DD Form 67 Form Processing Action Request

What Is DD Form 67?

DD Form 67 also known as the Form Processing Action Request is a document used to request a revision, cancellation or creation of a completely new Department of Defense form. The form is initiated by Action Officers (AO) and Component Forms Management Officers (FMO), signed by AO Approving Officials and approved by DoD FMO . A fillable up-to-date DD Form 67 can be downloaded below.

The DD Form 67 released in June 2014 was replaced by the May 2016 edition. All previous editions are obsolete and should not be used. The latest version includes the option to file digitally and can be secured by an electronic signature. 

When initiated, the Action Request is submitted along with a draft of the form being proposed. In case of need, additional elements - such as print specifications or a list of required data elements - can be featured in the proposal. The draft must be as close to final form as possible since it will be put to use right away. Contact your FMO organization for assistance in compiling the draft.

This form is often incorrectly referred to as DA Form 67, which is a short name for the DA 67-9 and DA 67-10 series. These DA 67 forms are part of officer evaluation processes; the series includes several reports and supporting documentation.

ADVERTISEMENT

FORM PROCESSING ACTION REQUEST
1. DATE OF REQUEST
(YYYYMMDD)
(Read Instructions on back and in DoD 7750.07-M before completing this form.)
2. FROM
3. THRU
4. TO
(DoD Component OPR Organization)
(DoD Component FMO Organization)
(Organization)
Email:
Email:
Email:
5. FORM DESIGNATION AND NUMBER
6. EDITION DATE
7. FORM TITLE
(Enter
only if cancelling a form)
8. ACTION TYPE
9. FORM TYPE
10. SUBJECT GROUP
11. PRESCRIBING ISSUANCE(S)
(Select one)
(Select one)
(Leave blank if a new form)
12. FORM DISPOSITION
13. PROPOSED FORM DESIGN CONSIDERATIONS
(List all forms to be replaced by proposed form)
a. FORM NUMBER (Enter "N/A" if none)
b. EDITION DATE
c. DISPOSITION
a. DESIGN TYPE
b. SUGGESTED SIZE
c. PRINTING SPECIFICATIONS
d. CLASSIFIED
e. CONTROLLED FORM f. DIGITAL SIGNATURE FIELD
g. AVAILABILITY (Select one)
h. SOCIAL SECURITY NUMBER COLLECTED
(Select one. If YES, attach justification)
14. PURPOSE AND DESCRIPTION OF USE
(Attach continuation page if necessary.)
15. EXTERNAL COORDINATION AND CONCURRENCE
(Not required for SD, DoD Component, or Command forms. Attach continuation page if necessary.)
b. COORDINATOR
a. DOD
NAME
OFFICE SYMBOL
TELEPHONE NO.
EMAIL ADDRESS
INITIALS
COMPONENT
(Include area code/DSN)
16. INTERNAL COORDINATION AND CONCURRENCE
(3) COORDINATOR
(1) APPLI-
(2) REMARKS
(Enter applicable remarks related to
NAME
EMAIL ADDRESS
TELEPHONE NO.
INITIALS
coordination, and attach appropriate documentation.)
CABLE?
(Incl. area code/DSN)
(Yes/No)
a. PRIVACY ACT
b. POSTAL
c. DATA ELEMENTS
d. RECORDS MGMT
e. OTHER
f. COLLECTIONS
RCS
OMB
CERTIFICATION OF DOD COMPONENT OPR AND/OR ACTION OFFICER, APPROVING OFFICIAL, AND FMO
I hereby certify that all of the above coordinations have been completed as indicated.
17. DOD COMPONENT OPR AND/OR ACTION OFFICER
a. TYPED NAME AND TITLE
b. TELEPHONE NUMBER
c. SIGNATURE
(Include area code/DSN)
18. DOD COMPONENT APPROVING OFFICIAL
19. DOD COMPONENT OR COMMAND FORMS MANAGEMENT OFFICER
a. EMAIL ADDRESS
a. EMAIL ADDRESS
b. DATE SIGNED
c. TYPED NAME, TITLE, AND SIGNATURE
b. DATE SIGNED
c. TYPED NAME, TITLE, AND SIGNATURE
(YYYYMMDD)
(YYYYMMDD)
20. APPROVING FORMS MANAGEMENT OFFICER
a. TYPED NAME AND TITLE
b. DATE SIGNED (YYYYMMDD)
c. SIGNATURE
DD FORM 67, MAY 2016
PREVIOUS EDITION IS OBSOLETE.
LiveCycle Designer 11.0

Download DD Form 67 Form Processing Action Request

2290 times
Rate
4.8(4.8 / 5) 229 votes

ADVERTISEMENT

DD Form 67 Instructions

  1. Fill in the date of the request, DoD Component Office of Primary Responsibility (OPR) Organization and the DoD Component Forms Management Officer’s Organization in Boxes 1, 2 and 3 respectively.
  2. Fill in the information about the form being revised or proposed in Boxes 5 through 11. Enter the form number, existing or proposed title, designation, and type. Box 10 should be left blank for new forms.
  3. Box 12 is for listing and describing any forms being replaced by the proposed form.
  4. Enter proposed form design considerations in Box 13. Design choices include filing choices, suggested size, printing and distribution specifications, availability and data collection.
  5. Describe the purpose and use of the new form or the changes to the existing form in Box 14.
  6. Obtain the coordination of each Department of Defense Component expected to use the form in Box 15.
  7. Box 16 is signed by Component Program Managers of each applicable program out of the six options listed.
  8. Boxes 17 through 20 are for the information and signatures of a DoD Component OPR or Action Officer, a DoD Component Approving Official, a DoD Component or Command Forms Management Officer and an Approving Forms Management Officer.
  9. If approved, the DoD FMO will complete Box 6, Edition Date and sign the DD Form 67 in Box 20.

The approved draft form will be forwarded to the Forms Designer to be finalized and added to the Department of Defense forms inventory. If the package is incomplete, it will be returned to the Military Service or DoD Component FMO.

Page of 2