DA Form 4237-R "Detainee Personnel Record (Lra)"

What Is DA Form 4237-R?

This is a military form that was released by the U.S. Department of the Army (DA) on August 1, 1985. The form, often mistakenly referred to as the DD Form 4237-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 2-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 4237-R down below in PDF format or browse hundreds of other DA Forms stored in our online database.

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Download DA Form 4237-R "Detainee Personnel Record (Lra)"

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DETAINEE PERSONNEL RECORD
For use of this form, see AR 190-8; the proponent agency is ODCSCPER.
PART I - TO BE COMPLETED AT TIME OF PROCESSING
1. INTERNMENT SERIAL NO. (1-13)
2. NAME (Last, first, middle) (14-34)
3. RANK (35-37)
CARD I
4. ENEMY SVC NO. (38-46)
5. TYPE (47)
6. DATE OF CAPTURE (48-53)
7. DATE OF BIRTH (54-59)
8. NATIONALITY (60-61)
9. EDUCATION (62)
10. RELIGION (63-64)
11. MARSTA (65)
12. PW CAMP UIC
(66-71)
13. PW PROCESS DATE
(72-77)
CARD II
14. SEX (14)
15. LANGUAGE I (15-16)
16. LANGUAGE II (17-18)
(Keypuncher will pick
up Item 1 above)
17. PHYSICAL CONDITION (19)
18. PW CAMP LOCATION (20-22)
19. ENEMY UNIT (23-34)
20. ARM OF SVC (35)
21. MOSC (36-39)
22. CIVILIAN OCCUPATION (40-45)
23. UIC-CAPTURE UNIT (46-51)
24. CORPS AREA OF CAPTURE (52)
25. PLACE OF CAPTURE
26. POWER SERVED
27. PLACE OF BIRTH
28. ADDRESS TO WHICH MAIL FOR PW MAY BE SENT
29. FATHER/STEPFATHER
30. MOTHER'S MAIDEN NAME
32. NAME, ADDRESS, AND RELATIONSHIP OF PERSON TO BE
31. PERMANENT HOME ADDRESS OF PW
INFORMED OF CAPTURE
33. OTHER PARTICULARS FROM ID CARD
34. DISTINGUISHING MARKS
35. IMPOUNDED PERSONAL EFFECTS AND MONEY (IAW AR 37-36)
THE ABOVE LIST OF IMPOUNDED ITEMS IS CORRECT
(Signature of Detainee)
36. REMARKS
37. PHOTO
PHOTO
PHOTO
(Front View)
(Right Profile)
38. PREPARED BY (Individual and unit)
39. SIGNATURE
40. DATE PREPARED
41. PLACE
DA FORM 4237-R, AUG 1985
APD LC v1.01ES
EDITION OF MAY 82 IS OBSOLETE
DETAINEE PERSONNEL RECORD
For use of this form, see AR 190-8; the proponent agency is ODCSCPER.
PART I - TO BE COMPLETED AT TIME OF PROCESSING
1. INTERNMENT SERIAL NO. (1-13)
2. NAME (Last, first, middle) (14-34)
3. RANK (35-37)
CARD I
4. ENEMY SVC NO. (38-46)
5. TYPE (47)
6. DATE OF CAPTURE (48-53)
7. DATE OF BIRTH (54-59)
8. NATIONALITY (60-61)
9. EDUCATION (62)
10. RELIGION (63-64)
11. MARSTA (65)
12. PW CAMP UIC
(66-71)
13. PW PROCESS DATE
(72-77)
CARD II
14. SEX (14)
15. LANGUAGE I (15-16)
16. LANGUAGE II (17-18)
(Keypuncher will pick
up Item 1 above)
17. PHYSICAL CONDITION (19)
18. PW CAMP LOCATION (20-22)
19. ENEMY UNIT (23-34)
20. ARM OF SVC (35)
21. MOSC (36-39)
22. CIVILIAN OCCUPATION (40-45)
23. UIC-CAPTURE UNIT (46-51)
24. CORPS AREA OF CAPTURE (52)
25. PLACE OF CAPTURE
26. POWER SERVED
27. PLACE OF BIRTH
28. ADDRESS TO WHICH MAIL FOR PW MAY BE SENT
29. FATHER/STEPFATHER
30. MOTHER'S MAIDEN NAME
32. NAME, ADDRESS, AND RELATIONSHIP OF PERSON TO BE
31. PERMANENT HOME ADDRESS OF PW
INFORMED OF CAPTURE
33. OTHER PARTICULARS FROM ID CARD
34. DISTINGUISHING MARKS
35. IMPOUNDED PERSONAL EFFECTS AND MONEY (IAW AR 37-36)
THE ABOVE LIST OF IMPOUNDED ITEMS IS CORRECT
(Signature of Detainee)
36. REMARKS
37. PHOTO
PHOTO
PHOTO
(Front View)
(Right Profile)
38. PREPARED BY (Individual and unit)
39. SIGNATURE
40. DATE PREPARED
41. PLACE
DA FORM 4237-R, AUG 1985
APD LC v1.01ES
EDITION OF MAY 82 IS OBSOLETE
PART II - TO BE MAINTAINED BY UNIT HAVING CUSTODY
42a. LAST NAME
b. FIRST NAMES
43. INTERNMENT SERIAL NUMBER
44.
MEDICAL RECORD
a. IMMUNIZATION (Vaccinations and Innoculations with Dates)
b. MAJOR ILLNESSES AND PHYSICAL DEFECTS (With Dates)
c. BLOOD GROUP
45. INTERNMENT EMPLOYMENT QUALIFICATIONS
46. SERIOUS OFFENSES, PUNISHMENTS, AND ESCAPES (With Dates)
47.
TRANSFERS
FROM (Location)
TO (Location)
DATE
48. REMARKS
49.
FINANCIAL STATUS AT TIME OF FIRST INTERNATIONAL TRANSFER
a. CERTIFICATE OF CREDIT BALANCE ISSUED TO EPW (Amount in words )
b. AMT IN FIGURES
c. LOCATION
d. DATE
50.
FINANCIAL STATUS AT TIME OF SECOND INTERNATIONAL TRANSFER
a. CERTIFICATE OF CREDIT BALANCE ISSUED TO EPW (Amount in words )
b. AMT IN FIGURES
c. LOCATION
d. DATE
51.
REPATRIATION
a. REASON
b. MODE
c. DATE
FINANCIAL STATUS AT TIME OF REPATRIATION
52.
a. CERTIFICATE OF CREDIT BALANCE ISSUED TO EPW (Amount in words )
b. AMT IN FIGURES
c. LOCATION
d. DATE
REVERSE OF DA FORM 4237-R, AUG 1985
APD LC v1.01ES
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