DA Form 2823 at a glance
What it is: DA Form 2823 is the SWORN STATEMENT, to make a statement under oath.
Who signs: The person making the statement signs on the line marked (Signature of Person Making Statement).
A filled-in DA Form 2823 example: a soldier gives a sworn statement
How to fill out DA Form 2823, box by box
Location, date, time and file number
Enter the location in Box 1, the date as YYYYMMDD in Box 2, the time in Box 3 and the file number in Box 4.
Last name, first name, middle name, SSN, grade/status and organization or address
Enter the last name, first name and middle name in Box 5, the SSN in Box 6, the grade/status in Box 7 and the organization or address in Box 8.
Disclosure of your SSN and other information is voluntary.
The statement under oath
Box 9 is "I, , WANT TO MAKE THE FOLLOWING STATEMENT UNDER OATH:"; make the statement there.
Page 2 of 3: use this page if needed. If this page is not needed, proceed to the final page of the form, Page 3 of 3.
Additional pages must contain the heading "STATEMENT OF", with TAKEN AT and DATED.
The bottom of each additional page must bear the initials of the person making the statement, and the page number must be indicated.
Exhibit and initials of person making statement
Enter the exhibit in Box 10 and the initials of the person making the statement in Box 11.
Affidavit, oath and witnesses
AFFIDAVIT: I have read or have had read to me this statement which begins on PAGE 1, and ends on PAGE.
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 administer oaths, this day of at; enter the (Signature of Person Administering Oath), the (Typed Name of Person Administering Oath) and the (Authority To Administer Oaths).
Under WITNESSES, enter the ORGANIZATION OR ADDRESS.
Common questions about DA Form 2823
What is DA form 2823 used for?
DA Form 2823 is the SWORN STATEMENT, to make a statement under oath. 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.
Sources
[1] DA Form 2823 (NOV 2006), Sworn Statement, U.S. Army (the Official source link on this page).
