Download the form
DA Form 2122 exists to record of interment/inurnment (s&i arlington national cemetery, attn: annc-a, arlington, va) — that is the short version. Title of record: RECORD OF INTERMENT/INURNMENT. The page covers the download, the entries and the disposition, nothing else. Current here: edition 10/01/2020, status ACTIVE, 4 page(s), near 145 fields. Superseded edition. A newer one is out; stay here only for files already executed on this version.
Authority sits in two places. OAC owns the form, PAM 290-5 says when it is raised and where it goes. Routine cases need neither read in full — the page itself carries the sequence. The entries are completed by their subject or by unit administrative staff working from what that person supplies.
Pick by how you will enter data: PDF, XFDL on offer. Typing means fillable pdf, where the boxes accept keystrokes and hold them on save. Handwriting means printable pdf, a flat page image sent straight to a printer. Neither version changes what appears on the page.
A standalone reader is the safe choice for fillable work. Browser viewers vary in whether entered data survives the session, and there is no warning when it does not; a one-field save test settles it in seconds. Xfdl means IBM Lotus Forms. The Lotus Forms Viewer opens it; pdf readers and word processors do not.
No charge, no account, no email address. The file is the published document, distributed unaltered.
What the form asks for
- ADDFUDIR
- BRANCH
- CASKIN
- ContentArea1
- DAY_A
- DAY_B
- DAY_C
- DPTHGRVE
- ENLST
- GRADE
- GRVENO
- HDMRK
- INSCRPDT
- MILSTAT
- MO_A
- MO_B
- MO_C
- NAMCEM
- NAMCHAP
- NAME
- NAMOFKIN
- NICCRT
- NMADDCRE
- PLADTH
Start at the top and get the header exactly right. Official spelling of the name, identification number, unit, date. Everything downstream finds the record through those entries; nothing else on the page has that consequence.
Move between fields with tab; the build-time order follows the page and misses nothing. Click check boxes and option buttons, and expect an exclusive group to release the old choice when you set a new one. The trap is field width. Single-line fields do not wrap, so an overlong entry displays complete on screen and prints cut at the margin — put it in remarks or on a continuation instead. Mark inapplicable fields rather than leaving them blank, since an empty box carries no information about whether the question was read.
The signature closes the form and nothing precedes it. Draft status holds until it is applied, by hand or by an accepted electronic method. Countersignatures go in printed order, each dated at signing. Then one final read from the top, looking for the four recurring defects: empty mandatory fields, swapped digits in identification numbers, day-month inversion in dates, and residue from a reused file that goes forward as though intended.
Privacy Act statement first, personal entries second. The notice covers who is authorised to collect, why, who else routinely sees it, and whether you must answer. After completion the file carries personal data and is stored and sent under the corresponding safeguards.
Routing follows PAM 290-5 and nothing else — a named office, the unit administrative channel, or the individual's file, according to why the form was raised. Copy it before it leaves. Retention is fixed by the records schedule for the series, which local practice does not shorten or extend.
Related forms are found by series and number. DA series documents under the same proponent or the same prescribing directive are commonly required as a set, and any form named on the face of this one goes forward with it. Assemble continuations, covers and transmittals before submitting, not after the query comes back.
Check the edition date before reusing a saved copy. Revisions come from the proponent without notice to you, and the printed date is the only version marker on the page. Already-submitted records under a superseded edition stand as filed; the change does not run backwards.
The files are copies of published Department of the Army forms. This site has no official connection, no authority to issue anything, and no basis for saying whether an office will accept a given submission. None of the text is legal advice. Real questions — entry, requirement, eligibility — belong with OAC or the administrative office servicing your unit.
Questions and answers
- What is DA Form 2122?
- RECORD OF INTERMENT/INURNMENT
- Which edition is current?
- 10/01/2020
- Who is responsible for this form?
- OAC
- In which formats can it be downloaded?
- PDF, XFDL, PDF