DA Form 3697-R Subvoucher for Distribution From Confidential Funds

DA Form 3697-R - also known as the "Subvoucher For Distribution From Confidential Funds" - 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 3697-R - was last revised on July 1, 1983. Download an up-to-date fillable PDF version of the DA 3697-R below or request a copy through the chain of command.

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CONFIDENTIAL (When Filled In)
CLASS A CUSTODIAN CONTROL NUMBER
POSTING REFERENCE
PAID BY
SUBVOUCHER FOR
NUMBER
DISBURSEMENT FROM
CLASS A AGENT REGISTER NUMBER
CONFIDENTIAL FUNDS
For use of this form, see AR 381-141;
TITLE
CLASS B AGENT SUBVOUCHER NUMBER
the proponent agency is DCSINT
DATE OF
PROJECT
EXPENSE
ITEMIZATION
FOREIGN
U.S.
EXPENDITURE
IDENTIFICATION
CODE
OF EXPENSES
CURRENCY
DOLLARS
TOTAL
Conversion rate used in foreign currency transactions:
I certify that the above account and attachments thereto represent proper expenditures of confidential funds which have been or will be incurred by me in the performance of my
official duties, and that no other claim has been or will be submitted for payment of the above expenditures.
TYPED NAME OF CLAIMANT
TITLE
UNIT ASSIGNMENT
SIGNATURE
SUBMISSION DATE
I certify that the above claim is valid. Payment from confidential funds is approved.
TYPED NAME OF APPROVING OFFICIAL
GRADE
DUTY POSITION
SIGNATURE
APPROVAL DATE
I have received payment. (Signature required only if cash is received.)
Classified by AR 381-141.
AMOUNT
DATE OF PAYMENT
SIGNATURE OR CHECK NUMBER
Declassify on OADR.
$
DA FORM 3697-R, JUL 1983
REPLACES DA FORM 3697, JUN 75, WHICH IS OBSOLETE
APD LC v1.01ES
CONFIDENTIAL (When Filled In)
CONFIDENTIAL (When Filled In)
CLASS A CUSTODIAN CONTROL NUMBER
POSTING REFERENCE
PAID BY
SUBVOUCHER FOR
NUMBER
DISBURSEMENT FROM
CLASS A AGENT REGISTER NUMBER
CONFIDENTIAL FUNDS
For use of this form, see AR 381-141;
TITLE
CLASS B AGENT SUBVOUCHER NUMBER
the proponent agency is DCSINT
DATE OF
PROJECT
EXPENSE
ITEMIZATION
FOREIGN
U.S.
EXPENDITURE
IDENTIFICATION
CODE
OF EXPENSES
CURRENCY
DOLLARS
TOTAL
Conversion rate used in foreign currency transactions:
I certify that the above account and attachments thereto represent proper expenditures of confidential funds which have been or will be incurred by me in the performance of my
official duties, and that no other claim has been or will be submitted for payment of the above expenditures.
TYPED NAME OF CLAIMANT
TITLE
UNIT ASSIGNMENT
SIGNATURE
SUBMISSION DATE
I certify that the above claim is valid. Payment from confidential funds is approved.
TYPED NAME OF APPROVING OFFICIAL
GRADE
DUTY POSITION
SIGNATURE
APPROVAL DATE
I have received payment. (Signature required only if cash is received.)
Classified by AR 381-141.
AMOUNT
DATE OF PAYMENT
SIGNATURE OR CHECK NUMBER
Declassify on OADR.
$
DA FORM 3697-R, JUL 1983
REPLACES DA FORM 3697, JUN 75, WHICH IS OBSOLETE
APD LC v1.01ES
CONFIDENTIAL (When Filled In)

Download DA Form 3697-R Subvoucher for Distribution From Confidential Funds

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