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Department of Defense form 804-6. Official designation: DD Form 804-6, Medical Recruiting Advertising Sources, June 2000. Purpose: Medical Recruiting Advertising Resources. Current edition not stated, status not stated.
Governing directive: not stated. Responsible office: not stated. The DD designation signals joint scope — all military departments, combatant commands and defense agencies draw on a single edition of the document.
The form reaches military personnel across the services, civilian employees of the Department, and the personnel and records specialists who receive it.
Submission follows the schedule set by not stated and by local implementing procedures. This page provides the blank form for download and general orientation only.
Formats offered: PDF. Length: 1 pages. Fillable field count: roughly 200.
The pdf is the primary distribution format. A fillable pdf accepts typed entries in defined field boxes and stores them in the file; a printable pdf is a flat image of the blank, meant for pen entry after printing. The distinction matters for legibility and for records that pass between offices.
What the form asks for
- A. Component.
- B. Date reported (4 digit year, 2 digit month, 2 digit day, no dividers).
- C. Fiscal years reported. From:
- Fiscal year to:
- Actuals: fiscal year.
- Appropriated (enlisted): fiscal year.
- Authorization: fiscal year.
- President's budget: fiscal year.
- President's budget: fiscal year.
- 1. National media. a. Magazines. Actual. (2) Media.
- (3) Production.
- Appropriated. (5) Media.
- (6) Production.
- Authorization. (8) Media.
- (9) Production.
- First President's Budget. (11) Media.
- (12) Production.
- Second President's Budget. (14) Media.
- (15) Production.
- b. Newspapers/supplements. Actual. (2) Media.
- (3) Production.
- Appropriated. (5) Media.
- (6) Production.
- Authorization. (8) Media.
Order of completion: identification block first, substantive entries second, certification and signature last. The blank is laid out in that sequence and the sequence is not arbitrary — later entries often depend on data established in the header.
Verify the edition date against not stated before entry. Department-level revisions replace the blank across every service simultaneously, so an old copy in a desk drawer may no longer correspond to current field numbering.
The signature block takes an actual signature. On paper this means ink; electronically it means a credentialed digital signature, commonly CAC-based. Typed text in a signature field satisfies neither.
Where personal information is collected, a Privacy Act Statement appears on or with the form. It names the collection authority, the purpose, the routine uses of the data and the consequence of withholding it. Reading it precedes filling the form.
Errors seen most often involve edition mismatch, empty mandatory fields, illegibility after scanning, date formats inconsistent with the printed instruction, and unsigned or undated certification.
Guidance for specific entries sits on the form face and in not stated; the directive is authoritative where the two do not agree.
The completed document moves to the office named in not stated or in local guidance. A retained copy is conventional practice.
Related documents are located by series and number. DD forms sit in a single Department-wide sequence, so a form referenced inside DD Form 804-6 is normally found by its number alone, without regard to service.
A DD number and a DA number may appear in the same instruction without being related. DA forms belong to the Army alone; DD forms belong to the Department and are administered at Department level. The sequences are independent.
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 804-6?
- DD Form 804-6, Medical Recruiting Advertising Sources, June 2000
- Which edition is current?
- Not stated by the publisher
- Who is responsible for this form?
- Not stated
- In which formats can it be downloaded?