DA Form 4916 Certificate of Service / Attempted Service

DA Form 4916 Certificate of Service / Attempted Service

What Is DA Form 4916?

This is a military form that was released by the U.S. Department of the Army (DA) on June 1, 2009. The form, often mistakenly referred to as the DD Form 4916, 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.

FAQ

Q: What is a DA Form 4916 Certificate of Service/Attempted Service?
A: DA Form 4916 is a document used to certify the service or attempted service of legal papers, such as summons or subpoenas.

Q: Who uses the DA Form 4916?
A: The DA Form 4916 is used by military personnel, specifically process servers, to document their service or attempted service of legal documents.

Q: What information is included in the DA Form 4916?
A: The form includes details such as the type of legal document, the date and time of service or attempted service, the location, and the name and signature of the person served or attempted to be served.

Q: Why is the DA Form 4916 important?
A: The DA Form 4916 provides a record of the service or attempted service of legal documents, which is important for legal proceedings and ensuring due process.

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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.

Download an up-to-date fillable DA Form 4916 down below in PDF format or browse hundreds of other DA Forms stored in our online database.

Download DA Form 4916 Certificate of Service / Attempted Service

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  • DA Form 4916 Certificate of Service / Attempted Service, Page 1
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