Homepage Blank Da 2823 Form
Outline

The DA Form 2823, commonly known as the Sworn Statement, serves a crucial role within the U.S. Army by documenting potential criminal activity. This form is essential for maintaining discipline and ensuring law and order through thorough investigations of complaints and incidents. It is governed by regulations outlined in AR 190-45, emphasizing its importance in the military justice system. When completing the form, individuals provide their personal information, including their name, Social Security Number (SSN), and details about the statement being made. The information collected may be shared with various law enforcement agencies and other organizations involved in legal proceedings, thus highlighting the form's significance in broader legal contexts. While providing this information is voluntary, it is vital for those involved to understand the implications of their statements. The form also includes sections for witnesses and for the individual administering the oath, ensuring that the statement is formally recognized and valid. Understanding the DA Form 2823 is essential for anyone involved in military investigations, as it lays the groundwork for accountability and transparency in the process.

Sample - Da 2823 Form

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

Form Information

Fact Name Description
Purpose The DA 2823 form is used to document potential criminal activity involving the U.S. Army.
Governing Law It is governed by Title 10, USC Section 301; Title 5, USC Section 2951; and E.O. 9397.
Privacy Act Statement The form includes a Privacy Act statement to inform users about their rights regarding personal information.
Voluntary Disclosure Providing your Social Security Number (SSN) is voluntary.
Routine Uses Information may be shared with various law enforcement agencies and other entities for specific purposes.
Initials Requirement Each additional page must include the initials of the person making the statement.
Oath Administration The statement must be sworn before a person authorized to administer oaths.
Signature Requirement The individual making the statement must sign to confirm its truthfulness.
Document Length The form consists of three pages, with specific instructions for additional pages.
Obsolete Editions Previous editions of the DA 2823 form are considered obsolete as of November 2006.

Detailed Guide for Filling Out Da 2823

Completing the DA 2823 form is essential for documenting a sworn statement related to potential criminal activity involving the U.S. Army. Following the steps below will help ensure that all necessary information is accurately provided.

  1. Fill in the Location: Write the specific location where the statement is being made.
  2. Enter the Date: Use the format YYYYMMDD to indicate the date of the statement.
  3. Specify the Time: Provide the time at which the statement is being made.
  4. Include the File Number: If applicable, enter the relevant file number associated with the case.
  5. Provide Your Name: Fill in your last name, first name, and middle name.
  6. Enter Your Social Security Number: Write your SSN in the designated space.
  7. Indicate Your Grade/Status: Specify your military grade or status.
  8. List Your Organization or Address: Provide the name of your organization or your current address.
  9. Make Your Statement: In the designated area, clearly write the statement you wish to make under oath.
  10. Attach Exhibits: If there are any exhibits related to your statement, indicate them here.
  11. Initial Your Statement: Signify your acknowledgment by writing your initials in the space provided.

After completing these steps, review the form for accuracy. If additional pages are needed, make sure they include the heading "STATEMENT OF TAKEN AT" and your initials on each page. Once everything is in order, sign the affidavit section and have it witnessed as required.

Obtain Answers on Da 2823

  1. What is the purpose of the DA 2823 form?

    The DA 2823 form, also known as the Sworn Statement, is used to document potential criminal activity involving the U.S. Army. This form allows Army officials to maintain discipline and law and order through the investigation of complaints and incidents.

  2. Who is authorized to use the DA 2823 form?

    The form can be utilized by members of the U.S. Army and other authorized personnel who need to provide a sworn statement regarding incidents or complaints. It is designed for situations where an official account of events is necessary.

  3. What information is required on the DA 2823 form?

    The form requires several key pieces of information, including:

    • Location
    • Date (in YYYYMMDD format)
    • Time
    • File number
    • Full name (last name, first name, middle name)
    • Social Security Number (SSN)
    • Grade/status
    • Organization or address
    • The statement being made under oath
  4. Is the disclosure of my SSN mandatory?

    No, the disclosure of your Social Security Number and other information on the DA 2823 form is voluntary. However, providing this information may assist in the investigation and processing of your statement.

  5. What happens if additional pages are needed?

    If additional pages are required, each page must include the heading "STATEMENT OF TAKEN AT" and the date. The initials of the person making the statement must appear at the bottom of each page, along with the page number.

  6. What is the affidavit section of the DA 2823 form?

    The affidavit section is where the individual making the statement confirms that they have read or had the statement read to them. They must acknowledge understanding the content and affirm that the statement is true. This section also requires the signature of the person making the statement and the person administering the oath.

  7. Who can administer the oath for the DA 2823 form?

    The oath can be administered by a person authorized by law to do so. This may include military officers or other designated officials who have the authority to administer oaths.

  8. What should I do if I need assistance filling out the DA 2823 form?

    If you need help completing the DA 2823 form, you may seek assistance from a legal advisor, a supervisor, or a designated representative within your organization. They can provide guidance on how to accurately fill out the form and ensure all necessary information is included.

Common mistakes

Filling out the DA 2823 form accurately is crucial for ensuring that statements are properly documented. However, individuals often make mistakes that can lead to complications. One common error is failing to provide complete personal information. This includes not only the full name but also the correct Social Security Number (SSN) and grade or status. Omitting any of these details can hinder the processing of the statement and may delay investigations.

Another frequent mistake involves incorrect dates and times. The form requires precise entries in the format specified, such as YYYYMMDD for dates. Errors in this section can create confusion regarding the timeline of events, which is vital for any investigation. It is essential to double-check these entries to ensure they align with the events being reported.

Individuals sometimes overlook the need for initials on each page of the statement. Each additional page must bear the initials of the person making the statement, as well as the page number. Neglecting to do this can result in the pages being considered incomplete, which may lead to the entire statement being questioned.

Moreover, failing to read the statement thoroughly before signing can lead to significant issues. The affidavit section requires the person making the statement to confirm they understand the content. If there are any discrepancies or misunderstandings, these should be addressed prior to signing. A hasty review can lead to unintentional inaccuracies being accepted as fact.

Lastly, individuals may forget to include witnesses or provide their signatures in the appropriate sections. The presence of witnesses can add credibility to the statement, and their signatures are often required to validate the document. Ensuring all necessary signatures are present is essential for the integrity of the statement.

Documents used along the form

The DA Form 2823, known as the Sworn Statement, serves as a crucial document for recording potential criminal activity within the U.S. Army. However, it is often accompanied by several other forms and documents that facilitate investigations and ensure proper documentation of incidents. Each of these documents plays a distinct role in the broader context of military law and order.

  • DA Form 3881: Rights Warning Procedure/Waiver Certificate - This form is used to inform individuals of their rights before any questioning occurs. It ensures that service members understand their rights under the Uniform Code of Military Justice (UCMJ) and can make informed decisions about whether to waive those rights during an investigation.
  • DA Form 2704: Victim/Witness Information Notification - This document is essential for keeping victims and witnesses informed about their rights and the status of an investigation. It provides necessary information regarding available support services and the legal processes involved, ensuring that individuals are aware of their roles and protections under military law.
  • DA Form 2822: Sworn Statement - Similar to the DA Form 2823, this form allows individuals to provide a sworn statement regarding incidents or observations. It is often used in conjunction with the 2823 to gather comprehensive information from multiple sources, enhancing the overall integrity of the investigation.
  • DA Form 15-6: Investigation Report - This form serves as a formal report documenting the findings of an investigation. It consolidates information gathered from various sources, including sworn statements, and presents it in a structured format that aids in decision-making and potential disciplinary actions.

Each of these documents complements the DA Form 2823, creating a cohesive framework for addressing incidents within the military. Together, they ensure that investigations are thorough, fair, and just, reflecting the commitment to uphold discipline and order in the U.S. Army.

Similar forms

The DA Form 2823 is a sworn statement form used primarily by the U.S. Army to document potential criminal activity and maintain discipline. Several other documents serve similar purposes in various contexts. Below is a list of eight documents that are comparable to the DA Form 2823, along with explanations of their similarities.

  • Affidavit: An affidavit is a written statement confirmed by oath or affirmation, similar to the DA Form 2823 in that both require the individual to declare the truthfulness of their statements under penalty of perjury.
  • Witness Statement: A witness statement is a document where a person recounts their observations related to an incident. Like the DA Form 2823, it is used to collect factual information for investigations.
  • Incident Report: An incident report documents details of an event or occurrence. Both forms serve the purpose of recording important information for further review and action.
  • Police Report: A police report is created by law enforcement to document criminal activity. It shares the goal of providing a formal record of events, similar to the DA Form 2823.
  • Statement of Facts: This document outlines the facts of a case or situation. It serves a similar function to the DA Form 2823 by presenting a clear narrative of events for legal purposes.
  • Sworn Declaration: A sworn declaration is a written statement made under oath. It is similar to the DA Form 2823 in that it affirms the truthfulness of the information provided.
  • Testimony: Testimony is a formal written or spoken statement given in a legal setting. Both testimony and the DA Form 2823 are used to present evidence in legal proceedings.
  • Legal Statement: A legal statement is a document that outlines facts or opinions regarding a legal matter. It parallels the DA Form 2823 by serving as a formal record of an individual's assertions.

Dos and Don'ts

When filling out the DA 2823 form, there are some important dos and don'ts to keep in mind. Following these guidelines can help ensure that your statement is clear and effective.

  • Do provide accurate and complete information. Make sure all sections are filled out correctly, including your name, date, and location.
  • Do read the entire form carefully before signing. Understanding what you are agreeing to is crucial.
  • Do initial any corrections you make on the form. This shows that you acknowledge and accept the changes.
  • Do ensure that additional pages are properly labeled with the heading "STATEMENT OF TAKEN AT" and include your initials and page number.
  • Don't leave any sections blank unless instructed. Incomplete forms may lead to delays or issues with your statement.
  • Don't provide false information. Honesty is essential, as false statements can have serious consequences.
  • Don't rush through the process. Take your time to ensure that everything is accurate and complete.
  • Don't forget to sign the form. Your signature indicates that you understand and agree to the contents of your statement.

Misconceptions

The DA 2823 form, also known as the Sworn Statement, is an important document used by the U.S. Army. However, several misconceptions surround its purpose and use. Here are nine common misunderstandings:

  • The form is only for criminal cases. While it is often used to document potential criminal activity, the DA 2823 can also be used for administrative purposes, such as maintaining discipline.
  • Providing a Social Security Number (SSN) is mandatory. Disclosure of your SSN is voluntary. You can choose to omit it if you are uncomfortable sharing it.
  • The statement can be altered after submission. Once the statement is signed, it should not be altered. Any corrections must be initialed by the person making the statement.
  • 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 form guarantees confidentiality. While the information is handled with care, it may be shared with various law enforcement agencies and other entities as necessary.
  • You need a lawyer to complete the form. While legal advice can be helpful, it is not required to fill out the DA 2823. Individuals can complete it on their own.
  • The form is only for reporting incidents. It can also be used to provide witness statements or to support other claims made within the Army.
  • Submitting the form will lead to immediate action. The submission of a DA 2823 does not guarantee that an investigation will take place. It is one part of a larger process.
  • Once submitted, the statement is permanently recorded. The form is used for specific purposes and may not be retained indefinitely. Its retention is subject to Army regulations.

Understanding these misconceptions can help individuals navigate the process more effectively and use the DA 2823 form appropriately.

Key takeaways

When filling out and using the DA 2823 form, keep these key takeaways in mind:

  • Purpose of the Form: The DA 2823 is designed to document potential criminal activity related to the U.S. Army. It helps maintain discipline and law and order through thorough investigation.
  • Privacy Considerations: Your Social Security Number (SSN) and other personal information are collected voluntarily. However, be aware that this information may be shared with various law enforcement and government agencies.
  • Accurate Information: Ensure all details, such as your name, date, and time, are filled out accurately. Mistakes can lead to complications in the investigation process.
  • Signature Requirement: After completing your statement, you must read it carefully and sign to confirm its truthfulness. This step is crucial, as it verifies that you understand the content and have made the statement freely.
  • Initials on Additional Pages: If you need to use extra pages, remember to include your initials and page numbers at the bottom of each additional page to maintain clarity and organization.