DA Form 5072 Emergency Action Statement

DA Form 5072 Emergency Action Statement

What Is DA Form 5072?

This is a military form that was released by the U.S. Department of the Army (DA) on April 1, 1982. The form, often mistakenly referred to as the DD Form 5072, 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 5072?
A: DA Form 5072 is an Emergency Action Statement document.

Q: What is the purpose of DA Form 5072?
A: The purpose of DA Form 5072 is to provide emergency contact and action information.

Q: Who needs to complete DA Form 5072?
A: DA Form 5072 needs to be completed by military personnel and DoD civilians.

Q: What information is included in DA Form 5072?
A: DA Form 5072 includes personal information, emergency contacts, and action instructions.

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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 5072 down below in PDF format or browse hundreds of other DA Forms stored in our online database.

Download DA Form 5072 Emergency Action Statement

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  • DA Form 5072 Emergency Action Statement, Page 1
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