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What Is DA Form 3643 Used For?
DA Form 3643 is the U.S. Army's official record for daily petroleum product issues at military installations and field operations. It is completed at each issuing station when fuel is distributed to operating units. The form ensures full accountability for all petroleum products used across Army, Air Force, Navy, and Marine Corps activities.
Each completed form captures 6 categories of data: date and issuing station, product type and grade, unit designation and branch code, vehicle registration, quantity issued, and the recipient's signature with registration grade. Records are retained for logistics audits and supply chain reviews.
How to Fill Out DA Form 3643 Step by Step
Follow these steps to complete the form correctly:
- Enter the date at the top in MM/DD/YYYY format.
- Write the issuing station name and its location.
- Record the petroleum product type and grade, such as JP-8, diesel, MOGAS, or aviation fuel.
- List each receiving organization with its military branch code: A for Army, AF for Air Force, N for Navy, or M for Marine Corps.
- Enter the vehicle registration number for each fuel issue.
- Record the quantity of fuel issued in the unit of measure printed on the form.
- Get the recipient's signature in the receipts column.
- Note the recipient's registration grade next to the signature.
- Total all quantities in the footer row once all issues for the day are recorded.
What Fields Does DA Form 3643 Require?
The form requires the following information for each fuel issue:
- Date and station: the issue date and name of the issuing station
- Product details: petroleum type and grade (JP-8, MOGAS, diesel, or aviation fuel)
- Unit information: organization name and military service branch code
- Vehicle data: vehicle registration number for each issue transaction
- Quantity: amount of fuel issued in the correct unit of issue
- Receipt: recipient's signature and registration grade
Related Military Forms
Other Army and military forms you may need alongside this one:
- Individual Vehicle Distance Fuel Report - tracks fuel consumption and mileage per vehicle over a reporting period
- Army Certificate DA Form 87 - the Army Certificate of Achievement for military personnel
- Army Risk Assessment Form - used for operational risk management in Army field activities