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This version of the form is not currently in use and is provided for reference only. Download this version of
DA Form 5017
for the current year.
DA Form 5017 Civilian Employee Consent Statement
What Is DA Form 5017?
This is a military form that was released by the U.S. Department of the Army (DA) on November 1, 2001. The form, often mistakenly referred to as the DD Form 5017, is a military form used by and within the U.S. Army. As of today, no separate instructions for the form are provided by the DA.
FAQ
Q: What is DA Form 5017?
A: DA Form 5017 is a Civilian Employee Consent Statement.
Q: What is the purpose of DA Form 5017?
A: The purpose of DA Form 5017 is to obtain the consent of civilian employees for certain background investigations.
Q: Who needs to fill out DA Form 5017?
A: Civilian employees who are required to undergo certain background investigations need to fill out DA Form 5017.
Q: What information does DA Form 5017 collect?
A: DA Form 5017 collects personal information and consent for background investigations.
Form Details:
- A 1-page document available for download in PDF;
- The latest version available from the Army Publishing Directorate;
- Editable, free, and easy to use;
- Fill out the form in our online filing application.
Download an up-to-date fillable DA Form 5017 down below in PDF format or browse hundreds of other DA Forms stored in our online database.
