Loading...Download DA Form 54 also known as Record Of Personal Effects. This form is completed when personal effects of a member of military is deceased, captured or missing and are being returned to a family member or other recipient. When completing this form it’s important to be certain that all personal effect items and funds are listed.
How To Fill-In
Step 1 – Fill in blocks 1 through 7 as follows:
- Name (of decedent, captured and/or missing individual. Provide in last name, first name, MI format)
- Grade
- Organization
- Status (missing, deceased or captured)
- Date Of Status
- Place
Step 2 – In Section 8, Inventory Of Effects, all personal effects must be listed and accounted for:
- a. Quantity ( of item(s) to be listed in column a.)
- b. Item (specify each item individually)
Step 3 – Section 9 a., Funds/Negotiable Instruments.
- Specify to whom funds/negotiable instruments have been transmitted
Step 4 – Section 9 b., Funds Deposited Or Otherwise Disposed Of, fill in:
- Amount And Description
- Disposition (state the final destination of the funds)
Step 5 – Blocks 10 through 11:
- Effects Shipped To (include the name and shipping address of recipient)
- Date And Method Of Shipment (include registry number, B/L number etc.)
Step 6 – Summary Court Or Commanding Officer’s Representative, complete blocks a. through d. (section 12.):
- a. Signature
- b. Type Name And Grade
- c. Date
- d. Organization
Step 7 – Section 13 – This section is for the recipient to acknowledge, sign and date in blocks a. through c.:
- Recipient must read block 13
- Signature (recipient must acknowledge receiving all items in blocks 8 and 9, by signature in section 13 block a.)
- Print Or Type Name Of Recipient (in section 13, block b.)
- Date (section 13 block c.)
This form is fillable online or printable for manual use.