Military Issue Declaration Form
Declare all military-issued items accurately. Please complete all fields below. This form is for official record-keeping of issued items.
Full Name
*
First Name
Last Name
Rank
*
Unit/Department
*
Contact Email
*
example@example.com
Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Item Name
*
Item Description
*
Serial or Identification Number
*
Quantity Issued
*
Date of Issue
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Submit Declaration
Should be Empty: