How to Fill Out DD Form 114

DD Form 114 at a glance

What it is: The Military Pay Order authorizes the Disbursing Officer to open, adjust or close, as indicated, the pay records of the individuals.

Who signs: Sign, and type the Name and Grade of the Certifying Officer; the Symbol No. is Entered by D.O.

A filled-in DD Form 114 example: a certifying officer lists two individuals

DD Form 114 example filled out, example: a certifying officer lists two individuals
Dana Example, a certifying officer, fills out DD Form 114. Two individuals are listed, and each pay record is adjusted for 2025 and 2026. The picture shows the filled form, and none of its entries is real. The Symbol No. is entered by the disbursing officer, so Symbol No. stays empty.

How to fill out DD Form 114, box by box

Military Pay Order No., Organization and Station and Date

DD Form 114 example filled out, military Pay Order No., Organization and Station and Date

Enter the Military Pay Order No., the Organization and Station and the Date (YYYYMMDD).

Personal Identifier/DoDID, Name, Reason for Change and Year

DD Form 114 example filled out, personal Identifier/DoDID, Name, Reason for Change and Year

Enter the Personal Identifier/DoDID, the Last Name - First Name - Middle Initial and the Reason for Change.

Under Year, enter the year From and the year To.

Signing as Certifying Officer

DD Form 114 example filled out, signing as Certifying Officer

Sign, and type the Name and Grade of the Certifying Officer; the Symbol No. is Entered by D.O.

More rules for DD Form 114

The previous edition is obsolete: use DD Form 114, DEC 2017.

Sources

[1] DD Form 114 (DEC 2017), Military Pay Order, Washington Headquarters Services (the Official source link on this page).

DD Form 114 PDF Details

Personal identifier/DoDID, last name, first name and middle initial, with the reason for change.

Date: date (YYYYMMDD), with organization and station.

Certifying officer: typed name and grade of certifying officer, and sign.

Edition: previous edition is obsolete.

QuestionAnswer
Form Name DD Form 114
Form Length 1 page
Fillable? Yes
Fillable fields 154
Avg. time to fill out 26 min
Other names DD Form 114, DD 114, DD114, Military Pay Order
EditionDEC 2017
Updated20241122
Official sourceDD Form 114 (Rev DEC 2017), Department of Defense