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In the realm of military documentation within the United States Army, the DA Form 2823, or the "Sworn Statement," serves a critical role in the documentation and investigation of potential criminal activities and the maintenance of discipline, law, and order. Authorized under AR 190-45, and with the backing of various statutes including Title 10, USC Section 301, and Title 5, USC Section 2951, along with Executive Order 9397 for the use of Social Security Numbers (SSNs), this form is a comprehensive tool used by Army officials. It is crafted to meticulously document statements related to incidents or complaints that may involve criminal activity, thereby allowing for a thorough investigation process. The form outlines the prerequisites for providing a sworn statement, including the voluntary disclosure of SSN and the procedural steps for making a statement under oath. It elaborates on the principal purpose, routine uses, and the potential disclosure of information provided, ensuring that the individual making the statement is aware of the uses of their information - ranging from law enforcement, judicial, or administrative actions to personnel decisions affecting security clearances and employment. Additionally, the form includes specific sections for personal identification, the statement, affidavits, and witnesses, all designed to ensure the statement is accurately recorded and verified. This robust documentation process not only aids in upholding justice within the Army's ranks but also aligns with broader legal and administrative standards for handling complaints and incidents effectively.

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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

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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File Attributes

Fact Name Description
Form Origin The DA Form 2823 is a document used by the U.S. Army, as specified by the Army Regulation (AR) 190-45.
Authority The use of this form is authorized by Title 10, United States Code (USC) Section 301 and Title 5, USC Section 2951, along with Executive Order (E.O.) 9397, primarily regarding the Social Security Number (SSN).
Principal Purpose This form is primarily used to document potential criminal activity involving the U.S. Army and to assist Army officials in maintaining discipline, law, and order via investigation of complaints and incidents.
Routine Uses The information provided on the form can be disclosed to various agencies, including federal, state, local, and foreign law enforcement, prosecutors, courts, and others, for actions related to judiciary, discipline, security clearances, and personnel management.
Voluntary Disclosure Disclosing your SSN and other information on this form is voluntary, highlighting the discretion allowed to the individuals filling out this form.
Page Requirement The form contains sections that must be filled out on the first page regarding the statement being made, with any additional pages requiring the heading "STATEMENT OF TAKEN AT DATED" along with the person's initials and page number for continuity and verification purposes.

How to Fill Out Da 2823

After witnessing or experiencing incidents that may involve criminal activity within the U.S. Army, it's crucial to document these events accurately and truthfully. The DA Form 2823, Sworn Statement, serves this purpose, enabling Army officials to maintain discipline, law, and order. Preparing to fill out this form requires attention to detail and sincerity. The information provided could be crucial for investigations and further disciplinary actions. Here are the steps to complete the DA Form 2823:

  1. Fill in the location where the statement is being made at the top of the form.
  2. Enter the date in the format YYYYMMDD when the statement is being made.
  3. Provide the time when the statement is being made.
  4. Include a file number if applicable.
  5. Write the full name of the person making the statement: last name, first name, middle name.
  6. Enter the Social Security Number (SSN) of the person making the statement.
  7. List the grade/status of the individual providing the statement.
  8. Fill in the organization or address of the individual.
  9. In the space provided, the person making the statement should write, "I, [insert name], want to make the following statement under oath:" and then proceed to detail their statement.
  10. If there are any exhibits, label them as such.
  11. The individual making the statement must initial at the designated area on Page 1 to confirm the accuracy of the information on that page.
  12. Use additional pages if the statement exceeds the space provided on the first page. Each additional page must contain the heading "Statement of [name] taken at [location] dated [date]," and the person making the statement must initial at the bottom of each page, along with the page number indicated.
  13. Once the statement is complete, the individual must read or have read to them the entire statement. They must acknowledge by signing that they fully understand the content, the statement is true to the best of their knowledge, and it was made freely. All corrections should be initialed.
  14. Two witnesses must be present to witness the signature of the person making the statement. They each must sign and provide their details in the designated area.
  15. The form must then be signed and dated by a person authorized to administer oaths, indicating their authority, organization, or address.

Completing the DA Form 2823 with accuracy and integrity is fundamental, as the information provided will be used to investigate incidents thoroughly and ensure justice within the Army's ranks.

Frequently Asked Questions

What is the purpose of the DA Form 2823?

DA Form 2823, also known as a Sworn Statement, is utilized to document potential criminal activity within the U.S. Army and helps officials maintain discipline, law, and order. It serves as an official record for the investigation of complaints and incidents, providing crucial information for administrative and legal processes.

Who can give a statement on a DA Form 2823?

Any individual, whether a member of the U.S. Army or a civilian, who possesses information about incidents or activities of interest to the Army can provide a statement using DA Form 2823. This form is designed to record their testimony under oath, ensuring the accuracy and reliability of the information.

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

The information captured on a DA Form 2823 can be shared with various entities for further action, including:

  • Federal, state, local, and foreign law enforcement agencies
  • Prosecutors and courts
  • Child protective services
  • Victims and witnesses involved in the case
  • The Department of Veterans Affairs and the Office of Personnel Management

This information can be used for determinations regarding judicial or non-judicial punishment, administrative disciplinary actions, security clearances, and other personnel-related decisions.

Is providing my Social Security Number (SSN) on the DA Form 2823 mandatory?

While the DA Form 2823 requests your Social Security Number (SSN) under the Privacy Act Statement, providing it is voluntary. The form is designed to ensure the confidentiality and protection of personal information while allowing for the documentation of statements related to army investigations accurately. However, omitting your SSN might affect the processing and investigational uses of the form.

Common mistakes

Filling out the DA Form 2823, a sworn statement for the U.S. Army, requires meticulous attention to detail. A commonly made mistake is neglecting to accurately fill in the header of each additional page. This header is critical as it helps in maintaining the continuity and integrity of the statement. People often overlook the requirement to include the "Statement of Taken At Dated" at the top of every continuation page. This oversight can lead to confusion and questions regarding the statement's authenticity or completeness.

Another error occurs when individuals do not initial the bottom of each page or make the necessary corrections throughout the form. Initialing each page and any amendments made is a vital step, as it confirms the person making the statement has reviewed and agreed to the contents of each page. Failure to do so might cast doubt on which parts of the statement the individual has acknowledged, potentially undermining the statement's reliability.

Many also mistakenly believe that providing their Social Security Number (SSN) is mandatory, as mentioned under the Privacy Act Statement. However, the form makes it clear that disclosing SSN and other information is voluntary. This confusion can lead to unnecessary sharing of personal information, heightening risks to privacy without benefiting the statement's purpose.

A further common misstep involves the final section where the individual asserts they have made the statement freely "without hope of benefit or reward, without threat of punishment, and without coercion, unlawful influence, or unlawful inducement." Signees often rush through this affirmation without fully considering its implications. It's crucial to understand this part as it signifies that the statement is made of one's own volition, an aspect that could be fundamental in subsequent investigations or proceedings.

Last but not least, witnesses play a critical role in the validation of the DA Form 2823. An error frequently made is not ensuring the witnesses sign and provide their information in the designated area on the final page. Witnesses’ signatures corroborate the manner in which the statement was given, adding another layer of legitimacy. Overlooking this step can detract from the statement's credibility, potentially impacting its utility in investigations or disciplinary actions.

Documents used along the form

When dealing with documentation in legal proceedings within the U.S. Military, the DA Form 2823, or Sworn Statement, serves as a foundational document for capturing testimony or statements related to incidents or potential criminal activities. This form, crucial for maintaining discipline, law, and order, is often accompanied by other forms and documents, each serving a specific purpose and ensuring a comprehensive approach to information gathering and evidence collection.

  • DA Form 4856 - Counseling Form: This document is used to record counseling sessions between a leader and a subordinate, which can be relevant if the sworn statement pertains to a matter discussed during counseling.
  • DA Form 638 - Recommendation for Award: In cases where a sworn statement captures acts of bravery or exceptional conduct, this form is utilized to recommend individuals for military awards.
  • DD Form 93 - Record of Emergency Data: Essential for ensuring next of kin are contacted promptly in emergencies, this document might be cross-referenced with sworn statements in tragic incidents.
  • DA Form 31 - Request and Authority for Leave: This document is important for establishing the whereabouts of military personnel, which can corroborate or question the validity of a sworn statement.
  • DD Form 214 - Certificate of Release or Discharge from Active Duty: This form could be relevant to sworn statements when verifying an individual's military service and conduct during their time in service.
  • DA Form 5500 - Body Fat Content Worksheet: While seemingly unrelated, this form could complement a sworn statement in investigations concerning physical readiness or standards.
  • DA Form 2062 - Hand Receipt/Annex Number: This document tracks the issuance of military equipment, which can be pertinent in cases where a sworn statement involves the use or misuse of such items.
  • DA Form 2823 supplement - Additional Pages for Sworn Statement: In complex cases requiring extensive testimony, additional pages for the DA Form 2823 are necessary to document the complete statement uninterrupted.
  • DD Form 1750 - Packing List: In scenarios involving the transportation of items or personal belongings, this form provides a detailed inventory that could be relevant to a sworn statement's subject matter.

Together, these documents and the DA Form 2823 contribute to a thorough and methodical approach to military legal proceedings. They ensure that all aspects of an incident are meticulously documented, supporting the pursuit of truth and the administration of justice within the military community. By understanding and correctly utilizing these forms, military personnel can navigate legal complexities with greater clarity and confidence.

Similar forms

The DA Form 2823, used for making sworn statements related to potential criminal activity within the U.S. Army, has similarities with various other documents used in legal and administrative processes. One such document is the Affidavit, a written statement made under oath, used across different legal settings. Both require the signer to swear to the truthfulness of the statement’s contents before an authorized official, making these documents critical for investigations and legal proceedings.

Mirroring the DA Form 2823, the Miranda Warning card is used by law enforcement before questioning a suspect in custody, ensuring the suspect is aware of their rights. Although used in different contexts, both documents serve to protect individuals’ rights and ensure the integrity of statements collected during investigations. The Miranda Warning emphasizes the right against self-incrimination, while DA Form 2823 documents statements that could be used in administrative actions or legal proceedings.

Similar to DA Form 2823, the Police Report is an official document filed by officers following an incident or crime, capturing details about what occurred. Both forms are used to record factual information and observations tied to incidents, but while DA Form 2823 focuses on sworn statements, police reports offer a broader narrative from the responding officer's perspective.

The Consent to Search form, another document similar to DA Form 2823, is used by law enforcement to obtain permission to conduct a search without a warrant. Both documents involve voluntary cooperation from the individual, whether giving a sworn statement or consenting to a search, and both contain voluntary disclosures of information critical for legal and investigatory purposes.

The Victim Impact Statement, used in the sentencing phase of a criminal trial, allows victims to describe the impact of the crime on their lives. Like DA Form 2823, it provides personal insight into the consequences of criminal activity, but from the victim’s perspective, influencing potential sentencing or disciplinary actions.

Just as with the DA Form 2823, the Military Orders document contains critical information for official actions, albeit in a different context. Military Orders detail assignments, relocations, or other directives issued to military personnel, requiring accuracy and formality in documenting actionable instructions, similar to the sworn statement's role in documenting investigatory findings.

An Incident Report, used in various organizations, records details about accidents or incidents within a facility. Like DA Form 2823, it serves an essential function in documenting factual information immediately following an event, which can be crucial for further review or action, emphasizing the importance of accurate and timely reporting in operational and legal contexts.

The Standard Form 95 (SF-95), a claim form for damage, injury, or death, shares a procedural similarity with DA Form 2823. Both forms are used within federal processes, SF-95 for claims against the government and DA Form 2823 for documenting statements within the Army. Each requires detailed, accurate information for their respective processes, whether pursuing a claim or detailing potential criminal activity.

FBI Background Check forms, requested for various reasons, require individuals to provide personal information and consent to a background review. Similar to DA Form 2823, these checks can involve the disclosure of personal information for official purposes, albeit for assessing an individual’s background rather than documenting a sworn statement related to criminal activity or misconduct.

Dos and Don'ts

When filling out the DA Form 2823, it is essential to approach this task with attention to detail and accuracy to ensure the document serves its intended purpose effectively. Here are some key do's and don'ts to consider:

Do's:

  1. Ensure to record the statement in a clear, concise manner, focusing on relevant facts and details that pertain to the situation in question.
  2. Double-check all the entered information for accuracy, including the dates, names, and any numerical information provided.
  3. Initial any corrections made throughout the document to signify that the change was made by the person making the statement.
  4. Have the statement read back if necessary, to confirm that the recorded text accurately reflects the intended message and details.
  5. Sign and date the affidavit section to validate the statement, understanding the importance of the oath taken.

Don'ts:

  • Avoid leaving blank spaces for any of the required fields; if a section does not apply, mark it with N/A (Not Applicable).
  • Refrain from including opinions or conjectures; stick to factual and directly observed information.
  • Do not rush through reading or signing the affidavit without fully understanding the implications and contents of the statement.
  • Avoid using technical jargon or slang that may not be clearly understood by all parties reviewing the document.
  • Do not forget to have witnesses present and sign the document if required, to further validate the statement.

Misconceptions

There are several misconceptions about the DA Form 2823, which is a sworn statement used by the U.S. Army. Below are five common misunderstandings and their clarifications:

  • Misconception 1: The form is only for Army personnel.
  • This is not true. While the primary users of the DA Form 2823 are indeed members of the U.S. Army, the form can also be used to document statements from civilians, contractors, or non-Army personnel related to incidents involving the Army. The form’s principal purpose is to record potential criminal activity and maintain discipline, which can involve parties outside of Army personnel.

  • Misconception 2: Filling out the form waives your right to remain silent.
  • Completing the DA Form 2823 does not mean you waive your right to remain silent. Individuals making statements on this form do so voluntarily and can choose not to answer specific questions or to cease filling out the form at any point. The form itself reminds individuals that providing information is voluntary, reinforcing the protection against self-incrimination.

  • Misconception 3: Providing your Social Security Number (SSN) is mandatory.
  • As highlighted in the privacy act statement on the DA Form 2823, disclosing your SSN and other personal information is voluntary, not mandatory. The request for SSN is for identification purposes to ensure accurate record-keeping, especially when names are common. However, individuals have the right to withhold this information if they choose.

  • Misconception 4: The form is used solely for punitive actions.
  • While it's true that information collected through the DA Form 2823 can be used for determining judicial or non-judicial punishment, its uses are far broader. The information can also help in other administrative disciplinary actions, inform security clearance decisions, and assist in various personnel actions. Moreover, it can serve protective functions, like informing child protective services or providing necessary information to victims and witnesses.

  • Misconception 5: Statements made on the form cannot be retracted or corrected.
  • This is inaccurate. Before finalizing the statement, the person making the statement has the opportunity to review, correct, or retract their statement. The affidavit section of the form asserts that the individual has either read or had the statement read to them, that they understand its contents, and that all corrections have been initialed. Therefore, there is an explicit opportunity for correction or retraction before the statement is sworn and submitted.

Key takeaways

Filling out and using the DA Form 2823, which serves as a sworn statement detailed for use within the U.S. Army, involves a systematic approach to documenting information crucial for legal and administrative purposes. Here are four key takeaways to keep in mind:

  • Understand the purpose: The DA Form 2823 is specifically designed to document potential criminal activity and ensure discipline, law, and order through thorough investigation of complaints and incidents within the U.S. Army. Recognizing the form's intent can guide the level of detail and precision required when completing it.
  • Privacy and disclosure: Completing the form involves providing sensitive information, including your Social Security Number (SSN). It’s important to note that disclosure is voluntary, but the information could be disclosed to various agencies for legal, disciplinary, or administrative actions which underscores the importance of accuracy and honesty in the statement provided.
  • Completeness and accuracy are critical: When filling out the form, every section from the location of the statement to the witness signatures must be completed thoroughly. This includes ensuring that additional pages are properly marked with the heading, statement continuation, person's initials, and page number if the initial page lacks sufficient space.
  • Oath and affirmation: The statement concludes with an affidavit where the individual making the statement must affirm the truthfulness and completeness of their statement under oath. This affirmation is crucial as it underscores the legal weight of the document. The process is completed by signatures from both the person making the statement and an authorized individual who can administer oaths, effectively making the document a sworn statement.

Understanding these key aspects of the DA Form 2823 can aid in ensuring that it is filled out correctly and effectively, serving its purpose in the investigation and documentation process. Moreover, it emphasizes the importance of ethical responsibility in reporting accurate information for justice and accountability within the military framework.

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