DA 3981 | TRANSFER OF PATIENT | V1.01 | XFDL | FF22 | FF99 | |
| DA 3982 | MEDICAL AND DENTAL APPOINTMENT | V1.01 | XFDL | FF22 | FF99 | |
| DA 3983 | PATIENTS' TRUST FUND AUTHORIZATION FOR DEPOSIT OR WITHDRAWAL OF FUNDS AND VALUABLES | V1.01 | XFDL | FF22 | FF99 | |
| DA 3984 | DENTAL TREATMENT PLAN | V1.01 | XFDL | FF22 | FF99 | |
| DA 3984 IMAGE 1/2 | DENTAL TREATMENT PLAN | V1.00 | IMG | |||
| DA 3984 IMAGE 2/2 | DENTAL TREATMENT PLAN | V1.00 | IMG | |||
| DA 3986-R | PERSONNEL ASSET INVENTORY | V2.00 | XFDL | FF22 | FF99 | |
| DA 3988 | EQUIPMENT REPLACEMENT RECORD | V1.00ES | XFDL | FF22 | FF99 | |
| DA 3992 | NARCOTICS OR EXPLOSIVES DETECTOR DOG TRAINING AND UTILIZATION RECORD | V1.00 | XFDL | |||
| DA 3996 | ABSTRACT OF LAUNDRY WORK ACCOMPLISHED FOR INDIVIDUAL PATRONS | V2.00 | XFDL | FF22 | FF99 | |
| DA 3997 | MILITARY POLICE DESK BLOTTER | V1.01 | XFDL | FF22 | FF99 | |
| DA 3999-3-R | WORKLOAD ACCOUNTING DAILY STATUS SHEET | V1.00 | XFDL | FF22 | FF99 | |
| DA 4005 | AUTOMATIC SPRINKLER & STANDPIPE EQUIPMENTS INSPECTIONS & TESTS | V1.00 | XFDL | FF22 | FF99 | |
| DA 4017 | REQUEST FOR PERSONNEL ACTION - NONAPPROPRIATED FUND INSTRUMENTALITY | V2.01 | XFDL | FF22 | FF99 | |
| DA 4029 | PATIENT'S CLEARANCE RECORD | V1.01 | XFDL | FF22 | FF99 | |
| DA 4036 | MEDICAL AND DENTAL PREPARATION FOR OVERSEAS MOVEMENT | V1.00 | XFDL | FF22 | ||
| DA 4062 | TMDE ACQUISITION APPROVAL ANALYSIS DATA | V1.000 | XFDL | FF22 | FF99 | |
| DA 4072 | RECORD OF NEGOTIATIONS (NON APPROPRIATED FUNDS) | V1.00 | XFDL | FF22 | FF99 | |
| DA 4078 | PROPERTY CONTROL AND DEPRECIATION RECORD | V1.00 | XFDL | FF22 | FF99 | |
| DA 4079 | DEPRECIATION EXPENSE CONTROL (FURNITURE, FIXTURES & EQUIPMENT) | V1.00 | XFDL | FF22 | FF99 | |
| DA 4080 | TRANSFERS BETWEEN ACTIVITIES | V2.00 | XFDL | FF22 | FF99 | |
| DA 4082 | DAILY CASHIER'S RECORD | V1.00 | XFDL | FF22 | FF99 | |
| DA 4083-R | VENDING OR AMUSEMENT MACHINE COLLECTIONS | V1.00 | XFDL | FF22 | FF99 | |
| DA 4084-R | INVESTMENT REGISTER | V1.00 | XFDL | FF22 | FF99 | |
| DA 4090-R | COMBINED REGISTER OF TRAINS AND COMPARISON OF WATCHES | V1.00 | XFDL | FF22 | FF99 | |
| DA 4093-R | STATION RECORD OF TRAIN MOVEMENTS AND OPERATOR'S TRANSFER | V1.00 | XFDL | FF22 | FF99 | |
| DA 4103 | VISUAL INFORMATION (VI) PRODUCT LOAN ORDER | V1.00 | XFDL | FF22 | FF99 | |
| DA 4106 | INCIDENT REPORT | V1.00 | XFDL | FF22 | FF99 | |
| DA 4107 | OPERATION REQUEST AND WORKSHEET | V1.01 | XFDL | FF22 | FF99 | |
| DA 4126-R | BAR TO REENLISTMENT CERTIFICATE | V1.00 | XFDL | FF22 | FF99 | |
| DA 4137 | EVIDENCE/PROPERTY CUSTODY DOCUMENT | V1.00 | XFDL | FF22 | FF99 | |
| DA 4138-R | MONTHLY AUTHORIZATION CONTROL RECORD | V1.00 | XFDL | FF22 | FF99 | |
| DA 4139-R | APPLICATION FOR LOAN (CIVILIAN WELFARE FUND) | V1.00 | XFDL | FF22 | FF99 | |
| DA 4140-R | LOAN CONTRACT (CIVILIAN WELFARE FUND) | V1.00 | XFDL | FF22 | FF99 | |
| DA 4153-R | EQUIPMENT SURVEY WORKSHEET | V1.01 | XFDL | FF22 | FF99 | |
| DA 4159 | REQUEST FOR MEDICAL CARE IN A FEDERAL MEDICAL TREATMENT FACILITY OUTSIDE DEPARTMENT OF DEFENSE | V1.01 | XFDL | FF22 | FF99 | |
| DA 4160 | PATIENT'S PERSONAL EFFECTS AND CLOTHING RECORD | V1.00 | XFDL | FF22 | FF99 | |
| DA 4162 | VOLUNTEER SERVICE RECORD | V1.00 | XFDL | FF22 | ||
| DA 4170 | STATEMENT OF GAINS AND LOSSES | V1.00ES | XFDL | FF22 | FF99 | |
| DA 4179 | LEAVE CONTROL LOG | V1.100 | XFDL | FF22 | FF99 | |
| DA 4186 | MEDICAL RECOMMENDATION FOR FLYING DUTY | V1.00 | XFDL | FF22 | ||
| DA 4187 | PERSONNEL ACTION | V1.00 | XFDL | FF22 | FF99 | |
| DA 4187-1-R | PERSONNEL ACTION FORM ADDENDUM | V1.10 | XFDL | FF22 | FF99 | |
| DA 4188 | MILITARY PERSONNEL OFFICE/FINANCE OFFICE VERIFICATION OF MPRJ AND PFR | V1.00 | XFDL | FF22 | FF99 | |
| DA 4197-R | RADIOSONDE DATA | V1.00 | XFDL | FF22 | FF99 | |
| DA 4201 | HIGH BURST (MEAN POINT OF IMPACT) REGISTRATION | V1.00 | XFDL | FF22 | FF99 | |
| DA 4213 | SUPPLEMENTAL DATA FOR ARMY MEDICAL SERVICE RESERVE OFFICERS | V1.00 | XFDL | FF22 | FF99 | |
| DA 4221 | DIABETIC RECORD | V1.00 | XFDL | FF22 | FF99 | |
| DA 4230-R | SUPPLEMENTAL SIGNATURE SHEET | V2.00 | XFDL | FF22 | FF99 | |
| DA 4237-R | DETAINEE PERSONNEL RECORD | V1.00 | XFDL | FF22 | FF99 | |
| DA 4242-1-R | DRAGON PERFORMANCE SCORECARD | V1.00 | XFDL | FF22 | FF99 | |
| DA 4254 | REQUEST FOR PRIVATE MEDICAL INFORMATION | V1.01ES | XFDL | FF22 | ||
| DA 4255-R | INITIAL ACTIVE DUTY ASSIGNMENT INSTRUCTIONS REQUEST | V1.00 | XFDL | FF22 | FF99 | |
| DA 4283 | FACILITIES ENGINEERING WORK REQUEST | V1.00 | XFDL | FF22 | ||
| DA 4306-R PDF ONLY | CONGRESSIONAL NOTIFICATION OF PROPOSED AWARDS |