DA Form 137-1 Unit Clearance Record

What Is DA Form 137-1?

DA Form 137-1 or the Unit Clearance Record is a form used to ensure a soldier's readiness before a permanent change of station - or PCS - as well as for completing clearance verification before their transition from active duty, transfer to another service or component, separation, discharge or retirement. The form is used to close out any personal and financial records at the installation from which the soldier is transferring or retiring permanently. All debts to the government and any service branches must be paid in full before the date of separation, the transition from active duty of retirement.

The latest version of the form was released by the Department of the Army (DA) in March 2018. An up-to-date DA Form 137-1 fillable version is available for download below or can be found on the Army Publishing Directorate website. The form supersedes the February 2015 edition with that and all other editions being obsolete. The 2018-issued version is approved for public release with further distribution unlimited by the law.

The DA 137-1 is most commonly confused with the forms from the DD 137 series. The DD 137 is a four-part series that deals with verifying the dependency status of family members of Military personnel to determine their eligibility for certain benefits.

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UNIT 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:
To ensure Soldier readiness before PCS. To complete clearance verification before transition from active duty, transfer to another Service or Component,separation,
PRINCIPAL PURPOSE:
discharge, or retirement.
ROUTINE USES:
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 before the Soldier's transition from active duty, separation or retirement. Forms will not be disclosed outside the Department of Defense (DoD) and
sponsored agencies.
DISCLOSURE:
Disclosure is voluntary; however, failure to complete this form may result in only partial payment of final pay.
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.
You are responsible for ensuring that this checklist is completed properly. If you are transitioning from the Active Army, failure to complete this checklist correctly and entirely will result in you
receiving only 55 percent of your final pay pending verification by DFAS of any outstanding debts. This checklist must be completed before your final military pay appointment. Separation
payments will not be released until installation clearance is completed.
TO THE UNIT COMMANDER/BN S1: This Soldier is scheduled to PCS or transition from the Active Army. We need your assistance to ensure proper installation clearance and computation of
the Soldier's final leave and pay entitlements. Identify all actions within the last 60 days before the Soldier's departure date and complete the items below. Failure to provide this information will
cause the withholding of 45 percent of the Soldier's final pay at transition, pending DFAS final verification of outstanding transactions.
SECTION A - PERSONNEL DATA (To be completed by the commander, BNS1, out-processing center, or appointed official)
1. NAME
(Last, First, Middle)
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 - DEBT VERIFICATIONS
9.
a.
b.
c.
d.
LOG NUMBER OR ORDER NUMBER
DUTY STATUS
TYPE OF ABSENCE
START DATE (YYYYMMDD)
RETURN DATE (YYYYMMDD)
(When Applicable)
Indicate all leave, TDY,
hospitalization, field duty, lost
time, AWOL, and confinement
within 60 days prior to
issuance of the clearance
forms.
SECTION C - ADVERSE ACTIONS
10.
a.
b.
c.
d.
e.
EFFECTIVE DATE
DATE OF SOURCE
COMPLETION DATE
TYPE OF ACTION
PUNISHMENT
ADVERSE ACTIONS
(YYYYMMDD)
(YYYYMMDD)
DOCUMENT (YYYYMMDD)
A ll that have occurred within
60 days prior to issuance of
clearance forms. Include
UCMJ actions, courts martial,
administrative reductions, and
administrative discharges.
Page 1 of 2
DA FORM 137-1, MAR 2018
PREVIOUS EDITIONS ARE OBSOLETE.
APD LC v1.00ES
UNIT 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:
To ensure Soldier readiness before PCS. To complete clearance verification before transition from active duty, transfer to another Service or Component,separation,
PRINCIPAL PURPOSE:
discharge, or retirement.
ROUTINE USES:
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 before the Soldier's transition from active duty, separation or retirement. Forms will not be disclosed outside the Department of Defense (DoD) and
sponsored agencies.
DISCLOSURE:
Disclosure is voluntary; however, failure to complete this form may result in only partial payment of final pay.
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.
You are responsible for ensuring that this checklist is completed properly. If you are transitioning from the Active Army, failure to complete this checklist correctly and entirely will result in you
receiving only 55 percent of your final pay pending verification by DFAS of any outstanding debts. This checklist must be completed before your final military pay appointment. Separation
payments will not be released until installation clearance is completed.
TO THE UNIT COMMANDER/BN S1: This Soldier is scheduled to PCS or transition from the Active Army. We need your assistance to ensure proper installation clearance and computation of
the Soldier's final leave and pay entitlements. Identify all actions within the last 60 days before the Soldier's departure date and complete the items below. Failure to provide this information will
cause the withholding of 45 percent of the Soldier's final pay at transition, pending DFAS final verification of outstanding transactions.
SECTION A - PERSONNEL DATA (To be completed by the commander, BNS1, out-processing center, or appointed official)
1. NAME
(Last, First, Middle)
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 - DEBT VERIFICATIONS
9.
a.
b.
c.
d.
LOG NUMBER OR ORDER NUMBER
DUTY STATUS
TYPE OF ABSENCE
START DATE (YYYYMMDD)
RETURN DATE (YYYYMMDD)
(When Applicable)
Indicate all leave, TDY,
hospitalization, field duty, lost
time, AWOL, and confinement
within 60 days prior to
issuance of the clearance
forms.
SECTION C - ADVERSE ACTIONS
10.
a.
b.
c.
d.
e.
EFFECTIVE DATE
DATE OF SOURCE
COMPLETION DATE
TYPE OF ACTION
PUNISHMENT
ADVERSE ACTIONS
(YYYYMMDD)
(YYYYMMDD)
DOCUMENT (YYYYMMDD)
A ll that have occurred within
60 days prior to issuance of
clearance forms. Include
UCMJ actions, courts martial,
administrative reductions, and
administrative discharges.
Page 1 of 2
DA FORM 137-1, MAR 2018
PREVIOUS EDITIONS ARE OBSOLETE.
APD LC v1.00ES
SECTION D - PROPERTY ACCOUNTABILITY AND PAY ITEMS
11. PROPERTY ACCOUNTABILITY
11a.
11d. DISPOSITION
11b. DATE OF SOURCE DOCUMENT
STATEMENT OF CHARGES/ CASH
(YYYYMMDD)
COLLECTION VOUCHER
REPORT OF SURVEY
11c. AMOUNT
12a. PAY ITEMS(Check all that apply)
12b. INCENTIVE PAY (Specify Type)
12c. BONUS
BAS
BAH
COLA
OHA
FSA
IDP
HPD
SDAP
ENLISTMENT
REENLISTMENT
OTHER (Specify)
SECTION E - BATTALION/UNIT CLEARANCE ITEMS. A check by an item confirms that the item has been verified and that necessary action has been taken.
13. BATTALION S1/UNIT COMMANDER VERIFYING OFFICIAL
a. NAME
(Last, First, Middle)
b. SIGNATURE
c. DATE (YYYYMMDD)
DA Form 31 (Request & Authority for Leave
DA Form 5305 (Family Care Plan)
EMILPO Duty Position
TRICARE Dental Program
DD Form 714 (Meal Card Control Book)
DD Form 2648/DD Form 2648-1
DA Form 6 (Duty Roster)
Exceptional Family Member Program
DA Form 2173 (Line of Duty Investigation)
Exit Survey/DD Form 2958
E-Profile
ADPAAS Update
Unit Items
DA Form 268 (Flag)
DA Form 647-1 (Personnel Register)
DD Form 93/SGLV Update
DA Form 67-10/2166-8 (Evaluation Reports
DA Forms 5500/5501 (Body Composition Program)
DA Form 3955 (Change of Address)
DoD Travel Charge Card
14. BATTALION S1/S3/UNIT COMMANDER VERIFYING OFFICIAL
(Last, First, Middle)
a. NAME
b. SIGNATURE
c. DATE (YYYYMMDD)
Security Briefing/Debriefing
APFT
Security Clearance
Upload/Update DA Form 4833
Weapons Qualification
Training Records
Antiterrorism Briefing
PERSTEMPO Verification Sheet
Training Room
Upload DA Form 5248-R into JPAS/CATS
15.
BATTALION S4/UNIT COMMANDER VERIFYING OFFICIAL
(Last, First, Middle)
a. NAME
b. SIGNATURE
c. DATE (YYYYMMDD)
Supply Room
NBC Room
Motor Pool
Arms Room
Protective Mask Inserts
16.
OTHER
a. OTHER CLEARANCES
b. NAME
c. SIGNATURE
(Last, First, Middle)
d. DATE (YYYYMMDD)
Career Counselor
17. REMARKS
18. SOLDIER'S AUTHENTICATION
a. NAME
(Last, First, Middle)
b. SIGNATURE
c. DATE (YYYYMMDD)
19. COMMANDER/1SG AUTHENTICATING OFFICIAL
a. NAME
b. SIGNATURE
(Last, First, Middle)
c. DATE (YYYYMMDD)
Page 2 of 2
DA FORM 137-1, MAR 2018

Download DA Form 137-1 Unit Clearance Record

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DA Form 137-1 Instructions

A full description of the DA 137-1 and an overview of all related procedures can be found in the Army Regulation 600-8-11, Reassignment, released in May 2007. Read the instructions carefully before completing the form.

Failing to complete and submit the DA 137-1 may result in only partial payment of final pay. Separation payments will not be released until the applicant receives installation clearance.

The form has five sections in total: Section A, Personnel Data, Section B, Debt Verification, Section C, Adverse Action, Section D, Property Accountability and Pay Items, and Section E, Battalion/Unit Clearance Items.

  1. Section A, Personnel Data, is mostly self-explanatory. Enter your name, rank, orders number, gaining unit, losing unit, date of address and departure date.
  2. Section B, Debt Verification, requires you to describe and verify your duty status and times you were absent on various occasions - whether it was a TDY, hospitalization or field duty. Enter the type of absence, the log number or order number if applicable, and the start and return dates of all absences.
  3. Section C, Adverse Action, is for describing all adverse actions that occurred within 60 days prior to the issuance of clearance forms. Include UCMJ actions, administrative reductions, and administrative discharges.
  4. Describe property accountability and pay items details in Section D, Property Accountability and Pay Items. The 'Pay Items' section includes specifying the type of incentive pay and any enlistment and reenlistment bonuses.
  5. Section E, Battalion/Unit Clearance Items, is one of the most important parts of the form. A check by an item confirms that the item has been verified and the necessary action has been taken.

DA 137-1 Related Forms

DA Form 137-2, Installation Clearance Record is a checklist with signatures to collect during obtaining the clearance verification.

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