DA Form 5477 "Customer Complaint Record"

What Is DA Form 5477?

This is a military form that was released by the U.S. Department of the Army (DA) on March 1, 2008. The form, often mistakenly referred to as the DD Form 5477, 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 1-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 5477 down below in PDF format or browse hundreds of other DA Forms stored in our online database.

ADVERTISEMENT
ADVERTISEMENT

Download DA Form 5477 "Customer Complaint Record"

1392 times
Rate (4.6 / 5) 191 votes
CUSTOMER COMPLAINT RECORD
For use of this form, see DA PAM 5-20; the proponent agency is ACSIM.
DATE OF COMPLAINT
TIME OF COMPLAINT
SOURCE OF COMPLAINT
ORGANIZATION
INDIVIDUAL
NATURE OF COMPLAINT
CONTRACT REFERENCE
VALIDATION
DATE CONTRACTOR INFORMED COMPLAINT
TIME CONTRACTOR INFORMED OF COMPLAINT
(Responsible officer)
(Responsible officer)
ACTION TAKEN BY CONTRACTOR (Responsible officer)
RECEIVED AND VALIDATED BY
NOTE: (
) Used for in-house operation.
DA FORM 5477, MAR 2008
APD LC v1.01ES
PREVIOUS EDITIONS ARE OBSOLETE.
CUSTOMER COMPLAINT RECORD
For use of this form, see DA PAM 5-20; the proponent agency is ACSIM.
DATE OF COMPLAINT
TIME OF COMPLAINT
SOURCE OF COMPLAINT
ORGANIZATION
INDIVIDUAL
NATURE OF COMPLAINT
CONTRACT REFERENCE
VALIDATION
DATE CONTRACTOR INFORMED COMPLAINT
TIME CONTRACTOR INFORMED OF COMPLAINT
(Responsible officer)
(Responsible officer)
ACTION TAKEN BY CONTRACTOR (Responsible officer)
RECEIVED AND VALIDATED BY
NOTE: (
) Used for in-house operation.
DA FORM 5477, MAR 2008
APD LC v1.01ES
PREVIOUS EDITIONS ARE OBSOLETE.