DA Form 1144 Request for Dossier/Index Check

DA Form 1144 - also known as the "Request For Dossier/index Check" - is a United States Military form issued by the Department of the Army.

The form - often mistakenly referred to as the DD form 1144 - was last revised on December 1, 1966. Download an up-to-date fillable PDF version of the DA 1144 down below or look it up on the Army Publishing Directorate website.

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FOR DCII/USAIRR USE ONLY
REQUEST FOR DOSSIER/INDEX CHECK
(AR 381-45)
NAME (Last name - First name - Middle name)
SATISFACTORY NATIONAL AGENCY CHECK
DATE COMPLETED:
DATE OF BIRTH (Month-Day-Year)
PLACE OF BIRTH (State or Country)
GEO. CODE
DCII
AF-MPRD
CSC
USAAC
FBI-HQ
BUPERS
CIA
FRC
SERVICE NUMBER
SOCIAL SECURITY NUMBER
FBI-ID
USMC
I & NS
HCUA
REMARKS (Requester)
TAG-O
USCG
STATE-S
OTHER
TAG-E
MPRC
STATE-P
OTHER
REMARKS
DOSSIER CHARGED TO:
AGENCY
REQUEST NUMBER
DATE
DATE
SIGNATURE
REQUESTING OFFICE (Inventory code)
DETAIL LIST NUMBER
DA FORM 1144, DEC 1966
PREVIOUS EDITIONS OF THIS FORM ARE OBSOLETE.
CHARGE OUT COPY 1
APD LC v1.01ES
FOR DCII/USAIRR USE ONLY
REQUEST FOR DOSSIER/INDEX CHECK
(AR 381-45)
NAME (Last name - First name - Middle name)
SATISFACTORY NATIONAL AGENCY CHECK
DATE COMPLETED:
DATE OF BIRTH (Month-Day-Year)
PLACE OF BIRTH (State or Country)
GEO. CODE
DCII
AF-MPRD
CSC
USAAC
FBI-HQ
BUPERS
CIA
FRC
SERVICE NUMBER
SOCIAL SECURITY NUMBER
FBI-ID
USMC
I & NS
HCUA
REMARKS (Requester)
TAG-O
USCG
STATE-S
OTHER
TAG-E
MPRC
STATE-P
OTHER
REMARKS
DOSSIER CHARGED TO:
AGENCY
REQUEST NUMBER
DATE
DATE
SIGNATURE
REQUESTING OFFICE (Inventory code)
DETAIL LIST NUMBER
DA FORM 1144, DEC 1966
PREVIOUS EDITIONS OF THIS FORM ARE OBSOLETE.
CHARGE OUT COPY 1
APD LC v1.01ES
FOR DCII/USAIRR USE ONLY
REQUEST FOR DOSSIER/INDEX CHECK
(AR 381-45)
NAME (Last name - First name - Middle name)
SATISFACTORY NATIONAL AGENCY CHECK
DATE COMPLETED:
DATE OF BIRTH (Month-Day-Year)
PLACE OF BIRTH (State or Country)
GEO. CODE
DCII
AF-MPRD
CSC
USAAC
FBI-HQ
BUPERS
CIA
FRC
SERVICE NUMBER
SOCIAL SECURITY NUMBER
FBI-ID
USMC
I & NS
HCUA
REMARKS (Requester)
TAG-O
USCG
STATE-S
OTHER
TAG-E
MPRC
STATE-P
OTHER
REMARKS
DOSSIER CHARGED TO:
AGENCY
REQUEST NUMBER
DATE
DATE
SIGNATURE
REQUESTING OFFICE (Inventory code)
DETAIL LIST NUMBER
DA FORM 1144, DEC 1966
PREVIOUS EDITIONS OF THIS FORM ARE OBSOLETE.
CHARGE OUT COPY 2
APD LC v1.01ES
FOR DCII/USAIRR USE ONLY
REQUEST FOR DOSSIER/INDEX CHECK
(AR 381-45)
NAME (Last name - First name - Middle name)
SATISFACTORY NATIONAL AGENCY CHECK
DATE COMPLETED:
DATE OF BIRTH (Month-Day-Year)
PLACE OF BIRTH (State or Country)
GEO. CODE
DCII
AF-MPRD
CSC
USAAC
FBI-HQ
BUPERS
CIA
FRC
SERVICE NUMBER
SOCIAL SECURITY NUMBER
FBI-ID
USMC
I & NS
HCUA
REMARKS (Requester)
TAG-O
USCG
STATE-S
OTHER
TAG-E
MPRC
STATE-P
OTHER
REMARKS
DOSSIER CHARGED TO:
AGENCY
REQUEST NUMBER
DATE
DATE
SIGNATURE
REQUESTING OFFICE (Inventory code)
DETAIL LIST NUMBER
DA FORM 1144, DEC 1966
PREVIOUS EDITIONS OF THIS FORM ARE OBSOLETE.
CHARGE OUT COPY 3
APD LC v1.01ES

Download DA Form 1144 Request for Dossier/Index Check

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