PDF
Word
This version of the form is not currently in use and is provided for reference only. Download this version of
DA Form 4991
for the current year.
DA Form 4991 Declination of Continued Service Statement
What Is DA Form 4991?
This is a military form that was released by the U.S. Department of the Army (DA) on March 1, 2016. The form, often mistakenly referred to as the DD Form 4991, 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 4991?
A: DA Form 4991 is the Declination of Continued Service Statement.
Q: What does DA Form 4991 used for?
A: DA Form 4991 is used to document an individual's decision to decline continued service in the military.
Q: Who uses DA Form 4991?
A: DA Form 4991 is used by members of the United States Army.
Q: Can DA Form 4991 be completed by anyone?
A: No, only individuals who are eligible for continued service in the military can complete DA Form 4991.
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 4991 down below in PDF format or browse hundreds of other DA Forms stored in our online database.
