Army Forms Archive

DA Form 1622-1-R — AFFIDAVITS OF INDIVIDUAL SURETIES (LRA)

affidavits of individual sureties (lra)

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DA Form 1622-1-R belongs to the DA series of Department of the Army publications. Its official title is AFFIDAVITS OF INDIVIDUAL SURETIES (LRA), and its stated purpose is affidavits of individual sureties (lra). Edition in force: 07/01/1989. Publication status: ACTIVE. Length is 2 page(s), with roughly 149 fields available for entry.

Proponency for the form rests with G-4. The governing authority is AR 735-5, which establishes the circumstances of use and the required routing. Preparation falls to the individual named in the entries or to the unit administrator acting on that individual's behalf; review and signature follow the chain set out in the governing authority.

Available formats: PDF, XFDL. Each is a rendering of the same official layout; the content is identical across them and only the means of completion differs. The pdf is the reference copy. Fillable pdf carries interactive form fields; a printable pdf is the same page image without them, intended for pen entry after printing.

The pdf displays in current browsers and in any reader application. For fillable use a full reader is preferable to a browser viewer, since viewers vary in whether entered data is retained. An xfdl file is available too. The format is IBM Lotus Forms, in use across Army form systems, and it opens only in the Lotus Forms Viewer.

Download of every format is free and requires no account. Files are served as published, without alteration to the page image.

What the form asks for

  • COUN_A
  • COUN_B
  • COUN_C
  • ContentArea1
  • DAY_A
  • DAY_B
  • DAY_C
  • L118
  • L119
  • LOC_1A
  • LOC_1B
  • LOC_1C
  • LOC_2A
  • LOC_2B
  • LOC_2C
  • MONTH_A
  • MONTH_B
  • MONTH_C
  • NAME_A
  • NAME_B
  • NAME_C
  • NAME_D
  • NAME_E
  • NOT_A

The blocks are worked through in the order they appear on the sheet. At the head sit the identifying entries: name, identification number, unit, date. Because the filed record is indexed on these, they precede everything substantive.

Typed entry is made straight into the interactive fields. The tab key moves through them in the order set at build time, generally matching the reading order of the page. Boxes and buttons respond to a click; in an exclusive group, one selection cancels the others. Single-line fields do not wrap, and anything longer than the field width prints cut off although it may still display in full on screen. Extended text goes to remarks or a continuation sheet rather than into a narrow box.

The signature block is completed last and by hand or by an accepted electronic means. An unsigned form is a draft. Where a second signature is called for — reviewing official, approving authority, witness — each is applied in the order the blocks appear and dated as of application, not as of preparation. Blank mandatory fields are the most frequent defect; a nil entry is marked as such rather than left empty. Other recurring faults: transposed digits in identification numbers, dates in the wrong order of day and month, and stale copies retaining prior data because a working file was reused instead of a fresh blank form.

Forms that collect personal information bear a Privacy Act statement covering authority, purpose, routine uses, and whether the disclosure is required or optional. Reading it precedes completion. Once filled, the document contains personal data and is subject to the handling and storage rules that attach to such records.

The completed form is routed as the governing authority prescribes: to the office named in the directive, through the unit administrative channel, or into the individual's file, depending on the case. A copy is retained by the preparer. Filing and retention follow the records schedule applicable to the series rather than local practice.

Associated documents are located through the series and number scheme. Forms in the DA series with the same proponent or the same prescribing directive tend to be used as a set, and any form named on the face of another normally accompanies it. Continuations, cover sheets, and transmittals fall into this category and are gathered before the package is sent.

Editions are replaced when the proponent revises the content. The edition date printed on the form is the means of telling one version from another, and the date on a downloaded copy is checked against the edition in force before use. Records already executed on a prior edition are not reworked on that account.

The files here are reproductions of published Department of the Army documents, provided for download. This site is not part of the Department of the Army and issues no forms of its own. Nothing on this page is legal advice, and no representation is made as to acceptance of a document by any office. Where an entry, a requirement, or a question of eligibility is in doubt, the proponent or the servicing administrative office answers it.

Questions and answers

What is DA Form 1622-1-R?
AFFIDAVITS OF INDIVIDUAL SURETIES (LRA)
Which edition is current?
07/01/1989
Who is responsible for this form?
G-4
In which formats can it be downloaded?
PDF, XFDL, PDF

Publisher notes

  1. 41-ITEM ALSO PRODUCED IN ELECTRONIC MEDIA,

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