DA Form 7422 Annual Personnel Reliability Program (Prp) Status Report

DA Form 7422 - also known as the "Annual Personnel Reliability Program (prp) Status Report" - is a Military form issued and used by the United States Department of the Army.

The form - often mistakenly referred to as the DD form 7422 - was last revised on October 1, 2000. Download an up-to-date fillable PDF version of the DA 7422 below or request a copy through the chain of command.

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ANNUAL PERSONNEL RELIABILITY PROGRAM (PRP) STATUS REPORT
Requirement Control Symbol
DDP-C3I (A) 1403
For use of this form, see AR 50-5; the proponent agency is DCS, G-3/5/7.
1. ORGANIZATION
3. INDICATE PRP
2. PRP STATUS AS OF 31 DECEMBER (Year)
CHEMICAL
NUCLEAR
4.
PERSONNEL IN THE PRP
CRITICAL
CONTROLLED
MILITARY
CIVILIAN
CONTRACTOR
TOTAL
5.
DECERTIFIED PERSONNEL IN THE PRP
CRITICAL
CONTROLLED
MILITARY
CIVILIAN
CONTRACTOR
TOTAL
6.
DECERTIFICATIONS BY CATEGORIES
MILITARY
CIVILIAN
CONTRACTOR
a. ALCOHOL ABUSE/DEPENDENCY
b. DRUG ABUSE
NARCOTIC
DEPRESSANT
STIMULANT
HALLUCINOGEN
CANNABIS
ANABOLIC STEROID
OTHER (Specify in Remarks)
c. NEGLIGENCE OR DELINQUENCY IN PERFORMANCE OF DUTY
d. SERIOUS OFFENSE
MILITARY CONVICTION
CIVILIAN CONVICTION
PATTERN OF BEHAVIOR INDICATIVE OF A CONTEMPTUOUS
ATTITUDE TOWARD THE LAW OR OTHER DULY CONSTITUTED
AUTHORITY
OTHER (Specify in Remarks)
e. PHYSICAL AND OR MENTAL DECERTIFICATIONS
PHYSICAL
MENTAL
ABERRANT BEHAVIOR CONSIDERED BY THE CERTIFYING OFFICIAL
AS PREJUDICIAL TO RELIABLE DUTY PERFORMANCE IN A PRP
POSITION
OTHER (Specify in Remarks)
f. POOR ATTITUDE/LACK OF MOTIVATION
g. INABILITY TO WEAR PROTECTIVE CLOTHING OR EQUIPMENT
TOTAL
7. REMARKS
DA FORM 7422, OCT 2000
APD LC v1.01

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