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DA Form 4569-1 is a DA series document issued for use across the Department of the Army. Official title: SECURITY ASSISTANCE PUBLICATION REQUISITION CODE SHEET. Purpose: security assistance da publication requisition code sheet. The current edition carries the date 06/01/2021 and is listed with a publication status of ACTIVE. The form runs to 1 page(s) and contains approximately 200 entry fields.
Responsibility for content and revision lies with CIO. The prescribing directive is PAM 25-38, which sets both the trigger for use and the disposition of the completed document. Entry is made by the named party or by the records clerk holding the file, with review and signature applied in the prescribed order. This edition has been superseded by a newer one. It is kept accessible for reference and for records already completed under it.
Distributed formats: PDF. The layout is common to all of them; what varies is the method of entry. The pdf is the reference version. In the fillable pdf the entry areas are live objects that accept typing; in the printable version the same areas are inert and are filled by hand after printing.
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
- CaseDesigna
- Chg_Reqa1
- Chg_Reqa10
- Chg_Reqa11
- Chg_Reqa12
- Chg_Reqa13
- Chg_Reqa14
- Chg_Reqa15
- Chg_Reqa16
- Chg_Reqa17
- Chg_Reqa18
- Chg_Reqa19
- Chg_Reqa2
- Chg_Reqa20
- Chg_Reqa3
- Chg_Reqa4
- Chg_Reqa5
- Chg_Reqa6
- Chg_Reqa7
- Chg_Reqa8
- Chg_Reqa9
- Chg_Reqb1
- Chg_Reqb10
- Chg_Reqb11
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.
Signature comes at the end, applied in ink or by an accepted electronic method. Until it is applied the document is a draft. Additional signatures — reviewer, approver, witness — are taken in printed block order, each dated when signed rather than when the form was drafted. The commonest error is a mandatory field left blank; where nothing applies, the entry is marked accordingly instead of being skipped. Transposed identification digits, day and month reversed in dates, and carried-over data from a reused working copy account for most of the remainder.
Where personal information is gathered, the form carries a Privacy Act statement giving the collection authority, the purpose, the routine uses, and the mandatory or voluntary character of the disclosure. It is read before entries are made rather than afterwards. A completed copy holds personal data and is stored and transmitted under the corresponding safeguards.
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.
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.
Revision by the proponent supersedes an edition. Version is read from the edition date printed on the form itself, and a stored copy is compared against the current edition before it is used again. Documents already executed under an earlier edition are not redone because of the change.
What is offered here are copies of published Department of the Army documents, made available for download. The site is independent of the Department of the Army and publishes no forms of its own. The material is informational and not legal advice, and no statement is made about whether any office will accept a given document. Questions of entry, requirement, or eligibility go to the proponent or the servicing administrative office.
Questions and answers
- What is DA Form 4569-1?
- SECURITY ASSISTANCE PUBLICATION REQUISITION CODE SHEET
- Which edition is current?
- 06/01/2021
- Who is responsible for this form?
- CIO
- In which formats can it be downloaded?
- PDF, PDF