DD Form 843 Requisition for Printing and Binding Service

DD Form 843 or the "Requisition For Printing And Binding Service" is a Department of Defense-issued form used by and within the United States Army.

The form - often mistakenly referred to as the DA form 843 - was last revised on July 1, 1955. Download an up-to-date fillable PDF version of the DD 843 down below or find it on the Department of Defense documentation website.

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FUND
PLANT
DATE
ACTIVITY ORDER NUMBER
JOB NUMBER
REQUISITION FOR PRINTING
APPROPRIATED
USE
AND BINDING SERVICE
ONLY
NON-APPROPRIATED
THRU: (Appropriate Printing Control Authority)
FROM: (Originating Agency and Person to
TO:
contact & telephone extension)
1. TITLE OF PUBLICATION
2. NUMBER AND DATE
3. PURPOSE, FUNCTION, ECONOMIES EFFECTED AND CONCURRENCES
OTHER (Specify in
6. NUMBER OF
4. QUANTITY IN:
SHTS
SETS
BOOKS
PADS
5.
SIZE OF PUBLICATION
Item 13 )
PAGES
a.
TRIM SIZE
b.
FOLDED TO
a. PARTIAL DELIVERY REQUESTED
b. COMPLETE DELIVERY REQUESTED
DATE
QUANTITY
DATE
QUANTITY
WIDTH
LENGTH
WIDTH
LENGTH
8.
PAPER STOCK
9.
PRINT
7.
BINDING (Use item 13 for additional instructions)
LOOSE
SIDE STITCHED
PAD
TOP
LEF
RHT
BTM
HEAD TO
COP-
BASIS
COLOR
FACE
KIND
COLOR
SHEETS IN
IES
WEIGHT
INK
ONLY
SADDLE STITCHED
SETS IN PAD SHEETS IN SET
HEAD FOOT
SIDE
GLUED
PAD
1
OTHER
2
10.
PUNCHING
NR HOLES DIAMETER C TO C
KIND
POSITION
3
4
5
11.
MATERIAL DISPOSITION
6
HOLD
DESTROY
RETURN TO
7
NEGATIVES
8
ORIGINALS
12. CLASSIFICATION
9
10
(Perforations, scoring, prenumbering, etc.)
13. ADDITIONAL INSTRUCTIONS,
DUMMY ATTACHED
YES
NO
15. APPROPRIATION CHARGEABLE
14. DISTRIBUTION INSTRUCTIONS (If desired, also indicate person to be notified
when job is completed.)
CERTIFICATION
THAT THE USE OF MORE THAN ONE COLOR IS IN ACCORDANCE WITH DEPARTMENTAL
REGULATIONS.
THAT THE ILLUSTRATIONS USED IN THIS PUBLICATION ARE NECESSARY AND RELATE
ENTIRELY TO THE PUBLIC SERVICE.
THAT THIS WORK IS AUTHORIZED BY REGULATIONS AND IS NECESSARY TO THE
CONDUCT OF OFFICIAL BUSINESS.
16. ORIGINATOR (Typed Name, Signature and Date)
17. ACTION BY PRINTING CONTROL AUTHORITY
APPROVED
DISAPPROVED
TYPED NAME, SIGNATURE AND DATE
NO. OF
PRESS
PRODUCTION
18. DATE RECEIVED
19. PRIORITY
23. PRESS SIZE
HRS IN USE
MASTERS
IMPRESSIONS
UNITS
FOR PLANT
X
USE ONLY
X
20. DATE PROMISED
21. DATE COMPLETED
22. DATE DELIVERED
X
X
X
RECEIPT OF COMPLETED JOB
24. RECEIVED BY
25. ORGANIZATION SYMBOL
26. DATE
DD Form 843, JUL 55
Reset
Adobe Professional 7.0
FUND
PLANT
DATE
ACTIVITY ORDER NUMBER
JOB NUMBER
REQUISITION FOR PRINTING
APPROPRIATED
USE
AND BINDING SERVICE
ONLY
NON-APPROPRIATED
THRU: (Appropriate Printing Control Authority)
FROM: (Originating Agency and Person to
TO:
contact & telephone extension)
1. TITLE OF PUBLICATION
2. NUMBER AND DATE
3. PURPOSE, FUNCTION, ECONOMIES EFFECTED AND CONCURRENCES
OTHER (Specify in
6. NUMBER OF
4. QUANTITY IN:
SHTS
SETS
BOOKS
PADS
5.
SIZE OF PUBLICATION
Item 13 )
PAGES
a.
TRIM SIZE
b.
FOLDED TO
a. PARTIAL DELIVERY REQUESTED
b. COMPLETE DELIVERY REQUESTED
DATE
QUANTITY
DATE
QUANTITY
WIDTH
LENGTH
WIDTH
LENGTH
8.
PAPER STOCK
9.
PRINT
7.
BINDING (Use item 13 for additional instructions)
LOOSE
SIDE STITCHED
PAD
TOP
LEF
RHT
BTM
HEAD TO
COP-
BASIS
COLOR
FACE
KIND
COLOR
SHEETS IN
IES
WEIGHT
INK
ONLY
SADDLE STITCHED
SETS IN PAD SHEETS IN SET
HEAD FOOT
SIDE
GLUED
PAD
1
OTHER
2
10.
PUNCHING
NR HOLES DIAMETER C TO C
KIND
POSITION
3
4
5
11.
MATERIAL DISPOSITION
6
HOLD
DESTROY
RETURN TO
7
NEGATIVES
8
ORIGINALS
12. CLASSIFICATION
9
10
(Perforations, scoring, prenumbering, etc.)
13. ADDITIONAL INSTRUCTIONS,
DUMMY ATTACHED
YES
NO
15. APPROPRIATION CHARGEABLE
14. DISTRIBUTION INSTRUCTIONS (If desired, also indicate person to be notified
when job is completed.)
CERTIFICATION
THAT THE USE OF MORE THAN ONE COLOR IS IN ACCORDANCE WITH DEPARTMENTAL
REGULATIONS.
THAT THE ILLUSTRATIONS USED IN THIS PUBLICATION ARE NECESSARY AND RELATE
ENTIRELY TO THE PUBLIC SERVICE.
THAT THIS WORK IS AUTHORIZED BY REGULATIONS AND IS NECESSARY TO THE
CONDUCT OF OFFICIAL BUSINESS.
16. ORIGINATOR (Typed Name, Signature and Date)
17. ACTION BY PRINTING CONTROL AUTHORITY
APPROVED
DISAPPROVED
TYPED NAME, SIGNATURE AND DATE
NO. OF
PRESS
PRODUCTION
18. DATE RECEIVED
19. PRIORITY
23. PRESS SIZE
HRS IN USE
MASTERS
IMPRESSIONS
UNITS
FOR PLANT
X
USE ONLY
X
20. DATE PROMISED
21. DATE COMPLETED
22. DATE DELIVERED
X
X
X
RECEIPT OF COMPLETED JOB
24. RECEIVED BY
25. ORGANIZATION SYMBOL
26. DATE
DD Form 843, JUL 55
Reset
Adobe Professional 7.0

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