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Fillable Form DA 4187 Personnel Action Form

The DA Form 4187, known as a Personnel Action form, is used by a soldier who wants to request a personnel action on their own behalf.

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What is DA Form 4187?

DA Form 4187 is a form issued by the United States Army. This form is used primarily for the purpose of requesting or recording personnel actions for or by soldiers in accordance with DA PAM 600-8.

Can I fill out DA Form 4187?

If you are currently a soldier in the United States Army, and would like to request a personnel action on your own behalf, then you are eligible to fill out this form.

What do I need to fill out DA Form 4187?

To fill out this form, you will need the through, to, and from addresses. These are who you’ll be sending the form through, to, and from respectively.

You will then need to write down your personal details, like your full legal name, grade or rank/PMOS/AOC, and social security number (SSN).

You will then need the details regarding the changes to your duty status. Specifically, you will need your previous duty status and then your new duty status, as well as the date and time your new duties will take effect.

Additionally, you will need to know why you are filling out this form. You will be asked to pick from a list of personnel action requests. These requests include, but are not limited to:

  • Service School
  • ROTC or Reserve Component Duty
  • Volunteering for Oversea Service
  • Ranger Training
  • Reassignment Extreme Family Problems
  • Exchange Reassignment
  • Airborne Training
  • Special Forces Training/Assignment
  • On-The-Job Training
  • Retesting in Army Personnel Tests
  • Reassignment Married Army Couples
  • Reclassification
  • Officer Candidate School
  • Assignment of Peers with Exceptional Family Members
  • Identification Card
  • Identification Tags
  • Separate Rations
  • Leave - Excess/Advance/Outside CONUS
  • Change of Name/SSN/DOB


You will also need to provide you signature, the date of signing, as well as any additional remarks regarding the request of personnel action.

You will then need the certification of a commander or authorized representative. You will be needing their signature and the date of signing.

Finally, if possible, you will need up to four (4) different recommendations from authorities. Specifically, you will need their name, title or position, rank, signature, recommended action, and signature. They will also need to write the date of signing.

How do I fill out DA Form 4187?

We will be guiding you through the process of filling out DA Form 4187 by giving you a step-by-step tutorial on how to accomplish this form.

Before answering anything, read through the whole form and find out exactly what kind of information you would need to provide. For your convenience, we have listed all the information that you would need for the purpose of answering this form.

Ensure that all information that you are about to provide in this form is complete and accurate. This is a government-issued document and should be treated with the utmost level of care and attention.

Data Required by Privacy Act of 1974
The very first section of this form will be asking you for information required by the Privacy Act of 1974.

For this section, you must first write down whom you are sending this form through and include the ZIP code. Then, write down whom you are sending this form to as well as the corresponding ZIP code. Finally, write down whom you are sending this form from, noting the ZIP code once again.

Section I - Personal Identification
This section will ask you to provide information that will verify your identity.

You will have to write down your full legal name in the space provided. You must write this in the format of last name, first name, followed by your middle initial. Next indicate your grade or rank/PMOC/AOC. Finally, finish this section by indicating your social security number.

Section II - Duty Status Change
This section will cover any changes to your active duty status.

In the first space provided, write down your previous or old duty status. In the following box, write down your new duty status and indicate the time and date when this new duty status will be effective.

Section III - Request for Personnel Action
In this section, you will indicate the personnel action you will be requesting.

You will be asked to mark the box corresponding to the personnel action that you will be requesting. On the form, you will have the option to choose among the following:

  • Service School
  • ROTC or Reserve Component Duty
  • Volunteering for Oversea Service
  • Ranger Training
  • Reassignment Extreme Family Problems
  • Exchange Reassignment
  • Airborne Training
  • Special Forces Training/Assignment
  • On-The-Job Training
  • Retesting in Army Personnel Tests
  • Reassignment Married Army Couples
  • Reclassification
  • Officer Candidate School
  • Assignment of Peers with Exceptional Family Members
  • Identification Card
  • Identification Tags
  • Separate Rations
  • Leave - Excess/Advance/Outside CONUS
  • Change of Name/SSN/DOB

If the personnel action you would like to request is not listed, you may select the “Other” option. Note that you will have to specify the request in the space provided.

After you have selected the personnel action that you would like to request, affix your signature and the date of signing in the YYYY/MM/DD format.

Section IV - Remarks
In this section, you will be asked to place any remarks that you may have regarding the personnel action request.

You may place down in the space provided any remarks that apply to sections II, III, and V.

If you have no remarks that you would like to declare, then you may leave this section blank.

Section V - Certification/Approval/Disapproval
This section will hold the result of your DA Form 4187 application.

In the first part of this section, the commanding authority will mark one of the boxes. Depending on what box is marked, your personnel action request may be verified, recommended for approval, recommended for disapproval, be effectively approved, or effectively disapproved.

Then the commanding authority will place their full legal name, signature, and date of signing in the YYYY/MM/DD format.

If you have accomplished every step thus far, then congratulations, you have successfully completed DA Form 4187.

Addendum - Recommendations for Approval/Disapproval
In this optional section, you may place any additional recommendations from authorities.

Before formally beginning this section, write down your full legal name and social security number once again at the top of the page.

Then, have up to four (4) authorities write their recommended action, full legal name in the last name, first name, middle name format, rank, title or position, additional comments, their signature, and the date of signing.

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