The reason DA Form 4923 looks the way it does is that a file has to speak for itself. Officially CHAPLAINS` FUND CHARGE PURCHASE REQUEST MEMORANDUM RECORD, it serves to chaplains` fund charge purchase request memorandum record, and the record it produces outlasts the people and the circumstances behind it. Edition 09/01/1999, status ACTIVE, is the version published here: 1 page(s), close to 190 fields, each one present because some later reader will need that fact without being able to ask for it.
Behind any Army form sit two separate decisions. What the document asks is settled by CCH, which maintains and revises it. Whether you raise it, and where it goes once signed, is settled by N/A. That division is the reason a form can outlive several changes in the process it serves.
Identification precedes substance for a structural reason. Name, identification number, organisation and date of preparation are how the finished document is located in a file or a database; the body of the form is what someone reads after the search has succeeded. Spell the name as official records spell it, since the search runs against those records and not against habit.
The rules of entry all trace back to the page being fixed in advance. Tabbing follows the order built into the form, which usually matches how the page reads and misses less than clicking. An exclusive group discards the earlier selection because contradictory entries would make the record unusable. One-line fields have no wrap because print positions are predetermined, so an overlong entry displays fully and prints truncated. Longer text goes to the remarks area or a continuation, both provided for exactly that. Where nothing applies, the nil mark is entered — a blank leaves the reader unable to tell a considered answer from a skipped one.
A signature is what converts entries into a record, which is why it comes last and why an unsigned form remains a draft however complete it looks. Where a reviewing official, an approving authority or a witness also signs, each adds a distinct attestation, and each dates the day of signing rather than the day of preparation — the dates trace the sequence of responsibility. The recurring defects are worth knowing precisely because they defeat that purpose: an empty mandatory field leaves an obligation unmet, transposed identification digits attach the record to nobody, a date with day and month reversed puts events in the wrong order, and entries left in a reused working copy assert facts nobody intended.
Personal information may not be gathered silently, and the Privacy Act statement is how that obligation is met on paper: it names the collection authority, the purpose, the routine uses and whether disclosure is mandatory. Because it exists to inform a decision, it belongs before the fields it covers rather than after them. A filled copy then holds personal data and is stored and transmitted under the corresponding safeguards.
Download the form
The published formats — PDF, XFDL — reflect the range of places a form gets filled in. Where there is a computer, the fillable pdf supplies live fields that keep entries positioned and readable. Where there is not, the printable pdf gives the identical page as flat artwork for pen entry. The distinction is one of setting rather than of authority; the page is the same document in both.
Where a file opens matters more than it appears to. A browser will display a pdf, but browser viewers were built to read documents, and some accept keystrokes into fields they never intended to store — the entries are gone at tab close, without warning, because saving was never part of what that viewer does. A dedicated reader is built around the file's own structure and keeps what you enter. The xfdl file belongs to a different lineage entirely: IBM Lotus Forms, adopted across Army systems for the routing and signature handling built into it. That is why only the Lotus Forms Viewer reads it.
There is no charge and no sign-up. Published documents are distributed as published, without modification.
What the form asks for
- ADDRESS
- AMOUNT
- AMOUNT_1
- AMOUNT_10
- AMOUNT_11
- AMOUNT_12
- AMOUNT_13
- AMOUNT_14
- AMOUNT_15
- AMOUNT_2
- AMOUNT_3
- AMOUNT_4
- AMOUNT_5
- AMOUNT_6
- AMOUNT_7
- AMOUNT_8
- AMOUNT_9
- ContentArea1
- DATEPD
- DATEPD_1
- DATEPD_10
- DATEPD_11
- DATEPD_12
- DATEPD_13
Disposition is prescribed, not chosen. N/A names the destination, whether that is a specific office, the unit administrative channel or the personal record, and the applicable records schedule governs how long it survives there. Both rules exist to keep the file consistent across offices with different habits. Take your copy before the document leaves, since it will not come back.
Series and number are how the DA series signals which documents belong together, and the grouping follows real process boundaries: a shared proponent or directive usually means a shared purpose. A form cited on the face of another is part of that same transaction, and continuation sheets, covers and transmittals complete it.
An edition marks the form at a point in a process that keeps moving, and the date printed on the page is what distinguishes one from another. Since a saved file never announces its own obsolescence, compare its date against the current edition before using it again. Prior executions remain valid: the change applies forward, and a record is read against the edition it was written under.
A word on where this page sits. These are reproductions of published Department of the Army documents, made available by an independent site with no official role and no authority to issue forms. The structure described above — proponent, prescribing directive, records schedule — exists apart from this site entirely, which is why nothing written here is legal advice and why acceptance by any office is not something that can be promised. Put questions of entry, requirement or eligibility to CCH or to the administrative office servicing your unit.
Questions and answers
- What is DA Form 4923?
- CHAPLAINS` FUND CHARGE PURCHASE REQUEST MEMORANDUM RECORD
- Which edition is current?
- 09/01/1999
- Who is responsible for this form?
- CCH
- In which formats can it be downloaded?
- PDF, XFDL, PDF
Publisher notes
- 42-ITEM ONLY PRODUCED IN ELECTRONIC MEDIA