DA Form 5422-r "Request for Bulk Fund Order"

What Is DA Form 5422-r?

This is a military form that was released by the U.S. Department of the Army (DA) on May 1, 1985. The form, often mistakenly referred to as the DD Form 5422-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 5422-r down below in PDF format or browse hundreds of other DA Forms stored in our online database.

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REQUEST FOR BULK FUND ORDER
For use of this form see AR 1-39; the proponent agency is OSA.
Date
DEPUTY DIRECTOR FOR ACQUISITION, DEFENSE SUPPLY SERVICE-WASHINGTON
ROOM 1D-245, THE PENTAGON, WASHINGTON, D.C. 20310-5200
Requisition No.
Amendment No.
Order No.
Bureau
Contact
Ext.
Deliver to
Recommended Source(s)
TYPED NAME OF SUPPLY COORDINATOR
SIGNATURE OF SUPPLY COORDINATOR
Description of Item(s)
Quantity
Unit
Unit Price
Amount
TOTAL AMOUNT - $
DA FORM 5422-R, MAY 1985
APD LC v2.01ES
TAB
TAB
TAB
TAB
REQUEST FOR BULK FUND ORDER
For use of this form see AR 1-39; the proponent agency is OSA.
Date
DEPUTY DIRECTOR FOR ACQUISITION, DEFENSE SUPPLY SERVICE-WASHINGTON
ROOM 1D-245, THE PENTAGON, WASHINGTON, D.C. 20310-5200
Requisition No.
Amendment No.
Order No.
Bureau
Contact
Ext.
Deliver to
Recommended Source(s)
TYPED NAME OF SUPPLY COORDINATOR
SIGNATURE OF SUPPLY COORDINATOR
Description of Item(s)
Quantity
Unit
Unit Price
Amount
TOTAL AMOUNT - $
DA FORM 5422-R, MAY 1985
APD LC v2.01ES