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Fillable Printable Personal Clothing Request

Fillable Printable Personal Clothing Request

Personal Clothing Request

Personal Clothing Request

Gloves, Leather, Black, Unisex
Jacket, PFU
Shirt, Wm's, Army White, SS 521
Shoes, Wm's Drs Blk, Poromeric
Skirt, Women's Poly/Wool AB 450
Belt, Trousers, Ctn Web Blk 1"
Buckle, Belt, Slacks, 1 1/8"
Slks,Women's Poly/Wool AB 451
Coat, All Weather, Dbl Breasted
Coat,Women's Poly/Wool,AB450
Neck Tab, Women's Shirt, Blk
Shirt, Wm's, Army White, LS 521
Pants, PFU
Shirt, L/S, PFU*
Shirt, S/S, PFU*
Sock, Boot
Sock, Liner, Poly/Nylon, Black
Trouser, Army Combat Uniform
T-Shirt, Moisture-Wick
Towel, Bath, Brown**
Belt, Trouser, Ctn Web Black, 45"
Buckle,Belt,Web,w/Nkl Undplate
Coat, Mens, All Wtr, Dbl Breasted
Coat, Men's, AB 450
Drawers, Men's Brief
Necktie, Mens Blk, 56-57.5" Long
Shirt, Men's Ctn/Poly, SS, AW 521
Shirt, Men's Ctn/Poly, LS, AW 521
Shoes, Mens Drs Blk, Poromeric
Trousers,Men's Poly/Wool AB451
Undershirt, Men's, White, Ctn**
Bag, Duffel, Nylon improved
Belt, Riggers
Beret, Wool Black Shade 1593
Boot, Combat, HW, Tan*
Boot, Combat, TW, Type II, Tan***
Cap,Patrol,Army Combat Uniform
Cap, Synthetic Micro Fleece
Coat, Army Combat Uniform
Drawers, Lightweight Gen III**
Drawers, Midweight Gen III**
Gloves, Light Duty Utility
Gloves, Insert, Cold
8. DODAAC
7. ORGANIZATION
9. PRIORITY4. NAME
(Last, First, MI)
3. DATE
(YYYYMMDD)
2. VOUCHER NO.
10. ARMY MILITARY CLOTHING STORE
31. SIGNATURE OF RECIPIENT30. REMARKS
5. SSN 6. GRADE
16. AUTHORIZED BY
17. APPROVED BY 18. DATE APPROVED
(YYYYMMDD)
PERSONAL CLOTHING REQUEST
For use of this form, see AR 700-84; the proponent agency is DCS, G-4.
12. TYPE OF TRANSACTION
13. INVENTORY 15. POSTED
DATE
(YYYYMMDD)
BY
DATE
(YYYYMMDD)
BY
19. QTY
AUTH ISS
20. ARTICLES
(Common)
21.
SIZE
23. TOTAL
COST
22. UNIT
PRICE
24. QTY
AUTH
25. ARTICLES
(Male)
26.
SIZE
27. UNIT
PRICE
28. TOTAL
COST
DA FORM 3078, JUL 2014
PREVIOUS EDITIONS ARE OBSOLETE
Active Army
USAR
IMA IRR AGR
NG Initial
Replacement
Exchange Individual Charge Sale
Supplemental
Gratuitous
APD LC v1.00 ES
14. PHONE NO.
TOTAL VALUE
29. ARTICLES
(Female)
ISS
11. CATEGORY
(Check one)
1. DOCUMENT NO.
(Last Four)
DATA REQUIRED BY THE PRIVACY ACT OF 1974
AUTHORITY:
PRINCIPAL PURPOSE:
ROUTINE USES:
DISCLOSURE:
To provide an accountable document for clothing received by enlisted personnel.
5 U.S.C. Section 301, Departmental Regulations; 10 U.S.C. Section 3013, Secretary of the Army; Army Regulation 700-84, Issue
and Sale of Personal Clothing; and E.O. 9397 as amended.
None. The DoD Blanket Routine uses that appear at the beginning of the Army's compilation of system of records apply to this
system.
Voluntary. However, failure to provide all the request information will prevent from receiving the allocated clothing.
(Check one)
(Name, Rank and Signature)
Washcloth, Brown**
Trunks, PFU*
Undershirt, Lightweight Gen III**
Undershirt, Midweight Gen III**
* Must maintain one less than quantity shown
** Issued during initial entry training only
*** May maintain either combat boot
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