You have arrived looking for DD Form 2841. Before you download, confirm this is the right document: DoD Public Key Infrastructure (PKI) Registration Official Certificate Acceptance and Acknowledgement of Responsibilities. Full title: DD Form 2841, DOD Public Key Infrastructure Certification of Acceptance and Acknowledgement of Responsibilities - Registration Official, August 2009.
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.
After that, turn to timing. The requirement comes from not stated; the form is maintained by not stated. Local implementing instructions fill in the dates, so check with the office that will receive your copy.
Before you download, pick your approach — editable file or printed page. What follows covers the formats first, then the entries, then what you do afterward.
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 Old copies circulate in shared drives for years, and a DD form is revised centrally for every service at once, so a superseded blank may not carry the fields your reviewer expects.
Take the fields in order and answer all of them. Mark inapplicable items N/A instead of leaving white space. When you reach a date, copy the format shown on the form, since a reviewer reading a different convention may misread your entry entirely.
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.
Then check your work against the usual failures: an obsolete edition, empty required boxes, handwriting nobody can read after scanning, wrong date format, missing signature or date.
If a particular field puzzles you, read the instructions printed on the form first, then go to not stated. When the two disagree, follow the directive.
Download the form
Step one is picking the format. You have PDF to choose from, across 1 pages, with approximately 19 fields to complete.
Choose pdf as your default. Next, click inside a box. A fillable pdf responds by outlining the field and letting you type; the text stays in the document when you save it. A printable pdf does not respond, which tells you to print the page and complete it by hand.
Type when you can. Printed entries stay legible after the form is scanned, copied and forwarded, and handwriting often does not survive that trip. If you must write by hand, use block capitals and press firmly.
Handle xfdl in two steps. First confirm you have IBM Lotus Forms Viewer or a compatible reader on your machine; ordinary pdf software will report the file as broken. Once the viewer is running, download and fill the form.
Whichever you pick, you pay nothing — every format here is a free download. One last tip: open your pdf in a desktop reader rather than in a browser tab, because browser viewers sometimes drop the interactive fields you need.
What the form asks for
- 1.c. Unique identification (e.g., EDIPI, UID).
- 1. Certificate accepted by: a. Name, typed or printed. Last name, first name, middle initial.
- 1.d. Organization.
- 1.e. Telephone number. Include area code and all punctuation marks.
- 1.f. E-mail address.
- 1.g. Identification 1. 1. Type (DoD ID, passport, etc.).
- 1.g.2. First identification number.
- 1.h. Identification 2. 1. Type (DoD ID, passport, etc.).
- 1.h.2. Second identification number.
- 1.j. Date signed. Four digit year, three letter month, two digit day.
- i. Registration Official's signature.
- 2. Authorized Official per CPS. a. Name: last, first, middle initial.
- 2.b. Organization.
- 2.c. Telephone number. Include area code and all punctuation marks.
- 2.d. E-mail address.
- 2.f. Date signed. Four digit year, three letter month, two digit day.
- e. Authorized Official's signature.
- Press this Reset button to clear the data from all fields.
Submit the completed form through the channel not stated or your local guidance specifies. Save a copy for yourself before it leaves your hands, whether that means a scan, a photograph or a duplicate file.
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.
Be careful when a procedure pairs this form with a service form. Read the prefix, not just the digits. Service forms answer to a service proponent, while DD forms answer to not stated or an equivalent Department office, and the two sequences were never aligned. Grabbing the wrong prefix gets you a form that has nothing to do with your task.
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.
Finally, understand the limits of what you have read. This page distributes a published Department of Defense form and describes how to fill it out. It does not give legal or procedural advice, and it cannot promise any outcome for your particular case. For that, contact not stated, your administrative office, or the authority identified in not stated.
Questions and answers
- What is DD Form 2841?
- DD Form 2841, DOD Public Key Infrastructure Certification of Acceptance and Acknowledgement of Responsibilities - Registration Official, August 2009
- Which edition is current?
- Not stated by the publisher
- Who is responsible for this form?
- Not stated
- In which formats can it be downloaded?