d. Completing DA Form 2407 (or DA Form 5504). DA PAM 738-750 governs the
preparation of DA Form 2407 (or DA Form 5504). In addition to the instructions
provided in DA PAM 738-750, the following information will assist you in filling out the
form for the purpose of claims under these vehicles warranty. Refer to figure A-1 for an
example of a completed DA Form 2407 (or DA Form 5504)
(1) Section I (to be filled out by originating organization).
a) Block 1. Enter the DSB vehicle serial number found on the vehicles identification
b) Use the following information to complete blocks 3, 5, 6:.
c) Block 16. Enter "Warranty Claim Action" and give a complete description
of the failure.
(2) Section II (to be filled in by the support activity). Fill in Section II by following the
a) Block 17. Fill in the name and address of the facility that made the repair.
b) Block 18. Check the appropriate box.