PAY INQUIRY
For use of this form see AR 37-104-3; the proponent agency is USAFAC.
DATE
1. Supporting document(s) submitted or will be submitted to finance.
SECTION I (To be completed by soldier)
SECTION II (To be completed by Unit Commander)
2. Local payment. Soldier has been counseled regarding impact on future pay. My recommendation is to approve/disapprove (cross out the
appropriate word) the local payment.
3. Other (Specify)
Signature of Unit Commander (or soldier as appropriate).
SECTION III (To be completed by Finance)
PROBLEM
Allotment
Non-receipt Check
Entitlements
Non-receipt LES
Collection
Other (Specify)
Leave
INQUIRY ANALYSIS CAUSE
1. Non-receipt of document from Unit Commander.
3. Document received - Finance did not process.
5. Document received from Unit Commander on time
but too late to be processed prior to JUMPS cutoff.
7. USAFAC
2. Late receipt of document from Unit Commander.
4. Document received and processed but rejected on DJUOL.
6. Problem with prior station.
8. Other (Specify)
ACTION REQUIRED
DA Form 3684
Other (Specify)
Local Payment
INQUIRY EVALUATION
Valid Invalid
SIGNATURE OF PAY CLERK
BLOCK NUMBER
INQUIRY NO. DATE
NAME (Last, First, Middle) SSN GRADE
UNIT
NATURE OF PAY INQUIRY (Be specific)
DATE TL NUMBER
DESCRIPTION OF CAUSE AND ACTION TAKEN.
DATE APPROVED LOCAL PAYMENT PAID
DA FORM 2142, APR 1982
EDITION OF 1 APR 73 WILL BE USED UNTIL EXHAUSTED
APD LC v2.01ES
PFR
PHONE NUMBER
click to sign
signature
click to edit
click to sign
signature
click to edit