Da Form 3964 PDF Details

The DA Form 3964, known as the Classified Document Accountability Record, plays a pivotal role in the handling, tracking, and destruction of classified documents within the United States military and Department of Defense affiliated organizations. Mandated by AR 380-5 and overseen by the Office of the Deputy Chief of Staff, G-2, this form ensures a strict adherence to security protocols regarding sensitive information. It encompasses several key sections including general information about the document such as its classification, origin, and description; routing information which includes acknowledgments of receipt by various parties; destruction certification to verify the proper disposal of classified materials in accordance with prescribed security measures; reproduction authority detailing the permissions for duplicating classified documents; and receipt/tracer action to confirm the receipt or trace the movement of documents. Implementing this form correctly is crucial for maintaining national security, preventing unauthorized access to classified information, and ensuring compliance with established protocols.

QuestionAnswer
Form NameDa Form 3964
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesda form 3964, how to da 3964 form, form da 3964, how to form da 3964

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CLASSIFIED DOCUMENT ACCOUNTABILITY RECORD

For use of this form, see AR 380-5; Proponent agency is the Office of the Deputy Chief of Staff, G-2.

DATE

SECTION A - GENERAL

TO:

 

 

 

 

 

FROM:

 

 

 

 

 

 

 

 

 

 

DATE RECEIVED

 

ACTION OFFICE(S)

 

SUSPENSE DATE(S)

REGISTER OR CONTROL NO.

 

 

 

 

 

 

 

 

 

 

CONTROL LOG

CLASSIFI-

NUMBER

 

 

DESCRIPTION (Type, File Ref., Unclassified Subject

DATE OF

ORIGINATOR

OR FILE NO.

CATION

OF COPIES

 

 

or Short Title and Number of Indorsements/Incls)

DOCUMENT

 

 

 

 

 

 

 

 

 

 

 

 

 

SECTION B - ROUTING

TO

COPY NO.

DATE

I ACKNOWLEDGE RECEIPT OF THE MATERIAL DESCRIBED HEREON

 

PRINTED NAME

SIGNATURE

 

 

 

1.

2.

3.

4.

5.

 

 

 

 

 

SECTION C - DESTRUCTION CERTIFICATE (Check appropriate block)

MATERIAL DESCRIBED HEREON HAS BEEN:

 

PAGE OR COPY NO

 

 

DESTROYED

 

 

 

TORN IN HALF AND PLACED IN A CLASSIFIED WASTE CONTAINER (AR 380-5)

 

 

 

 

 

 

 

 

 

 

 

 

OFFICE SYMBOL

DATE

 

PRINTED NAME OF CUSTODIAN OR REP

SIGNATURE

DESTRUCTION RECORD NO.

DATE

PRINTED NAME OF CERTIFYING/DESTR. OFF.

SIGNATURE

PAGE OR COPY NUMBER

DATE

PRINTED NAME OF WITNESSING OFFICIAL

SIGNATURE

 

 

 

 

SECTION D - REPRODUCTION AUTHORITY

NUMBER OR COPIES TO BE REPRODUCED

AUTHORIZED BY

 

 

 

DATE

 

 

 

 

 

 

 

 

 

SECTION E - RECEIPT/TRACER ACTION (Check appropriate block)

 

 

RECEIPT OF DOCUMENT(S) ACKNOWLEDGED

 

DOCUMENT(S) HAVE NOT BEEN RECEIVED

 

 

 

 

 

TRACER ACTION: SIGNED RECEIPT FOR MATERIAL DESCRIBED ABOVE HAS NOT BEEN RECEIVED.

 

 

 

 

 

 

 

 

 

DATE

PRINTED NAME, GRADE OR TITLE

 

 

SIGNATURE

 

 

 

 

 

 

 

COMMENTS

 

 

 

 

 

 

DA FORM 3964, JUL 1979

EDITION OF 1 NOV 72 IS OBSOLETE.

APD LC V2.01

 

 

How to Edit Da Form 3964 Online for Free

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Step 1: Choose the "Get Form Now" button to begin.

Step 2: Now, you are on the file editing page. You can add information, edit existing data, highlight specific words or phrases, put crosses or checks, add images, sign the template, erase unnecessary fields, etc.

You'll need to type in the next information if you need to prepare the document:

entering details in da form 3964 pdf part 1

Please fill in the PRINTED NAME, SIGNATURE, MATERIAL DESCRIBED HEREON HAS BEEN, PAGE OR COPY NO, SECTION C DESTRUCTION CERTIFICATE, DESTROYED, TORN IN HALF AND PLACED IN A, OFFICE SYMBOL, DATE, PRINTED NAME OF CUSTODIAN OR REP, SIGNATURE, DESTRUCTION RECORD NO, DATE, PRINTED NAME OF CERTIFYINGDESTR OFF, and SIGNATURE area with the expected particulars.

part 2 to entering details in da form 3964 pdf

You may be asked to write down the particulars to help the application prepare the field PD PE v, RECEIPT OF DOCUMENTS ACKNOWLEDGED, DOCUMENTS HAVE NOT BEEN RECEIVED, TRACER ACTION SIGNED RECEIPT FOR, DATE, PRINTED NAME GRADE OR TITLE, SIGNATURE, SECTION E RECEIPTTRACER ACTION, COMMENTS, DA FORM JUL, EDITION OF NOV IS OBSOLETE, and APD LC V.

da form 3964 pdf PD PE v, RECEIPT OF DOCUMENTS ACKNOWLEDGED, DOCUMENTS HAVE NOT BEEN RECEIVED, TRACER ACTION SIGNED RECEIPT FOR, DATE, PRINTED NAME GRADE OR TITLE, SIGNATURE, SECTION E  RECEIPTTRACER ACTION, COMMENTS, DA FORM  JUL, EDITION OF  NOV  IS OBSOLETE, and APD LC V fields to complete

Step 3: Click the button "Done". The PDF form may be transferred. It's possible to obtain it to your computer or email it.

Step 4: Come up with minimally several copies of your document to refrain from different possible future complications.

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