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The DA 2823 form is an essential document used within the U.S. Army to record sworn statements related to potential criminal activity. This form serves a critical purpose by helping Army officials maintain discipline and law enforcement through thorough investigation of complaints and incidents. It collects vital information, including the individual's name, Social Security Number (SSN), grade, and organization. The form is designed to ensure that statements are documented accurately and can be used in various legal contexts, including judicial or non-judicial punishment and personnel actions. The privacy of the individuals involved is respected, as the disclosure of personal information is voluntary. Each statement must be signed and witnessed, affirming that the individual understands the content and confirms its truthfulness. The DA 2823 also outlines the proper procedures for additional pages, ensuring that all statements are complete and properly formatted. Understanding the significance of this form is crucial for anyone involved in the Army's legal processes.

Document Specifics

Fact Name Details
Purpose The DA 2823 form is used to document potential criminal activity involving the U.S. Army. It helps maintain discipline and law and order through investigations of complaints and incidents.
Governing Laws This form is governed by Army Regulation 190-45, Title 10 of the U.S. Code Section 301, and Title 5 of the U.S. Code Section 2951.
Privacy Act Statement The Privacy Act requires that individuals are informed about the collection of their personal information, including their Social Security Number (SSN), and how it will be used.
Voluntary Disclosure Providing your SSN and other personal information on the DA 2823 form is voluntary. However, it may affect the processing of the statement.
Routine Uses Information from the DA 2823 may be disclosed to various entities, including federal, state, and local law enforcement agencies, courts, and child protective services.
Signature Requirement The individual making the statement must sign the form, affirming that they understand the contents and have made the statement freely and without coercion.

Similar forms

The DA Form 2823, commonly known as the Sworn Statement form, is an essential document used within the U.S. Army to record statements under oath regarding potential criminal activity. Several other documents serve similar purposes in various contexts. Here’s a look at eight documents that share similarities with the DA Form 2823:

  • Affidavit: Like the DA Form 2823, an affidavit is a written statement confirmed by oath or affirmation, typically used in legal proceedings. It serves to document facts in a formal manner.
  • Transfer-on-Death Deed: The Transfer-on-Death Deed allows property owners to designate beneficiaries who will receive their property upon their passing, without the need for probate. To learn more about this process, visit Arizona PDF Forms.
  • Witness Statement: This document captures the account of an individual who witnessed an event. Similar to the DA Form 2823, it aims to provide a factual recounting of incidents for legal or investigative purposes.
  • Incident Report: Often utilized by law enforcement, an incident report outlines details of a specific occurrence. It parallels the DA Form 2823 by documenting events that may require further investigation.
  • Testimony: In legal settings, testimony refers to a formal statement given by a witness under oath. This is akin to the DA Form 2823 as both documents are used to present factual information in a sworn capacity.
  • Declaration: A declaration is a written statement made under penalty of perjury. Like the DA Form 2823, it serves to affirm the truthfulness of the information provided.
  • Interrogatory Response: In legal proceedings, interrogatories are written questions that one party sends to another. Responses are often sworn, similar to the DA Form 2823, ensuring the information is accurate and reliable.
  • Statement of Facts: This document outlines the factual basis of a case or situation. It mirrors the DA Form 2823 in that it seeks to establish a clear and truthful narrative for review.
  • Official Report: Used by various agencies, an official report documents findings from investigations. It shares the purpose of the DA Form 2823 by providing a formal account of events for further action or review.

Each of these documents plays a crucial role in ensuring that statements and facts are recorded accurately and can be relied upon in legal or disciplinary matters. Understanding their similarities helps in recognizing the importance of documentation in maintaining order and justice.

Free Da 2823 File

Da 2823 Example

 

 

 

 

 

 

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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Understanding Da 2823

What is the purpose of the DA 2823 form?

The DA 2823 form, also known as the Sworn Statement, serves to document potential criminal activity involving the U.S. Army. This form allows Army officials to investigate complaints and incidents, thereby maintaining discipline and law and order within the military. It is an essential tool for gathering information that may be relevant to disciplinary actions or legal proceedings.

Who can use the DA 2823 form?

The DA 2823 form can be used by any member of the U.S. Army who wishes to provide a sworn statement regarding an incident or complaint. This includes active duty personnel, reservists, and certain civilian employees. The form is designed for individuals who have firsthand knowledge of events that may require investigation or documentation.

What information is required to complete the DA 2823 form?

To complete the DA 2823 form, several pieces of information are required. This includes the location, date, and time of the incident, as well as the individual’s last name, first name, middle name, Social Security Number (SSN), grade or status, and organization or address. Additionally, the individual must provide their statement under oath, which is a critical part of the form.

Is disclosure of personal information mandatory when filling out the DA 2823 form?

Disclosure of personal information, including the Social Security Number, is voluntary when filling out the DA 2823 form. However, providing complete and accurate information is important for the investigation process. The information may be shared with various law enforcement agencies and used for purposes related to military discipline and personnel actions.

What happens after the DA 2823 form is submitted?

Once the DA 2823 form is submitted, it becomes part of the official record regarding the incident. The information provided may be reviewed by military officials and could lead to further investigation or disciplinary action. The statement may also be used in judicial or non-judicial proceedings, depending on the nature of the complaint or incident documented.

Dos and Don'ts

When filling out the DA 2823 form, it is essential to approach the task with care and attention to detail. Below are ten important guidelines to follow, including what to do and what to avoid.

  • Do provide accurate and complete information in all required fields.
  • Do write clearly and legibly to ensure that your statement can be easily read.
  • Do initial any corrections made to your statement to indicate your acknowledgment of the changes.
  • Do include your Social Security Number (SSN) only if required and ensure its confidentiality.
  • Do sign and date the statement in the appropriate section at the end of the form.
  • Don't leave any required fields blank; ensure all sections are filled out as instructed.
  • Don't provide false or misleading information, as this can have serious consequences.
  • Don't use abbreviations or jargon that may not be understood by the reviewing authority.
  • Don't forget to include page numbers and your initials on any additional pages.
  • Don't submit the form without reviewing it for errors or omissions first.

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