DA Form 3068-1 "Marine Service Record"

What Is DA Form 3068-1?

This is a military form that was released by the U.S. Department of the Army (DA) on January 1, 2017. The form, often mistakenly referred to as the DD Form 3068-1, 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 3068-1 down below in PDF format or browse hundreds of other DA Forms stored in our online database.

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Download DA Form 3068-1 "Marine Service Record"

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MARINE SERVICE RECORD
For use of this form, see AR 600-88; the proponent agency is DCS, G-1.
2. GRADE
3. PMOS
1. NAME (Last, First, Middle Initial)
1 RECORD OF SERVICE
4. UNIT
5. VESSEL TYPE, NAME AND HULL NUMBER
6. GT/SHP
7. POSITION (Per TOE/MTOE)
8. VESSEL STATUS
9. SERVING ABOARD
10. TYPE OF WATERS
11. DAYS UNDERWAY
OPERATIONAL
ARMY (USAV)
OTHER (Explain)
INLAND
DEPOT MAINTENANCE
NEAR COASTAL
NAVY (USS)
ADMIN STORAGE
OCEANS
MSC (USNS)
12. RESERVE COMPONENT ONLY (USAR/ARNGUS: include sea service under mobilization)
13. TOTALS (For MQD use only)
a. ACTIVE DUTY DAYS
b. FTNG DAYS
a. TOTAL DAYS SEA SERVICE
c. DRILL DAYS
d. OTHER (Explain)
b. TOTAL DAYS SEA PAY
14. DATE ASSIGNED
15. NAME AND GRADE OF VESSEL MASTER/COMMANDER
16. SIGNATURE
(YYYYMMDD)
(Print or type)
17. DEPARTURE DATE
18. NAME AND GRADE OF VESSEL MASTER/COMMANDER
19. SIGNATURE
(YYYYMMDD)
(Print or type)
20. REMARKS (Reason for leaving vessel/gaining unit, etc.)
2 RECORD OF SERVICE
4. UNIT
5. VESSEL TYPE, NAME AND HULL NUMBER
6. GT/SHP
7. POSITION (Per TOE/MTOE)
8. VESSEL STATUS
9. SERVING ABOARD
10. TYPE OF WATERS
11. DAYS UNDERWAY
OPERATIONAL
ARMY (USAV)
OTHER (Explain)
INLAND
DEPOT MAINTENANCE
NEAR COASTAL
NAVY (USS)
ADMIN STORAGE
MSC (USNS)
OCEANS
12. RESERVE COMPONENT ONLY (USAR/ARNGUS: include sea service under mobilization)
13. TOTALS (For MQD use only)
a. ACTIVE DUTY DAYS
b. FTNG DAYS
a. TOTAL DAYS SEA SERVICE
c. DRILL DAYS
d. OTHER (Explain)
b. TOTAL DAYS SEA PAY
14. DATE ASSIGNED
15. NAME AND GRADE OF VESSEL MASTER/COMMANDER
16. SIGNATURE
(
YYYYMMDD)
(Print or type)
17. DEPARTURE DATE
18. NAME AND GRADE OF VESSEL MASTER/COMMANDER
19. SIGNATURE
(YYYYMMDD)
(Print or type)
20. REMARKS (Reason for leaving vessel/gaining unit, etc.)
PREVIOUS EDITION ARE OBSOLETE.
APD LC v1.00ES
DA FORM 3068-1, JAN 2017
MARINE SERVICE RECORD
For use of this form, see AR 600-88; the proponent agency is DCS, G-1.
2. GRADE
3. PMOS
1. NAME (Last, First, Middle Initial)
1 RECORD OF SERVICE
4. UNIT
5. VESSEL TYPE, NAME AND HULL NUMBER
6. GT/SHP
7. POSITION (Per TOE/MTOE)
8. VESSEL STATUS
9. SERVING ABOARD
10. TYPE OF WATERS
11. DAYS UNDERWAY
OPERATIONAL
ARMY (USAV)
OTHER (Explain)
INLAND
DEPOT MAINTENANCE
NEAR COASTAL
NAVY (USS)
ADMIN STORAGE
OCEANS
MSC (USNS)
12. RESERVE COMPONENT ONLY (USAR/ARNGUS: include sea service under mobilization)
13. TOTALS (For MQD use only)
a. ACTIVE DUTY DAYS
b. FTNG DAYS
a. TOTAL DAYS SEA SERVICE
c. DRILL DAYS
d. OTHER (Explain)
b. TOTAL DAYS SEA PAY
14. DATE ASSIGNED
15. NAME AND GRADE OF VESSEL MASTER/COMMANDER
16. SIGNATURE
(YYYYMMDD)
(Print or type)
17. DEPARTURE DATE
18. NAME AND GRADE OF VESSEL MASTER/COMMANDER
19. SIGNATURE
(YYYYMMDD)
(Print or type)
20. REMARKS (Reason for leaving vessel/gaining unit, etc.)
2 RECORD OF SERVICE
4. UNIT
5. VESSEL TYPE, NAME AND HULL NUMBER
6. GT/SHP
7. POSITION (Per TOE/MTOE)
8. VESSEL STATUS
9. SERVING ABOARD
10. TYPE OF WATERS
11. DAYS UNDERWAY
OPERATIONAL
ARMY (USAV)
OTHER (Explain)
INLAND
DEPOT MAINTENANCE
NEAR COASTAL
NAVY (USS)
ADMIN STORAGE
MSC (USNS)
OCEANS
12. RESERVE COMPONENT ONLY (USAR/ARNGUS: include sea service under mobilization)
13. TOTALS (For MQD use only)
a. ACTIVE DUTY DAYS
b. FTNG DAYS
a. TOTAL DAYS SEA SERVICE
c. DRILL DAYS
d. OTHER (Explain)
b. TOTAL DAYS SEA PAY
14. DATE ASSIGNED
15. NAME AND GRADE OF VESSEL MASTER/COMMANDER
16. SIGNATURE
(
YYYYMMDD)
(Print or type)
17. DEPARTURE DATE
18. NAME AND GRADE OF VESSEL MASTER/COMMANDER
19. SIGNATURE
(YYYYMMDD)
(Print or type)
20. REMARKS (Reason for leaving vessel/gaining unit, etc.)
PREVIOUS EDITION ARE OBSOLETE.
APD LC v1.00ES
DA FORM 3068-1, JAN 2017