Da Form 3955 PDF Details

The Department of the Army Form 3955, also known as the Change of Address and Directory Card, is a document used to indicate the military service member's change of address. Learn more about Form 3955 in this blog post.

QuestionAnswer
Form Name Da Form 3955
Form Length 1 pages
Fillable? No
Fillable fields 0
Avg. time to fill out 15 sec
Other names army 3955, da 3955, da form 3955 example, da form 3955 military

Form Preview Example

PRINT NAME (Last, First, MI)

GRADE

SSN

PURGE DATA

 

 

 

 

NEW ORGANIZATION (Complete Designation)

 

 

BOX NUMBER

 

 

 

 

DATA REQUIRED BY THE PRIVACY ACT OF 1974. AUTHORITY: Title 39 USC and DOD/Postal Service Aggreement, 2

Feb. 59. PRINCIPLE PURPOSE: To route and forward (Directory) mail. ROUTINE USES: Used by Army military and civilian personnel in mail functions and address inquires. Data are inspected bt commanders, postal officers, and military and civilian inspectors. DISCLOSURE: Voluntary. However, failure to provide the requested information could result in delay/in- ability to forward mail.

OLD MAILING ADDRESS (Include BOX No., if any, and

NEW MAILING ADDRESS (Include ZIP Code)

ZIP Code)

 

DATE DEPARTED OLD ORG:

DATE DUE NEW ORG:

 

 

QUARTERS/OFF POST ADDRESS

REMARKS

CONSENT:

I DO

I DO NOT CONSENT TO

(IF DEPARTING, COMPLETE BELOW ITEMS)

 

RELEASE THE ABOVE HOME ADDRESS

HEADQUARTERS ISSUING ORDERS

 

 

OR SSN TO THIRD PARTIES.

 

 

 

 

 

 

 

 

 

 

 

 

 

SIGNATURE

 

 

 

DATE

ORDER NUMBER

ORDER DATE

 

 

 

 

 

 

DA

FORM

 

3955

EDITION OF 1 AUG 78 MAY BE USED.

 

 

1 FEB 79

 

 

 

CHANGE OF ADDRESS AND DIRECTORY CARD

For use of this form, see AR 600-8-3, the proponent agency is ODCSPER

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