DA FORM 2122 Fillable – Army Pubs 2122 PDF

DAFORMFILLABLE.COM | DA FORM 2122 Fillable – Army Pubs 2122 PDF – DA FORM 2122, officially titled Record of Interment/Inurnment, is an essential document used by the United States Army to record the details of burial and inurnment services for deceased personnel. This form plays a critical role in maintaining accurate and respectful records of soldiers who have passed away, ensuring their final rites are documented in accordance with military standards. This article provides a comprehensive overview of DA FORM 2122, outlining its purpose, usage, and key features.

DA FORM 2122 – Record Of Interment/Inurnmen

Form Number DA Form 2122
Form Title Record Of Interment/Inurnmen
Form Date 10/1/2020
Form Proponent OAC

What is DA FORM 2122?

DA FORM 2122 is an official military form used to record the interment (burial) or inurnment (placement of ashes in an urn) of deceased military personnel. It is a crucial document for the Office of the Chief of Army (OAC), which is responsible for its administration. The form ensures that all details related to the burial or inurnment of soldiers are systematically recorded and archived.

Historical Context and Updates

Originally issued in 1982, the form was revised on October 1, 2020, superseding the previous version to incorporate more comprehensive and updated practices. This revision reflects the Army’s commitment to maintaining current and respectful practices in the management of military funerals.

Importance of DA FORM 2122

The primary importance of DA FORM 2122 lies in its function to officially document the final resting arrangements of military personnel, providing a permanent record for both military archives and the families of the deceased. This documentation is critical for:

  • Ensuring that all interments and inurnments are conducted with dignity and respect.
  • Providing families with official records for personal, legal, or historical purposes.
  • Maintaining military records for future reference, including genealogical research and military history.

How to Use DA FORM 2122

Filling Out the Form

To accurately complete DA FORM 2122, the following information needs to be meticulously recorded:

  • Personal Details: Full name, rank, and service number of the deceased.
  • Date and Location: Specific details of the interment or inurnment, including the date and location of the ceremony.
  • Ceremony Details: Information about the type of ceremony conducted and any special honors accorded, such as military honors.
  • Official Signatures: Signatures of the officials presiding over and verifying the interment or inurnment.

Accessibility and Distribution

This form is classified as UNCLASSIFIED and is approved for public release, with Distribution Unlimited (Dist Restriction Code A). This makes it accessible to a broad audience, including military personnel and their families, researchers, and the general public interested in military documentation.


DA FORM 2122 is more than just a bureaucratic requirement; it serves as a solemn record of a soldier’s final service to their nation, ensuring that their sacrifice and dedication are respectfully noted and remembered. Whether for administrative purposes, legal requirements, or personal closure, this form provides a structured and dignified way to document the last rites of military personnel, reflecting the honor and respect bestowed upon those who have served.

For those involved in the administration of military interment and inurnment services, understanding and utilizing DA FORM 2122 correctly is crucial. It not only ensures compliance with military protocols but also supports the grieving process by providing families with a tangible record of their loved one’s final farewell.

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