Instructions for prepreation of signature card




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INSTRUCTIONS FOR PREPREATION OF SIGNATURE CARD

NOTICE OF DELEGATION OF AUTHORITY – RECEIPT FOR SUPPLIES


For use of this form, see DA PAM 710-2-1. The proponent agency is ODCSLOG.

DATE


1 OCT 2001

AUTHORIZED REPRESENTATIVES (S)

ORGANIZATION RECEIVING SUPPLIES


223rd Aviation Bn

LOCATION


Fort Rucker, AL 54541



LAST NAME-FIRST NEAM-MIDDLE INITIAL






AUTHORITY



SIGNATURE AND INITIALS






REC

ETS: INDEF RANK: CW4

DELL, ROBERT G.





YES

YES

SIGNATURE + INITIALS



ETS: 06AUG2002 RANK:MSG

WILLIAMSON, BOBBY T.





YES

YES

SIGNATURE + INITIALS



ETS: 08SEP2005 RANK:SSG

SMITH, ROBERT A





NO

YES

SIGNATURE + INITIALS



xxxxxxxxxxxxxxxxxxxxxx

NOT USEDxxxxx

xxx

xxx

xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx

AUTHORIZATION BY RESPONSIBLE SUPPLY OFFICER OR ACCOUNTABLE OFFICER

THE UNDERSIGNED X DELEGATES TO WITHDRAWS FROM THE PERSON(S) ABOVE


THE AUTHORITY TO: Request and receive Class 5 supplies as indicated above.

REMARKS ASP #71 Ft Pickett. “Authorized representatives listed above have passed security screening required by AR 190-11”

I ASSUME FULL RESPONSIBILITY

UNIT IDENYIFICATION CODE


WA5HAA

DODAAC/ACCOUNT NUMBER


WK4AKC

LAST NAME-FIRST NAME-MIDDLE INITIAL


MURPHY, DANIEL C.

GRADE


LTC

TELEPHONE NUMBER


434-292-2506

EXPIRATION DATE


30SEP2002

SIGNATURE


SIGNATURE

DA FORM 1687, MAY 2009 PREVIOUS EDITIONS ARE OBSOLETE APD PE V1.00ES

FIGURE 3-1 INSTRUCTIONS FOR PREPARING DA FORM 1687




  1. Enter calendar date the form is prepared.




  1. Enter name of the unit.




  1. Enter unit’s full address, home station.

4. Last Name, First Name, Middle Initial: Enter name, rank and ETS Date of authorized individuals. Ensure that rank



matches the scope of responsibilities (i.e. SFC and above to request ammunition).


  1. Leave Blank.




  1. Request (REQ) – Enter “YES” in this block for each person authorized to request ammunition. Otherwise, enter “NO.” Receipt (REC) – Enter “YES” in this block for each person authorized to receipt ammunition. Otherwise, enter “NO”.




  1. Signature and initials of authorized individuals.




  1. Enter “YES” or “NO” in this box to show individuals are delegated to request/receive ammunition. Enter

“Requisition or receipt for Class V supplies as indicated above.”


  1. Must include the following entries: Enter “Fort Pickett ASP #71,” “Authorized representatives listed above have passed security screening required by AR 190-11” SEE EXAMPLE ABOVE




  1. Enter unit’s Unit Identification Code (UIC).



  1. Enter unit’s DOD Activity Address Code (DODAAC) and locally assigned account number.




  1. Enter name of commander (or responsible person). Last Name, First Name, Middle Initial:




  1. Enter grade or rank of commander (or responsible person).




  1. Enter office telephone number of commander (or responsible person).




  1. Enter expiration date of the card, not to exceed one year. (Cards review Quarterly)




  1. Signature of the commander (or responsible person).




  1. Photocopies of signatures are not acceptable. (Official records may be filled out in Blue or Black ink)




  1. A copy of the commander’s assumption of command orders, copy of the; PBO appointment orders or appointment orders for ammunition Officer/NCO must be attached to the DA Form 1687.




  1. Note: The DA Form 1687 for; the approving authority is completed in the same manner as above. In block 6 enter “NO” in both columns, in block 8 enter “Authority to Approve Ammunition Forecasts and Requests.”




  1. Upon any element of data becoming outdated on this card, the entire card is no longer valid and will be replaced with a new card. All entries except the signature and initials will be either printed in ink or typewritten. The signatures, (payroll) and initials will be written in ink.


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