DA Form 5692 PDF Details

The form holds the unit, range and location, document no. and date (YYYYMMDD).

Signature block: name (typed or printed), position, signature, unit and date (YYYYMMDD).

Certifying official: name of official (typed or printed), signature, date (YYYYMMDD) and position.

Editions: previous editions are obsolete.

QuestionAnswer
Form NameDA Form 5692
Form Length1 page
Fillable?Yes
Fillable fields114
Avg. time to fill out19 min
EditionJAN 2024
Proponent agencyDCS, G-4 (DA PAM 700-16)
Previous editionsObsolete
Matches the agency's fileYes, checked October 24, 2026
Other namesDA Form 5692, DA 5692, DA5692, DA Form 5692-R, Form 5692, Ammunition Consumption Certificate
Official sourceDA Form 5692 (Rev JAN 2024), DCS, G-4

How to Fill Out DA Form 5692

DA Form 5692 at a glance

What it is: DA Form 5692 is the Ammunition Consumption Certificate.

Who signs: Under CERTIFYING OFFICIAL, enter the Name of Official (Typed or Printed), the Signature, the Date (YYYYMMDD) and the Position.

A filled-in DA Form 5692 example: a unit certifies one line of ammunition

DA Form 5692 example filled out, example: a unit certifies one line of ammunition
Sgt. Jane Sample's unit fills out the Ammunition Consumption Certificate. Her unit fired 200 rounds from one lot, so the rest of Items consumed stays empty. The picture shows the form filled, and none of its entries is real.

How to fill out DA Form 5692, box by box

Unit, range and location, document number and date

DA Form 5692 example filled out, unit, range and location, document number and date

Enter the Unit and the Range and Location.

Enter the Document No. and the Date (YYYYMMDD).

Items consumed

DA Form 5692 example filled out, items consumed

For each Item, enter the Quantity Consumed, the Lot Number, the Nomenclature and the DODIC.

The date and your certification

DA Form 5692 example filled out, the date and your certification

Under "during training on (indicate date)", enter the Date (YYYYMMDD).

Enter your Name (Typed or Printed), Unit, Position, Signature and Date (YYYYMMDD).

Certifying official

DA Form 5692 example filled out, certifying official

Under CERTIFYING OFFICIAL, enter the Name of Official (Typed or Printed), the Signature, the Date (YYYYMMDD) and the Position.

More rules for DA Form 5692

For use of this form, see DA PAM 700-16; the proponent agency is DCS, G-4.

Sources

[1] DA Form 5692 (JAN 2024), Ammunition Consumption Certificate, U.S. Army (the Official source link on this page).

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