DA Form 1666: Claims Settlement Agreement | Download PDF

DA Form 1666: Claims Settlement Agreement | Download PDF – DA Form 1666, officially titled Claims Settlement Agreement, is a key U.S. Army document used to finalize settlements for claims against the United States. It serves as a legal release where the claimant accepts a specified sum as full and final payment for damages or injuries from an incident involving Army personnel, property, or activities.

What Is DA Form 1666?

DA Form 1666 is a standardized settlement agreement prescribed by Army Regulation (AR) 27-20, Claims. It documents the claimant’s agreement to accept a monetary amount in full satisfaction of all claims arising from a specific incident.

The form includes fields for:

  • File number
  • Date of incident
  • Place of incident
  • Settlement amount
  • Claimant’s name, signature, and address

By signing, the claimant releases the United States, its officers, agents, and employees from further liability for damages or injuries related to that incident.

This form dates to July 1, 1974, and previous editions remain usable until exhausted. It is available as a fillable PDF from official Army sources.

Purpose of the Claims Settlement Agreement (DA Form 1666)

The primary purpose of DA Form 1666 is to provide a formal, binding release upon payment of a claim. A settlement agreement is required before payment on most tort claims, whether paid in full or in part.

It is commonly used for:

  • Claims paid from Corps of Engineers (COE) funds (especially $2,500 or less)
  • Army Central Insurance Fund claims
  • Army and Air Force Exchange Service (AAFES) claims
  • Other appropriate Army claims settlements

Signing the form closes the claim, preventing the claimant from seeking additional compensation later for the same incident.

Who Needs to Use DA Form 1666?

DA Form 1666 is primarily used by:

  • Individuals filing claims against the U.S. Army (civilian claimants, service members, or their representatives)
  • Army claims personnel and Judge Advocate General (JAG) offices processing settlements
  • Military personnel and civilian employees involved in claims resolution

It applies to various claims under authorities governed by AR 27-20, including property damage, personal injury, or other losses connected to Army activities.

How to Fill Out DA Form 1666 Step-by-Step?

Filling out the form is straightforward. Follow these steps:

  1. Enter File Number and Date — Include the official claims file number and current date.
  2. Incident Details — Provide the exact Date of Incident and Place of Incident.
  3. Settlement Amount — Enter the agreed-upon sum in numbers (e.g., $5,000.00).
  4. Claimant Information — Print or type your full name, sign the form, and provide your complete current address (street, city, county, state, ZIP code).
  5. Review Carefully — Ensure all details match the claim investigation and settlement offer.

The form explicitly states that by signing, you accept the amount “in full satisfaction and final settlement of all claims” against the United States.

Tip: Consult with a claims attorney or JAG office before signing, especially for larger or complex claims.

Download Official DA Form 1666 PDF

Official Download Link:
DA Form 1666 Claims Settlement Agreement PDF

Always download the latest version directly from the U.S. Army Publishing Directorate (armypubs.army.mil) for official use.

When Is DA Form 1666 Required?

According to federal regulations (32 CFR 536.63) and AR 27-20, a settlement agreement like DA Form 1666 is mandatory prior to payment on tort claims. It may be specifically used for smaller COE claims or certain non-appropriated fund claims.

It is not typically used for every single claim type—larger or more complex claims may require additional documentation or customized settlement agreements.

  • Final Release: Signing DA Form 1666 generally bars future claims for the same incident.
  • Tax Implications: Settlement amounts may have tax consequences; consult a tax professional.
  • Representation: Claimants may have legal representation. Attorneys should review the agreement.
  • Appeals/Reconsideration: Understand your rights before accepting a final offer.

U.S. Army claims are processed fairly under applicable laws, but claimants should ensure they fully understand the terms.

  • DA Form 1668 — Small Claims Certificate
  • DD Form 1842 & DD Form 1844 — Used in personnel claims processes
  • AR 27-20 — Primary regulation governing Army claims
  • U.S. Army Claims Service and local JAG/claims offices for assistance

For the most current guidance, refer to official Army publications and contact your nearest claims office.

Need help with a claim? Reach out to your local U.S. Army Judge Advocate General claims personnel or visit official Army resources for personalized assistance.

This guide is for informational purposes only and is not legal advice. Always consult official sources or qualified legal professionals for your specific situation.