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The DA 2823 form is a vital tool for documenting sworn statements related to potential criminal activities involving the U.S. Army. This form serves multiple purposes, primarily aimed at helping Army officials maintain discipline and law enforcement within their ranks. It is essential for capturing detailed accounts of incidents or complaints that may arise. The form requires specific information, including the individual's name, social security number, grade or status, and organization. The statement must be made under oath, ensuring that the information provided is accurate and truthful. Additionally, the DA 2823 outlines the privacy rights of individuals, emphasizing that the disclosure of personal information, including the Social Security Number, is voluntary. However, it also clarifies that the information collected may be shared with various law enforcement agencies and used for administrative actions, such as disciplinary measures and personnel decisions. By understanding the significance and requirements of the DA 2823, individuals can effectively navigate the process of making a sworn statement within the Army framework.

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.

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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

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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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File Breakdown

Fact Name Details
Purpose The DA 2823 form is used to document potential criminal activity involving the U.S. Army.
Governing Laws 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, ensuring the protection of personal information.
Voluntary Disclosure Disclosure of your Social Security Number and other information is voluntary.
Routine Uses Information may be disclosed to various law enforcement agencies and other authorities for investigation purposes.
Signature Requirement The statement must be signed by the person making it, affirming its truthfulness.
Witness Requirement The form requires the presence of a witness who can administer oaths during the signing process.
Initials on Pages Each additional page must contain the initials of the person making the statement and the page number.
Form Version The current version of the DA 2823 form is from November 2006, and previous editions are considered obsolete.

Guide to Using Da 2823

Completing the DA 2823 form is an important step in documenting a sworn statement regarding potential criminal activity involving the U.S. Army. Properly filling out this form ensures that the information is recorded accurately and can be used for necessary investigations and actions.

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

For any additional pages used, ensure that each page contains the heading "STATEMENT OF TAKEN AT" along with the date. Each page must also bear your initials and indicate the page number. After completing the statement, it will need to be signed and witnessed as per the instructions provided on the form.

Get Answers on Da 2823

What is the purpose of the DA Form 2823?

The DA Form 2823, also known as the Sworn Statement form, is primarily used to document potential criminal activity involving the U.S. Army. It serves as a tool for Army officials to maintain discipline and law and order by facilitating the investigation of complaints and incidents. This form helps ensure that all statements made are recorded accurately and can be referenced in future proceedings.

Who is required to complete the DA Form 2823?

Any individual who has witnessed or has knowledge of an incident related to potential criminal activity within the U.S. Army may be required to complete this form. This includes military personnel, civilians, and other stakeholders involved in the situation. It is crucial that those making statements do so under oath to ensure the integrity of the information provided.

What information is needed to fill out the DA Form 2823?

When completing the DA Form 2823, the following information is typically required:

  1. Location of the incident
  2. Date of the statement (in YYYYMMDD format)
  3. Time of the statement
  4. File number associated with the incident
  5. Full name (last name, first name, middle name)
  6. Social Security Number (SSN)
  7. Grade or status of the individual
  8. Organization or address

It is essential to provide accurate and complete information to ensure that the statement is valid and useful for investigations.

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 accurately identifying your records and streamlining any follow-up actions related to your statement. If you choose not to provide it, be prepared to explain your reasons if necessary.

What happens to the information provided on the DA Form 2823?

The information you provide on the DA Form 2823 may be disclosed to various entities, including federal, state, and local law enforcement agencies, prosecutors, and courts. It can also be used for administrative purposes, such as determining disciplinary actions or security clearances. The form is designed to ensure that the information is handled responsibly and in accordance with applicable laws.

How should I sign the DA Form 2823?

You must sign the form after reading or having it read to you. This signature indicates that you fully understand the contents of your statement and affirm that it is true. Additionally, you should initial any corrections made to the statement and initial the bottom of each page. This process helps ensure the accuracy and authenticity of your statement.

What should I do if I need additional pages for my statement?

If you require more space to complete your statement, you may use additional pages. Each of these pages must include the heading "STATEMENT OF TAKEN AT DATED" at the top. Furthermore, you should initial each page and indicate the page number to maintain clarity and organization throughout your submission.

Who can administer oaths for the DA Form 2823?

The DA Form 2823 must be sworn before a person authorized by law to administer oaths. This may include certain military personnel, legal officers, or other designated officials. It is essential that the individual administering the oath is recognized as having the authority to do so, ensuring the legitimacy of the statement.

Common mistakes

Filling out the DA 2823 form can be a daunting task, and mistakes can lead to delays or complications in the process. One common error is failing to provide complete personal information. This includes missing details such as the full name, Social Security Number (SSN), or grade/status. Each of these elements is crucial for accurately identifying the individual making the statement. Omitting any part of this information can hinder the investigation and may require resubmission of the form.

Another frequent mistake is neglecting to include the date and time of the incident. The form requires specific dates in the YYYYMMDD format. Inaccurate or missing dates can create confusion and may affect the timeline of events being reported. It is essential to ensure that these details are filled out clearly and correctly to maintain the integrity of the statement.

Additionally, individuals often forget to initial each page of the statement. The instructions specify that initials must appear at the bottom of each page containing the statement. This oversight can raise questions about the authenticity of the document and may lead to complications during the review process. Taking the time to carefully initial each page demonstrates attention to detail and commitment to the accuracy of the information provided.

Moreover, some people fail to read the statement thoroughly before signing it. The affidavit section requires individuals to confirm that they understand the content of their statement. Signing without proper comprehension can lead to misunderstandings or misrepresentations of the facts. It is vital to take the time to read the entire document, ensuring that all statements made are accurate and truthful.

Another common error involves not following the specific format required for additional pages. If more space is needed, it is important to include the heading "STATEMENT OF TAKEN AT" along with the date at the bottom of each additional page. Failing to adhere to this guideline can result in the additional pages being disregarded, which may compromise the completeness of the statement.

Lastly, individuals sometimes overlook the importance of providing a clear and concise statement. While it is essential to include all relevant details, the statement should also be organized and easy to understand. Overly lengthy or convoluted explanations can create confusion and may detract from the core message. Striving for clarity and brevity helps ensure that the statement is effective and serves its intended purpose.

Documents used along the form

The DA Form 2823, known as the Sworn Statement, plays a vital role in documenting potential criminal activity within the U.S. Army. It serves as a formal declaration made under oath, allowing individuals to provide crucial information regarding incidents or complaints. Alongside this form, several other documents are often utilized to support investigations and ensure proper documentation. Here are six commonly associated forms:

  • DA Form 15-6: This is an Investigation Report used for conducting inquiries into incidents involving Army personnel. It details findings and conclusions based on the investigation, helping to establish facts surrounding the case.
  • DA Form 2807-1: Known as the Report of Medical History, this form collects comprehensive health information about military personnel. It is often required during investigations to assess any medical factors that may be relevant to the situation.
  • DA Form 2824: This form is the sworn statement of a witness. It allows individuals who have witnessed an event to provide their account under oath, adding another layer of evidence to the investigation.
  • DA Form 200: This is a Financial Liability Investigation of Property Loss form. It is used when property is lost, damaged, or destroyed, documenting the circumstances and determining liability.
  • DA Form 4856: This is a Developmental Counseling Form. It is often used to document counseling sessions that may relate to behavioral issues or disciplinary actions within the Army.
  • DA Form 7279: This is the Incident Report form, used for reporting incidents that may require further investigation. It captures essential details about the event and initiates the investigation process.

These forms complement the DA Form 2823 by providing additional context, evidence, and documentation necessary for thorough investigations within the Army. Understanding the purpose of each document can enhance the clarity and effectiveness of the reporting process.

Similar forms

The DA 2823 form, also known as the Sworn Statement, serves a crucial role in documenting potential criminal activity within the U.S. Army. It’s not the only document that fulfills this purpose. Here’s a look at nine other forms that share similarities with the DA 2823, along with how they relate:

  • Affidavit: Like the DA 2823, an affidavit is a written statement confirmed by oath or affirmation, used as evidence in court. Both documents require the person making the statement to affirm its truthfulness under penalty of perjury.
  • Incident Report: This document records details about a specific incident, including time, place, and individuals involved. Similar to the DA 2823, it aims to provide a clear account for investigations and future reference.
  • Witness Statement: A witness statement is often used in legal proceedings to capture an individual’s account of events. Both the witness statement and the DA 2823 emphasize the importance of accuracy and truthfulness in reporting.
  • Complaint Form: This form allows individuals to formally report grievances or misconduct. Like the DA 2823, it serves as a foundational document for investigations into alleged wrongdoing.
  • Military Statement of Understanding: This document outlines a service member's understanding of specific policies or situations. It parallels the DA 2823 in that both require acknowledgment and affirmation of the information provided.
  • Testimony Transcript: This is a written record of spoken testimony given in legal settings. Both transcripts and the DA 2823 are used to preserve accounts of statements made under oath.
  • Interrogation Report: Similar to the DA 2823, an interrogation report captures the statements made during an interrogation process, focusing on the accuracy and completeness of the information provided.
  • Statement of Facts: This document outlines the facts surrounding a particular case or incident. Like the DA 2823, it is critical for establishing a clear narrative for investigations.
  • Declaration: A declaration is a formal statement, often used in legal contexts. It shares the DA 2823's purpose of documenting information that may be used in legal proceedings, reinforcing the importance of honesty and clarity.

Each of these documents serves a unique function but shares the common goal of documenting facts and ensuring accountability. Understanding their similarities can help you navigate the legal landscape more effectively.

Dos and Don'ts

When filling out the DA 2823 form, it is essential to approach the task with care and attention to detail. Here are some guidelines to help ensure the process goes smoothly.

  • Do read the entire form carefully before starting. Understanding the requirements will help you provide the necessary information accurately.
  • Do provide your full name as it appears on official documents. This helps avoid confusion and ensures proper identification.
  • Do include your Social Security Number (SSN) if required. Remember, this information is sensitive and should be handled with care.
  • Do sign the statement in the designated area after completing the form. Your signature confirms the authenticity of the information provided.
  • Don't leave any required fields blank. Omitting information can delay the processing of your statement.
  • Don't provide false information or exaggerate details. Honesty is crucial, as the statement is a legal document.
  • Don't forget to initial any corrections you make on the form. This practice ensures that all changes are acknowledged and verified.

Following these guidelines will help facilitate the submission of your DA 2823 form and ensure that your statement is taken seriously and processed efficiently.

Misconceptions

Misconceptions about the DA 2823 form can lead to confusion. Here are four common misunderstandings:

  • It is mandatory to provide my Social Security Number (SSN). Many believe that disclosing their SSN is compulsory when filling out the form. In reality, providing your SSN is voluntary. You can choose to leave it out if you are uncomfortable.
  • The form is only for criminal activity. Some think the DA 2823 is strictly for documenting criminal incidents. However, it also serves to maintain discipline and order within the Army, covering a broader range of complaints and incidents.
  • My statement is not confidential. There is a concern that the information shared will be widely publicized. While the form does allow for disclosures to various agencies, the information is primarily used for internal investigations and maintaining order.
  • I cannot change my statement once submitted. Some individuals worry that they cannot amend their statements after submission. In fact, you can initial any corrections made to your statement, ensuring it accurately reflects your account.

Key takeaways

Filling out the DA Form 2823, also known as the Sworn Statement, is an important process for documenting potential criminal activity involving the U.S. Army. Here are some key takeaways to consider:

  • Understand the Purpose: This form is primarily used to document incidents or complaints that may require investigation.
  • Privacy Considerations: The form includes a Privacy Act Statement, which outlines how your information will be used and shared.
  • Voluntary Disclosure: While you are asked to provide your Social Security Number (SSN) and other personal details, disclosing this information is voluntary.
  • Complete All Sections: Ensure that you fill out all required fields, including your name, date, time, and organization.
  • Initials Required: You must initial each page of your statement, indicating that you have reviewed its contents.
  • Correction Procedure: If you need to make corrections, initial them to confirm that you acknowledge the changes.
  • Witness Requirement: The statement must be witnessed and signed by an authorized person who can administer oaths.
  • Affidavit Statement: At the end of the form, you will affirm that the statement is true and made without coercion.
  • Use Additional Pages Wisely: If you need more space, additional pages should be labeled correctly and initialed at the bottom.

By keeping these points in mind, you can ensure that your DA Form 2823 is completed accurately and effectively, helping to support any investigations that may arise.