DA Form 4170 Statement of Gains and Losses

DA Form 4170 Statement of Gains and Losses

What Is DA Form 4170?

This is a military form that was released by the U.S. Department of the Army (DA) on July 1, 2002. The form, often mistakenly referred to as the DD Form 4170, 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 the DA Form 4170?
A: The DA Form 4170 is a document called the Statement of Gains and Losses.

Q: What is the purpose of the DA Form 4170?
A: The purpose of the DA Form 4170 is to document and report gains and losses of military property.

Q: Who uses the DA Form 4170?
A: The DA Form 4170 is used by military personnel to report gains and losses of military property.

ADVERTISEMENT

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 4170 down below in PDF format or browse hundreds of other DA Forms stored in our online database.

Download DA Form 4170 Statement of Gains and Losses

4.6 of 5 (95 votes)
  • DA Form 4170 Statement of Gains and Losses, Page 1
ADVERTISEMENT