DA FORM 3894 Fillable – Army Pubs 3894 PDF

DAFORMFILLABLE.COM | DA FORM 3894 Fillable – Army Pubs 3894 PDF – The DA FORM 3894, also known as the Hospital Report of Death, is an essential document used by the U.S. Army to formally record the details of a death that occurs within its medical facilities. This article provides a comprehensive overview of DA FORM 3894, including its purpose, how it is used, and the significance of the information it contains.

DA FORM 3894 – Hospital Report Of Death

Form Number DA Form 3894
Form Title Hospital Report Of Death
Form Date 10/01/1972
Form Proponent TSG

What is DA FORM 3894?

DA FORM 3894 is an official military form, specifically prescribed by AR 40-400. It serves as a crucial record in documenting all the necessary details surrounding a death in a hospital setting under the jurisdiction of the U.S. Army. Created on October 1, 1972, this form ensures that the data regarding each death is systematically captured and reported.

Key Details of DA FORM 3894

  • Pub/Form Number: DA FORM 3894
  • Pub/Form Date: 10/01/1972
  • Title: Hospital Report of Death
  • Proponent: TSG (The Surgeon General)
  • Status: Active
  • Security Classification: UNCLASSIFIED
  • Distribution: Approved for public release; distribution is unlimited

Purpose and Usage of DA FORM 3894

The primary purpose of the DA FORM 3894 is to provide a structured and detailed report about deaths that occur in Army hospitals. This form is utilized by healthcare professionals, including doctors and administrative staff, to ensure that every aspect of the incident is recorded. This includes patient information, the circumstances leading to the death, and any other clinical details pertinent to the case.

Sections of DA FORM 3894

DA FORM 3894 includes several sections that cover comprehensive details about the deceased and the circumstances of the death:

  • Personal Information: This includes the full name, rank, service number, and unit of the deceased.
  • Medical Details: Information about the medical condition, treatment provided, and the medical staff involved.
  • Circumstances of Death: Detailed description of how and when the death occurred within the hospital.
  • Notification Details: Information about who was notified about the death and the method of notification.

Importance of DA FORM 3894 in Military Operations

DA FORM 3894 plays a vital role in maintaining the integrity of military medical records and operations. It helps in:

  • Ensuring Transparency: By accurately documenting the details of deaths, the form helps maintain transparency within military operations.
  • Aiding in Medical Reviews: The information captured can be crucial for medical reviews and investigations into the causes of death.
  • Supporting Bereaved Families: Provides families with clear information about the circumstances of their loved one’s death.
  • Legal and Administrative Use: Acts as a legal document for further administrative and judicial processes.

Best Practices for Completing DA FORM 3894

When completing the DA FORM 3894, it’s important to ensure that all information is accurate and comprehensive. Here are some best practices:

  1. Double-check Personal Information: Ensure all personal details are correct and match other official documents.
  2. Describe Medical Conditions Clearly: Use medical terminology where appropriate but ensure it is understandable.
  3. Detail the Circumstances: Clearly explain the sequence of events leading to the death.
  4. Maintain Confidentiality: Handle the information with the sensitivity and confidentiality it deserves.


The DA FORM 3894 – Hospital Report of Death is more than just a form; it’s a critical tool for documentation and transparency in military healthcare settings. By providing a detailed account of each death, it supports military operations, aids in medical and legal reviews, and ensures that the bereaved receive clear and accurate information about their loved ones. For healthcare professionals in the military, understanding how to properly complete and utilize this form is essential for their role in maintaining the high standards of military medical services.

For more information or to view a sample of DA FORM 3894, professionals are encouraged to refer to the Army’s official publications or contact their medical administrative officers. This ensures they are equipped with the knowledge and skills to handle these sensitive situations appropriately.

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