Block 5. Enter the total number of DA Forms 581 and DA Forms 581-1 with this document number.
Block 6. Do not make an entry in this block.
Block 7. Enter the name and address of the supporting ASP.
Block 8. Enter the name, address, and unit identification code (UIC) of the using unit.
Block 9. Enter the appointment date and time.
Block 10. Leave this block blank.
Block 11. Leave this block blank.
Block 12. Enter the using unit's DODAAC.
Block 13a. Enter the name of the authorized requester, as indicated by the using unit's DA Form 1687
(Notice of Delegation of Authority-Receipt for Supplies).
Block 13b. Enter the Julian date on which the request is prepared
Block 13c. Enter the signature of the authorized requester, as indicated on the using unit's DA Form
1687.
Block 14a. Enter the name of the authorized approving authority. Depending upon the type of unit
involved, the approving officer may be a supply officer (S4), a division ammunition officer (DAO), or
other authority.
Block 14b. Enter the Julian date on which the request is approved
Block 14c. Enter the signature of the authorized approving authority.
Block 15. Enter the item number. Number the items sequentially.
Block 16. Enter the DODIC.
Block 17. Enter the NSN.
Block 18. Enter the nomenclature. Enter the words "LAST ITEM' after the last entry.
Block 19. Enter the unit of issue.
Block 20. Enter the quantity to be turned in.
Block 21. Enter the training event code from DA Pamphlet 710-2-1, Appendix K.
Block 22. Enter the applicable turn-in code from DA Pamphlet 710-2-2, Table J-2.
Blocks 23 Through 27. The requestor leaves these blocks blank.
Block 28. Enter the following statements, as applicable:
"The above items drawn on document number xxxxx were not expended. All other items drawn
on that document number were properly expended."
"Residue turn-in is under document number xxxxxxx."
"The vehicle listed below passed the safety inspection required by DA Pamphlet 710-2-1, Figure
11-1." (This entry is optional.)
MM0168
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