DA Form 5811 R – Fill Out and Use This PDF

DA Form 5811 PDF Details

The DA Form 5811-R is mandated under DA PAM 710-2-1 to record accountability incidents involving Class 5 ammunition. Section 1 of the form captures the item's National Stock Number (NSN), nomenclature, unit of issue, quantity, and whether the item was lost or damaged. Section 2 requires a narrative description of the circumstances surrounding the incident, including the date, location, and the individual responsible for custody. Section 3 is completed by a reviewing authority who documents the determination of negligence, selects the appropriate action (no further action, administrative adjustment, repair, or formal report of survey), and signs the form. Properly completing all three sections is essential for maintaining supply accountability under Army Regulation 710-2.

This form is required when Class 5 ammunition items are reported lost during training exercises, field operations, or storage, or when physical damage renders them unserviceable. The proponent agency, DCSLOG, reviews completed forms to ensure compliance with Army logistics policies. Failure to file DA Form 5811-R when required can result in adverse administrative action against the responsible individual. All entries must be legible, accurate, and supported by witness statements where applicable.