DA Form 5412 Waiver of Compensation Statement

What Is DA Form 5412?

This is a military form that was released by the U.S. Department of the Army (DA) on April 1, 2019. The form, often mistakenly referred to as the DD Form 5412, is a military form used by and within the U.S. Army. As of today, no separate instructions for the form are provided by the DA.

Form Details:

• A 1-page document available for download in PDF;
• The latest version available from the Army Publishing Directorate;
• Editable, free, and easy to use;
• Fill out the form in our online filing application.

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