Get Da 5184 1999-2026

The DA 5184 form is essential for military consumers seeking resolution for their complaints. This guide will walk you through the process of completing this form online, ensuring that you provide all necessary information clearly and accurately.

Follow the steps to successfully fill out the DA 5184 form online.

1. Click the ‘Get Form’ button to access the DA 5184 form and open it in your preferred editor.
2. Begin filling out the form by entering your full name in the 'Name' field, ensuring that your name is spelled correctly.
3. In the 'Date' field, input the date in the format YYYYMMDD, which helps to keep a clear record of when the form was filled out.
4. Next, specify the time at which you are submitting this complaint in the 'Time' field.
5. Provide your home and business phone numbers in the corresponding fields, ensuring that each number is accurate.
6. Fill in your complete address, including street, city, state, and ZIP code, in the 'Address' section.
7. Indicate your status (Active Duty, Retired, Spouse/Family Member, or Other) in the 'Status' field.
8. Enter your email address in the 'E-mail address' section, as this may be used for further communication regarding your complaint.
9. Provide the name and address of the agency or service involved in your complaint in sections 11a and 11b.
10. Type in the name of the salesperson involved in the transaction within the 'Name of Sales Person' field.
11. Identify the date of transaction in the format YYYYMMDD in the appropriate field.
12. Describe the product or service related to your complaint clearly in the 'Product or Service Description' field.
13. If applicable, include your account number in the designated field.
14. Clearly articulate your complaint in the 'What is your complaint?' section.
15. Indicate whether you have previously complained to the company and summarize their response in sections 16b and 16c.
16. Detail how you feel the problem should be resolved in section 16d.
17. Describe any ongoing actions related to the complaint in section 16e.
18. Indicate whether you were referred to another party for assistance in section 16f.
19. Summarize the final resolution of your case in section 16g.
20. Provide any additional comments that may assist in the resolution process in the 'Other Comments' field.
21. Lastly, if applicable, have the interviewer type their name and signature in section 18a, along with the date in 18b.
22. Review the information provided for accuracy, then save your changes, download the completed form, or print it for submission.

Complete your DA 5184 form online today and take the first step toward resolving your consumer complaint.