You have arrived looking for DD Form 1096. Before you download, confirm this is the right document: Military Pay and Allowance Claim Voucher. Full title: DD Form 1096, Military Pay and Allowance Claims Voucher, October 1957.
Your second step is the edition, not stated, listed as not stated. Your third is scope. Because the number carries a DD prefix, you use the same blank as every other military department and defense agency; no service-specific version exists for you to hunt down.
Then settle the schedule. You are working under not stated, with not stated responsible for the document, and your organization layers its own deadlines on that. Ask before you assume a date.
Finally, decide how you will complete it. You can type into a fillable file or print a blank and write by hand, and the rest of this page walks you through both paths in order.
Begin at the top and move down. Enter your identifying data first, then the body of the form, then the signature block. The sequence is printed in that order because entries below frequently follow from entries above.
Before your first entry, look at the corner of the page and compare the printed date with not stated. If they do not match, stop and download again. Old copies circulate in shared drives for years, and a DD form is revised centrally for every service at once, so a superseded blank may not carry the fields your reviewer expects.
Fill every box as you come to it. If an item does not apply, enter N/A — an empty field looks like an oversight, and the form comes back to you. Watch the date fields especially: use the format the form specifies, not your habitual one.
Stop at the Privacy Act Statement and read it through. You will find the authority for the collection, the principal purpose, the routine uses, and whether disclosure is voluntary or mandatory. Read it now, while you still have the choice of what to disclose.
Finish with the certification. Print the form and sign in ink, or apply a digital signature with your CAC if the receiving office accepts one. Do not type your name in the signature box and consider it done; that is a name, not a signature. Date the block immediately after signing.
Run a final pass over the form. The errors that send it back are the same ones every time: old edition, gaps in required fields, unreadable handwriting on a scan, non-conforming dates, no signature or no date.
Look up an unclear item on the form face before anywhere else, then in not stated. Should the two texts conflict, the directive is the one you follow.
Download the form
Begin by choosing a file. Available here: PDF. Plan for 1 pages and about 40 entries.
Take the pdf if you are unsure. Then check which kind you have: if the boxes highlight when you click them, you have a fillable pdf and can type straight into it, and your entries save with the file. If nothing highlights, you have a printable pdf — send it to a printer and use black ink.
Go with the typed route whenever the choice is yours. Consider what happens after you submit: the copy gets scanned, forwarded and filed, and each pass costs handwriting some legibility. Block letters help if you are stuck with a pen.
What the form asks for
- Press this reset button to clear the data from all fields
- Line 1. Explanation and description of claim.
- Line 2. Explanation and description of claim.
- Line 3. Explanation and description of claim.
- Line 4. Explanation and description of claim.
- Line 5. Explanation and description of claim.
- Accounting classification (appropriation symbol must be shown; other classification optional).
- Cash.
- Disbursing office voucher number.
- Name of service member.
- Service number.
- Voucher prepared at (paying office).
- Name and address of payee.
- Paid by.
- Line 1. Claim amount (in U. S. dollars and cents).
- Line 2. Claim amount.
- Line 3. Claim amount.
- Line 4. Claim amount.
- Line 5. Claim amount.
- Total claim amount. Value is automatically calculated from lines 1 through 5
- Line 1. Collections, fund or appropriation to be credited.
- Line 2. Collections, fund or appropriation to be credited.
- Line 3. Collections, fund or appropriation to be credited.
- Line 1. Collection amount.
Now that it is complete, send it where not stated or your local procedure says it goes. Before you do, make yourself a copy — scan it or save the file elsewhere. It costs you nothing and saves you the whole exercise if the original goes missing.
Should you need a related form, look it up by its number. The DD sequence is Department-wide, which makes your search simple: no service qualifier, no branch-specific variant to track down.
Here is where people go wrong. They see a number in an instruction and download whichever form matches it. But DA and DD are separate systems — Army-specific in one case, Department-wide under not stated in the other — so check which series you were sent to before you take the file.
Do not archive this file and reuse it in a year. Forms are reissued as directives are revised, as data requirements shift, and as statutory notice text is amended. Your protection is simple: download fresh each time and confirm the edition date.
One thing this page does not do: tell you whether your submission will be accepted. We publish the document and explain how to complete it, and that is where our role ends. Nothing here is legal advice. Take questions about eligibility, applicability or procedure to not stated, to your servicing personnel office, or to the office named in not stated.
Questions and answers
- What is DD Form 1096?
- DD Form 1096, Military Pay and Allowance Claims Voucher, October 1957
- Which edition is current?
- Not stated by the publisher
- Who is responsible for this form?
- Not stated
- In which formats can it be downloaded?