Download the form
DA Form 4655 handles one job: target list worksheet. The official title is TARGET LIST WORKSHEET. Download it below, fill it in, sign it, send it where your directive says. The edition on this page is 09/01/2017, status ACTIVE, running 1 page(s) with about 200 fields to complete.
T2COM is the proponent, ATP 3-09.30 the prescribing authority. Read the directive only if something about your situation departs from the standard case. Otherwise the form is filled by the individual it describes, or by the records clerk keeping the file, and reviewed through the printed signature blocks.
The formats are PDF, and the choice comes down to keyboard or pen. Fillable pdf for typing — live fields, tab order, saved entries. Printable pdf for handwriting — same page, no interactive objects, print it blank. Content is identical; only entry method differs.
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.
Nothing is charged and no sign-up applies. Files are served as published, without changes to the page image.
What the form asks for
- ALT
- ALT_1
- ALT_10
- ALT_11
- ALT_12
- ALT_13
- ALT_14
- ALT_15
- ALT_16
- ALT_17
- ALT_18
- ALT_19
- ALT_2
- ALT_20
- ALT_3
- ALT_4
- ALT_5
- ALT_6
- ALT_7
- ALT_8
- ALT_9
- ATT
- ATT_1
- ATT_10
The heading entries carry more weight than the body. Name spelled as in official records, identification number, organisation, date prepared. Retrieval runs on those values, so a transposed digit or a casual spelling costs someone a file search. Fill them before anything else.
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.
Sign last. An unsigned form is a draft whatever else is on it, and additional signatures — reviewer, approver, witness — follow printed block order with each signer dating the day they sign, not the day of preparation. Four faults account for most returns: a blank mandatory field, transposed digits in an identification number, day and month reversed in a date, and leftover entries in a working copy reused instead of a fresh blank. Read the form once from the top before releasing it.
Read the Privacy Act statement at the point it appears. Authority, purpose, routine uses, mandatory or voluntary — four facts, and they govern what you are about to enter. A completed copy holds personal data and takes the handling rules that attach to it.
The prescribing directive names the destination; office custom does not. Depending on the case that means a specific office, the unit administrative channel, or the personal record. Keep a copy first, because the original does not come back. Retention runs on the applicable records schedule.
Look for associated forms by series and number. In the DA series, documents sharing a proponent or a governing directive tend to travel together, and anything referenced on the page normally submits alongside. Collect continuations, covers and transmittals in advance of sending.
Edition date is the version number, printed on the page. Hold a locally saved copy against the current edition before reuse, since nothing on your machine signals a revision. Work already executed under a superseded edition remains as filed.
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 T2COM or the administrative office servicing your unit.
Questions and answers
- What is DA Form 4655?
- TARGET LIST WORKSHEET
- Which edition is current?
- 09/01/2017
- Who is responsible for this form?
- T2COM
- In which formats can it be downloaded?
- PDF, PDF