Da 4655 R Form PDF Details

The DA Form 4655, Target List Worksheet, is a U.S. Army form for listing and prioritizing targets. ATP 3-09.30 governs its use, and TRADOC is the proponent agency. The current edition is dated September 2017.

Fire support teams, field artillery officers and battalion S3 staff use it to plan fires and rank targets.

Each line of the form records:

See also the DA 67-9-1 OER Support Form and the DA Form 87 Certificate of Training.

QuestionAnswer
Form NameDa 4655 R Form
Form Length1 page
Fillable?Yes
Fillable fields297
Avg. time to fill out15 sec
Other namesda form 4655 r fillable, ttlodac, list worksheet, you da 4655 form

How to Fill Out DA Form 4655

DA Form 4655 at a glance

What it is: This form is the TARGET LIST WORKSHEET.

A filled-in DA Form 4655 example: a target list with two targets

DA Form 4655 example filled out, example: a target list with two targets
A fire support planner fills out the Target List Worksheet. Two targets fill lines 1 and 2; the other lines are left blank because no more are listed. The picture shows the page; every value in it is made up. SHEET and OF read 1 and 1 because the list has one sheet.

How to fill out DA Form 4655, box by box

SHEET OF

DA Form 4655 example filled out, sHEET OF

Enter the SHEET and OF.

TARGET, DESCRIPTION, LOCATION, ALTITUDE and ATTITUDE

DA Form 4655 example filled out, tARGET, DESCRIPTION, LOCATION, ALTITUDE and ATTITUDE

Each LINE has a TARGET number, a DESCRIPTION, a LOCATION, an ALTITUDE and an ATTITUDE.

SIZE, SOURCE / ACCURACY and REMARKS

DA Form 4655 example filled out, sIZE, SOURCE / ACCURACY and REMARKS

Each LINE also has a SIZE, a SOURCE / ACCURACY and REMARKS.

More rules for DA Form 4655

For use of this form, see ATP 3-09.30; the proponent agency is TRADOC.

Sources

[1] DA Form 4655 (SEP 2017), Target List Worksheet, U.S. Army (the Official source link on this page).

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