
PERSONAL PROPERTY RECORD
For use of this form, see AR 190-31; the proponent agency is DCSPER.
PAGE NO.
NO. OF PAGES
DATE OF PREPARATION
DATA REQUIRED BY THE PRIVACY ACT OF 1974
Recording identifying data of
your high value property will
assist in recovering lost of stolen
property, and for claims against
the Government and/or private
insurance, as appropriate.
AUTHORITY:
PRINCIPAL PURPOSE:
ROUTINE USES:
MANDATORY OR VOL-
UNTARY DISCLOSURE
AND EFFECT ON INDI-
VIDUAL NOT PROVIDING
INFORMATION:
Title 10, USC 3012 and 5 USC 301.
To record identifying data of individual personal property.
Upon the reporting of a loss by the individual, information may be used to assist in the
recovery and return of the personal property. Information can also assist in adjudication
of claims against the Government for loss or damage to personal property.
Disclosure of information is voluntary. Failure to provide information will have no
adverse effect on the individual.
TYPED OR PRINTED NAME OF OWNER (Last - First - MI)
SOCIAL SECURITY NO.
SIGNATURE OF OWNER
REMEMBER --
1. When marking your personal property, use the prefix “USA” followed by your Social Security Number.
2. When you have completed marking your property, display DA Label 167, Warning, Army Operation Identification, in a conspicuous location outside your room or building,
announcing that property inside has been marked for identification by law enforcement agencies.
3. Keep this record of high value property in a safe place.
ITEM
NO.
NAME OF ITEM QTY
BRAND NAME, MODEL OR STYLE,
OTHER DESCRIPTION
SERIAL NO.
OR MARKING
DATE AQUIRED
(If known)
VALUE
SIGNATURE OF INDIVIDUAL
VERIFYING RECORDING OF
PROPERTY AND DATE
DA FORM 4986, MAY 81