Da Form 1155 PDF Details

The Department of the Army has released a new form, DA Form 1155, which is used to collect information about unit rotations and deployments. The form is meant to help keep track of all unit movements, and will be especially useful in compiling reports on troop levels and operational activities. The DA Form 1155 was developed in response to the 2005 Base Realignment and Closure (BRAC) initiative, which called for the closure of several military bases across the country. As part of BRAC, the Department of Defense created an automated system for tracking unit movements and deployments, which required servicemembers to provide detailed information about their rotations and assignments. The DA Form 1155 replaces an earlier form, DD Form 1351-2

QuestionAnswer
Form NameDa Form 1155
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesda 1155 statement, 1155 witness statement pdf, da 1155, da form witness statement

Form Preview Example

 

 

 

 

 

 

CHECK APPLICABLE BOX

 

 

 

 

 

 

WITNESS STATEMENT ON INDIVIDUAL

 

 

 

MIS

 

 

 

MIA

 

 

CAP

 

DET

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(AR 600-8-1)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DEAD (Remains not recovered)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1. LAST NAME - FIRST NAME - MIDDLE INITIAL

 

 

 

 

 

 

 

 

 

 

2.

SERVICE NO.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2A. SSN

 

3. GRADE

 

 

4. DATE OF DEATH OR WHEN LAST SEEN

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

5. ORGANIZATION

 

 

 

 

6. GEOGRAPHICAL LOCATION (Include grid coordinates

 

 

 

 

 

 

and nearby town)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

7. IF ITEMS 1 AND 2 ARE UNKNOWN OR NOT POSITIVE, COMPLETE ITEMS LISTED BELOW:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

AGE

 

WEIGHT

 

HEIGHT

HAIR

 

 

EYES

 

 

 

RACE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

HOME TOWN

 

 

 

CIVILIAN OCCUPATION

 

 

 

 

 

 

NICKNAME

 

 

 

 

 

 

 

WAS HE MARRIED? (If so, give wife's name if known)

DID HE HAVE ANY CHILDREN? (If so, give names if known)

 

 

 

 

 

OTHER IDENTIFYING MARKS

 

OTHER PERSONS WHO MAY HAVE WITNESSED THIS INCIDENT

 

(such as tattoos or birthmarks)

 

OR HAVE FURTHER INFORMATION

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DA FORM 1155, 1 JUN 66

REPLACES EDITION OF 1 JUN 61, WHICH WILL BE

USAPA V1.00

ISSUED AND USED UNTIL EXHAUSTED.

 

8.CIRCUMSTANCES SURROUNDING INCIDENT (If known, include cause of death or condition when last seen, and how identified)

9. NAME OF PERSON MAKING STATEMENT

10. SERVICE NO./SSN

11. UNIT

 

 

 

 

12. DATE

13. SIGNATURE

 

 

 

 

 

 

DA FORM 1155, 1 JUN 66

 

 

USAPA V1.00