Da 2823 PDF Template

Da 2823 PDF Template

The DA 2823 form is a sworn statement used primarily to document potential criminal activity involving the U.S. Army. This form plays a crucial role in maintaining discipline and law enforcement within military settings by allowing Army officials to investigate complaints and incidents. If you need to fill out this important form, please click the button below.

Article Guide

The DA 2823 form, also known as the Sworn Statement form, plays a crucial role in documenting potential criminal activities involving the U.S. Army. This form is designed to help Army officials maintain discipline and law and order through thorough investigations of complaints and incidents. It is important to understand that the information provided on this form may be shared with various law enforcement agencies, courts, and other relevant organizations. This sharing helps ensure that appropriate actions are taken, whether that involves judicial or non-judicial punishment or other administrative measures. The form requires specific details, such as the location, date, time, and personal information of the individual making the statement, including their Social Security Number (SSN), which is collected voluntarily. Each statement must be made under oath, confirming that the individual understands the contents and has provided their information freely, without coercion. The DA 2823 form is not only a tool for documentation but also a vital part of maintaining accountability within the Army, ensuring that all statements are taken seriously and handled with the necessary legal oversight.

Da 2823 Preview

THE BOTTOM OF EACH ADDITIONAL PAGE MUST BEAR THE INITIALS OF THE PERSON MAKING THE STATEMENT, AND PAGE NUMBER MUST
BE INDICATED.
ADDITIONAL PAGES MUST CONTAIN THE HEADING "STATEMENT OF
PREVIOUS EDITIONS ARE OBSOLETE.
DA FORM 2823, NOV 2006
DATEDTAKEN AT
APD AEM v1.04ES
SWORN STATEMENT
For use of this form, see AR 190-45; the proponent agency is PMG.
PRIVACY ACT STATEMENT
AUTHORITY:
PRINCIPAL PURPOSE:
ROUTINE USES:
DISCLOSURE:
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.
Title 10, USC Section 301; Title 5, USC Section 2951; E.O. 9397 Social Security Number (SSN).
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 of your SSN and other information is voluntary.
3. TIME
6. SSN
I,
8. ORGANIZATION OR ADDRESS
10. EXHIBIT 11. INITIALS OF PERSON MAKING STATEMENT
1. LOCATION
5. LAST NAME, FIRST NAME, MIDDLE NAME
4. FILE NUMBER
7. GRADE/STATUS
, WANT TO MAKE THE FOLLOWING STATEMENT UNDER OATH:
9.
2. DATE (YYYYMMDD)
Page 1 of 3
DA FORM 2823, NOV 2006
APD AEM v1.04ES
INITIALS OF PERSON MAKING STATEMENT
Page 2 of 3
USE THIS PAGE IF NEEDED. IF THIS PAGE IS NOT NEEDED, PLEASE PROCEED TO FINAL PAGE OF THIS FORM.
DATEDTAKEN ATSTATEMENT OF
9. STATEMENT (Continued)
DA FORM 2823, NOV 2006
APD AEM v1.04ES
DATEDTAKEN ATSTATEMENT OF
INITIALS OF PERSON MAKING STATEMENT
Page 3 of 3
, HAVE READ OR HAVE HAD READ TO ME THIS STATEMENT WHICH BEGINS ON I,
. 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.
,
Subscribed and sworn to before me, a person authorized by law to
(Authority To Administer Oaths)
(Signature of Person Making Statement)
(Typed Name of Person Administering Oath)
AFFIDAVIT
WITNESSES:
ORGANIZATION OR ADDRESS
(Signature of Person Administering Oath)
ORGANIZATION OR ADDRESS
day of
administer oaths, this
at
.
Page 3 of 3PAGE 1, AND ENDS ON PAGE

File Properties

Fact Name Details
Form Purpose The DA Form 2823 is designed to document potential criminal activity involving the U.S. Army. It helps maintain discipline and law and order through investigation of complaints and incidents.
Governing Laws This form is governed by Title 10, USC Section 301, Title 5, USC Section 2951, and Executive Order 9397.
Privacy Act Statement The form includes a Privacy Act Statement that explains the authority under which personal information, such as Social Security Numbers (SSNs), is collected.
Routine Uses of Information Information collected may be shared with various law enforcement agencies, courts, and other organizations for purposes like disciplinary actions and security clearances.
Voluntary Disclosure Providing your SSN and other personal information on the form is voluntary. However, it is essential for the processing of the statement.
Signature Requirement The individual making the statement must sign the form, confirming they understand the contents and that their statement is true and made freely.

Instructions on Utilizing Da 2823

Completing the DA 2823 form is a straightforward process that requires careful attention to detail. This form is essential for documenting statements made under oath regarding potential criminal activity related to the U.S. Army. Follow these steps to ensure that you fill out the form correctly.

  1. Begin by entering the location where the statement is being made.
  2. Next, write the date in the format YYYYMMDD.
  3. Then, indicate the time when the statement is taken.
  4. Fill in the file number associated with the case.
  5. Provide your last name, first name, and middle name.
  6. Enter your Social Security Number (SSN).
  7. List your grade/status.
  8. Include your organization or address.
  9. In the statement section, write: "I, [Your Name], WANT TO MAKE THE FOLLOWING STATEMENT UNDER OATH:"
  10. If you have any exhibits, indicate them in the designated exhibit section.
  11. Sign your initials in the initials of person making statement section.
  12. If additional pages are necessary, ensure each page contains the heading "STATEMENT OF TAKEN AT" and the date, along with your initials and page number.
  13. On the final page, read the affidavit section carefully, then sign and date it to confirm your understanding and the truthfulness of your statement.
  14. Have a witness present to sign the form, and ensure they include their title and organization or address.

Important Facts about Da 2823

What is the purpose of the DA 2823 form?

The DA 2823 form is used to document potential criminal activity involving the U.S. Army. It allows Army officials to maintain discipline and law and order through the investigation of complaints and incidents.

What information is required to complete the DA 2823 form?

The form requires several pieces of information, including the location, date, time, file number, names, Social Security Number (SSN), grade/status, and organization or address of the individual making the statement. It also includes space for the statement itself and any exhibits related to the case.

Is providing my Social Security Number mandatory when filling out the DA 2823?

Providing your Social Security Number is voluntary. However, it may be useful for identification purposes during the investigation process.

Who can access the information provided on the DA 2823 form?

The information may be disclosed to various entities, including federal, state, local, and foreign law enforcement agencies, prosecutors, courts, child protective services, and other personnel management organizations. This is done to facilitate investigations and administrative actions related to the military.

What should I do if I need more space to provide my statement?

If additional space is needed, you can use extra pages. Each additional page must have the heading "STATEMENT OF TAKEN AT" along with the date. The initials of the person making the statement and the page number must also be included at the bottom of each page.

What is the significance of the affidavit section on the DA 2823 form?

The affidavit section confirms that the person making the statement has read or had the statement read to them, understands its content, and attests to its truthfulness. This section is crucial for ensuring that the statement is made voluntarily and without coercion.

Who is authorized to administer the oath for the DA 2823 form?

Individuals authorized by law to administer oaths can oversee the signing of the form. This includes certain military personnel and officials who have the legal authority to do so.

What happens if I do not complete the DA 2823 form correctly?

Incomplete or incorrectly filled forms may lead to delays in the investigation process or may not be accepted. It is important to ensure that all required information is accurately provided to avoid such issues.

Can I withdraw my statement after submitting the DA 2823 form?

Once the statement is submitted, it becomes part of the investigation process. While you can express a desire to withdraw your statement, it may not be possible to do so without consequences. It is advisable to consult with legal counsel if you have concerns about your statement.

Common mistakes

Filling out the DA Form 2823 can be a straightforward process, but several common mistakes can lead to complications. One significant error is failing to provide complete information in the required fields. Each section, from the location to the SSN, must be filled out accurately. Incomplete forms may delay investigations or result in the rejection of the statement.

Another frequent mistake is neglecting to sign and date the form correctly. The signature is a crucial element that confirms the statement's authenticity. Without a proper signature, the document may be considered invalid, undermining its purpose.

Many individuals also forget to initial each page of the statement. This practice is essential, as it indicates that the signer has reviewed and approved the contents of every page. Omitting initials can raise questions about the integrity of the statement.

Confusion often arises regarding the use of exhibits. Some people mistakenly include documents without properly referencing them in the statement. Each exhibit should be clearly identified and relevant to the statement being made. Failure to do so can lead to misunderstandings during the review process.

Another common oversight is the incorrect formatting of the date and time. The DA Form 2823 requires specific formats, such as YYYYMMDD for dates. Incorrect formatting can create discrepancies that complicate the documentation process.

Additionally, individuals sometimes provide inaccurate personal information, such as their grade/status or organization. This can lead to confusion and may hinder the investigation. It is vital to double-check these details before submission.

Lastly, some people do not take the time to read through their statements thoroughly before signing. This oversight can result in unintentional inaccuracies or omissions. Understanding the content of the statement is essential for ensuring its reliability and effectiveness.

Documents used along the form

The DA Form 2823 is a sworn statement used to document potential criminal activity involving the U.S. Army. When completing this form, several other documents may also be necessary to ensure a comprehensive investigation. Below is a list of commonly used forms and documents that often accompany the DA Form 2823.

  • DA Form 1: This is a personnel action form that provides basic information about the individual involved in the statement, including their rank, organization, and contact details.
  • DA Form 2822: Known as the "Sworn Statement," this form is similar to the DA Form 2823 but is often used for different types of statements, such as those related to administrative actions.
  • DA Form 3997: This form is used for documenting incidents involving military police and can serve as a supplementary record to the sworn statement.
  • DA Form 4833: This form is the "Commander's Report of Disciplinary Action" and may be used to record any disciplinary actions taken following the investigation.
  • AF Form 1168: The "Statement of Suspect/Witness" form is often utilized in Air Force investigations and can provide additional context or statements related to the incident.
  • DD Form 2708: This is the "Receipt for Inmate or Detained Person" form, which documents the custody of individuals during investigations and can be relevant in criminal cases.
  • DA Form 15-6: This form is used to initiate an investigation and outlines the purpose and scope of the inquiry, often leading to the need for sworn statements.
  • Witness Statements: These are informal written accounts from individuals who may have observed the incident in question, providing additional perspectives and details.
  • Law Enforcement Reports: Reports from military or civilian law enforcement agencies can provide crucial information and context for the investigation.

Each of these documents plays a vital role in the overall investigation process. They help ensure that all relevant information is collected and properly documented, contributing to a fair and thorough examination of the situation at hand.

Similar forms

The DA 2823 form, known as the Sworn Statement, serves a specific purpose within the U.S. Army. It documents potential criminal activity and helps maintain discipline. Several other documents share similar functions, particularly in gathering sworn statements or declarations. Here are five documents that are comparable to the DA 2823 form:

  • Affidavit: Like the DA 2823, an affidavit is a written statement confirmed by oath. It is often used in legal proceedings to provide evidence or support claims.
  • Witness Statement: This document collects a witness's account of events. It serves a similar purpose in documenting facts and can be used in investigations or court cases.
  • Incident Report: An incident report records details of an event or occurrence. While it may not be sworn, it is essential for documenting facts related to investigations, similar to the DA 2823.
  • Statement of Facts: This document outlines specific facts related to a situation. It is often used in legal contexts to provide clarity and support claims, much like the DA 2823.
  • Declaration: A declaration is a formal statement made under penalty of perjury. It is similar to the DA 2823 in that it serves to affirm the truthfulness of the information provided.

Dos and Don'ts

Filling out the DA 2823 form can seem daunting, but with the right approach, it can be straightforward. Here’s a list of things to keep in mind when completing this important document.

  • Do: Read the instructions carefully before you start. Understanding the purpose of the form will help you provide the necessary information accurately.
  • Do: Use clear and concise language. The goal is to communicate your statement effectively, so avoid unnecessary jargon.
  • Do: Double-check your information. Ensure that names, dates, and other details are correct to avoid any confusion later on.
  • Do: Sign and date the form at the end. This confirms that you understand and agree with the statement you’ve made.
  • Do: Initial any corrections you make. This shows that you acknowledge the changes and maintains the integrity of your statement.
  • Don't: Leave any required fields blank. Incomplete forms can lead to delays or complications in processing your statement.
  • Don't: Rush through the process. Take your time to ensure that everything is filled out correctly and completely.

By following these guidelines, you can help ensure that your DA 2823 form is completed accurately and efficiently. Remember, this form is crucial for documenting potential criminal activity and maintaining order, so your attention to detail matters.

Misconceptions

Understanding the DA 2823 form can be challenging. Here are eight common misconceptions about this important document:

  • It is mandatory to provide my Social Security Number (SSN). While the form requests your SSN, providing it is voluntary. You can still submit your statement without it.
  • The DA 2823 is only for criminal activity. Although it documents potential criminal activity, it also serves to maintain discipline and order within the Army.
  • Once submitted, my statement cannot be changed. You can initial corrections on the form. Ensure you review your statement carefully before finalizing it.
  • Only military personnel can use this form. Civilians can also submit a DA 2823 if they have relevant information regarding incidents involving the Army.
  • The information will only be used internally. The details provided may be shared with various law enforcement agencies and other organizations as necessary.
  • My statement will remain confidential. While efforts are made to protect your privacy, some information may be disclosed as part of investigations.
  • I need a lawyer to fill out the form. You do not need legal representation to complete the DA 2823. However, seeking legal advice can be beneficial if you have concerns.
  • The form is not important. The DA 2823 plays a crucial role in documenting statements that can impact investigations and disciplinary actions.

By addressing these misconceptions, individuals can better understand the purpose and use of the DA 2823 form.

Key takeaways

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

  • Purpose: The form is designed to document statements made under oath regarding incidents or complaints involving the Army.
  • Privacy Act Statement: Your Social Security Number (SSN) and other personal information are collected voluntarily and are protected under the Privacy Act.
  • Information Disclosure: Information provided may be shared with various law enforcement agencies and other entities for disciplinary and administrative purposes.
  • Completing the Form: Ensure all required fields are filled out accurately, including your name, SSN, and organization.
  • Initials Requirement: Each page must bear your initials, and any corrections made should also be initialed.
  • Affidavit Section: The affidavit at the end of the form confirms your understanding and truthfulness of the statement made.
  • Signature: Your signature is required to validate the statement, indicating it was made freely and without coercion.
  • Witnesses: The form must be witnessed by a person authorized to administer oaths, who will also sign the document.
  • Additional Pages: If more space is needed, additional pages should be labeled with the heading "STATEMENT OF TAKEN AT" and include your initials.
  • Final Review: Before submitting, review the entire statement to ensure clarity and accuracy, as it may be used in investigations or legal proceedings.