DA Form 2122 Record of Interment / Inurnment

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DA Form 2122 Record of Interment / Inurnment

What Is DA Form 2122?

This is a military form that was released by the U.S. Department of the Army (DA) on June 1, 1982. The form, often mistakenly referred to as the DD Form 2122, 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 DA Form 2122?
A: DA Form 2122 is a Record of Interment/Inurnment form.

Q: What is the purpose of DA Form 2122?
A: The purpose of DA Form 2122 is to record information related to the interment or inurnment of a deceased service member, dependent, or eligible veteran.

Q: Who uses DA Form 2122?
A: DA Form 2122 is used by the United States Army and other military branches.

Q: What information is recorded on DA Form 2122?
A: DA Form 2122 records information such as the name of the deceased, date of death, location of interment or inurnment, and details about the funeral honors provided.

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Form Details:

  • A 4-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 2122 down below in PDF format or browse hundreds of other DA Forms stored in our online database.

Download DA Form 2122 Record of Interment / Inurnment

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