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Page 7 of 12: DA 5000
thru DA 5299
(1-2-3-4-5-6-8-9-10-11-12)
Also See our List of Commonly Used DA and DD Forms
| Form No. | Title | Version | XFDL | FF22 | FF99 | |
| DA 5000-R | APPLICANT'S INTERVIEW REPORT-JUDGE ADVOCATE GENERAL'S CORPS | V1.00 | XFDL | FF22 | FF99 | |
| DA 5006 | AUTHORIZATION FOR DISCLOSURE OF INFORMATION | 1 | XFDL | FF22 | FF99 | |
| DA 5007A | MEDICAL RECORD - ALLERGY IMMUNOTHERAPY RECORD | V1.01 | XFDL | FF22 | FF99 | |
| DA 5007B | MEDICAL RECORD - ALLERGY IMMUNOTHERAPY RECORD | V1.01 | XFDL | FF22 | FF99 | |
| DA 5008 | TELEPHONE MEDICAL ADVICE/CONSULTATION RECORD | V1.01 | XFDL | FF22 | FF99 | |
| DA 5009 | RELEASE AGAINST MEDICAL ADVICE | V1.00 | XFDL | FF22 | FF99 | |
| DA 5011 | TRAINING EVALUATION SUMMARY | V1.01ES | XFDL | FF22 | ||
| DA 5016-R | CHRONOLOGICAL RECORD OF MILITARY SERVICE | V1.00 | XFDL | FF22 | FF99 | |
| DA 5017 | CIVILIAN EMPLOYEE CONSENT STATEMENT | V2.00ES | XFDL | FF22 | FF99 | |
| DA 5018-R | ADAPCP CLIENT'S CONSENT STATEMENT FOR RELEASE OF TREATMENT INFORMA- TION | V1.00 | XFDL | FF22 | FF99 | |
| DA 5019 | CONDITION OF EMPLOYMENT FOR CERTAIN CIVILIAN POSITIONS IDENTIFIED CRITICAL UNDER THE DEPARTMENT OF THE ARMY DRUG-FREE FEDERAL WORKPLACE PROGRAM | V3.00ES | XFDL | FF22 | FF99 | |
| DA 5026-R | RECORD OF CERTIFICATION SMALL ARMS SHIPMENT CONTROL | V1.00 | XFDL | FF22 | FF99 | |
| DA 5027-R | MEDCASE PROGRAM REQUIREMENT | V1.02 | XFDL | FF22 | FF99 | |
| DA 5028-R | MEDCASE SUPPORT AND TRANSMITTAL FORM | V1.00 | XFDL | FF22 | FF99 | |
| DA 5030 | ENGINEER DIVER TRAINING APPLICATION | V1.00 | XFDL | FF22 | FF99 | |
| DA 5032-R | FIELD ARTILLERY DELIVERED MINEFIELD PLANNING SHEET | V1.00 | XFDL | FF22 | FF99 | |
| DA 5033-R PDF ONLY | LIMITED SURFACE OBSERVATION | |||||
| DA 5051-10-R | MAINTENANCE TEST FLIGHT MANEUVERS GRADE SLIP (OV/RV-1) | V1.00 | XFDL | FF22 | FF99 | |
| DA 5051-12-R | MAINTENANCE TEST FLIGHT MANEUVERS GRADE SLIP (OH-58D) | V1.00 | XFDL | FF22 | FF99 | |
| DA 5051-1-R | MAINTENANCE TEST FLIGHT MANEUVERS GRADE SLIP (OH-58A/C) | V1.00 | XFDL | FF22 | FF99 | |
| DA 5051-2-R | MAINTENANCE TEST FLIGHT MANEUVERS GRADE SLIP (UH-1) | V1.00 | XFDL | FF22 | FF99 | |
| DA 5051-4-R | MAINTENANCE TEST FLIGHT MANEUVERS GRADE SLIP (AH-1) | V1.01 | XFDL | FF22 | FF99 | |
| DA 5051-5-R | MAINTENANCE TEST FLIGHT MANEUVERS GRADE SLIP (CH-47) | V1.00 | XFDL | FF22 | FF99 | |
| DA 5051-7-R | MAINTENANCE TEST FLIGHT MANEUVERS GRADE SLIP (OH-6) | V1.00 | XFDL | FF22 | FF99 | |
| DA 5051-9-R | MAINTENANCE TEST FLIGHT MANEUVERS GRADE SLIP (CH-54) | V1.00 | XFDL | FF22 | FF99 | |
| DA 5056 | ACTEDS INTERN WORK YEAR REQUIREMENTS | V1.00 | XFDL | FF22 | FF99 | |
| DA 5070-R | JUSTIFICATION STATEMENT FOR .0015 CONTINGENCY FUNDS | V1.00 | XFDL | FF22 | FF99 | |
| DA 5071-R | FUND CUSTODIAN RECEIPT CONTROL AND CASH ACCOUNTABILITY JOURNAL | V1.00 | XFDL | FF22 | FF99 | |
| DA 5072 | EMERGENCY ACTION STATEMENT | V1.00 | XFDL | FF22 | FF99 | |
| DA 5073 | MAGNETIC COMPASS DEVIATION TABLE | V1.00 | XFDL | FF22 |