MOD Form 3Register of Supply Action

• Purpose:– Used by both supported and the supporting unit.

Supporting units use it as a voucher register for a Stock Record Account. Supported units use it as a register of supply actions initiated.

• Importance:– Allows the requesting unit to track what is due into

them, account for partial deliveries, and track follow-up on when items are due. This form tracks a date which gives the requester a date when status checks need to be made on items which have not been received.

MOD Form 3

    Unit Identification (Block 1)Corps/Brigade/Battalion/Company MoD

DAC: Enter the Unit’s MoD Depot Address

Code and Corps/Brigade/ Battalion/Company maintaining this

register.Example

W94HO4 is the MoDDAC for MEZ Regional Hospital

  Page Number (Block 2)Enter the consecutive page number for this MoD Form 3

beginning with page one when you start a new Document

Register at the beginning of each solar calendar year.

Example1

  Solar Chronological Date (Block 4)

Enter the last digit of the current year and the consecutive day of the year on

the day the request is prepared and forwarded for action to the supporting

logistics depot. This is the second element/component of the document

number. This will come from block 1 on the MoD Form 14.

Example6200

Solar Date (Block 5)Enter the calendar date the

request is prepared and forwarded for action to the

supporting logistics depot. This will come from block 2 on the

MoD Form 14.Example14/7/1386

   Serial Number (Block 3)

Enter the consecutive 4 digit number beginning with 0001

for each request created during the day. This will

come from block 5 on the MoD Form 14.

Example0001

  Form Number (Block 8)

Enter the form number associated with the action.

ExampleMoD Form 14

Manufacturer and Part Number or Identification Number (Block

8)

If applicable

  Document Sent to / Supporting Unit (Block 7)

This block establishes the identification of the supporting logistic depot. Enter the MoD DAC identification of the supporting depot that the Form 14 is delivered to.

ExampleW90CL8 is the MODDAC for the National

Depot

     Item Description (Block 9)

Enter the name of the item or description of the item that can be

used to identify the materiel requested. This will come from block 7 on the MoD Form 14.

Example Surgical Gloves Size 8.5

Quantity (Block 11) Name of Requestor: Enter the MoD Depot

Address Code assigned to the requestor.

ExampleW94HO4 is the MoDDAC for

MEZ Regional HospitalPriority (Block 10)

Enter the priority of need for the item. This will come from block 6 on the MoD Form 14.

  Quantity (Block 12) Stock Record Clerk’s Initials:

Enter the initials of the person entering the data onto the form.

Quantity (Block 13) Requested:

Enter the number corresponding to the unit of issue being requested. This

will come from block 9 on the MoD Form 14.

Example1 BX Surgical Exam Gloves Size 8.5

 Quantity (Block 14) Turned In to Depot:

Enter the number corresponding to the unit of issue being returned to the depot. Enter the category in the

“Additional Data Column provided”.

Quantity Received (Block 15)Enter the number received as indicated on Form

1 and Form 9. If less than the full amount requested, make this entry in pencil until the

remaining balance arrives that fulfills the original requested quantity.

Example If the Unit received only 5 BX of the 25 BX of

Surgical Exam gloves size 8.5 that was requested, then enter 5 in the received block

and 20 in the Due In block, in pencil. When the Unit receives the full amount requested, then

erase the quantity and enter 25 in ink.

 Quantity Due In (Block 16)Enter the quantity that is owed to fill the request. This will ALWAYS be in

PENCIL.Example

25 BX of Surgical Exam gloves are due-in. When the total amount

request is received the quantity will be erased.

Follow up Date (Block 17)Enter in pencil the required date or two weeks

from when you requested the item. The requesting unit must verify this record of due in with the supporting depot’s due-out record. Normally this date will be (2) two weeks after

the most recent receipt. Example

6213

Concluded (Block 18)Enter the date the request is

completed. If the order is complete, erase the earlier pencil entry in block

15 and enter the full quantity received in ink.

Example6213

Additional Data (Block 19)Enter any additional data that

may be significant to the supply transaction.

Additional Information• At the beginning of each year, a new Form 3 is

started with number 1 in block 2. Once the form is full, another Form 3 is started with number 2 in block 2. This procedure is repeated until the end ofo the year.

• Each requested item, document number should be listed on its own line on the Form 3

• The “due-in” block, block 16, needs to be written in pencil. If a partial shipment is received, the amount in block 16 can be erased and replaced by the new quantity due-in.

Additional Information

• The “follow-up date” block, block 17, needs to be the date the requested items are needed.

• Block 17 also needs to be written in pencil. If a partial shipment is received, the date for follow-up can be changed to two weeks from the date the partial shipment is received.

Additional Information

• The “Concluded” block, block 18, should be filled in with the date the entire request has been filled.

• Correction of entries will be by a single line through the mistake, and the correction will be entered immediately above if possible. Whiteout will not be used.

Questions?