This version of the DA Form 5123-1 is not currently in use and is provided for reference only.
Download this version of DA Form 5123-1 to file for the current year.
This is a military form that was released by the U.S. Department of the Army (DA) on February 1, 2015. The form, often mistakenly referred to as the DD Form 5123-1, 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.