Forms and Templates

Forms and Templates
Homepage ➨ Fill Out a Valid Da 2823 Template
Content Overview

Guide to Writing Da 2823

Completing the DA 2823 form requires careful attention to detail. This sworn statement is essential for documenting potential criminal activity and maintaining order. Follow the steps below to ensure the form is filled out correctly.

  1. Begin by entering the location where the statement is being made in the designated field.
  2. Provide the date in the format YYYYMMDD.
  3. Indicate the time the statement is being made.
  4. Fill in the file number if applicable.
  5. Write your last name, first name, and middle name in the appropriate fields.
  6. Enter your Social Security Number (SSN).
  7. Specify your grade/status.
  8. Provide your organization or address.
  9. In the statement section, write "I, [Your Name], WANT TO MAKE THE FOLLOWING STATEMENT UNDER OATH:" followed by your statement.
  10. If necessary, label any supporting documents as exhibits.
  11. Sign your initials at the bottom of the statement.
  12. If additional pages are needed, ensure each page has the heading "STATEMENT OF TAKEN AT" and the date. Each page must also have your initials and page number indicated.
  13. At the end of the statement, confirm your understanding by signing the affidavit section, which includes your signature and the date.
  14. Finally, ensure that a person authorized to administer oaths completes their section, including their signature and typed name.

Document Breakdown

Fact Name Details
Purpose The DA 2823 form is used to document potential criminal activity involving the U.S. Army and to assist in maintaining discipline and law enforcement.
Governing Laws This form is governed by Title 10, USC Section 301, Title 5, USC Section 2951, and Executive Order 9397.
Privacy Act Statement Information collected may be disclosed to various law enforcement agencies and other entities for purposes such as investigations and administrative actions.
Voluntary Disclosure Providing your Social Security Number (SSN) and other personal information is voluntary when filling out this form.
Signature Requirement The individual making the statement must sign the form, affirming that the statement is true and made freely, without coercion.

FAQ

What is the DA Form 2823?

The DA Form 2823, also known as the Sworn Statement, is used to document potential criminal activity involving the U.S. Army. It helps Army officials maintain discipline and law and order through the investigation of complaints and incidents. This form is essential for ensuring that statements are taken under oath, which adds credibility to the information provided.

Who should use the DA Form 2823?

This form is primarily used by individuals who need to provide a sworn statement regarding an incident or complaint related to the Army. This includes soldiers, civilians, and anyone involved in an Army-related matter. If you have witnessed or been involved in an incident, you may be asked to fill out this form.

What information is required on the form?

The form requires several key pieces of information, including:

  1. Your location
  2. The date and time of the statement
  3. Your full name and Social Security Number (SSN)
  4. Your grade or status
  5. Your organization or address
  6. The statement you wish to make under oath

Additionally, if you need more space, each additional page must include a heading and your initials.

Is my Social Security Number (SSN) required?

Yes, the SSN is part of the required information on the form. However, disclosing your SSN and other personal information is voluntary. You should consider your privacy and the necessity of providing such information when filling out the form.

What happens after I submit the DA Form 2823?

Once you submit the form, it will be reviewed by the appropriate authorities. The information may be shared with various law enforcement agencies and used for disciplinary actions, security clearances, or other personnel decisions. It is crucial that the information you provide is accurate and truthful.

Can I make corrections to my statement?

Yes, if you need to make corrections to your statement, you should initial each correction. It is important to ensure that all information is clear and accurate. This helps maintain the integrity of your statement.

What is the purpose of the affidavit section?

The affidavit section is where you confirm that you have read your statement and understand its contents. By signing this section, you affirm that your statement is true and that you made it voluntarily, without any coercion. This adds an extra layer of credibility to your statement.

Fill out Other Forms

Facial Waiver Form - By signing, you acknowledge the potential risks associated with the procedure.

For those interested in setting up a successful freelance business, understanding the nuances of the Independent Contractor Agreement form is vital. This form not only delineates the responsibilities involved but also safeguards the rights of each party. To explore this important document further, visit the thorough guide on Independent Contractor Agreement essentials.

Salary Advance Agreement - This document is essential for establishing clear communication about your advance request.

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

APD AEM v1.04ES

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

 

 

 

 

 

.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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

APD AEM v1.04ES