Get Da Form 3904, 1 Aug 1972 - Army Electronic Publications ... - Armypubs Army

The DA FORM 3904 is essential for processing public vouchers for medical examinations within the Army framework. This guide will assist users in completing the form accurately and efficiently.

Follow the steps to fill out the DA FORM 3904 online.

1. Click the ‘Get Form’ button to obtain the form and open it for editing.
2. Begin by entering the bureau voucher number and D. O. voucher number at the top of the form.
3. Fill out the 'Voucher Prepared At' section by including the location and date the voucher is prepared.
4. Indicate the paying office in the 'Paid By' section to clarify the office responsible for payment.
5. In the 'To' field, specify the name of the payee and provide their address in the designated area.
6. Enter the period during which the examination services were performed, specifying the start and end dates.
7. Complete the section for 'Category of Personnel and Type of Service Performed' to classify the individuals examined and detail services rendered.
8. For each examination, enter the number of examinations conducted, the date, and the associated charge in the respective fields.
9. Sum the total charges and reflect this in the 'Total' section to ensure accurate accounting.
10. Certify the accuracy of the information by signing at the bottom of the form, acknowledging that charges do not exceed those set by current regulations.
11. In the 'Verified' section, confirm the account's correctness with the necessary signatures or initials.
12. Finally, save changes, download, print, or share the completed form as needed for submission.

Complete your document online and ensure compliance with the required processes.