DA Form 5026-R Record of Certification - Small Arms Shipment Control (Lra)

DA Form 5026-R - also known as the "Record Of Certification - Small Arms Shipment Control (lra)" - is a Military form issued and used by the United States Department of the Army.

The form - often mistakenly referred to as the DD form 5026-R - was last revised on March 1, 1982. Download an up-to-date fillable PDF version of the DA 5026-R below or request a copy through the chain of command.

ADVERTISEMENT
MRO DOCUMENT NO.
RECORD OF CERTIFICATION*
SMALL ARMS SHIPMENT CONTROL
For use of this form, see TM 743-200-1; the proponent agency is the AMC.
SECTION A-SHIPPING PREPARATION
I CERTIFY THAT SMALL ARMS DESCRIBED BELOW WERE PREPARED FOR SHIPMENT.
NOMENCLATURE
NSN
QUANTITY
NO. OF
BOXES
NAME AND GRADE OF PERSON PREPARING SHIPMENT
ORGANIZATION
(Type or print)
SIGNATURE
DATE
SECTION B-ASSUMPTION/TRANSFER OR CUSTODIANSHIP
NAME AND GRADE OF CUSTODIAN (Type or print)
ORGANIZATION
NO. OF
1.
BOXES
SIGNATURE
DATE
NAME AND GRADE OF CUSTODIAN (Type or print)
ORGANIZATION
NO. OF
2.
BOXES
SIGNATURE
DATE
NAME AND GRADE OF CUSTODIAN (Type or print)
ORGANIZATION
NO. OF
3.
BOXES
SIGNATURE
DATE
NAME AND GRADE OF CUSTODIAN (Type or print)
ORGANIZATION
NO. OF
4.
BOXES
SIGNATURE
DATE
SECTION C-SHIPPING
I CERTIFY THAT ABOVE SMALL ARMS WERE SHIPPED.
CARRIER'S NAME (Type or print)
GBL OR MANIFEST NO.
NAME AND GRADE OF PERSON EFFECTING
ORGANIZATION
NO. OF
SHIPMENT (Type or print)
BOXES
SIGNATURE
DATE
*File and retain this record for 24 months. Use reverse side for REMARKS, as necessary.
DA FORM 5026-R, MAR 1982
APD LC v1.01ES
MRO DOCUMENT NO.
RECORD OF CERTIFICATION*
SMALL ARMS SHIPMENT CONTROL
For use of this form, see TM 743-200-1; the proponent agency is the AMC.
SECTION A-SHIPPING PREPARATION
I CERTIFY THAT SMALL ARMS DESCRIBED BELOW WERE PREPARED FOR SHIPMENT.
NOMENCLATURE
NSN
QUANTITY
NO. OF
BOXES
NAME AND GRADE OF PERSON PREPARING SHIPMENT
ORGANIZATION
(Type or print)
SIGNATURE
DATE
SECTION B-ASSUMPTION/TRANSFER OR CUSTODIANSHIP
NAME AND GRADE OF CUSTODIAN (Type or print)
ORGANIZATION
NO. OF
1.
BOXES
SIGNATURE
DATE
NAME AND GRADE OF CUSTODIAN (Type or print)
ORGANIZATION
NO. OF
2.
BOXES
SIGNATURE
DATE
NAME AND GRADE OF CUSTODIAN (Type or print)
ORGANIZATION
NO. OF
3.
BOXES
SIGNATURE
DATE
NAME AND GRADE OF CUSTODIAN (Type or print)
ORGANIZATION
NO. OF
4.
BOXES
SIGNATURE
DATE
SECTION C-SHIPPING
I CERTIFY THAT ABOVE SMALL ARMS WERE SHIPPED.
CARRIER'S NAME (Type or print)
GBL OR MANIFEST NO.
NAME AND GRADE OF PERSON EFFECTING
ORGANIZATION
NO. OF
SHIPMENT (Type or print)
BOXES
SIGNATURE
DATE
*File and retain this record for 24 months. Use reverse side for REMARKS, as necessary.
DA FORM 5026-R, MAR 1982
APD LC v1.01ES

Download DA Form 5026-R Record of Certification - Small Arms Shipment Control (Lra)

882 times
Rate
4.4(4.4 / 5) 165 votes
ADVERTISEMENT