In the realm of military operations, accountability for equipment, especially ammunition, is of paramount importance. The DA Form 5811-R, known as the Certificate for Lost or Damaged Class 5 Ammunition Items, serves a critical role in maintaining this accountability. Outlined by the Department of the Army Pamphlet 710-2-1, with the Deputy Chief of Staff for Logistics (DCSLOG) as the proponent agency, this form is utilized when Class 5 ammunition items are either lost or damaged. It encompasses a comprehensive certification by the responsible individual, detailing the item's stock number, description, quantity, and the nature of the loss or damage (whether lost or damaged, and if the latter, whether due to negligence). The form further includes a section for action, which requires a review of the incident, a determination on the negligence factor, and the decision on subsequent steps, which could range from no further action to administrative adjustments, repairs, or even initiating a formal report or survey. Capturing precise details of the circumstances and decisions taken ensures a transparent documentation process, essential for operational integrity and accountability within military logistics.
Question | Answer |
---|---|
Form Name | DA Form 5811 |
Form Length | 1 pages |
Fillable? | No |
Fillable fields | 0 |
Avg. time to fill out | 15 sec |
Other names | da form 5811, 5811 r, da 5811, da form 5811 fillable |
CERTIFICATE - LOST OR DAMAGED CLASS 5 AMMUNITION ITEMS
For use of this form, see DA PAM
PART I - CERTIFICATION
I certify that the item(s) described in blocks
1.
STOCK NO.
2.
DESCRIPTION
3.
QUANTITY
4. ITEM WAS (Check)
a. LOST |
b. DAM- |
|
AGED |
|
|
5DAMAGED BY NEGLIGENCE? (Check)
a YES |
b NO |
|
|
6.CIRCUMSTANCES OF LOSS OR DAMAGE
7a. SIGNATURE
7b. DATE
PART II - ACTION
8. I have reviewed the evidence pertaining to the loss or damage as stated. I agree
do not agree
that the loss or damage to the class 5 item(s) was |
was not |
due to negligence, willful |
|
misconduct, or deliberate unauthorized use. The following actions shall be taken. |
|
CHECK ALL THAT APPLY |
|
|
|
|
9.No further action is required.
10.An administrative adjustment shall be made in the property book for the class 5 item (s) that were not lost through negligence, willful misconduct, or deliberate unauthorized use.
11.The damaged class 5 item(s) shall be repaired as fair wear and tear as the damage was not caused by negligence, willful misconduct, or deliberate unauthorized use.
12.The circumstances surrounding the loss or damage warrant the processing of a formal Report or Survey that will be initiated immediately by the responsible property officer.
13a. SIGNATURE
13b. TITLE
13c. DATE
DA FORM
USAPPC V1.01