Army Forms Archive

DA Form 3180-2 — CHEMICAL AND BIOLOGICAL PERSONNEL SCREENING AND EVALUATION RECORD

chemical and biological personnel screening and evaluation record

A newer edition of this form has been issued (09/01/2022). Download the current edition.

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DA Form 3180-2 belongs to the DA series of Department of the Army publications. Its official title is CHEMICAL AND BIOLOGICAL PERSONNEL SCREENING AND EVALUATION RECORD, and its stated purpose is chemical and biological personnel screening and evaluation record. Edition in force: 09/01/2022. Publication status: ACTIVE. Length is 1 page(s), with roughly 200 fields available for entry.

Proponency for the form rests with G-3/5/7. The governing authority is AR 50-6, 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. A later edition of this form exists. The edition shown here is superseded and is retained for reference and for records already executed on it.

Formats offered: PDF. All are the same published layout in different containers, and the choice between them is a matter of how the entries will be made rather than what appears on the page. The pdf serves as the authoritative rendering. A fillable pdf exposes editable fields on screen; a printable pdf is the blank form as a flat page for handwriting.

Any modern browser or reader will display a pdf. Interactive fields behave more predictably in a standalone reader than in an in-browser viewer, which sometimes shows fields it cannot store.

All formats are free to download and no registration is involved. The files are the published documents, distributed unmodified.

What the form asks for

  • Alcohol_Incidents
  • BPRP
  • CPRP
  • Certifying_Official_Date
  • Certifying_Official_Date1
  • Certifying_Official_Date10
  • Certifying_Official_Date11
  • Certifying_Official_Date12
  • Certifying_Official_Date13
  • Certifying_Official_Date14
  • Certifying_Official_Date15
  • Certifying_Official_Date16
  • Certifying_Official_Date17
  • Certifying_Official_Date18
  • Certifying_Official_Date19
  • Certifying_Official_Date2
  • Certifying_Official_Date20
  • Certifying_Official_Date21
  • Certifying_Official_Date22
  • Certifying_Official_Date23
  • Certifying_Official_Date24
  • Certifying_Official_Date25
  • Certifying_Official_Date26
  • Certifying_Official_Date27

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.

Interactive fields are filled by typing into them. Movement between fields is by tab, following the order established when the form was constructed, which usually tracks the page layout. Check boxes and radio groups are set by clicking, and exclusive groups permit one selection at a time. A one-line field has no wrap: text beyond its width prints truncated even when the screen shows it. Overlong content is placed in remarks or on a continuation, not forced into the field.

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.

Disposition of the completed document follows the prescribing authority — delivery to the office it names, transmission through the unit administrative channel, or placement in the individual's record, according to circumstance. The preparer keeps a copy. Retention is governed by the applicable records schedule, not by office custom.

Related forms are found by series and number. Documents in the DA series sharing a proponent or a prescribing directive commonly travel together, and a form referenced within the body of another is usually filed with it. Continuation sheets, cover sheets, and transmittal documents belong to this group and are collected before submission rather than after.

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 documents on this page are reproductions of published Department of the Army forms, offered for download. This is an independent site with no connection to the Department of the Army and no authority to issue forms. Nothing stated is legal advice, and no assurance is given regarding acceptance by any office. Doubts about a specific entry, requirement, or eligibility are resolved by the proponent or by the servicing administrative office.

Questions and answers

What is DA Form 3180-2?
CHEMICAL AND BIOLOGICAL PERSONNEL SCREENING AND EVALUATION RECORD
Which edition is current?
09/01/2022
Who is responsible for this form?
G-3/5/7
In which formats can it be downloaded?
PDF, PDF

Publisher notes

  1. PRIVACY ACT STATEMENT

Other forms in the series