DA Form 5412: Waiver of Compensation Statement | Download

DA Form 5412: Waiver of Compensation Statement | Download – Are you a prospective Civilian Aide to the Secretary of the Army (CASA), expert, or consultant being appointed to serve the U.S. Army without pay? Understanding DA Form 5412 (Waiver of Compensation Statement) is essential for compliance with Army regulations and federal law. This article explains the form’s purpose, who needs it, how to complete it, and where to download the latest version.

What Is DA Form 5412?

DA Form 5412, titled Waiver of Compensation Statement, is an official U.S. Army document that allows individuals appointed as experts, consultants, or in specific unpaid advisory roles (such as CASAs) to formally waive any claim to compensation for their services.

It is referenced in:

  • AR 690-300 (Civilian Personnel Employment) — for expert and consultant appointments.
  • AR 1-15 (Civilian Aides to the Secretary of the Army) — for CASA program participants.

The form ensures the appointee understands they are serving on a voluntary, unpaid basis while agreeing to provide services to the U.S. Government.

Primary Uses of DA Form 5412

  1. Civilian Aides to the Secretary of the Army (CASA): Prominent community leaders appointed to advise the Secretary of the Army, promote Army relations, and support recruiting and public outreach. CASAs must sign DA Form 5412 as they serve without compensation (limited to 130 days per 365-day period under 5 USC 3109).
  2. Experts and Consultants: Intermittent or temporary appointments under 5 CFR Part 304 and AR 690-300. These roles often involve specialized knowledge where pay may be declined or not authorized.
  3. Unpaid or Without-Compensation (WOC) Appointments: Situations where individuals (e.g., awaiting presidential appointments) serve without salary.

The form protects both the individual and the Army by documenting the waiver in the employee’s official personnel folder (eOPF).

Who Needs to Complete DA Form 5412?

  • Nominees for CASA positions.
  • Experts/consultants appointed on an unpaid basis.
  • Individuals in temporary advisory or consulting roles who elect or are required to forgo compensation.
  • Anyone appointed under authorities that allow or require service without pay.

Note: Federal employees, elected officials, and certain other categories may have additional restrictions or disqualifiers.

Key Information on the Form

The current official version is available as a fillable PDF from the Army Publishing Directorate. Typical fields include:

  • Typed name of the appointee.
  • Signature of the appointee.
  • Date.
  • Reference to the specific appointment authority (e.g., AR 690-300 or AR 1-15).

The form is straightforward and usually completed during the appointment process alongside ethics training, financial disclosure (OGE Form 450), and other onboarding documents.

How to Fill Out and Submit DA Form 5412?

  1. Download the Official Form — Use the link below for the most current version directly from Army sources.
  2. Complete the Fields — Type your full legal name. Review the statement carefully.
  3. Sign and Date — Provide a wet signature or follow digital signing protocols if accepted by your appointing authority.
  4. Submit — Return to the appointing official, Civilian Personnel Advisory Center (CPAC), or CASA Program Office. It becomes part of your official records.

Pro Tip: Always use the latest form from armypubs.army.mil to ensure compliance. Older versions (e.g., DA Form 5412-R from 1985) may still appear in archives but should be replaced with the current edition.

Download DA Form 5412

Official Download Link:
DA Form 5412 – Waiver of Compensation Statement (PDF)

This is the authoritative source maintained by the U.S. Army Publishing Directorate.

  • AR 690-300 — Details expert/consultant employment, pay (or lack thereof), and documentation requirements.
  • AR 1-15 — Governs the CASA program, including the requirement to sign DA Form 5412.
  • 5 USC 3109 & 5 CFR Part 304 — Federal authorities for temporary expert/consultant services.
  • Army Publishing Directorate Forms Portal: armypubs.army.mil

For questions, contact your local CPAC, the CASA Program Office, or the Administrative Assistant to the Secretary of the Army.

Why This Form Matters for Compliance?

Signing DA Form 5412 demonstrates informed consent to serve without pay. It helps avoid conflicts of interest, ensures proper documentation for ethics reviews, and supports the Army’s ability to leverage top civilian talent for advisory roles. Failure to complete required paperwork can delay or invalidate appointments.

Important: This article provides general information based on publicly available Army regulations as of 2025–2026. Always consult your appointing authority or legal/HR advisor for personalized guidance, as individual circumstances may vary.