DD Form 1081 Statement of Agent Officer's Account

DD Form 1081 or the "Statement Of Agent Officer's Account" 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 1081 - was last revised on March 1, 2017. Download an up-to-date fillable PDF version of the DD 1081 down below or find it on the Department of Defense documentation website.

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STATEMENT OF AGENT OFFICER'S ACCOUNT
1. DISBURSING OFFICER'S NAME, ADDRESS, DISBURSING
2. AGENT OFFICER'S NAME, GRADE, DoD ID, UNIT ADDRESS
STATION SYMBOL NO.
(Include ZIP Code/APO number and Telephone number)
3. TRANSACTIONS AFFECTING AGENT OFFICER'S ACCOUNT
INCREASE
BEGINNING BALANCE
DECREASE
ENDING BALANCE
TRANSACTIONS
(Received by Agent)
(In Agent's Account)
(Turned in by Agent)
(In Agent's Account)
a
b
c
d
e
1. BALANCE FORWARD
2. U.S. DOLLARS
3. FOREIGN CURRENCY
4. MILITARY PAYMENT CERTIFICATES
5. COLLECTIONS
6. DEPOSITS
7. NEGOTIABLE INSTRUMENTS
A. TREASURY CHECKS
B. MILITARY PAYMENT ORDERS
C. OTHER (Specify)
8. PAID VOUCHERS
9. INCORRECT VOUCHERS RETURNED
10.
11.
12. TOTAL FUNDS IN HANDS OF AGENT OFFICER
4. STATEMENTS
DISBURSING OFFICER
AGENT OFFICER
d. ON ADVANCE: I, AS AGENT OFFICER, HAVE FUNDS AND/OR
OTHER ITEMS AS INDICATED ABOVE. I HAVE ASSUMED
a. ON ADVANCE: I HAVE ENTRUSTED FUNDS AND/OR OTHER
PECUNIARY RESPONSIBILITY THEREFORE. WILL NOTIFY THE
ITEMS AS INDICATED IN THIS STATEMENT TO THE ABOVE
DISBURSING OFFICER IMMEDIATELY UPON DISCOVERY OF
NAMED AS MY AGENT OFFICER.
ANY LOSS OR SHORTAGE, AND I HAVE RECEIVED AND
UNDERSTAND WRITTEN INSTRUCTIONS CONCERNING MY
DUTIES AND RESPONSIBILITIES AS AN AGENT OFFICER.
b. DATE
c. SIGNATURE OF DISBURSING OFFICER
e. DATE
f. SIGNATURE OF AGENT OFFICER
g. ON RETURN: I HAVE RECEIVED FUNDS AND/OR OTHER
j. ON RETURN: THE ABOVE STATEMENT OF ACCOUNT IS
ITEMS AS INDICATED ON THIS STATEMENT FROM THE
CORRECT.
ABOVE NAMED AGENT OFFICER.
h. DATE
i. SIGNATURE OF DISBURSING OFFICER
k. DATE
l. SIGNATURE OF AGENT OFFICER
DD FORM 1081, MAR 2017
PREVIOUS EDITION IS OBSOLETE.
AEM Designer
STATEMENT OF AGENT OFFICER'S ACCOUNT
1. DISBURSING OFFICER'S NAME, ADDRESS, DISBURSING
2. AGENT OFFICER'S NAME, GRADE, DoD ID, UNIT ADDRESS
STATION SYMBOL NO.
(Include ZIP Code/APO number and Telephone number)
3. TRANSACTIONS AFFECTING AGENT OFFICER'S ACCOUNT
INCREASE
BEGINNING BALANCE
DECREASE
ENDING BALANCE
TRANSACTIONS
(Received by Agent)
(In Agent's Account)
(Turned in by Agent)
(In Agent's Account)
a
b
c
d
e
1. BALANCE FORWARD
2. U.S. DOLLARS
3. FOREIGN CURRENCY
4. MILITARY PAYMENT CERTIFICATES
5. COLLECTIONS
6. DEPOSITS
7. NEGOTIABLE INSTRUMENTS
A. TREASURY CHECKS
B. MILITARY PAYMENT ORDERS
C. OTHER (Specify)
8. PAID VOUCHERS
9. INCORRECT VOUCHERS RETURNED
10.
11.
12. TOTAL FUNDS IN HANDS OF AGENT OFFICER
4. STATEMENTS
DISBURSING OFFICER
AGENT OFFICER
d. ON ADVANCE: I, AS AGENT OFFICER, HAVE FUNDS AND/OR
OTHER ITEMS AS INDICATED ABOVE. I HAVE ASSUMED
a. ON ADVANCE: I HAVE ENTRUSTED FUNDS AND/OR OTHER
PECUNIARY RESPONSIBILITY THEREFORE. WILL NOTIFY THE
ITEMS AS INDICATED IN THIS STATEMENT TO THE ABOVE
DISBURSING OFFICER IMMEDIATELY UPON DISCOVERY OF
NAMED AS MY AGENT OFFICER.
ANY LOSS OR SHORTAGE, AND I HAVE RECEIVED AND
UNDERSTAND WRITTEN INSTRUCTIONS CONCERNING MY
DUTIES AND RESPONSIBILITIES AS AN AGENT OFFICER.
b. DATE
c. SIGNATURE OF DISBURSING OFFICER
e. DATE
f. SIGNATURE OF AGENT OFFICER
g. ON RETURN: I HAVE RECEIVED FUNDS AND/OR OTHER
j. ON RETURN: THE ABOVE STATEMENT OF ACCOUNT IS
ITEMS AS INDICATED ON THIS STATEMENT FROM THE
CORRECT.
ABOVE NAMED AGENT OFFICER.
h. DATE
i. SIGNATURE OF DISBURSING OFFICER
k. DATE
l. SIGNATURE OF AGENT OFFICER
DD FORM 1081, MAR 2017
PREVIOUS EDITION IS OBSOLETE.
AEM Designer

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