DA Form 4230-R Download & Guide (Supplemental Signature Sheet)

DA Form 4230-R Download & Guide (Supplemental Signature Sheet) – U.S. Army service members, civilian employees, and contractors involved in invention disclosures, patent applications, or intellectual property matters often need DA Form 4230-R. This supplemental signature sheet (LRA) provides extra signature blocks when primary forms require additional signatories.

Download the official DA Form 4230-R PDF here: https://armypubs.army.mil/pub/eforms/DR_a/pdf/A4230_R.pdf

What Is DA Form 4230-R?

DA Form 4230-R, titled Supplemental Signature Sheet (LRA), is an official U.S. Army form used to collect additional signatures for patent-related or invention assignment documents. “LRA” refers to Local Reproduction Authorized, meaning units can reproduce it locally as needed.

The current version is dated APR 1993 and replaces the March 1974 edition. It is prescribed by AR 27-60 (Intellectual Property), with the proponent agency being the Office of The Judge Advocate General (OTJAG).

Purpose of the Supplemental Signature Sheet

This form serves as an attachment when DA Forms 2873-R (Patent License Agreement) or 2874-R (Invention Rights) require more signature blocks than available on the main document. It ensures all inventors, assignors, or licensors can properly execute the instrument with notary acknowledgments.

Key uses include:

  • Patent assignments and licenses involving Army inventions.
  • Situations with multiple inventors or parties.
  • Maintaining legal validity and chain of custody for intellectual property documentation.

Proper use supports transparency, accountability, and compliance with Army intellectual property regulations.

When to Use DA Form 4230-R?

Use this form whenever the primary patent or invention form (such as 2873-R or 2874-R) lacks sufficient space for all required signatures and notary blocks. Common scenarios for U.S. Army personnel include:

  • Research and development projects resulting in patentable inventions.
  • Technology transfer or licensing agreements.
  • Multiple co-inventors needing to sign.
  • Situations requiring formal acknowledgment before a notary public.

Always consult your local Judge Advocate General (JAG) office or intellectual property coordinator before preparation.

How to Fill Out DA Form 4230-R: Step-by-Step Instructions?

The form is straightforward but requires precision for legal validity. Here are the main sections:

  1. Header Information — Enter the names of assignor(s) or licensor(s), application serial number, filing date, and title of invention.
  2. Signature Blocks — Provide spaces for each inventor’s:
    • Signature
    • Typed name
    • Duty address
    • Date signed
  3. Notary Acknowledgment — Each signature block includes fields for:
    • State and County
    • Notary’s signature and seal
    • Commission expiration date
  4. Page Numbering — Indicate “Page of Pages” for multi-page attachments.

Tips for Accurate Completion:

  • Print or type all entries except original signatures.
  • Use black or blue ink.
  • Ensure notary blocks are fully executed.
  • Attach securely to the primary form (2873-R or 2874-R).

For fillable versions or online editing tools, search for reputable Army forms providers, but always verify against the official PDF from Army Publishing Directorate.

Download and Access Official DA Form 4230-R

Direct Official Download:
DA Form 4230-R PDF

This link provides the latest authorized version directly from armypubs.army.mil. Save and print as needed. Local reproduction is authorized.

  • DA Form 2873-R — Patent License Agreement
  • DA Form 2874-R — Invention Rights
  • AR 27-60 — Intellectual Property (primary governing regulation)

Personnel working with these forms should coordinate with their supporting JAG office for guidance specific to their command or installation.

Best Practices for Army Personnel

  • Retain Copies — Keep records of all signed forms and attachments.
  • Timeliness — Process promptly to avoid delays in patent filings or licensing.
  • Security — Handle sensitive invention information according to classification and OPSEC guidelines.
  • Training — Unit administrative personnel and researchers should familiarize themselves with AR 27-60 requirements.

Need Assistance? Contact your local Staff Judge Advocate (SJA) office or the U.S. Army Intellectual Property Office for expert support.

This guide is for informational purposes and reflects publicly available Army resources as of the latest updates. Always refer to official publications and current regulations for compliance.

Keywords: DA Form 4230-R, Supplemental Signature Sheet, Army patent form, DA 4230-R download, AR 27-60, invention rights Army, supplemental signature LRA.