Transmittal Record PDF Details

When the Return Receipt Requested box is checked, the receiver signs and dates block 11b and returns a copy to the sender.

Media: Hard Copy, Punched Cards, Cassettes, Microfilm, Photo Fiche

Method of shipment: Courier, First Class, Parcel Post, Express Mail, Registered

Shipment: Shipment No., Shipment Date (YYYYMMDD), Number of Records Transmitted

Packages: Number of Boxes (Packages), Number of Items

Contact: Person to Contact (Name and telephone), Requirement Control Symbol (AR 335-15)

Question	Answer
Form Name	Transmittal Record
Also known as	Army Transmittal Record
Form Length	1 pages
Purpose	Track document and material shipments
Used by	US Army personnel and units
Fillable?	No
Fillable fields	0
Avg. time to fill out	3 min
Edition	MAY 2013
Other names	DA Form 200, DA 200, DA200, Transmittal Record

How to Fill Out DA Form 200

DA Form 200 at a glance

What it is: DA Form 200 is the Transmittal Record.

Who signs: The Sender signs the Signature of Sender in 10b. The Receiver signs the Signature of Receiver and Date (YYYYMMDD) in 11b.

A filled-in DA Form 200 example: a records clerk ships four boxes

DA Form 200 example filled out, example: a records clerk ships four boxes — A records clerk fills out DA Form 200 to ship paper files. Four boxes of hard copy go by courier with Return Receipt Requested checked. The picture shows page 1, and none of its entries is real. The sender, John Q. Sample, ships from the Sample Unit Records Office to the Sample Records Center, where Jane Ann Sample receives the boxes. The shipment is numbered 26-001 under the made-up transfer order SAMPLE TRANSFER ORDER 26-001, and its as-of date is February 27, 2026. The shipment leaves on March 10, 2026 and Jane Ann Sample signs on March 15, 2026. The four boxes hold 120 file folders, so Boxes 7 and 14 both show 120. The files are unclassified, and no requirement control symbol applies, so Requirement Control Symbol stays empty. The sender has no special instructions or remarks, so Special Instructions and Remarks stay empty. Nothing goes in Type Component Used because the files are hard copy.

How to fill out DA Form 200, box by box

Security classification, shipment number, title and dates

Enter the Security Classification in Box 1 and the Shipment No. in Box 2.

Enter the Title/File Identification in Box 3, the As Of Date (YYYYMMDD) in Box 4 and the Shipment Date (YYYYMMDD) in Box 5.

Authority, records, contact and requirement control symbol

Enter the Authority for Shipment in Box 6 and the Number of Records Transmitted in Box 7.

Enter the Person to Contact (Name and telephone) in Box 8 and the Requirement Control Symbol (AR 335-15) in Box 9.

Shipped from and shipped to

Enter Shipped From in Box 10 and Shipped To in Box 11.

Return Receipt Requested, sender and receiver

When the Return Receipt Requested box is checked, the Receiver signs the Signature of Receiver and Date (YYYYMMDD) in 11b and returns copy to sender; the Signature of Sender is in 10b.

In 10a, type the Name and Title of the Sender. In 11a, type the Name and Title of the Receiver.

Type of media transmitted

Box 12, Type of Media Transmitted, lists Hard Copy, Punched Cards, Cassettes, Microfilm and Photo Fiche.

Number of boxes and number of items

Enter the Number of Boxes (Packages) in Box 13 and the Number of Items in Box 14.

Method of shipment

Box 15, Method of Shipment, lists Courier, First Class, Parcel Post, Express Mail and Registered.

Special instructions, type component used and remarks

Box 16 is Special Instructions, Box 17 is Type Component Used (for magnetically recorded data) and Box 18 is Remarks.

More rules for DA Form 200

For use of this form, see AR 25-50; the proponent agency is AASA. Previous editions are obsolete.

Sources

[1] DA Form 200 (MAY 2013), Transmittal Record, Department of the Army (the Official source link on this page).

DA Form 200: Transmittal Record