DA 2823 PDF Details

As mentioned, the form is used to document potential criminal activity involving the U.S. Army and to allow Army officials to investigate complaints and incidents. Here are some other key points to be aware of regarding the DA 2823 form:

Voluntary Statement: The form emphasizes that the statement made should be given freely without any form of coercion, threats, promises of benefits, or any form of inducement. This is to ensure the integrity of the statement and that it was made without any external influence.

Oath: The statement is given under oath, meaning that the individual providing the statement swears that the information they are giving is true to the best of their knowledge. Providing false information under oath can lead to legal consequences.

Witness: The bottom section is for an authorized individual to acknowledge that the statement was sworn in their presence. This person is authorized by law to administer oaths. There's also a section for additional witnesses if needed.

Privacy Act Statement: The form indicates how the information provided might be used and shared. It states that the information can be disclosed to various entities like federal, state, local, and foreign government law enforcement agencies, courts, and more. It can also be used for making determinations about disciplinary actions, security clearances, and other personnel actions.

When using or filling out the DA Form 2823, it's important to ensure that the information provided is accurate and true. Given that it's a legal document, providing false information can lead to serious consequences. Always consult with legal counsel or an appropriate Army official if you have questions about the form or its usage.

QuestionAnswer
Form NameDA 2823 Form
Form Length3 pages
Fillable?Yes
Fillable fields34
Avg. time to fill out7 min 33 sec
Other namesform 2823, da form 2823 fillable, da 2823, sworn statement army

Form Preview 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

How to Edit DA 2823 Form Online for Free

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filling out 2823 pdf download part 1

The program will expect you to fill in the EXHIBIT, INITIALS OF PERSON MAKING, Page of, ADDITIONAL PAGES MUST CONTAIN THE, TAKEN AT, DATED, THE BOTTOM OF EACH ADDITIONAL PAGE, DA FORM NOV, PREVIOUS EDITIONS ARE OBSOLETE, and APD AEM vES area.

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Write the key particulars in STATEMENT OF, STATEMENT Continued, TAKEN AT, and DATED part.

2823 pdf download STATEMENT OF, STATEMENT Continued, TAKEN AT, and DATED fields to fill out

The STATEMENT OF, TAKEN AT, DATED, HAVE READ OR HAVE HAD READ TO ME, AFFIDAVIT, PAGE AND ENDS ON PAGE STATEMENT, I FULLY UNDERSTAND THE CONTENTS, Page of, WITNESSES, Signature of Person Making, Subscribed and sworn to before me, administer oaths this, day of, ORGANIZATION OR ADDRESS, and Signature of Person Administering segment enables you to point out the rights and responsibilities of both parties.

2823 pdf download STATEMENT OF, TAKEN AT, DATED, HAVE READ OR HAVE HAD READ TO ME, AFFIDAVIT, PAGE  AND ENDS ON PAGE STATEMENT, I FULLY UNDERSTAND THE CONTENTS, Page  of, WITNESSES, Signature of Person Making, Subscribed and sworn to before me, administer oaths this, day of, ORGANIZATION OR ADDRESS, and Signature of Person Administering blanks to complete

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