INSPECTOR GENERAL ACTION REQUEST
For use of this form, see AR 20-1; the proponent agency is the Office of The Inspector General and Auditor General.
DATA REQUIRED BY THE PRIVACY ACT OF 1974
Title 10, USC, Section 3039.
To secure sufficient information to make inquiry into the matters presented and to provide a response
to the requestor(s) and/or take action to correct deficiencies.
Information is used for official purposes within the Department of Defense; to answer complaints or
respond to requests for assistance, advice or information; by Members of Congress and other
Government agencies when determined by The Inspector General and Auditor General to be in the
best interest of the Army; and in certain cases in trial by court martial other military matters as
authorized by the Uniform Code of Military Justice.
DISCLOSURE OF THE SOCIAL SECURITY NUMBER AND OTHER PERSONAL INFORMATION IS VOLUNTARY. HOWEVER,
FAILURE TO PROVIDE COMPLETE INFORMATION MAY HINDER PROPER IDENTIFICATION OF THE REQUESTOR,
ACCOMPLISHMENT OF THE REQUESTED ACTION(S) AND RESPONSE TO THE REQUESTOR.
LAST NAME - FIRST NAME - MIDDLE INITIAL
COMPLETE PRESENT MILITARY ADDRESS
(If no military address, state current civilian address, including Zip Code.)
SPECIFIC ACTION REQUESTED
INFORMATION PERTAINING TO THIS REQUEST
(Use additional sheets if necessary; list inclosures if applicable.)
This information is submitted for the basic purpose of requesting assistance, correcting injustices affecting individual, or eliminating
conditions considered detrimental to the efficiency or reputation of the Army. I fully understand that I may be held accountable for
any statements which are proved to be knowingly untruthful.
DA FORM 1559, APR 2001
REPLACES EDITION OF OCT 89, WHICH IS OBSOLETE.