Da Form 5252 R PDF Details

The DA Form 5252-R, officially titled "Statement of Evidence of Citizenship Status," verifies that a soldier or applicant is a U.S. citizen. The form collects name, date of birth, place of birth, and the legal basis for the citizenship claim.

Released on November 1, 1983, by the Department of the Army, it is a single-page document with no separate published instructions. Completed forms are submitted to the administrative office with a U.S. birth certificate, valid passport, or Certificate of Naturalization.

Army personnel complete DA Form 5252-R during initial entry training, security clearance applications, or when transferring to military occupational specialties that require verified citizenship.

QuestionAnswer
Form NameDa Form 5252 R
Form Length1 pages
Fillable?No
Fillable fields0
Other namesDA 5252-R, Statement of Citizenship
PurposeEvidence of Citizenship Status

How to Edit Da Form 5252 R Online for Free

What Is DA Form 5252-R?

The DA Form 5252-R is the official Army form for documenting evidence of citizenship status. Its full title is "Statement - Evidence of Citizenship Status." The U.S. Department of the Army released it on November 1, 1983. It is a one-page document used to verify that a soldier, recruit, or Army applicant is a citizen of the United States.

Who Needs to Fill Out DA Form 5252-R?

Any Army soldier or applicant required to provide documented proof of citizenship must complete DA Form 5252-R. Common situations include initial enlistment processing, applications for certain military occupational specialties (MOS), and security clearance investigations that require citizenship verification. Personnel at all ranks may need to present this form at different points in their Army career.

How to Fill Out DA Form 5252-R

Complete each section of the form with the following personal information:

  • Full legal name
  • Date and place of birth
  • The legal basis for your citizenship claim (for example, birth in the United States or naturalization)
  • Signature and date

After completing DA Form 5252-R, submit it to your commanding officer or administrative office. Attach supporting documents such as a U.S. birth certificate, a valid U.S. passport, or a Certificate of Naturalization as evidence of your citizenship status.

Related Army and Military Forms

If you need other Army administrative documents, you may also find these forms useful: the Army Certificate DA Form 87, the Form N-600 Certificate of Citizenship, and a Military Power of Attorney form for delegating authority while on active duty.