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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 2122
for the current year.
DA Form 2122 Record of Interment / Inurnment
What Is DA Form 2122?
This is a military form that was released by the U.S. Department of the Army (DA) on June 1, 1982. The form, often mistakenly referred to as the DD Form 2122, 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 2122?
A: DA Form 2122 is a Record of Interment/Inurnment form.
Q: What is the purpose of DA Form 2122?
A: The purpose of DA Form 2122 is to record information related to the interment or inurnment of a deceased service member, dependent, or eligible veteran.
Q: Who uses DA Form 2122?
A: DA Form 2122 is used by the United States Army and other military branches.
Q: What information is recorded on DA Form 2122?
A: DA Form 2122 records information such as the name of the deceased, date of death, location of interment or inurnment, and details about the funeral honors provided.
Form Details:
- A 4-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 2122 down below in PDF format or browse hundreds of other DA Forms stored in our online database.
Download DA Form 2122 Record of Interment / Inurnment
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