DA Form 4 Certification for Authentication of Records

DA Form 4 or the "Department Of The Army Certification For Authentication Of Records" is a Department of the Army-issued form used by and within the United States Military.

The form - often incorrectly referred to as the DD form 4 - was last revised on February 1, 1998. Download an up-to-date fillable DA Form 4 down below in PDF-format or look it up on the Army Publishing Directorate website.

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PLACE
DATE
I HEREBY CERTIFY that
I HEREBY CERTIFY that
, who
signed the foregoing certificate, is the
, and
that full faith and credit should be given to his certification.
IN TESTIMONY WHEREOF I,
,
The Administrative Assistant to the Secretary of the Army,
have hereunto caused the seal of the Department of the
day of
Army to be affixed this
,
By
Administrative Assistant.
EDITION OF 1 MAR 66 IS OBSOLETE
APD LC v1.11ES
DA FORM 4, FEB 1998
PLACE
DATE
I HEREBY CERTIFY that
I HEREBY CERTIFY that
, who
signed the foregoing certificate, is the
, and
that full faith and credit should be given to his certification.
IN TESTIMONY WHEREOF I,
,
The Administrative Assistant to the Secretary of the Army,
have hereunto caused the seal of the Department of the
day of
Army to be affixed this
,
By
Administrative Assistant.
EDITION OF 1 MAR 66 IS OBSOLETE
APD LC v1.11ES
DA FORM 4, FEB 1998

Download DA Form 4 Certification for Authentication of Records

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