Da Form 3964 – Fill Out and Use This PDF

Updated: Nov 2, 2026

The DA Form 3964, also known as the Classified Document Accountability Record, is a crucial tool for managing the accountability and traceability of classified documents within the United States Army. Outlined by AR 380-5 and maintained by the Office of the Deputy Chief of Staff, G-2, this form records vital information such as document classification, origin, distribution, and destruction verification. To ensure the security and proper handling of sensitive information, completing the DA Form 3964 with accuracy is essential. Click the button below to start filling out the form.

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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 record ensures strict adherence to security protocols regarding sensitive information.

The accountability record is organized into five distinct sections, each serving a specific function in the classified document lifecycle:

Section A. General Information: Records the document's classification level, title, origin, and physical description. This section establishes the identity of the material along with its issuing authority and registry number.

Section B. Routing Information: Captures signed acknowledgments of receipt from authorized personnel at each distribution point. Each recipient signs and dates the record upon receiving the material, creating an auditable chain of custody.

Section C. Destruction Certificate: Verifies the proper disposal of classified materials per prescribed security measures. The certifying officer confirms that destruction occurred by an authorized method such as burning or shredding to NSA standards.

Section D. Reproduction Authority: Documents written permissions for duplicating classified documents. Reproduction is strictly limited to mission-essential needs, and each copy must be logged in the accountability record.

Section E. Receipt and Tracer Action: Confirms receipt or traces the movement of documents requiring follow-up. This section resolves discrepancies in the accountability chain and supports formal inquiries when documents are unaccounted for.

Correct completion of this record is a legal and regulatory requirement under federal security guidelines. Personnel who handle classified materials without proper documentation risk administrative sanctions, security clearance review, or legal liability. Security officers should verify that all assigned personnel understand how to complete each section accurately before assuming custody of any classified material.

The form is typically prepared by the originating office or custodian when a classified document is issued for distribution or when it reaches the end of its authorized retention period. Records must be kept according to the applicable Army records management schedule and made available for inspection during security program audits.

Personnel working with related Army administrative documents may also need the Army Certificate DA Form 87 for training and qualification records, or the Army OER Support Form DA 67-9-1 for officer evaluation documentation. Those processing materials at the end of their lifecycle should consult the Certificate of Destruction Form for non-classified disposals.

Question	Answer
Form Name	Da Form 3964
Form Length	1 pages
Fillable?	No
Fillable fields	0
Avg. time to fill out	15 sec
Other names	da form 3964, how to da 3964 form, form da 3964, how to form da 3964

How to Fill Out Da Form 3964

Da Form 3964 at a glance

What it is: DA Form 3964 is the Classified Document Accountability Record.

Who signs: In SECTION B - ROUTING, each TO signs I ACKNOWLEDGE RECEIPT OF THE MATERIAL DESCRIBED HEREON. In SECTION C - DESTRUCTION CERTIFICATE, when the material is destroyed, the custodian or rep, the certifying/destr. off. and the witnessing official each sign.

For use of this form, see AR 380-5.

A filled-in Da Form 3964 example: a clerk logs and routes one memo

Da Form 3964 example filled out, example: a clerk logs and routes one memo — A G-2 clerk logs one memo on DA Form 3964, and Pat Q. Sample of the action office signs the copy line. Nothing goes in Section C, D or E because the memo is only logged and routed once. The picture shows page 1; all its values are invented.

How to fill out Da Form 3964, box by box

SECTION A - GENERAL

In SECTION A - GENERAL, enter the DATE, TO and FROM.

Enter the DATE RECEIVED and the REGISTER OR CONTROL NO.

Enter the ACTION OFFICE(S) and the SUSPENSE DATE(S).

Enter the CONTROL LOG OR FILE NO., the classification and the NUMBER OF COPIES.

Under DESCRIPTION, enter the Type, File Ref., Unclassified Subject or Short Title and Number of Indorsements/Incls, then the DATE OF DOCUMENT and the ORIGINATOR.

SECTION B - ROUTING

In SECTION B - ROUTING, each TO signs I ACKNOWLEDGE RECEIPT OF THE MATERIAL DESCRIBED HEREON.

For each line, enter the TO, COPY NO. and DATE, then the PRINTED NAME and SIGNATURE.

SECTION C - DESTRUCTION CERTIFICATE

In Section C - Destruction Certificate, check appropriate block: the material described hereon has been destroyed, or torn in half and placed in a classified waste container (AR 380-5).

Enter the PAGE OR COPY NO, the OFFICE SYMBOL and the DATE.

Enter the printed name of the custodian or rep, then sign.

Enter the DESTRUCTION RECORD NO., the DATE, the PRINTED NAME OF CERTIFYING/DESTR. OFF. and the SIGNATURE.

Enter the PAGE OR COPY NUMBER, the DATE, the PRINTED NAME OF WITNESSING OFFICIAL and the SIGNATURE.

SECTION D - REPRODUCTION AUTHORITY

In SECTION D - REPRODUCTION AUTHORITY, enter the NUMBER OR COPIES TO BE REPRODUCED, AUTHORIZED BY and DATE.

SECTION E - RECEIPT/TRACER ACTION

In SECTION E - RECEIPT/TRACER ACTION (Check appropriate block), check RECEIPT OF DOCUMENT(S) ACKNOWLEDGED or DOCUMENT(S) HAVE NOT BEEN RECEIVED.

Check Tracer action when the signed receipt for the material described has not been received. In Section E, enter the date, printed name, grade or title and comments, and sign.

Sources

[1] DA Form 3964 (JUL 1979), Classified Document Accountability Record, Department of the Army (the Official source link on this page).