DA Form 3136 PDF Download: Roster and Statement (2026) – DA Form 3136, officially titled Roster and Statement, is a key US Army form used primarily for managing laundry and dry cleaning services. Released on May 1, 1966, and governed by AR 210-130, it remains an essential document for units handling personnel laundry rosters, charges, and related statements.
This article explains everything US Army soldiers, supply personnel, and unit administrators need to know about the form, including its purpose, how to complete it, and where to download the latest official version.
What Is DA Form 3136?
DA Form 3136 is a standardized Department of the Army form titled Roster and Statement. It supports laundry and dry cleaning operations by creating organized rosters of personnel and documenting associated charges or statements.
The form includes checkboxes for Laundry, Dry Cleaning, and Cash or Payroll Deduction. It features sections for organization details, weekly rosters (with columns for multiple weeks), number of pieces, codes, totals, and signatures/statements.
It replaced an earlier form (DA Form 10-243) and is referenced in Army publications on installation laundry services.
Purpose of DA Form 3136 Roster and Statement
The primary purpose is to maintain accurate rosters of personnel submitting laundry or dry cleaning items and to capture statements regarding charges, payments, or accountability.
Key uses include:
- Tracking individual or organizational laundry submissions.
- Recording weekly and monthly totals for pieces processed and charges.
- Supporting payroll deductions or cash payments.
- Providing a formal statement for unit supply or laundry operations per AR 210-130.
It helps ensure proper accountability, billing, and record-keeping for laundry services on Army installations.
Who Uses DA Form 3136?
- Unit supply sergeants and personnel handling laundry turn-ins.
- Soldiers submitting personal or organizational laundry/dry cleaning.
- Installation laundry and dry cleaning facility operators.
- Commanders and administrators overseeing AR 210-130 compliance.
It is specific to the US Army and used within military units and installations in the United States and abroad.
How to Fill Out DA Form 3136 Step by Step?
While the Army does not publish separate detailed instructions for this older form, follow these general guidelines based on its layout and standard procedures:
- Header Information: Check the appropriate box (Laundry, Dry Cleaning). Enter the Organization, Station, and MPO Number if applicable. Indicate Weekly Roster or Original Monthly Statement.
- Personnel Roster: List personnel by name/rank in the roster section. Include bundle/mark numbers and details for each week as needed.
- Item Details: Record the number of pieces, code numbers, and charges in the appropriate columns.
- Totals: Calculate weekly and monthly totals for pieces and charges.
- Signatures and Statements: Personnel or the responsible party sign and provide any required statements. Include dates.
Always use the official fillable PDF for accuracy. Consult your unit supply or local procedures for any unit-specific requirements.
Where to Download DA Form 3136 PDF?
Download the official, current version directly from the US Army Publishing Directorate:
→ Download DA Form 3136 PDF Here
This is the authoritative source for the most up-to-date fillable form. Avoid unofficial copies when possible for compliance.
Additional resources and examples may appear on sites like TemplateRoller or PDFRun, but always verify against the official Army link.
Related Forms and Regulations
- AR 210-130: Laundry and Dry Cleaning Operations – The governing regulation.
- DA Form 3137: Abstract of Enlisted and Organizational Laundry and Dry Cleaning.
- DA Form 2886: Laundry List for Military Personnel (often used in conjunction).
For broader context, refer to Army pamphlets on laundry operations and installation support.
Tips for Proper Use and Compliance
- Complete the form legibly or use the fillable PDF.
- Maintain records according to Army retention policies.
- Coordinate with installation laundry services for current billing and processing rules.
- Train supply personnel on accurate roster maintenance to avoid discrepancies in charges or accountability.
For questions specific to your unit or installation, contact your chain of command or local logistics support.
This guide is for informational purposes and reflects publicly available information as of 2026. Always refer to official Army regulations and the latest form version for operational use.