DA FORM 4139-R Fillable – Army Pubs 4139-R PDF

DAFORMFILLABLE.COM | DA FORM 4139-R Fillable – Army Pubs 4139-R PDF – DA FORM 4139-R, known as the Application for Loan (Civilian Welfare Fund) (LRA), is a crucial document for civilian employees within the Department of the Army. This form facilitates the process of applying for loans under the Civilian Welfare Fund, ensuring that employees can access financial assistance when needed. This article will provide a comprehensive overview of DA FORM 4139-R, its purpose, and the essential details surrounding its usage.

DA FORM 4139-R – Application For Loan (Civilian Welfare Fund) (LRA)

Form Number DA Form 4139-R
Form Title Application For Loan (Civilian Welfare Fund) (LRA)
Form Date 01/01/1974
Form Proponent ASA (FM&C)

Purpose of DA FORM 4139-R

The DA FORM 4139-R is designed to streamline the loan application process for civilian employees, providing a structured and standardized approach. This form is utilized under the authority of the Assistant Secretary of the Army (Financial Management & Comptroller) (ASA (FM&C)), ensuring it meets the stringent requirements of the Department of the Army.

Key Features

  • Publication Date: January 1, 1974
  • Pub/Form Number: DA FORM 4139-R
  • Form Title: Application for Loan (Civilian Welfare Fund) (LRA)
  • Status: Active
  • Security Classification: Unclassified
  • Distribution Restriction Code: Approved for public release; distribution is unlimited

Structure of DA FORM 4139-R

The DA FORM 4139-R is divided into several sections, each designed to capture specific information necessary for processing a loan application. Understanding these sections is critical for applicants to ensure their application is complete and accurate.

Applicant Information

The first section requires detailed personal information about the applicant, including:

  • Full name
  • Social Security Number
  • Current position and grade
  • Length of service

Loan Details

In this section, applicants must provide information regarding the loan amount requested and the purpose of the loan. It is essential to clearly state how the funds will be used, as this information is crucial for the approval process.

Financial Information

Applicants must disclose their financial status, including:

  • Monthly income
  • Monthly expenses
  • Existing debts

This information helps assess the applicant’s ability to repay the loan and determines the loan’s feasibility.


Applicants are required to provide references, typically colleagues or supervisors, who can vouch for their character and financial responsibility. This adds an extra layer of verification to the application process.

Electronic Media Availability

One of the notable footnotes of DA FORM 4139-R is that it is also available in electronic media. This facilitates easier access and submission of the form, making the process more efficient for both applicants and administrators.

Benefits of Electronic Submission

  • Convenience: Applicants can fill out and submit the form from any location.
  • Speed: Electronic submissions are typically processed faster.
  • Accuracy: Digital forms often include checks to ensure all required fields are completed.

Submission and Approval Process

Once the form is completed, it must be submitted to the appropriate Civilian Welfare Fund office. The approval process involves a thorough review of the applicant’s financial information and references. If approved, the loan terms will be communicated to the applicant, including the repayment schedule.

Approval Criteria

  • Financial stability: Ensuring the applicant can manage loan repayments.
  • Purpose of the loan: Validating the necessity and appropriateness of the loan request.
  • References: Confirming the reliability and character of the applicant.


DA FORM 4139-R is an essential tool for civilian employees seeking financial assistance through the Civilian Welfare Fund. By providing a clear and structured application process, this form helps ensure that loans are granted to those who need them while maintaining rigorous standards of accountability and transparency. Understanding the key aspects of DA FORM 4139-R, from its structure to the submission process, is crucial for any potential applicant.

For more information and access to the form, visit the official Department of the Army publications website or contact the Civilian Welfare Fund office.

DA FORM 4139-R Fillable – Army Pubs 4139-R PDF DOWNLOAD

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