DA Form 12 R - Fill Out and Use This PDF

Updated: Nov 1, 2026

The DA Form 12-R, defined as the "Request for Establishment of a Publications Account", serves as a critical administrative tool within the Department of the Army, outlined in detail by DA PAM 25-33. Its purpose spans the initiation, modification, or closure of an account intended for services relating to publications, blank forms, and test materials, necessitating a comprehensive understanding of its sections, from general account information to classification level requests and changes of address. To ensure compliance and accuracy in the management of these resources, proper completion and submission of this form are paramount.

For those ready to establish or update a publications account, ensure all information is meticulously reviewed and accurately entered. Click the button below to start your submission process.

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How to Fill Out DA Form 12

DA Form 12 at a glance

What it is: DA Form 12 is the REQUEST FOR ESTABLISHMENT OF A PUBLICATIONS ACCOUNT.

Who signs: The Publications Officer signs 9b. If classified service is approved, the Security Officer signs 11b. The Commander signs 13b and the PCO/PSM signs 14b.

A filled-in DA Form 12 example: a publications officer requests a new account

DA Form 12 example filled out, example: a publications officer requests a new account — Jane Sample requests a new publications account on DA Form 12. She is the Active Army publications officer asking for unclassified service, so security officer stays empty. The picture shows page 1 and none of its entries is real. She has no account number yet, so account number stays empty. She asks for publications, not blank forms, so the justification for blank forms stays empty. Her unit is Active Army, so the contractor, military assistance and DOD activity codes stay empty. She is not changing an address, so change of address stays empty.

How to fill out DA Form 12, box by box

Account number, date and type of submission

Enter the ACCOUNT NUMBER and the DATE, and mark the TYPE OF SUBMISSION: INITIAL, CHANGE or CLOSE.

From, thru and to

Fill in 4. FROM (Include nine-digit ZIP Code), 5. THRU (Include nine-digit ZIP Code) and 6. TO.

Service requested and justification for blank forms

In 7a, request an account be established for the following service: PUBLICATIONS, BLANK FORMS or TEST MATERIAL.

For 7b, JUSTIFICATION FOR BLANK FORMS, use a separate sheet of paper if more space is needed.

Unit description data

Failure to complete Block 8, UNIT DESCRIPTION DATA, will result in your request being returned.

In 8a, mark the Component: Active Army, Army Reserve, National Guard, Air Force, Navy, DOD Activity, Marine Corps, Contractor or Other. Contractors must complete Block 8e and/or 8f.

Enter b. TOE Number or TDA Number (Army Only), c. Unit Identification Code (UIC) (Army Users), d. Military Assistance Program Address Code (FMS Users), e. Commercial and Government Entity (CAGE) Code (Contractors), f. Contract Number (if applicable) and g. DOD Activity Address Code (Non-Army Users) or Navy UIC.

Publications officer

In 9, the Publications Officer for this organization will be: enter a. Typed Name, Grade and Title, sign b. Signature and enter c. Telephone Number (DSN and Commercial).

Classification level

In Section II, request UNCLASSIFIED, CONFIDENTIAL or SECRET as the classification level for this account.

Security officer if classified service is approved

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 and c. Telephone Number (DSN and Commercial).

Change of address

In Section III, CHANGE OF ADDRESS, enter 12a. OLD ADDRESS (Include 9-digit Zip Code), b. NEW ADDRESS (Include 9-digit Zip Code) and the Effective Date.

Authenticating officials

In Section IV, AUTHENTICATING OFFICIALS, enter 13a. Typed Name, Grade and Title of Commander, the Commander signs b. Signature and enter c. Telephone Number (DSN and Commercial).

Enter 14a. Typed Name, Grade and Title of PCO/PSM, the PCO/PSM signs b. Signature and enter c. Telephone Number (DSN and Commercial).

More rules for DA Form 12

For use of this form, see DA PAM 25-38; the proponent agency is CIO.

Sources

[1] DA Form 12 (JUN 2021), Request for Establishment of a Publications Account, Department of the Army (the Official source link on this page).

DA Form 12 PDF Details

The DA Form 12 R is the official U.S. Army form used to request, modify, or close a publications account through the Army Publishing Directorate (APD). Organizations that need regular access to Army publications, blank forms, and test materials must submit this form to establish an authorized account under DA PAM 25-33.

The form is required by Army units, Reserve components, National Guard elements, government agencies, and authorized contractors. The publications officer or account administrator for the requesting organization is responsible for completing and submitting the completed DA Form 12 R to the APD.

Completing the form requires detailed organizational information: unit identification code (UIC), organization name, installation, and command designation. Contact information for the publications officer is mandatory, including name, phone number, and complete mailing address. The submission type must be identified as an initial account request, a change to an existing account, or a closure.

Classification-level requests allow the organization to specify what categories of publications the account will receive. Changes of address and account modifications for Army publications are handled through this same form, making it a versatile administrative document for ongoing account management.

Question	Answer
Form Name	DA Form 12
Form Length	1 pages
Fillable?	Yes
Fillable fields	1
Avg. time to fill out	27 sec
Other names	ae form 190 45d fillable, ae 190 45 d millitary police record check, 190 45d, ae 190 45d