DA 2653-R 1974-2025 free printable template

COSEC ACCOUNT DAILY SHIFT INVENTORY For use of this form, see TB 380-41; the proponent agency is AMC WHEN FILLED IN, THIS FORM WILL BE CLASSIFIED IN ACCORDANCE WITH TB 380-41 S H I F T 1 2 3 1 2 3

How to fill out 2653r form

How to fill out DA 2653-R

1. Download the DA 2653-R form from the official U.S. Army website.
2. Review the instructions on the first page of the form to understand the required information.
3. Fill out the personal identification section with your name, social security number, and other identifying information.
4. Provide details for the specific purpose of the form in the designated sections as outlined in the instructions.
5. Review all filled sections for accuracy and completeness.
6. Sign and date the form as required at the end.
7. Submit the form according to the guidelines provided, either electronically or through mail.

Who needs DA 2653-R?

1. Military personnel who need to document or report specific information related to military service.
2. Administrative staff handling personnel actions or records.
3. Anyone required to file an official military report or request using this form.

Video instructions and help with filling out and completing comsec inventory

Instructions and Help about form 2653

Laws calm legal forms guide a DEA form 2404 is United States Army form used to record the inspection and maintenance of equipment the worksheet is used primarily along with the corresponding technical manual for the piece of equipment that is being worked on the DEA form 24:04 is available on the United States Army documentation website or can be supplied through the chain of command box one must be filled in identifying the organization working on the piece of equipment boxes two through six identify the equipment that will be inspected or worked on ensure that you supply the nomenclature and model of the equipment in box two identified the operating information pertinent to the equipment you must include any mileage hours hot starts or other measuring tool of the equipment once all the equipment identifiers have been recorded you must move on to box seven under box seven you must identify the technical manual that is to be used in the inspection and maintenance identify all technical manuals to be used if more than two manuals are being used refer to them in an addendum sheet that can be attached at the end of the DEA form 24:04 in box eight the maintenance provider or inspector must certify the form by signing and dating additionally the amount of service time must be recorded in box 10 the rest of the worksheet is devoted to listing and identifying the items inspected and the maintenance records list each item number and their status individually in boxes a and B if there are any problems with the equipment they must be identified in column C which is titled deficiencies and shortcomings if any corrective actions are needed they should be listed in column D once addressed each item must be signed off with the initials of the maintenance personnel in column E after completion of the DEA form 24 all for the record should be kept with the equipment for further reference in future maintenance events the maintenance group should also keep a copy to keep an active record of all inspections and maintenance performed on equipment to watch more videos please make sure to visit laws comm

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What is DA 2653-R?

DA 2653-R is a form used by the United States Army to report injuries or illnesses that occur during the performance of official duties.

Who is required to file DA 2653-R?

All military personnel and civilian employees of the Army who experience a job-related injury or illness are required to file DA 2653-R.

How to fill out DA 2653-R?

To fill out DA 2653-R, individuals should complete the sections detailing personal information, incident description, medical treatment received, and any witnesses to the incident.

What is the purpose of DA 2653-R?

The purpose of DA 2653-R is to document and track incidents of injuries and illnesses to ensure proper reporting, compensation, and future prevention.

What information must be reported on DA 2653-R?

DA 2653-R requires reporting of personal details such as name and service number, the date and location of the incident, a detailed description of the injury or illness, medical treatment provided, and information about witnesses.