This version of the form is not currently in use and is provided for reference only.
Download this version of DA Form 2122-1 for the current year.
This is a military form that was released by the U.S. Department of the Army (DA) on October 1, 2020. The form, often mistakenly referred to as the DD Form 2122-1, 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.
Pressing the PRINT button will only print the current page. Download the document to your desktop, tablet or smartphone to be able to print it out in full.