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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.
DA Form 2122-1 Statement of Compliance, Transfer of Custody, and Interment Checklist
What Is DA Form 2122-1?
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.
FAQ
Q: What is DA Form 2122-1?
A: DA Form 2122-1 is a form used for Statement of Compliance, Transfer of Custody, and Interment Checklist.
Q: What is the purpose of DA Form 2122-1?
A: The purpose of DA Form 2122-1 is to document the transfer of custody and interment checklist for deceased individuals.
Q: Who uses DA Form 2122-1?
A: DA Form 2122-1 is used by military personnel and authorized civilian individuals responsible for the custody and interment of deceased individuals.
Q: What information is included in DA Form 2122-1?
A: DA Form 2122-1 includes information such as the deceased individual's name, rank, social security number, date of death, and details of the transfer of custody.
Form Details:
- A 2-page document available for download in PDF;
- The latest version available from the Army Publishing Directorate;
- Editable, free, and easy to use;
- Fill out the form in our online filing application.
Download an up-to-date fillable DA Form 2122-1 down below in PDF format or browse hundreds of other DA Forms stored in our online database.
Download DA Form 2122-1 Statement of Compliance, Transfer of Custody, and Interment Checklist
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