DA Form 137-2 Installation Clearance Record

What Is DA Form 137-2?

DA Form 137-2 or the Installation Clearance Record is a form used during preparing for a permanent change of station - or PCS - and clearance verification before transitioning from active duty, transferring to another installation or retiring from the Armed Forces. The DA 137-2 is used to ensure that all debt to the government and its instrumentalities is identified and that the necessary actions are taken to obtain those payments before retirement or transfer.

The most recent version of the form - sometimes confused with the DD 137 Forms - was released by the Department of the Army in February 2015. An up-to-date DA Form 137-2 fillable version is available for download and digital filing below or can be found on the Army Publishing Directorate website.

The 2015-issued version is unclassified and approved for public release with further distribution unlimited by the law.

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INSTALLATION CLEARANCE RECORD
For use of this form, see AR 600-8-101; the proponent agency is DCS, G-1
DATA REQUIRED BY THE PRIVACY ACT OF 1974
Section 301, Title 5, USC.
AUTHORITY:
PRINCIPAL PURPOSE:
To ensure Soldier readiness before PCS. To complete clearance verification before transition from active duty, transfer to another Service or Component, separation,
discharge, or retirement.
To close out installation personnel and finance records. To ensure that debt to the government and its instrumentalities is identified and that action is taken to obtain payment
ROUTINE USES:
before the Soldier's transition from active duty, separation or retirement. Forms will not be disclosed outside the Department of Defense (DoD) and DoD sponsored agencies.
Disclosure is voluntary; however, failure to complete this form may result in only partial payment of final pay.
DISCLOSURE:
INSTRUCTIONS TO THE SOLDIER: This out-processing packet is designed to assist you and the installation in completing your final clearance as accurately and expeditiously as possible. It is your
responsibility to complete this checklist properly. If you are separating or retiring from the Active Army, failure to complete this checklist correctly and entirely will result in you receiving 55 percent of
your final pay pending verification by DFAS of any outstanding debts. Activities marked with an @ require clearance for all Soldiers separating or retiring from the Active Army, including AGR personnel.
Activities marked with an asterisk (*) require clearance for Soldiers departing on PCS. Activities not marked will be cleared per installation instructions. This checklist must be completed before your
final military pay appointment. Separation payments will not be released until installation clearance is completed. Provide any additional information in Remarks, block 16.
SECTION A - PERSONNEL DATA (To be completed by the commander, S1, processing control station, or appointed official)
1. NAME
2. RANK
3. ORDERS NO.
4. GAINING UNIT
5. LOSING UNIT
6. DATE OF ORDERS (YYYYMMDD)
7. REASON FOR CLEARING
8. DEPARTURE DATE (YYYYMMDD)
PCS
ETS
RETIREMENT
OTHER (Specify)
SECTION B - INSTALLATION STANDARD CLEARANCES
(All signatures are required prior to reporting to the processing control station (section d) for final clearance. Not having these required signatures will cause a delay in your final clearance.
9.
10.
11.
12.
13.
14.
15.
INSTALLATION ACTIVITY
YES
DEBT AMOUNT
NO
NAME (Last, First, Middle)
TELEPHONE NO.
SIGNATURE
a.
Personnel Information Station @*
b.
Personnel Management Station @*
c.
Medical Facility @*/PDHRA (DD Form 2900)
d.
TRICARE Service Center Health Benefits Advisor
or Medical Element Equivalent @*
e.
Dental Facility @*
f.
DEERS/RAPIDS/ID Cards and Tags @*
g.
Transportation Office @*
h.
Central Issue Facility @*
i.
Education Center @*
j.
Army Emergency Relief @*
k.
Post Exchange @
PREVIOUS EDITIONS ARE OBSOLETE.
APD LC v1.01ES
DA FORM 137-2, FEB 2015
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DA Form 137-2 Instructions

Filing guidelines and additional information on the DA 137-2 can be found in the Army Regulation 600–8–11, Reassignment, released in May 2007.

Make sure that you have read the instruction carefully before completing the form: failure to complete the form will result in it not being accepted, which - in turn - will result in a partial payment of final pay.

This form has three sections in total. Filing instructions are as follows:

  1. Section A, Personnel Information, is mostly self-explanatory. Enter your name, rank and orders number. Identify the gaining unit, the losing unit, the date of address and departure date.
  2. Section B, Installation Standard Clearance, is for specifying if you have any debt and providing amounts of those debts. All signatures in Section B are required prior to reporting to the processing control station (Section D) for final clearance. Not having the required signatures may cause a delay in receiving final clearance.
  3. Section CMilitary Pay Processing – is devoted to Military payment clearances.
  4. Section D, Processing Control Station, is signed after collecting all other signatures.

DA 137-2 Related Forms

DA Form 137-1 or the Unit Clearance Record is another form used to ensure a soldier’s readiness before a permanent change of station, transitioning from active duty, transfer to another service or component, separation, discharge or retirement.

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