Get Da 2823 Form

Get Da 2823 Form

The DA 2823 form is a sworn statement used to document potential criminal activity involving the U.S. Army. This form helps Army officials maintain discipline and investigate complaints or incidents. If you need to fill out this form, please click the button below.

Structure

The DA Form 2823, commonly known as the Sworn Statement form, plays a crucial role in the documentation of potential criminal activity involving the U.S. Army. This form is designed to ensure that statements made by individuals are recorded under oath, thereby enhancing the integrity and reliability of the information provided. It serves multiple purposes, primarily allowing Army officials to maintain discipline and enforce law and order through thorough investigations of complaints and incidents. The form requires essential details, such as the location, date, time, and personal information of the individual making the statement, including their Social Security Number, which is disclosed voluntarily. The information collected can be shared with various law enforcement agencies and used for a range of administrative actions, including disciplinary measures and personnel decisions. Additionally, the DA 2823 includes specific instructions for completing the form, ensuring that each page is properly initialed and that the statement is affirmed by the person administering the oath. By understanding the significance and structure of the DA Form 2823, individuals can better navigate the complexities of reporting incidents within the Army context.

Da 2823 Preview

 

 

 

 

 

 

SWORN STATEMENT

 

 

 

 

 

 

 

 

For use of this form, see AR 190-45; the proponent agency is PMG.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PRIVACY ACT STATEMENT

 

 

 

 

 

 

AUTHORITY:

Title 10, USC Section 301; Title 5, USC Section 2951; E.O. 9397 Social Security Number (SSN).

 

 

 

PRINCIPAL PURPOSE:

To document potential criminal activity involving the U.S. Army, and to allow Army officials to maintain discipline,

 

 

 

 

 

law and order through investigation of complaints and incidents.

 

 

 

 

 

ROUTINE USES:

Information provided may be further disclosed to federal, state, local, and foreign government law enforcement

 

 

 

 

 

agencies, prosecutors, courts, child protective services, victims, witnesses, the Department of Veterans Affairs, and

 

 

 

 

 

the Office of Personnel Management. Information provided may be used for determinations regarding judicial or

 

 

 

 

 

non-judicial punishment, other administrative disciplinary actions, security clearances, recruitment, retention,

 

 

 

 

 

placement, and other personnel actions.

 

 

 

 

 

 

DISCLOSURE:

Disclosure of your SSN and other information is voluntary.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1.

LOCATION

 

 

2. DATE (YYYYMMDD)

 

3. TIME

 

4. FILE NUMBER

 

 

 

 

 

 

 

 

 

 

 

5.

LAST NAME, FIRST NAME, MIDDLE NAME

 

 

6. SSN

 

 

7. GRADE/STATUS

 

 

 

 

 

 

 

 

 

 

 

8.

ORGANIZATION OR ADDRESS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

9.

I,

 

 

, WANT TO MAKE THE FOLLOWING STATEMENT UNDER OATH:

 

 

 

 

10. EXHIBIT

11. INITIALS OF PERSON MAKING STATEMENT

Page 1 of 3

ADDITIONAL PAGES MUST CONTAIN THE HEADING "STATEMENT OF TAKEN AT DATED

THE BOTTOM OF EACH ADDITIONAL PAGE MUST BEAR THE INITIALS OF THE PERSON MAKING THE STATEMENT, AND PAGE NUMBER MUST BE INDICATED.

DA FORM 2823, NOV 2006

PREVIOUS EDITIONS ARE OBSOLETE.

APD AEM v1.04ES

 

 

USE THIS PAGE IF NEEDED. IF THIS PAGE IS NOT NEEDED, PLEASE PROCEED TO FINAL PAGE OF THIS FORM.

STATEMENT OF

 

TAKEN AT

 

DATED

9.STATEMENT (Continued)

INITIALS OF PERSON MAKING STATEMENT

Page 2 of 3

DA FORM 2823, NOV 2006

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STATEMENT OF

 

 

TAKEN AT

DATED

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

AFFIDAVIT

 

 

 

I,

 

 

, HAVE READ OR HAVE HAD READ TO ME THIS STATEMENT WHICH BEGINS ON

PAGE 1, AND ENDS ON PAGE

3 . I FULLY UNDERSTAND THE CONTENTS OF THE ENTIRE STATEMENT MADE BY ME. THE

STATEMENT IS TRUE. I HAVE INITIALED ALL CORRECTIONS AND HAVE INITIALED THE BOTTOM OF EACH PAGE CONTAINING THE STATEMENT. I HAVE MADE THIS STATEMENT FREELY WITHOUT HOPE OF BENEFIT OR REWARD, WITHOUT THREAT OF PUNISHMENT, AND WITHOUT COERCION, UNLAWFUL INFLUENCE, OR UNLAWFUL INDUCEMENT.

 

 

 

 

 

 

(Signature of Person Making Statement)

 

 

 

WITNESSES:

Subscribed and sworn to before me, a person authorized by law to

 

 

administer oaths, this

 

day of

 

,

 

 

 

 

at

 

 

 

 

 

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ORGANIZATION OR ADDRESS

 

 

 

 

(Signature of Person Administering Oath)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(Typed Name of Person Administering Oath)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ORGANIZATION OR ADDRESS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(Authority To Administer Oaths)

 

 

 

INITIALS OF PERSON MAKING STATEMENT

DA FORM 2823, NOV 2006

Page 3 of 3

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Document Data

Fact Name Details
Purpose The DA Form 2823 is designed to document potential criminal activity involving the U.S. Army. It helps maintain discipline and law through investigations.
Privacy Act Statement This form is governed by Title 10, USC Section 301 and Title 5, USC Section 2951. It includes a privacy statement regarding the use of Social Security Numbers (SSNs).
Disclosure of Information Providing your SSN and other information is voluntary. However, the information may be shared with various law enforcement and government agencies for specific uses.
Signature Requirement The individual making the statement must sign the form, confirming they understand the contents and that their statement is true.
Additional Pages If more space is needed, additional pages must include specific headings and require the initials of the person making the statement on each page.

How to Use Da 2823

Filling out the DA 2823 form is a straightforward process. It requires personal information and a statement under oath. Once completed, the form should be submitted according to the instructions provided by the relevant authority.

  1. Location: Enter the location where the statement is being made.
  2. Date: Fill in the date in the format YYYYMMDD.
  3. Time: Specify the time the statement is being made.
  4. File Number: Provide the file number associated with the case.
  5. Last Name, First Name, Middle Name: Write your full name as it appears on official documents.
  6. SSN: Enter your Social Security Number (SSN). This is voluntary.
  7. Grade/Status: Indicate your military grade or status.
  8. Organization or Address: Provide the name of your organization or your address.
  9. Statement: Write your statement clearly and concisely. Begin with "I, [Your Name], want to make the following statement under oath."
  10. Exhibit: If applicable, reference any exhibits that support your statement.
  11. Initials: Sign your initials at the bottom of the statement.

If additional pages are necessary, each must include the heading "Statement of Taken at" along with the date. Remember to initial each page and indicate the page number. Once everything is filled out, review the entire form for accuracy before submission.

Key Facts about Da 2823

What is the DA 2823 form?

The DA 2823 form, also known as the Sworn Statement form, is used by the U.S. Army to document potential criminal activity. This form allows individuals to provide statements under oath regarding incidents or complaints. It plays a crucial role in maintaining discipline and law enforcement within the Army.

Who needs to use the DA 2823 form?

The DA 2823 form can be used by anyone involved in an incident that may require documentation. This includes soldiers, civilians, and witnesses who wish to provide their accounts of events that may involve potential criminal activity or misconduct within the Army.

What information is required on the DA 2823 form?

When filling out the DA 2823 form, you will need to provide several pieces of information. This includes your name, Social Security Number (SSN), grade or status, organization or address, and details about the incident such as location, date, and time. Additionally, you will write your statement under oath and provide initials on each page to confirm accuracy.

Is it mandatory to provide my Social Security Number on the form?

While the form requests your Social Security Number, providing it is voluntary. However, including your SSN may help in the identification and processing of your statement, especially if it relates to personnel actions or investigations.

What happens to the information I provide on the DA 2823 form?

The information on the DA 2823 form may be shared with various law enforcement agencies, courts, and other entities involved in investigations. It is used to maintain discipline and can affect administrative actions, security clearances, and other personnel matters within the Army.

Can I make corrections to my statement on the DA 2823 form?

Yes, you can make corrections to your statement. It is important to initial any changes you make. This ensures that the final statement accurately reflects your account of the events. You should also initial at the bottom of each page to confirm that you have reviewed the entire statement.

What does it mean to sign the affidavit section of the DA 2823 form?

By signing the affidavit section, you affirm that you have read or had your statement read to you and that you understand its contents. You are declaring that your statement is true and that you have provided it voluntarily, without coercion or influence. This adds a layer of legal weight to your statement, as it is made under oath.

Common mistakes

Filling out the DA Form 2823 can be a daunting task, especially for individuals unfamiliar with the intricacies of legal documentation. One common mistake is failing to provide complete information in the location and date sections. These details are crucial for establishing the context of the statement. Omitting them can lead to confusion and may hinder the investigation process.

Another frequent error occurs when individuals neglect to include their Social Security Number (SSN). While the form states that disclosure of the SSN is voluntary, providing it can help in accurately identifying the individual involved. Without this information, the statement may lack the necessary authenticity and could lead to administrative delays.

Many people also overlook the importance of clearly stating their full name, including the last name, first name, and middle name. Incomplete or incorrect names can create complications in record-keeping and can affect the integrity of the statement. It is essential to ensure that the name matches official documents to avoid any discrepancies.

Additionally, individuals often forget to sign the statement. The signature is not merely a formality; it signifies that the person making the statement has read and understood the contents. Without a signature, the statement may be considered invalid, which can have serious implications for the investigation.

Another mistake involves failing to initial corrections made on the form. If any changes are necessary, it is vital to initial each correction to confirm that they are acknowledged and accepted. Neglecting to do so can lead to questions about the statement's validity.

Moreover, people sometimes fail to indicate the page number on additional pages. Each page of the statement must be numbered and initialed to ensure that all parts of the statement are accounted for. Missing page numbers can create confusion and may result in incomplete documentation.

In some cases, individuals do not read the entire statement before signing it. This oversight can lead to misunderstandings about the content, which may affect the credibility of the statement. It is essential to review the entire document to ensure that it accurately reflects the individual's account of events.

Lastly, individuals may not be aware of the requirement for a witness to the statement. The form must be subscribed and sworn before a person authorized to administer oaths. Failing to include a witness can render the statement ineffective and may impede the investigation process.

Documents used along the form

The DA 2823 form, also known as the Sworn Statement, is essential for documenting potential criminal activity within the U.S. Army. It serves as a formal record that can aid in maintaining discipline and law enforcement. Along with this form, several other documents may be required to support investigations or administrative actions. Below is a list of forms that are often used in conjunction with the DA 2823.

  • DA Form 4856: This is the Developmental Counseling Form. It is used by leaders to document counseling sessions with soldiers. The form captures the details of the counseling, including the issues discussed and the agreed-upon actions.
  • DA Form 15-6: This form is utilized for conducting investigations. It provides a structured approach for reporting findings on incidents or allegations within the Army, making it a critical tool for thorough investigations.
  • DA Form 7500: Known as the Report of Investigation, this document summarizes the findings of an investigation. It includes details on the incident, involved parties, and any conclusions reached, serving as an official record.
  • DA Form 200: This is the Financial Liability Investigation of Property Loss form. It documents the circumstances surrounding the loss of Army property and identifies responsible parties, which may be relevant in cases involving misconduct.
  • DA Form 4187: The Personnel Action form is used to document various personnel actions, including disciplinary actions. It helps maintain accurate records of actions taken against soldiers, which may be pertinent to ongoing investigations.
  • DA Form 2627: This is the Record of Proceedings Under Article 15, UCMJ. It is used to document non-judicial punishment and provides a formal record of the proceedings, which may be referenced in future actions or appeals.

These documents work together to create a comprehensive record that supports investigations, disciplinary actions, and personnel management within the Army. Proper completion and submission of these forms are crucial for ensuring that all relevant information is accurately captured and addressed.

Similar forms

The DA 2823 form, known as the Sworn Statement, is essential for documenting potential criminal activity within the U.S. Army. It plays a crucial role in maintaining discipline and order. Several other documents serve similar purposes, each with its own nuances. Here’s a look at seven of them:

  • Affidavit: Like the DA 2823, an affidavit is a written statement confirmed by oath or affirmation. It is often used in legal proceedings to present evidence and is sworn before a notary or authorized official.
  • Witness Statement: This document records the observations of a witness regarding an event or incident. It is similar to the DA 2823 in that it is used to gather firsthand accounts for investigations.
  • Incident Report: An incident report details the facts surrounding a specific event, often used by law enforcement. It shares the DA 2823's purpose of documenting incidents for further investigation and action.
  • Statement of Facts: This document outlines the factual basis of a situation or claim. It is akin to the DA 2823 as both aim to provide a clear and concise account of events for review.
  • Declaration: A declaration is a formal statement made under penalty of perjury. It serves a similar purpose to the DA 2823 by documenting information that may be used in legal contexts.
  • Testimony: Testimony is a formal written or spoken statement given in a legal setting. While it often occurs in court, it shares the DA 2823's goal of providing truthful accounts of events.
  • Sworn Declaration: This document is similar to an affidavit but is often used in administrative proceedings. Like the DA 2823, it requires the signer to affirm the truthfulness of the statement under oath.

Understanding these documents can help individuals navigate the complexities of legal and military processes more effectively.

Dos and Don'ts

When filling out the DA 2823 form, it is crucial to ensure accuracy and clarity. Below are some important guidelines on what to do and what to avoid during this process.

  • Do read the entire form carefully before starting to fill it out.
  • Do provide your full name as it appears on official documents.
  • Do include your Social Security Number (SSN) only if required.
  • Do ensure that all dates are formatted correctly (YYYYMMDD).
  • Do initial any corrections you make on the form.
  • Do sign the statement only after you fully understand its contents.
  • Do keep a copy of the completed form for your records.
  • Don’t leave any required fields blank.
  • Don’t provide false information or embellish details.
  • Don’t sign the form until you have read it completely.
  • Don’t forget to date the form in the appropriate section.
  • Don’t use abbreviations or informal language.
  • Don’t submit the form without reviewing it for errors.
  • Don’t share your completed form with unauthorized individuals.

Following these guidelines will help ensure that your statement is taken seriously and processed efficiently. Remember, accuracy and honesty are paramount in legal documentation.

Misconceptions

The DA Form 2823, also known as the Sworn Statement form, is often misunderstood. Here are six common misconceptions about this important document:

  • It is only for criminal cases. Many believe that the DA 2823 form is solely used for documenting criminal activity. In reality, it can also be utilized for a variety of incidents that require an official statement, including administrative matters.
  • Providing a Social Security Number is mandatory. Some individuals think they must provide their SSN when filling out the form. However, disclosing your SSN and other personal information is voluntary.
  • Anyone can fill out the form. There is a misconception that any person can complete the DA 2823 form. In fact, it is designed to be filled out by individuals who have firsthand knowledge of an incident or event.
  • The statement can be altered after signing. Many assume that once they sign the statement, they can make changes later. This is incorrect; any corrections must be initialed by the person making the statement before signing.
  • It is not legally binding. Some people believe that the DA 2823 form holds no legal weight. On the contrary, it is a sworn statement and can be used in legal proceedings, making it a serious document.
  • Witnesses are not necessary. There is a notion that witnesses are not required for the DA 2823 form. While it is not mandatory to have witnesses, having them can lend additional credibility to the statement.

Understanding these misconceptions can help individuals navigate the process of completing the DA 2823 form more effectively. It is crucial to approach this document with the seriousness it deserves.

Key takeaways

Filling out the DA 2823 form is an important process for documenting statements related to potential criminal activity in the U.S. Army. Here are some key takeaways to consider:

  • Purpose: The form is used to document statements under oath about incidents or complaints involving Army personnel.
  • Privacy: Your Social Security Number (SSN) and other personal information are collected voluntarily, but they may be shared with various law enforcement agencies.
  • Completeness: Ensure all required fields are filled out completely, including your name, SSN, and the date of the statement.
  • Statement Structure: Clearly state the facts of the incident. The statement should be concise and to the point.
  • Initials: Remember to initial each page of your statement and any corrections made.
  • Witnesses: If applicable, have witnesses present to sign the form, confirming the authenticity of your statement.
  • Oath Administration: The statement must be sworn before a person authorized to administer oaths, such as a notary public.
  • Review: Read through your completed statement carefully to ensure accuracy and clarity before signing.
  • Finalization: After signing, ensure that the form is submitted to the appropriate authority for further action.

Understanding these points can help you navigate the process of completing and using the DA 2823 form effectively.