DA Form 4998-r "Quality Control and Surveillance Record for Toe Medical Assemblage"

What Is DA Form 4998-r?

This is a military form that was released by the U.S. Department of the Army (DA) on April 1, 1994. The form, often mistakenly referred to as the DD Form 4998-r, 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;
  • Fill out the form in our online filing application.

Download an up-to-date fillable DA Form 4998-r down below in PDF format or browse hundreds of other DA Forms stored in our online database.

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QUALITY CONTROL AND SURVEILLANCE RECORD FOR TOE MEDICAL ASSEMBLAGES
For use of this form, see AR 40-61; the proponent agency is OTSG
CONTRACT NO.
LOT/BATCH
EXP/MFR DATE
QTY ON
DATE LAST
DATE NEXT
NO
LOCATION
MANUFACTURER
(If available)
NUMBER
(If available)
HAND
INSPECTION
INSPECTION
NSN
DESCRIPTION
UNIT OF ISSUE
NOTES
INSPECTION
SHELF LIFE/
FREQUENCY
ESTIMATED
SHELF LIFE
DA FORM 4998-R, APR 1994
REPLACES DA FORM 4998-R, AUG 1981, WHICH IS OBSOLETE
APD LC v1.00
QUALITY CONTROL AND SURVEILLANCE RECORD FOR TOE MEDICAL ASSEMBLAGES
For use of this form, see AR 40-61; the proponent agency is OTSG
CONTRACT NO.
LOT/BATCH
EXP/MFR DATE
QTY ON
DATE LAST
DATE NEXT
NO
LOCATION
MANUFACTURER
(If available)
NUMBER
(If available)
HAND
INSPECTION
INSPECTION
NSN
DESCRIPTION
UNIT OF ISSUE
NOTES
INSPECTION
SHELF LIFE/
FREQUENCY
ESTIMATED
SHELF LIFE
DA FORM 4998-R, APR 1994
REPLACES DA FORM 4998-R, AUG 1981, WHICH IS OBSOLETE
APD LC v1.00