DA FORM 4991 Fillable – Army Pubs 4991 PDF

DAFORMFILLABLE.COM | DA FORM 4991 Fillable – Army Pubs 4991 PDFDA FORM 4991 – Declination Of Continued Service Statement is a crucial document for personnel within the United States Army. This article provides a detailed explanation of the form, its purpose, and the key elements associated with its use. Understanding this form is essential for soldiers who are considering their future service commitments.

DA FORM 4991 – Declination Of Continued Service Statement

Form Number DA Form 4991
Form Title Declination Of Continued Service Statement
Form Date 04/01/2023
Form Proponent G-1

What is DA FORM 4991?


DA FORM 4991, officially titled Declination Of Continued Service Statement, is a formal document used by Army personnel. It was last updated on April 1, 2023, and is prescribed by AR 601-280. The form is used when a soldier chooses to decline continued service in the Army, indicating their decision to not extend their service beyond their current obligation.


The primary purpose of DA FORM 4991 is to document a soldier’s decision to decline further service. This decision can have significant implications for their career and future opportunities within the military. The form serves as an official record of this decision and is used by the Army’s administrative and personnel departments to process and manage the soldier’s status.

Key Elements of DA FORM 4991

Proponent and Status

The proponent of DA FORM 4991 is G-1, the Deputy Chief of Staff for Personnel. The form is currently in an active status, meaning it is in use and accepted for official purposes.

Prescribing Directive

The use and management of DA FORM 4991 are governed by AR 601-280. This Army Regulation outlines the procedures and requirements for Army re-enlistment, extension, and service continuation.

Privacy and Security

DA FORM 4991 is classified as unclassified, ensuring that it does not contain sensitive information requiring special handling. It is approved for public release with distribution unlimited, making it widely accessible for Army personnel.

Completing DA FORM 4991

Sections of the Form

The form is divided into several sections, each requiring specific information from the soldier:

  • Personal Information: This section includes the soldier’s name, rank, and other identifying details.
  • Service Information: Details about the soldier’s current service, including their unit and length of service, are required.
  • Statement of Declination: The soldier must clearly state their intention to decline continued service, along with any reasons or circumstances influencing their decision.
  • Acknowledgment and Signatures: Both the soldier and a witnessing officer must sign the form to acknowledge the decision and its implications.

Important Considerations

When completing DA FORM 4991, it is essential for soldiers to fully understand the implications of their decision. Declining continued service can affect their career progression, benefits, and future opportunities within the Army. It is recommended that soldiers seek counsel from a career advisor or legal representative to ensure they make an informed decision.

Changes and Historical Context

Superseded Forms

The current version of DA FORM 4991 replaced the previous version dated October 1, 2019. The updates ensure that the form remains relevant and accurate, reflecting any changes in Army policies or procedures.

The form is governed by the Privacy Act and other applicable regulations, ensuring that the soldier’s personal information is protected and used appropriately.


DA FORM 4991 – Declination Of Continued Service Statement is a vital document for Army personnel considering their future in the military. By understanding the purpose, structure, and implications of this form, soldiers can make informed decisions about their service commitments. It is essential to approach this decision with careful consideration and seek appropriate guidance to navigate the process effectively.

This comprehensive overview aims to provide clarity and insight into the use and significance of DA FORM 4991, ensuring that soldiers are well-informed and prepared to make the best choices for their careers.

DA FORM 4991 Fillable – Army Pubs 4991 PDF DOWNLOAD

Download PDF
DA FORM 4991 - Declination Of Continued Service Statement_page-0001