DA Form 12 PDF Details

Navigating through the requirements and processes of governmental documentation can occasionally appear daunting, especially when the necessity arises to establish official accounts or update existing records. This sentiment often holds true for those seeking to understand or fill out the DA Form 12-R, a crucial piece of documentation for entities requiring the establishment of a publications account. Designed primarily for use within various branches of the United States military and associated contractors, this form serves a pivotal role in ensuring that organizations have access to publications, blank forms, and test materials necessary for their operations. The form outlines specific information requirements, including account number, type of submission (be it an initial request, a change, or a closure), and in-depth details concerning the organization requesting the account, such as unit description data and contact information for the publications officer. It further delves into the classification level of the account requested, assurance of adequate equipment and personnel to safeguard materials, as well as sections dedicated to changes in address and authenticating officials. Completion of the DA Form 12-R signifies a critical step in official record-keeping and material access, underscoring the significance of accuracy and attention to detail in its preparation.

QuestionAnswer
Form NameDA Form 12
Form Length1 pages
Fillable?Yes
Fillable fields1
Avg. time to fill out27 sec
Other namesae form 190 45d fillable, ae 190 45 d millitary police record check, 190 45d, ae 190 45d

Form Preview Example

REQUEST FOR ESTABLISHMENT OF A PUBLICATIONS ACCOUNT

For use of this form, see DA PAM 25-33; the proponent agency is ODISC4

1.

ACCOUNT NUMBER

2.

DATE

3. TYPE OF SUBMISSION

 

 

 

 

 

a.

INITIAL b.

CHANGE c.

CLOSE

4.

FROM (Include nine-digit ZIP Code)

5.

THRU (Include nine-digit ZIP Code)

 

6. TO

 

 

 

 

 

 

 

 

 

 

 

SECTION I - GENERAL

7a. REQUEST AN ACCOUNT BE ESTABLISHED FOR THE FOLLOWING SERVICE:

PUBLICATIONS

BLANK FORMS

TEST MATERIAL (see para 2-5, DA PAM 25-33)

7b. JUSTIFICATION FOR BLANK FORMS (Use a separate sheet of paper if more space is needed.)

8.UNIT DESCRIPTION DATA (FAILURE TO COMPLETE THIS BLOCK WILL RESULT IN YOUR REQUEST BEING RETURNED.)

a. Component (Contractors must complete Block 8e and/or 8f.)

Active Army

Army Reserve

National Guard

Air Force

 

Marine Corps

Navy

DOD Activity

Contractor

Other

 

 

 

b. TOE Number or TDA Number (Army Only)

 

e. Commercial and Government Entity (CAGE) Code

 

 

 

(Contractors)

 

 

 

 

 

 

c. Unit Identification Code

(UIC) (Army Users)

 

f. Contract Number (if applicable)

 

d. Military Assistance Program Address Code (FMS Users)

g. DOD Activity Address Code (Non-Army Users) or Navy UIC

9. PUBLICATIONS OFFICER FOR THIS ORGANIZATION WILL BE:

a. Typed Name, Grade and Title

 

b. Signature

c. Telephone Number

 

 

 

(DSN and Commercial)

 

 

 

 

 

SECTION II - ACCOUNT CLASSIFICATION LEVEL

 

 

 

10. REQUEST THE FOLLOWING CLASSIFICATION LEVEL FOR THIS ACCOUNT:

 

UNCLASSIFIED

CONFIDENTIAL

SECRET

11.THIS ORGANIZATION HAS ADEQUATE EQUIPMENT AND PROPERLY CLEARED PERSONNEL TO RECEIVE AND SAFEGUARD MATERIAL ACCORDING TO THE CLASSIFICATION REQUESTED FOR THIS ACCOUNT. IF CLASSIFIED SERVICE IS APPROVED, THE SECURITY OFFICER WILL BE:

a. Typed Name, Grade and Title

b. Signature

c.Telephone Number

(DSN and Commercial)

SECTION III - CHANGE OF ADDRESS

12a. OLD ADDRESS (Include 9-digit Zip Code)

b. NEW ADDRESS (Include 9-digit Zip Code)

EFFECTIVE DATE:

SECTION IV - AUTHENTICATING OFFICIALS

13a.

Typed Name, Grade and Title of Commander

b. Signature

c. Telephone Number

 

 

 

(DSN and Commercial)

 

 

 

 

14a.

Typed Name, Grade and Title of PCO/PSM

b. Signature

c. Telephone Number

 

 

 

(DSN and Commercial)

 

 

 

 

DA FORM 12-R, APR 96

PREVIOUS EDITIONS ARE OBSOLETE

USAPA V2.01