DA Form 5775 "Army Accident Prevention - Award of Accomplishment in Safety"

What Is DA Form 5775?

This is a military form that was released by the U.S. Department of the Army (DA) on July 1, 1989. The form, often mistakenly referred to as the DD Form 5775, 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.

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;

Download an up-to-date fillable DA Form 5775 down below in PDF format or browse hundreds of other DA Forms stored in our online database.

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Download DA Form 5775 "Army Accident Prevention - Award of Accomplishment in Safety"

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DEPARTMENT OF THE ARMY
Army Accident Prevention
Award of Accomplishment
in Safety
DA FORM 5775, JUL 1989
APD LC v2.00
DEPARTMENT OF THE ARMY
Army Accident Prevention
Award of Accomplishment
in Safety
DA FORM 5775, JUL 1989
APD LC v2.00