DA FORM 4170 Fillable – Army Pubs 4170 PDF

DAFORMFILLABLE.COM | DA FORM 4170 Fillable – Army Pubs 4170 PDF – DA FORM 4170, also known as the Statement Of Gains And Losses, is a critical document used within the military for accounting and logistical purposes. This form, officially published on July 1, 2002, by the G-4, is an active form that plays a vital role in the efficient management of resources. Below is a comprehensive guide to understanding the form, its uses, and the key information it contains.

DA FORM 4170 – Statement Of Gains And Losses

Form Number DA Form 4170
Form Title Statement Of Gains And Losses
Form Date 07/01/2002
Form Proponent G-4

What is DA FORM 4170?

DA FORM 4170 is an official military document designed to record and report gains and losses of supplies and equipment. It is utilized primarily by personnel responsible for managing inventory, ensuring that all changes in stock are accurately documented.

Key Information on DA FORM 4170

  • Pub/Form Number: DA FORM 4170
  • Pub/Form Date: 07/01/2002
  • Pub/Form Title: Statement Of Gains And Losses
  • Pub/Form Proponent: G-4
  • Pub/Form Status: ACTIVE
  • Prescribed Forms/Prescribing Directive: PAM 30-22
  • Security Classification: UNCLASSIFIED
  • Pub/Form IDN: 990001
  • Pub/Form PIN: 080309

Purpose of DA FORM 4170

The primary purpose of DA FORM 4170 is to ensure accurate tracking of inventory within military operations. This includes documenting:

  • Gains: Any addition of supplies or equipment to the inventory, which may result from deliveries, transfers, or recoveries.
  • Losses: Any reduction in inventory due to usage, damage, theft, or transfer out.

By maintaining detailed records, the military can ensure accountability and optimize resource management.

Structure and Components of DA FORM 4170

Header Information

The header section of DA FORM 4170 typically includes identifying details such as the reporting unit, date, and the responsible officer’s name. This ensures that each form is correctly attributed and traceable.

Gains and Losses Sections


In this section, all increases in inventory are recorded. Each entry includes details such as:

  • Item description
  • Quantity gained
  • Source of gain
  • Date of gain


Conversely, this section documents all decreases in inventory, with entries detailing:

  • Item description
  • Quantity lost
  • Reason for loss
  • Date of loss

Summary and Certification

At the end of the form, a summary of the net change in inventory is provided, followed by a certification statement signed by the responsible officer. This certifies the accuracy and completeness of the reported data.

Importance of Accurate Reporting

Accurate reporting on DA FORM 4170 is crucial for several reasons:

  • Accountability: Ensures that all inventory changes are accounted for, reducing the risk of loss or theft.
  • Operational Efficiency: Helps in planning and forecasting supply needs, thereby supporting smooth operations.
  • Compliance: Meets regulatory requirements and standards for military inventory management.

How to Fill Out DA FORM 4170

Step-by-Step Guide

  1. Enter Header Information: Include the reporting unit, date, and officer’s details.
  2. Document Gains: Record each gain in inventory with detailed information.
  3. Document Losses: Similarly, enter all losses with necessary details.
  4. Summarize Net Changes: Calculate the net gain or loss and provide a summary.
  5. Certification: The responsible officer must sign and date the form to certify its accuracy.

Best Practices

  • Double-check entries for accuracy.
  • Use electronic media as prescribed to ensure legibility and ease of access.
  • Review regularly to maintain up-to-date records.


DA FORM 4170 – Statement Of Gains And Losses is an essential tool for military logistics and inventory management. By understanding its structure and purpose, personnel can ensure accurate reporting and efficient resource management. Utilizing this form correctly helps maintain accountability and supports the overall operational readiness of the military.

For further details or access to the form, refer to PAM 30-22 and the official military electronic media sources.

DA FORM 4170 Fillable – Army Pubs 4170 PDF DOWNLOAD

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