Army Forms Archive

DD Form 504 — DD Form 504, Request for Health and Comfort Supplies, March 2013

Request and Receipt for Health and Comfort Supplies

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Defense Department form, series DD, number 504. Full title: DD Form 504, Request for Health and Comfort Supplies, March 2013. Function: Request and Receipt for Health and Comfort Supplies. Edition in force: not stated. Publisher status: not stated.

Prescribing authority: not stated. Proponent: not stated. Unlike service-specific publications, DD forms carry Department-level authority and apply across the Army, Navy, Air Force, Marine Corps, Space Force and Coast Guard when operating under Defense jurisdiction.

Users include uniformed members of any branch, DoD civilian employees, contractor personnel where authorized, and the administrative staff who process the completed record.

Timing of submission is fixed by not stated and by the implementing guidance of the submitting organization. What follows describes the blank document, not agency procedure.

Formats offered: PDF. Length: 1 pages. Fillable field count: roughly 200.

All formats download free of charge. Pdf files open in any modern reader; interactive fields behave most predictably in a desktop application, less so in browser viewers.

What the form asks for

  • ContentArea1
  • Page1
  • PageArea1
  • R10
  • R100
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  • R104
  • R105
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  • R11
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  • R117
  • R118

Completion runs in the order printed on the page: identifying data at the head, the body of the entry next, certification at the foot. Header data frequently governs what belongs in the fields below it.

Edition in use: not stated. Because DD forms are revised at Department level and distributed to all services at once, an obsolete printing may not match the fields an office expects. The date is printed on the form face.

Field-level instructions appear on the form itself and in not stated. The directive is the controlling text.

After completion, the copy goes to the office designated by not stated or by local procedure. Retention of a personal copy is ordinary practice and costs nothing.

Related documents are located by series and number. DD forms sit in a single Department-wide sequence, so a form referenced inside DD Form 504 is normally found by its number alone, without regard to service.

Where a DA form is cited alongside a DD form, the two belong to different systems: DA numbering is Army-specific and administered by an Army proponent, while DD numbering is Defense-wide under not stated or an equivalent Department office. Numbers do not translate between the systems.

Editions change because the underlying directive changes, because collection requirements are revised, or because Privacy Act language is updated. Checking the edition date at the point of download is the practical response.

The material here is descriptive. Nothing on the page constitutes legal or procedural advice, and no statement here determines whether a submitted form will be accepted. Such questions go to not stated, a servicing administrative office, or the authority identified in not stated.

Questions and answers

What is DD Form 504?
DD Form 504, Request for Health and Comfort Supplies, March 2013
Which edition is current?
Not stated by the publisher
Who is responsible for this form?
Not stated
In which formats can it be downloaded?
PDF

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