DA Form 12 Request for Establishment of a Publications Account

What Is DA Form 12?

DA Form 12, Request for Establishment of a Publications Account is a form used to request an account to receive military publications and for making changes to this account. An Army Publications Account is granted to Army organizations and is necessary for requesting publications and blank forms through the Army ordering system.

The latest version of the form - sometimes incorrectly referred to as the DD Form 12 - was released by the Department of the Army (DA) in March 2015 with all previous editions being obsolete. An up-to-date DA Form 12 fillable version is available for digital filing and download below or can be found through the Army Publishing Directorate website.

The account number is assigned to the organization identified in the form. Usually, only Army Medical Department activities, ARNG State Adjutants General and Army Service School are authorized to receive blank forms from the publications point of contact. However, isolated organizations or those with a need for an unusually large number of forms might also be authorized for an account if approved by the authenticating officials.

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REQUEST FOR ESTABLISHMENT OF A PUBLICATIONS ACCOUNT
For use of this form, see DA PAM 25-40, the proponent agency is OAASA.
1. ACCOUNT NUMBER
2. DATE
3. TYPE OF SUBMISSION
a.
INITIAL b.
CHANGE c.
CLOSE
4. FROM
(Include nine-digit ZIP Code)
5. THRU
(Include nine-digit ZIP Code)
6. TO
SECTION I - GENERAL
7a. REQUEST AN ACCOUNT BE ESTABLISHED FOR THE FOLLOWING SERVICE:
PUBLICATIONS
BLANK FORMS
TEST MATERIAL
7b. JUSTIFICATION FOR BLANK FORMS
(Use a separate sheet of paper if more space is needed.)
8. UNIT DESCRIPTION DATA
(FAILURE TO COMPLETE THIS BLOCK WILL RESULT IN YOUR REQUEST BEING RETURNED.)
a. Component
(Contractors must complete Block 8e and/or 8f.)
Active Army
Army Reserve
National Guard
Air Force
Marine Corps
Navy
DOD Activity
Contractor
Other
b. TOE Number or TDA Number
(Army Only)
e. Commercial and Government Entity (CAGE) Code
(Contractors)
c. Unit Identification Code (UIC) (Army Users)
f. Contract Number (if applicable)
d. Military Assistance Program Address Code (FMS Users)
g. DOD Activity Address Code (Non-Army Users) or Navy UIC
9. PUBLICATIONS OFFICER FOR THIS ORGANIZATION WILL BE:
a. Typed Name, Grade and Title
b. Signature
c. Telephone Number
(DSN and Commercial)
SECTION II - ACCOUNT CLASSIFICATION LEVEL
10. REQUEST THE FOLLOWING CLASSIFICATION LEVEL FOR THIS
ACCOUNT:
UNCLASSIFIED
CONFIDENTIAL
SECRET
11.
THIS ORGANIZATION HAS ADEQUATE EQUIPMENT AND PROPERLY CLEARED PERSONNEL TO RECEIVE AND SAFEGUARD
MATERIAL ACCORDING TO THE CLASSIFICATION REQUESTED FOR THIS ACCOUNT. IF CLASSIFIED SERVICE IS APPROVED,
THE SECURITY OFFICER WILL BE:
a. Typed Name, Grade and Title
b. Signature
c. Telephone Number
(DSN and Commercial)
SECTION III - CHANGE OF ADDRESS
12a. OLD ADDRESS
(Include 9-digit Zip Code)
b. NEW ADDRESS
(Include 9-digit Zip Code)
Effective Date:
SECTION IV - AUTHENTICATING OFFICIALS
13a. Typed Name, Grade and Title of Commander
b. Signature
c. Telephone Number
(DSN and Commercial)
c.
b. Signature
Telephone Number
14a. Typed Name, Grade and Title of PCO/PSM
(DSN and Commercial)
PREVIOUS EDITIONS ARE OBSOLETE.
DA FORM 12, MAR 2015
APD LC v1.00ES
REQUEST FOR ESTABLISHMENT OF A PUBLICATIONS ACCOUNT
For use of this form, see DA PAM 25-40, the proponent agency is OAASA.
1. ACCOUNT NUMBER
2. DATE
3. TYPE OF SUBMISSION
a.
INITIAL b.
CHANGE c.
CLOSE
4. FROM
(Include nine-digit ZIP Code)
5. THRU
(Include nine-digit ZIP Code)
6. TO
SECTION I - GENERAL
7a. REQUEST AN ACCOUNT BE ESTABLISHED FOR THE FOLLOWING SERVICE:
PUBLICATIONS
BLANK FORMS
TEST MATERIAL
7b. JUSTIFICATION FOR BLANK FORMS
(Use a separate sheet of paper if more space is needed.)
8. UNIT DESCRIPTION DATA
(FAILURE TO COMPLETE THIS BLOCK WILL RESULT IN YOUR REQUEST BEING RETURNED.)
a. Component
(Contractors must complete Block 8e and/or 8f.)
Active Army
Army Reserve
National Guard
Air Force
Marine Corps
Navy
DOD Activity
Contractor
Other
b. TOE Number or TDA Number
(Army Only)
e. Commercial and Government Entity (CAGE) Code
(Contractors)
c. Unit Identification Code (UIC) (Army Users)
f. Contract Number (if applicable)
d. Military Assistance Program Address Code (FMS Users)
g. DOD Activity Address Code (Non-Army Users) or Navy UIC
9. PUBLICATIONS OFFICER FOR THIS ORGANIZATION WILL BE:
a. Typed Name, Grade and Title
b. Signature
c. Telephone Number
(DSN and Commercial)
SECTION II - ACCOUNT CLASSIFICATION LEVEL
10. REQUEST THE FOLLOWING CLASSIFICATION LEVEL FOR THIS
ACCOUNT:
UNCLASSIFIED
CONFIDENTIAL
SECRET
11.
THIS ORGANIZATION HAS ADEQUATE EQUIPMENT AND PROPERLY CLEARED PERSONNEL TO RECEIVE AND SAFEGUARD
MATERIAL ACCORDING TO THE CLASSIFICATION REQUESTED FOR THIS ACCOUNT. IF CLASSIFIED SERVICE IS APPROVED,
THE SECURITY OFFICER WILL BE:
a. Typed Name, Grade and Title
b. Signature
c. Telephone Number
(DSN and Commercial)
SECTION III - CHANGE OF ADDRESS
12a. OLD ADDRESS
(Include 9-digit Zip Code)
b. NEW ADDRESS
(Include 9-digit Zip Code)
Effective Date:
SECTION IV - AUTHENTICATING OFFICIALS
13a. Typed Name, Grade and Title of Commander
b. Signature
c. Telephone Number
(DSN and Commercial)
c.
b. Signature
Telephone Number
14a. Typed Name, Grade and Title of PCO/PSM
(DSN and Commercial)
PREVIOUS EDITIONS ARE OBSOLETE.
DA FORM 12, MAR 2015
APD LC v1.00ES

Download DA Form 12 Request for Establishment of a Publications Account

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How to Fill Out DA Form 12?

Additional information and filing guidelines can be found in the Department of the Army Pamphlet 25-40, Army Publishing Program Procedures, released in June 2018. DA Form 12 instructions are as follows:

  1. Box 1 is for entering an existing Army publications account number if the applicant wishes to change it. This box is left blank if the account is not established yet. The date of filing is entered in Box 2.
  2. Box 3 requires the type of submission, labeling it as either an initial submission, a change or a close. The reason for closing must be provided in Box 7b.
  3. Box 4 is for specifying the full mailing address of the organization. Box 5 is for providing the applicant's Army Program Coordinating Office's mailing address. The DA 12 will be forwarded to that address for signing when completed.
  4. Section I - General - consists of three parts in total. Boxes 7a and 7b are for specifying the account type and for providing a justification for the requested blank forms. Box 8 is for the unit description data. The applicant's Army component is specified in Box 8a. Boxes 8b through 8g are filled in according to the chosen component. Box 8e and 8f are for contractors only. Box 9 provides details about the publications officer for this organization. Their typed name, grade, title, signature, and phone number must be specified in the corresponding boxes.
  5. Section II - Account Classification Data - provides details about the classification level of the requested account. The level of classification requested for the account is specified in Box 10. The applicant must choose one out of three options:
    • Unclassified;
    • Confidential;
    • Secret.
  6. The requesting organization must have sufficient equipment and personnel to receive and store material according to the chosen classification. The name, signature and phone number of the designated security officer must be provided in Box 11.
  7. Section III - Change of Address - is filed if the current mailing address needs to be changed.
  8. Section IV - Authenticating Officials - is filed by the officials authenticating the form. Boxes 13a through 13c and 14a through 14c require the typed name, grade, title, signature and telephone numbers of the Commander and the Program Coordinating Office (PCO) or the Product Support Manager (PSM).

All names, addresses, UICs, email addresses, and signatures will be checked before the form is allowed to be processed.

DA 12 Related Forms

  1. DA Form 12-99, Initial Distribution Requirements for Publications.
  2. DA Form 12-34D-R, Subscription for Classified Department of the Army Technical Bulletins (LRA) is a related active form not available through any of the APD resources.