DA Form 3872 Nursing Service Personnel Time Schedule

DA Form 3872 or the "Nursing Service Personnel Time Schedule" 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 3872 - was last revised on April 1, 2009. Download an up-to-date fillable DA Form 3872 down below in PDF-format or look it up on the Army Publishing Directorate website.

ADVERTISEMENT

NURSING SERVICE PERSONNEL TIME SCHEDULE
DATES (Inclusive) OF PERIOD COVERED
For use of this form, see AR 40-3;
the proponent agency is the Office of The Surgeon General.
DUTY TIME, CLASS TIME, OR OFF-DUTY STATUS
TITLE
LAST NAME
DUTY
SUN.
MON.
TUE.
WED.
THURS.
FRI.
SAT.
SIGNATURE OF HEAD NURSE
WARD
INSTRUCTIONS
"Duty" symbols
"Off-Duty Status" symbols
List professional personnel first and then nonprofessional.
Head nurse
HN -
In column under "title" enter title, e.g., Maj., Capt., Lt., Sgt.,
Day Off
DO -
Asst. head nurse
ASST. HN -
Pvt., Mr., Mrs., Miss.
Leave
LV -
General duty
GEN. DUTY -
Entries for "Duty" and for "Off-Duty Status" will be symbol-
SK -
Sick leave
Clinical technician
CL. T -
ized as follows:
Ward master
Holiday time
HT -
WM -
DA FORM 3872, APR 2009
APD LC v1.00ES
PREVIOUS EDITIONS ARE OBSOLETE

Download DA Form 3872 Nursing Service Personnel Time Schedule

554 times
Rate
4.4(4.4 / 5) 112 votes

ADVERTISEMENT

Related forms