DA Form 2122: Record of Interment/Inurnment (PDF Download)

DA Form 2122: Record of Interment/Inurnment (PDF Download) – This form ensures accurate, permanent records for gravesite management, headstone procurement, and historical accountability in Army post cemeteries and related facilities.

Download the latest DA Form 2122 (October 2020 edition) here:
https://armypubs.army.mil/pub/eforms/DR_a/ARN30365-DA_FORM_2122-000-EFILE-1.pdf

What Is DA Form 2122?

DA Form 2122, titled Record of Interment/Inurnment, is a standardized Department of the Army document for recording essential details about a deceased service member’s or authorized individual’s final resting place.

It applies primarily to Army-managed cemeteries, including certain post (installation) cemeteries. The form is referenced in DA Pam 290-5 (Administration, Operation, and Maintenance of Army Cemeteries) and supports AR 290-5 policies.

Key purposes include:

  • Creating an official burial record
  • Supporting headstone/marker requests through the Department of Veterans Affairs (VA)
  • Maintaining cemetery accountability and historical archives
  • Assisting families and cemetery staff with proper documentation

The current version is dated October 2020 (previous editions, such as JUN 82, are obsolete).

Who Uses DA Form 2122?

This form is typically completed by:

  • Cemetery superintendents or Army installation personnel
  • Authorized representatives at the time of interment/inurnment
  • In coordination with funeral directors, next of kin, and chaplains

Families of deceased veterans, funeral homes handling military burials, and military cemetery staff rely on it for proper record-keeping.

It is not a VA form for national cemeteries like Arlington (which may use separate processes), but it supports broader Army cemetery operations.

Key Information Captured on DA Form 2122

The form collects comprehensive details in a structured layout:

  • Deceased Information: Full name, grade/rank, branch of service, religious denomination, military status (e.g., Retired, Veteran, Active Duty)
  • Dates: Date of birth, date of death, date of interment/inurnment, dates of service (enlistment/separation), war service
  • Identification: SSN/DoD ID, Service Number
  • Burial Details: Grave number, section, depth of grave, niche/court/stack for inurnments, casket or urn
  • Inscription Data for headstone/marker
  • Next of Kin: Name and address
  • Funeral Director and Crematory (if applicable): Names and addresses
  • Additional Fields: Place of death, chaplain name, cemetery representative signature, and remarks

Accurate completion is critical for VA headstone procurement and long-term cemetery records.

How to Fill Out DA Form 2122?

While no separate DA instructions pamphlet exists solely for this form, follow these best practices based on Army guidance:

  1. Use the latest fillable PDF from Army Publishing Directorate.
  2. Print clearly or complete electronically where allowed.
  3. Verify all personal and service data against official records (DD Form 214, etc.).
  4. Coordinate with next of kin for accuracy on names, dates, and addresses.
  5. Indicate if a headstone/marker is ordered or not required (e.g., private monument).
  6. Obtain required signatures (cemetery representative, chaplain if applicable).
  7. Submit copies as directed by the installation or per DA Pam 290-5 (often to higher headquarters or VA for marker processing).

Tip: Double-check spellings, dates, and service details before finalizing, as errors can delay headstone delivery or create record discrepancies.

Importance in Army Cemetery Operations

DA Form 2122 supports several critical functions:

  • Gravesite Accountability — Ensures every burial is properly logged for maintenance and future reference.
  • Headstone Procurement — Data feeds into VA processes for government-furnished markers.
  • Eligibility Documentation — Helps verify authorized interments in Army cemeteries.
  • Historical and Archival Value — Contributes to permanent military cemetery records.

Cemetery verification projects often cross-reference this form with physical gravesites.

  • DA Form 2122-1: Statement of Compliance, Transfer of Custody, and Interment Checklist (related process form).
  • VA Form 40-1330: Application for Standard Government Headstone or Marker.
  • AR 290-5 & DA Pam 290-5: Governing publications for Army cemeteries.
  • Official source: Army Publishing Directorate

For post cemetery burials, the form is forwarded to appropriate commands (e.g., U.S. Army Human Resources Command in some cases).

Download and Access DA Form 2122

Official Download Link:
DA Form 2122 PDF

Always obtain forms from official Army sources to ensure you have the current version. Fillable versions are available on trusted military forms websites for convenience.

Note: This article is for informational purposes. For specific burial arrangements, contact your installation cemetery superintendent, Casualty Assistance Office, or refer directly to DA Pam 290-5.

Last updated information reflects current Army publications as of 2026. Policies may be subject to change; verify with official military channels.