How to Fill Out DA Form 3749

DA Form 3749 at a glance

What it is: This is DA Form 3749, DEC 2023, the Equipment Receipt. For use of this form, see AR 710-4. The proponent agency is DCS, G-4.

Who signs: Box 8, Signature. (Signature of Issuing Official) is the line for the issuing official's signature.

A filled-in DA Form 3749 example: receiving one item on the first card

DA Form 3749 example filled out, example: receiving one item on the first card
Specialist Jane Sample receives one item from Example Supply Company and fills in the first card on the page (the top one) as the person acknowledging receipt in Box 6; John Example, the issuing official, signs the (Signature of Issuing Official) line beside it. The page holds four cards stacked down the page; the example fills only the top one. Every name, number and description in the example is made up. Open the picture to see it full size.

How to fill out DA Form 3749, box by box

Tap a group of boxes to open it, and a picture to see it full size.

Unit, receipt, material, serial and item (Boxes 1 to 5)
DA Form 3749 example filled out, unit, receipt, material, serial and item (Boxes 1 to 5)

Box 1, Unit/Organization.

Box 2, Receipt No.

Box 3, Material No., and Box 4, Serial No.

Box 5, Item Description.

Acknowledging receipt, name, signature and grade (Boxes 6 to 9)
DA Form 3749 example filled out, acknowledging receipt, name, signature and grade (Boxes 6 to 9)

Box 6: "I hereby acknowledge receipt of this equipment from", then a line, then "of this unit/organization."

Box 7, Name.

Box 8, Signature.

Box 9, Grade.

Signature of the issuing official
DA Form 3749 example filled out, signature of the issuing official

(Signature of Issuing Official) is the line for the issuing official's signature.

More rules for DA Form 3749

This card will be surrendered each time this equipment is issued.

Loss of this card will be reported to the unit commander or organization's director immediately.

Previous editions are obsolete.

Common questions about DA Form 3749

What is a DA form 3749?

This is DA Form 3749, DEC 2023, the Equipment Receipt.

Sources

[1] DA Form 3749 (DEC 2023), Equipment Receipt, U.S. Army (the Official source link on this page).

DA Form 3749 PDF Details

When the equipment is issued, the person receiving it will give DA Form 3749 for the item to the person making the issue.

Loss: loss of this card will be reported to the unit commander or organization's director immediately.

Receipt: enter a locally designed number.

Material: enter the NSN or material number of the item being described.

Item description: enter the nomenclature of the item.

Signature: the person who will receive the equipment will sign this block.

QuestionAnswer
Form NameDA Form 3749
Form Length1 page
Fillable?Yes
Fillable fields42
Avg. time to fill out7 min
EditionDEC 2023
Proponent agencyDCS, G-4 (AR 710-4)
Who signsThe person who will receive the equipment
Other namesDA Form 3749, DA 3749, DA3749, Form 3749, Equipment Receipt
Official sourceDA Form 3749 (Rev DEC 2023), DCS, G-4