In navigating the complexity of managing government property, the Department of the Army relies on detailed procedures to account for its assets, particularly when items are lost, damaged, or destroyed. The DA Form 4697, titled "Report of Survey," plays a pivotal role in this process, serving as the official document used to record and evaluate incidents affecting Army property. Prepared in accordance with AR 735-5, with the Office of the Deputy Chief of Staff for Logistics (ODCSLOG) acting as the proponent agency, this form is comprehensive in its scope. It captures essential data such as the date of preparation, survey number, type of property involved, detailed item descriptions, and the circumstances under which the property was compromised. Furthermore, it delineates the responsibilities and actions of the accountable officers and establishes the need for further investigation or immediate action based on the initial findings. By requiring signatures and affidavits, it ensures accountability and provides a structured approach to handling property discrepancies, whether these involve a simple loss or require a more in-depth inquiry as stipulated by AR 15-6. Ultimately, the DA Form 4697 underscores the Army's commitment to fiscal responsibility and asset management integrity.
| Question | Answer |
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| Form Name | Da Form 4697 |
| Form Length | 2 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 30 sec |
| Other names | V3, USAPPC, 40a, QTY |
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DEPARTMENT OF THE ARMY |
1. DATE PREPARED |
2. SURVEY NUMBER |
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REPORT OF SURVEY |
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For use of this form, see AR |
the proponent agency is ODCSLOG |
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3. TYPE OF PROPERTY |
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4. ADDRESS OF ACCOUNTABLE OFFICER |
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5. ORIGINATOR (Accountable officer, or primary hand receipt holder) |
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NATIONAL STOCK NUMBER |
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ITEM DESCRIPTION |
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QTY |
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UNIT PRICE |
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TOTAL COST |
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11. DATE AND CIRCUMSTANCES |
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12. |
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SIGNATURE AND DATE |
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13. Subscribed and sworn to |
(or affirmed) |
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AFFIDAVIT |
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before me at |
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I do solemnly swear (or affirm) that (to the best of |
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day of |
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my knowledge and belief) |
the articles of public |
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TYPED NAME, GRADE, AND SSN |
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NAME AND GRADE (type and sign) |
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property shown above and/or on attached sheets |
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were lost, destroyed, damaged, or worn out in the |
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manner stated, while in the public service. |
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14. DATE |
15. NAME, GRADE, AND SIGNATURE OF ACCOUNTABLE OFFICER |
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16. DOCUMENT NUMBER |
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17. |
APPOINTING AUTHORITY |
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I have received the evidence pertaining to the lost, damaged, or destroyed property, and have determined that the following action is required. |
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No further investigation is required. There is no positive evidence of negligence. I do not suspect willful misconduct, or |
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deliberate unauthorized use. I hereby forward this document to the approving authority for final action. (Proceed to block 37.) |
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b. |
The circumstances surrounding the lost, damaged or destruction warrants further investigation. (Proceed to block 21.) |
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c. |
Conduct an investigation according to AR |
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it to the approving authority. |
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18. |
DATE |
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19. TYPED NAME, GRADE, AND TITLE OF APPOINTING AUTHORITY |
20. SIGNATURE |
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DA FORM 4697, SEP 81 |
DA FORM 4696(TEST), 1 JUL 78 and DA FORM 4697(TEST), |
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1 JUL 78 ARE OBSOLETE. |
USAPPC V3.00
21. APPOINTING AUTHORITY
22. STATION
23. DATE
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NAME, GRADE OF SURVEYING OFFICER |
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25. |
YOU ARE APPOINTED SURVEYING OFFICER BY ORDER OF: |
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(Typed name, grade of Appointing Authority) |
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FINDINGS AND RECOMMENDATION |
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I have examined all available evidence as shown in exhibits |
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to |
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and as indicated below have personally investigated the |
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same and it is my belief that the article(s) listed hereon and/or attached to sheets, total cost $ |
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27.
RECOMMEND PECUNIARY CHARGE
a. ACTUAL LOSS
b. AMOUNT CHARGED
c. LOSS TO GOVERNMENT
28. DATE
29a. TYPED NAME, GRADE OF SURVEYING OFFICER
b. SIGNATURE
30.
I have examined the findings and recommendations of the Surveying Officer on this report of survey and the exhibits
to and desire to make a statement which is attached hereto; do not desire to make a statement. I am aware of my right to legal advice in preparing the statement and, if a pecuniary charge is finally approved, to make appeal and (If an en- listed man) my right to request remission of indebtedness. I am/am not the accountable officer for the lost or damaged property. The property was/was not my personal arms or equipment.
31. DATE
32a. TYPED NAME, GRADE OF INDIVIDUAL BEING CHARGED
b. SIGNATURE
33.RECOMMENDATION BY THE APPOINTING AUTHORITY
CONCUR
NONCONCUR
34. COMMENTS
35. DATE
36a. TYPED NAME, GRADE & TITLE OF APPOINTING AUTH
b. SIGNATURE
37. APPROVING AUTHORITY |
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REJECTED. Investigation is required. Appoint a survey officer. Date |
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Initials |
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REJECTED. Investigation incomplete. Additional information required. Date |
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Initials |
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c. APPROVED BY AUTHORITY OF THE SECRETARY OF THE ARMY. |
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38.PECUNIARY CHARGE
a. ACTUAL LOSS
b. AMOUNT CHARGED
c. LOSS TO GOVERNMENT
39. DATE
40a. TYPED NAME, GRADE & TITLE OF APPROVING AUTH
b. SIGNATURE
REVERSE, DA FORM 4697, SEP 81
USAPPC V3.00