Get the free da 4677 fillable

The proponent agency is the Office of The Surgeon General. THERAPEUTIC DOCUMENTATION CARE PLAN (NON-MEDICATION). DA FORM 4677, 1 OCT 78 ...

How to fill out da 4677 form

How to Fill out DA Form 4677:

1. Start by entering the date in the designated section on the top-right corner of the form.
2. Next, provide the individual's name, rank, and social security number in the "Soldier Information" section.
3. Move on to the "Authorized Absence Information" section and indicate the type of leave or pass requested, such as ordinary leave, emergency leave, or permissive temporary duty (PTDY).
4. Specify the requested leave or pass start and end date, as well as the destination or purpose of the absence.
5. If requesting leave in conjunction with another military program or event, select the appropriate box and provide any necessary additional details.
6. In the "Applicant's Official Certification" section, the individual should sign and date the form.
7. If applicable, the individual's unit commander or authorized representative should review and sign the form in the "Approving Official" section.
8. Finally, submit the completed DA Form 4677 to the appropriate authority for further processing.

Who Needs DA Form 4677?

1. Active duty Army personnel: DA Form 4677 is primarily used by active duty Army personnel who need to request authorized absences, such as leave or passes, from their unit or command.
2. Soldiers seeking leave or passes: Individuals who require time away from their military duties for personal reasons, family emergencies, or other approved purposes can utilize DA Form 4677.
3. Unit commanders and authorized representatives: These individuals play a crucial role in the approval process by reviewing the requested leave or pass and determining its suitability based on military regulations and unit requirements. They also sign the DA Form 4677 to confirm their authorization.

For pdfFiller’s FAQs

What is da form 4677?

Da form 4677 is a form used by the Department of the Army to report suspicious activities or incidents.

Who is required to file da form 4677?

Military personnel, civilian employees, and contractors working for the Department of the Army are required to file da form 4677 if they encounter suspicious activities or incidents.

How to fill out da form 4677?

Da form 4677 can be filled out by providing details of the suspicious activity or incident, including date, time, location, and description.

What is the purpose of da form 4677?

The purpose of da form 4677 is to report suspicious activities or incidents to the appropriate authorities for further investigation.

What information must be reported on da form 4677?

Information such as date, time, location, description of the suspicious activity or incident, and any other relevant details must be reported on da form 4677.

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