Consider what a Department-level form is for. DD Form 2241 — DD Form 2241, Standare Alternate Item Referral/Reject Notification, August 1980 — was established to Standard Alternate Item Referral/Reject Notification, and it was placed in the DD sequence because the underlying transaction occurs throughout the Defense establishment in substantially the same shape. Standardizing the record was cheaper and more reliable than letting six services each design their own.
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.
The edition in force is not stated, carried by the publisher as not stated, and edition discipline is stricter on a Department form than most people expect, precisely because supersession happens everywhere at once. There is no interval during which one service still works from the previous layout while another has moved on.
Work down the page in the printed order, and understand why the order exists. The identifying block establishes whose record this is and under what circumstances it arises. The body of the form then answers questions that are only meaningful once that context is fixed. The signature block comes last because a certification signed before the entries are complete certifies nothing.
Verify the printed edition against not stated first. Field structure shifts between editions, and the office that receives your record is reading the current one. That office may sit outside your service, which removes even the informal accommodation you might expect from a colleague who used the old version last month.
Every field takes an entry, N/A included. The reason is evidentiary rather than clerical: a completed record is supposed to show what was asked and what was answered, and blank space records neither. On dates, follow the format printed beside the field. Conventions vary between components, and a joint document is read by people who do not share your habits.
Where the form collects personal identifiers, a Privacy Act Statement accompanies it, and its placement is meaningful. The statute requires disclosure at the point of collection — authority, purpose, routine uses, and the consequence of declining — so that the person supplying the information does so knowing what becomes of it. Reading it after you have filled the fields inverts the arrangement entirely.
The signature converts entries into an attestation, and that is why its form is prescribed. Ink, or a digital signature carrying a credential that identifies the signer — commonly issued on a Common Access Card. Typed characters in the box satisfy neither standard, because the whole value of a signature lies in being difficult to produce on someone else's behalf. Date it as you sign; an undated attestation cannot be placed in the sequence of events.
Every item on the standing defect list undermines the record in the same way — it leaves a question the file cannot answer later. Obsolete edition, empty mandatory boxes, illegible scanned handwriting, non-conforming dates, missing signature or date. Unclear entries are resolved from the printed instructions first and from not stated where the two texts diverge.
Download the form
Formats available: PDF, across 2 pages and about 27 fields. That several formats coexist is a consequence of scale — the Department cannot standardize the software on every desk that needs this form, so it standardizes the document instead.
Fillable and printable are not two presentations of one file but two different objects. One holds your entries as structured data within the document; the other is a static picture meant to meet a pen. Since a DD form frequently moves outside the organization that created it, the durability of the entry matters more here than on a record that stays in one drawer. Typed text reproduces indefinitely; handwriting degrades at every copy.
What the form asks for
- To.
- From.
- CIMM or WIMM.
- 4. Secondary item control center code.
- 5. Provisioning control code.
- 6. Date of request (Julian date).
- 7. Item serial number.
- 8. Action taken code.
- 9. Item name and modifier(s).
- 10. Secondary Item Control Center Submitted Item. National Stock Number.
- Part number.
- FSCM (Federal Supply Code for Manufacturers).
- 11. Proposed item. National Stock Number.
- Part number.
- FSCM.
- Item standardization code.
- 12. Source of data.
- 13. Copy of data enclosed. Press space bar to mark X in first box if yes, second box if no.
- 14. Information code.
- 14. Recommended action. X first box if respond to YL/YQ offer, second box if resubmit a new SSR under a new DOR, or third box if other.
- If other, explain.
- 16. Remarks/explanation.
- 17. Name of preparer (last, first, middle initial).
- 18. Office symbol.
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.
Forms referenced inside this one are located by number alone, and that simplicity is a direct product of Department-level numbering. Because the DD sequence is maintained centrally and not duplicated by service, a number is a complete address: one number, one document, throughout the Defense establishment.
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.
A form is downstream of the policy that requires it, and revision usually starts there: a directive is reissued, a collection requirement is altered, notice language is updated by statute. The form is republished as a consequence. Since none of that reaches individual users, an archived copy quietly becomes wrong, and verifying not stated each time you download is the whole remedy.
A word on what this page is. It distributes a published Department of Defense document and describes what the document contains and how it is completed. It is not the issuing authority, does not speak for one, and offers no legal advice; nothing written here determines whether a particular submission will be accepted, because that determination belongs entirely to the office receiving it. Questions of applicability, eligibility or procedure go to not stated, to your servicing personnel office, or to the office identified in not stated.
Questions and answers
- What is DD Form 2241?
- DD Form 2241, Standare Alternate Item Referral/Reject Notification, August 1980
- Which edition is current?
- Not stated by the publisher
- Who is responsible for this form?
- Not stated
- In which formats can it be downloaded?