DA Form 4604 PDF Details

Focused on enhancing security measures within military installations, the DA Form 4604, or Security Construction Statement, plays a critical role. Governed by the regulations laid out in AR 190-11, it serves as a formal declaration that the construction of a facility adheres to stringent criteria set forth for safety and security, except for any deviations explicitly noted on the document. The form requires comprehensive detail, including the facility's room and building number, street, and installation address, in addition to specifying whether it pertains to an existing structure, the construction of a new facility, or modifications to an existing one. A layered approach to record-keeping ensures that three copies of the form are prepared and stored across different entities: the original remains with the individual who signs the form, the first copy is kept within the using unit or organizational files, and the second copy is filed within the arms or ammunition storage facility. This meticulous documentation process, mandating that all entries, with the exception of signatures, be typewritten, underscores the importance of clear and permanent records in maintaining the integrity and security of military facilities.

QuestionAnswer
Form Name DA Form 4604
Form Length 1 pages
Fillable? No
Fillable fields 0
Avg. time to fill out 15 sec
Other names v1, LC, da form 4604 fillable, typewritten

Form Preview Example

SECURITY CONSTRUCTION STATEMENT

For use of this form see AR 190-11; the proponent agency is PMG.

INSTRUCTIONS

This form will be prepared in three copies. The original will be maintained permanently in the files of the individual signing the form. The first copy will be maintained permanently in the using unit/organizational files. The second copy will be filed permanently in the arms/ammunition storage facility. All entries except item 7 will be typewritten.

1.THE CONSTRUCTION OF THIS FACILITY CONFORMS TO THE CRITERIA OF AR 190-11 WHICH IS IN EFFECT ON THIS DATE EXCEPT AS INDICATED HEREON

2. ROOM AND BUILDING NUMBER, STREET AND INSTALLATION ADDRESS

3. THIS APPLIES TO

a.

b.

c.

AN EXISTING STRUCTURE CONSTRUCTION OF NEW FACILITY MODIFICATION OF EXISTING FACILITY (Explain)

4. NAME OF OFFICIAL IN ITEM 7 BELOW

GRADE

6. ADDRESS OF OFFICIAL

5. ORGANIZATION

7. SIGNATURE

DATE SIGNED

DA FORM 4604, SEP 2006

APD LC v1.01ES

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To be able to finalize this PDF document, make certain you type in the necessary details in each and every area:

1. The DA Form 4604 fillable involves certain details to be inserted. Ensure the subsequent blank fields are finalized:

Completing segment 1 of PMG

2. Your next part would be to fill in these particular blanks: THIS APPLIES TO, a b, AN EXISTING STRUCTURE CONSTRUCTION, MODIFICATION OF EXISTING FACILITY, NAME OF OFFICIAL IN ITEM BELOW, GRADE, ADDRESS OF OFFICIAL, ORGANIZATION, SIGNATURE, DATE SIGNED, DA FORM SEP, and APD LC vES.

How one can prepare PMG portion 2

Always be very attentive while filling in SIGNATURE and THIS APPLIES TO, as this is where a lot of people make a few mistakes.

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