Download the form
DA Form 4730 exists to certificate for performance of hazardous duty — that is the short version. Title of record: CERTIFICATE FOR NON-PERFORMANCE OF HAZARDOUS DUTY. The page covers the download, the entries and the disposition, nothing else. Current here: edition 07/01/2021, status ACTIVE, 1 page(s), near 200 fields. Superseded edition. A newer one is out; stay here only for files already executed on this version.
G-1 is the proponent, AR 37-104-4, AR 637-1 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.
Pick by how you will enter data: PDF, XFDL, DOC 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.
Use a full pdf reader, not the browser viewer. Browser viewers display fields they cannot always save, and the loss shows up only when you reopen the file — type one entry, save, reopen, verify, then fill the rest. The doc version is an editable word file for drafting and internal circulation; expect the layout to shift as text is added. The xfdl file is IBM Lotus Forms, used inside Army systems, and opens in the Lotus Forms Viewer alone — no pdf reader, no word processor.
Free, unregistered, unmodified. What arrives is what the publisher released.
What the form asks for
- ContentArea1
- DATE
- FROM
- LOCATION
- NAME
- NAME_1
- NAME_10
- NAME_11
- NAME_12
- NAME_13
- NAME_14
- NAME_15
- NAME_16
- NAME_17
- NAME_18
- NAME_19
- NAME_2
- NAME_20
- NAME_21
- NAME_22
- NAME_23
- NAME_24
- NAME_25
- NAME_26
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.
Tab through the fields rather than clicking. The tab order was fixed when the form was built and generally follows the page, which catches boxes a mouse skips past. Check boxes and option buttons take a click, and an exclusive group clears the previous selection when you make a new one. Single-line fields do not wrap — text past the field width prints truncated while still showing in full on screen, which is why the loss is discovered after printing. Overflow goes to remarks or a continuation sheet. A field that does not apply gets the mark meaning none; blank space reads as an omission.
Signature comes after every other entry — ink or an approved electronic means, and without it the document is a draft. Where reviewing, approving or witnessing signatures are called for, take them in printed block order, each dated on the day applied. Before release, one pass from the top. The defects worth hunting are always the same four: mandatory fields left empty, identification digits transposed, dates with day and month reversed, and stale data surviving in a copy reused in place of a blank form.
The Privacy Act statement is read before the personal entries, not after. It gives the collection authority, the purpose, the routine uses and whether disclosure is mandatory or voluntary. Once filled, your copy is a personal record and gets stored and transmitted accordingly.
Routing follows AR 37-104-4, AR 637-1 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.
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.
These are reproductions of published Department of the Army documents, offered for download. The site is independent, connected to nothing official, and issues no forms of its own. Nothing here is legal advice and no statement is made about acceptance by any office. Questions about an entry, a requirement or eligibility go to G-1 or your servicing administrative office.
Questions and answers
- What is DA Form 4730?
- CERTIFICATE FOR NON-PERFORMANCE OF HAZARDOUS DUTY
- Which edition is current?
- 07/01/2021
- Who is responsible for this form?
- G-1
- In which formats can it be downloaded?
- PDF, XFDL, DOC, PDF
Publisher notes
- 42-ITEM ONLY PRODUCED IN ELECTRONIC MEDIA,