DA Form 5628-R: SMF Voucher PDF Download & Instructions – DA Form 5628-R: Voucher for Special Mission Funds (SMF) Expenditures (LRA) is a key U.S. Army form used to document and justify expenditures from Special Mission Funds.
Military personnel and finance professionals responsible for managing or auditing sensitive or mission-specific funding often search for guidance on this form. This article provides a comprehensive overview, including its purpose, how to use it, completion instructions, and official download resources.
What Is DA Form 5628-R?
DA Form 5628-R, titled Voucher for Special Mission Funds (SMF) Expenditures (LRA), is a Department of the Army form released in February 1987. It serves as an official voucher to record expenses incurred under Special Mission Funds.
LRA stands for Locally Reproduced Adobe (or similar), indicating units can reproduce it locally as needed. The form supports accountability for funds allocated to specific, often operationally sensitive missions outside standard operating budgets.
Purpose of Special Mission Funds (SMF) and the Form
Special Mission Funds (SMF) are dedicated resources set aside for unique purposes or missions not covered by regular appropriations. These may include intelligence, operational contingencies, or other classified/special activities.
DA Form 5628-R ensures:
- Proper documentation and justification of SMF expenditures.
- Compliance with Army financial management and auditing requirements.
- Limited disclosure of sensitive details on the “face” of the voucher for security reasons (e.g., “NO DETAILS WILL BE SHOWN ON THE FACT OF VOUCHER”).
- Tracking of amounts, purposes, supporting documentation, and approvals.
Accurate use maintains transparency, prevents misuse, and supports audits while protecting operational security.
Who Uses DA Form 5628-R?
- Army finance officers and disbursing personnel.
- Commanders or authorized representatives managing SMF.
- Auditors and comptrollers reviewing mission-related expenditures.
- Personnel involved in special operations, intelligence, or contingency funding.
It is part of broader Army financial regulations (e.g., references to AR 37-series for accounting and fund control).
How to Complete DA Form 5628-R?
While the Army does not publish separate detailed instructions for this older form, standard voucher practices and form fields apply. Key elements typically include:
- Header Information — Voucher number, date, and organization/unit details.
- Expenditure Details — Purpose (kept general for sensitivity), amount, and date of expense.
- Supporting Documentation — References to receipts, orders, or other justifications (often attached separately).
- Certification and Approvals — Signatures from the requesting official, approving authority, and finance personnel.
- Accounting Data — Relevant fund citations or appropriation details.
Important Notes:
- Maintain supporting details securely and separately when dealing with classified or sensitive missions.
- Follow local finance office guidance and applicable Army regulations for fund control and vouchers.
- Use official channels for any questions on allowable expenditures.
For the most accurate completion, consult your unit’s resource management or finance office, as policies can evolve.
Download Official DA Form 5628-R (PDF)
Access the latest official fillable version directly from the Army Publishing Directorate:
→ Download DA Form 5628-R PDF Here: https://armypubs.army.mil/pub/eforms/DR_a/NOCASE-DA_FORM_5628-R-000-EFILE-0.pdf
Additional resources for fillable versions or examples may appear on sites like PDFRun or TemplateRoller, but always prioritize the official Army source for compliance.
Best Practices for SMF Management
- Accountability — Retain all supporting documentation for audits.
- Compliance — Adhere to Anti-Deficiency Act rules and DoD/Army financial regulations.
- Security — Limit detailed information on the voucher itself.
- Training — Ensure personnel handling SMF receive proper financial management training.
- Updates — Check Army Publishing Directorate (armypubs.army.mil) regularly for form revisions or related policy changes.
Proper use of DA Form 5628-R helps Army units maintain fiscal responsibility while supporting critical mission requirements.
Need More Help?
For policy questions, contact your local Army finance office, resource manager, or refer to relevant AR 37-series publications on financial administration. Always verify with current official sources, as military forms and procedures are subject to updates.