DA Form 4604 – Fill Out and Use This PDF

DA Form 4604 PDF Details

The Security Construction Statement certifies that a facility's construction meets the physical security requirements established under AR 190-11, Physical Security of Arms, Ammunition, and Explosives. Commanders, physical security officers, and engineer officers at military installations use this form when completing new construction, renovating an existing structure, or modifying an arms room, ammunition storage area, or sensitive compartmented information facility. Three copies of the completed statement are required: the original stays with the individual who signs the form, the first copy is retained in the using unit or organizational files, and the second copy is filed with the arms or ammunition storage facility associated with the project. All entries on the form, except signatures, must be typewritten.

Who completes the Security Construction Statement

The certifying official must have direct knowledge of the construction project and authority to attest compliance with AR 190-11. This is typically the project engineer officer, the facility commander, or a designated physical security officer. The form requires the official's name, grade, organization, and address, along with a signature and date confirming that the construction conforms to all applicable specifications, except for any deviations explicitly noted on the document. Both the certifying official and the using unit commander may be required to sign depending on the installation's local security directives.

Key information required on the form

• Facility room number, building number, and installation address
• Street address of the construction site
• Type of project: new facility construction, existing structure, or modification of an existing facility
• Name, grade, organization, and address of the certifying official
• Certification that construction conforms to AR 190-11, with documented notes on any approved deviations
• Signature, printed name, and date of the certifying official

Related Army security and construction forms

Army personnel working on facility security compliance often need additional forms alongside the Security Construction Statement. The sworn construction statement is used for civilian construction projects requiring a certified attestation of compliance. For broader facility protection planning, the building security plan form documents ongoing physical security measures for an installation. Army personnel conducting pre-construction hazard reviews use the Army risk assessment form to evaluate potential threats and mitigations before a project begins. Army certificate documentation is also supported through the DA Form 87 Certificate of Achievement, commonly used for administrative personnel records at the same installation level.