Every entry in the Defense records system exists because some decision needed a documented basis, and DD Form 1924 is one of those instruments: DD Form 1924, Surgical Checklist, October 1993., created to Surgical Checklist. The reason it carries a DD number rather than a service designation is structural — the Department maintains a single body of forms for matters that arise identically in every service, so that a record created in one component remains intelligible in another.
That decision has consequences you will notice. Because not stated prescribes the form for the Department as a whole, and not stated maintains it on the Department's behalf, the same blank passes between the Army, the Navy, the Air Force, the Marine Corps, the Space Force, the Coast Guard when operating under Defense jurisdiction, the defense agencies and the combatant commands without translation. A clerk in one component reads a record created in another and finds the fields where they expect them.
You are looking for edition not stated, listed as not stated. Department-wide supersession is a single event rather than a rollout, which is what distinguishes edition currency on a DD form from the same question on a service publication: nobody anywhere is still accepting the previous version out of habit.
The form is laid out top to bottom in a sequence that reflects how the record will be read, not merely how it was drawn. Identification comes first because everything below it is understood in relation to a named person, unit or transaction; substantive entries follow; certification closes the document because certification attests to what precedes it. Filling out of order tends to produce internal inconsistencies — an entry that made sense before the header was settled and does not afterward.
Check the edition date before you type anything, against not stated. Old blanks accumulate in shared drives for years, and the cost of one is not obvious until a reviewer cannot find a field. Because DD forms are revised centrally and replaced across the Department in a single action, there is no component still tolerating the old layout as a local practice.
Fill all of it, marking inapplicable items N/A. A record with gaps cannot later demonstrate whether the gap was a decision or an oversight, which is exactly the ambiguity documentation exists to remove. Dates go in the form's own format — on a document that crosses service lines, an ambiguous date is a real hazard rather than a pedantic one.
The Privacy Act Statement is not boilerplate appended for legal cover; it is the mechanism by which a statutory obligation is discharged at the moment of collection. When the government asks an individual for personal information, it must state the authority under which it asks, the principal purpose, the routine uses to which the data may be put, and whether answering is voluntary or mandatory. Those four disclosures are placed ahead of the data fields deliberately, because the point of telling you is to inform a choice you have not yet made.
Signature is the point at which a completed form becomes a certification, and the requirement follows from that. On paper it means ink in the designated block; electronically it means a credentialed digital signature, ordinarily applied with a Common Access Card in software that supports it. A name typed into the signature field is data, not an act — it demonstrates nothing about who entered it. The date beside the signature fixes when the certification was made, which is why a signed but undated block is treated as incomplete.
Recurring defects have a pattern to them, and it is mostly the pattern of a record that cannot be relied on: an edition that does not match, gaps that cannot be interpreted, entries that cannot be read after scanning, dates that could mean two things, and a certification nobody executed. For an ambiguous field, read the form's own instruction, then not stated, which controls.
Download the form
What you can download: PDF. The form runs 1 pages and asks for approximately 58 entries. The plurality of formats is deliberate: Defense distribution has never been able to assume one operating environment across the whole force.
Two states of the same page circulate, and the reason is worth knowing. In the fillable pdf, the boxes are real fields holding real data; in the printable pdf, the boxes are drawings. Where a record will cross components — as Department records regularly do — the typed version is the safer artifact. Each scan, each forwarding, each reproduction costs handwriting a little legibility, and the office that finally files the record is rarely the office that received it first.
Xfdl appears in the set for reasons of institutional inertia rather than preference. It is the IBM Lotus Forms format, once the Department's electronic forms standard and deployed widely enough that it outlived the decision to move on. IBM Lotus Forms Viewer or an equivalent client opens it; a pdf application will not.
Every format is free, as published government documents are. A note on tools, though — the interactive field layer that makes a fillable pdf useful is precisely the part browser viewers handle least reliably. Save the file, open it in a full pdf reader, and the fields behave as the form's designer intended.
What the form asks for
- Patient's identification.
- Unit/Room/Bed.
- Clinical records. Initial or mark N/A if not applicable. SF 515 - Tissue examination.
- SF 516 - Operation report.
- SF 517 - Anesthesia.
- SF 518 - Blood transfusion: number of units.
- SF 518 - Blood transfusion.
- SF 522 - Operative permit (signed and witnessed).
- SF 509 - Progress note (contains physician's informed consent).
- Blood transfusion consent.
- Medication administration record.
- IV flow sheet.
- History and physical.
- SF 511 - T.P.R. graphic.
- Nurses notes.
- Doctor's orders.
- X-ray (only the required) reports.
- Required X-ray films.
- Laboratory reports (only the required) hematology.
- Required laboratory urine test reports.
- EKG.
- Initial or N/A.
- Other (specify), line 1.
- Other (specify), line 2.
Route the executed form as not stated or local guidance directs, and retain a duplicate first. Cross-component routing is ordinary for DD forms, which is precisely why a personal copy earns its keep: the receiving office may belong to an organization you have no standing to query about a missing document.
When DD Form 1924 cites another form, the citation is self-sufficient. The DD series is a single sequence administered at Department level, so the number resolves to exactly one document without any need to establish which component issued it — a convenience that exists only because the sequence was never allowed to fork.
It helps to see the DA and DD sequences as what they are: separate registries with separate custodians. One serves a single service under a service proponent, the other serves the Department under not stated or an equivalent office, and neither was ever indexed against the other. A number that appears in both systems points to two unrelated documents, which is why reading the prefix comes before reading the digits.
Understanding why editions change explains why checking them is not optional. Revision follows directive reissue, changes in what data is required, and amendments to mandatory notice text — decisions made at Department level and communicated through publication rather than notification. The file you saved does not update itself, so the edition date at download is what you rely on.
What you have here is the document and a description of it, which is a different thing from guidance. This page is not an organ of the Department, gives no legal or procedural advice, and makes no representation about the outcome of any filing; the offices that administer the requirement are the only ones positioned to answer that. Applicability, eligibility and procedural questions belong to not stated, to your servicing personnel office, or to the office designated in not stated.
Questions and answers
- What is DD Form 1924?
- DD Form 1924, Surgical Checklist, October 1993.
- Which edition is current?
- Not stated by the publisher
- Who is responsible for this form?
- Not stated
- In which formats can it be downloaded?