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
Question | Answer |
---|---|
Form Name | Da Form 1155 |
Form Length | 1 pages |
Fillable? | No |
Fillable fields | 0 |
Avg. time to fill out | 15 sec |
Other names | da 1155 statement, 1155 witness statement pdf, da 1155, da form witness statement |
|
|
|
|
|
|
CHECK APPLICABLE BOX |
|
|
|
|
|
|
||||||||||
WITNESS STATEMENT ON INDIVIDUAL |
|
|
|
MIS |
|
|
|
MIA |
|
|
CAP |
|
DET |
|||||||||
|
|
|
|
|
|
|
|
|
||||||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||||
|
|
(AR |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|||
|
|
|
|
|
|
|
|
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 |