Da Form 4474 PDF Details

As a veteran, you may be familiar with the DD Form 4473, which is used to record information about the acquisition and disposition of firearms. But did you know that there is a separate form for ammunition? The DA Form 4474 is used to track information on both personal and commercial ammunition purchases. This form must be completed every time you purchase ammo, regardless of how much or how little you buy. Failing to complete this form could result in penalties including fines and imprisonment. So make sure you know how to fill out the DA Form 4474 before your next ammo purchase!

QuestionAnswer
Form NameDa Form 4474
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesform 4474, VHA, 1974, atf form 4474

Form Preview Example

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REQUEST FOR ACCELERATED PAYMENT OF SRB - HARDSHIP OR COMPASSIONATE

For use of this form, see AR 601-280; the proponent agency is DCS, G-1.

DATA REQUIRED BY THE PRIVACY ACT

PRINCIPAL PURPOSE:

ROUTINE USES:

Section 308, Title 37, US code, as amended by public law 93-277. Armed Forces Enlisted Personnel Bonus Act of 1974, 10 May 1974.

To obtain data on service member's financial condition.

As a source document for the personnel manager to determine propriety of accelerated payment of Selective Reenlistment Bonus (SRB ) to enlisted applicants.

DISCLOSURE:

Voluntary. However, failure to provide any or all of the requested information may result in the personal manager not

 

having sufficient information on which to base an approval of the enlisted member's request.

 

 

SECTION A - (To be completed by requestor)

1.

NAME (Last, First, MI)

2. GRADE

3. MOS

4. DATE

 

 

 

 

5.

DATE AND LENGTH OF REENLISTMENT

6. NUMBER OF DEPENDENTS

7. UNIT AUTOVON NO.

8. HAVE YOU SUBMITTED ANY PREVIOUS REQUESTS FOR ACCELERATED SRB

YES

IF SO, WHAT ACTION WAS TAKEN ON YOUR REQUEST?

APPROVED

DISAPPROVED

NO

RETURNED WITHOUT ACTION

9. INDIVIDUAL/FAMILY INCOME

 

AMOUNT

 

 

10. COLLECTIONS (Ref Col 8. LES)

 

AMOUNT

(Ref Col 5. LES)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

a

 

 

b

 

 

 

 

 

a

 

 

 

 

 

 

 

b

a. BASIC PAY

 

 

 

 

a. FEDERAL INCOME TAX

 

 

 

 

 

 

 

 

b. QUARTERS ALLOWANCE

 

 

 

 

b. FICA

 

 

 

 

 

 

 

 

 

 

 

c. RATIONS/VHA

 

 

 

 

c. SOLDIER'S HOME/SGLI

 

 

 

 

 

 

 

 

d. PRO PAY

 

 

 

 

d. AER/CFC CONTRIBUTIONS

 

 

 

 

 

 

 

 

e. SPOUSE'S MONTHLY INCOME

 

 

 

 

e. INSURANCE (COL 7, LES)

 

 

 

 

 

 

 

 

 

TOTAL

 

 

 

 

 

 

 

 

TOTAL

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

11. ALLOTMENTS, ADVANCE

 

PURPOSE

 

BALANCE

 

MONTHLY

 

 

DATE

 

DATE TO LIQUIDATE

PAY (s) & EXPENDITURE (s)

 

 

 

 

REMAINING

 

PAYMENT

INCURRED

 

 

 

 

a

 

b

 

 

c

 

 

d

 

 

e

 

 

f

a. RENT/HOME PAYMENT

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

b. FOOD

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

c. AUTO UPKEEP/FUEL

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

d. AUTO INSURANCE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

e. OTHER INSURANCE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

f. UTILITIES (including phone)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

g.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

h.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

i.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

j.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

k.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

TOTAL

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

12.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

I,

 

 

 

 

 

, REQUEST IMMEDIATE PAYMENT OF

 

 

 

 

 

 

 

 

(SIGNATURE)

 

 

 

 

 

 

 

 

 

(NUMBER)

ACCELERATED INSTALLMENT (S) OF MY REMAINING SRB/VRB. A TOTAL OF $

 

 

 

 

 

TO BE USED FOR THE FOLLOWING

PURPOSE:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SECTION B - (To be completed by servicing FAO)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

13.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

A REVIEW OF

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PERSONAL FINANCE

RECORD REVEALS THE FOLLOWING INFORMATION: GROSS SRB/ENTITLEMENT

 

 

 

 

 

 

 

 

 

 

 

AMOUNT PAID EM $

 

 

BALANCE DUE EM $

 

 

SRB/DESIGNATOR

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

TYPED NAME/SIGNATURE

 

 

 

 

 

 

 

 

 

 

DATE

 

 

 

DA FORM 4474, AUG 2010

PREVIOUS EDITIONS ARE OBSOLETE.

APD LC v1.00ES

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Filling in section 1 in VRB

2. Soon after performing the previous step, go on to the next step and enter the necessary particulars in all these blanks - TOTAL, SIGNATURE, REQUEST IMMEDIATE PAYMENT OF, NUMBER, ACCELERATED INSTALLMENT S OF MY, TO BE USED FOR THE FOLLOWING, A REVIEW OF, SECTION B To be completed by, PERSONAL FINANCE, RECORD REVEALS THE FOLLOWING, AMOUNT PAID EM, BALANCE DUE EM, SRBDESIGNATOR, TYPED NAMESIGNATURE, and DATE.

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