DA 2823 Form – Fill Out and Use This PDF

The DA Form 2823, also known as the Sworn Statement, is a standardized document used by the U.S. Army to record potential criminal activity and maintain discipline within its ranks. It serves a critical function in documenting complaints, incidents, and enabling thorough investigations. If you are required to fill out a DA Form 2823, ensure accuracy and completeness by clicking the button below.

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DA 2823 PDF Details

In the realm of maintaining discipline within the U.S. Army, the DA Form 2823 plays a pivotal role. Crafted as a medium for documenting sworn statements, this form is integral in the investigation of complaints and incidents that may suggest criminal activity. Authorized under Title 10, USC Section 301, and other legislative frameworks, its primary purpose extends to supporting Army officials in upholding law and order. The information furnished through the DA Form 2823 can be dispensed across a broad spectrum of entities, including federal and state agencies, law enforcement, courts, and even child protective services, signifying its importance in varied legal and administrative contexts. Furthermore, the data provided may influence decisions related to judicial or non-judicial punishment, security clearances, and several other critical personnel actions. With a structure that requires details such as location, time, and the specifics of the statement under oath, the form underscores the Army's commitment to thoroughness and accountability. It also acknowledges the weight of a volunteer’s testimony, making provisions for subsequent pages to carry the narrative forward, ensuring every piece of the statement is duly recorded and initialed for authenticity. Designed to safeguard integrity and facilitate justice, the DA Form 2823 exemplifies the procedural backbone of disciplinary actions within the Army, delineating a clear, structured pathway for recording the truth.

Question	Answer
Form Name	DA 2823 Form
Form Length	3 pages
Fillable?	Yes
Fillable fields	34
Avg. time to fill out	7 min 33 sec
Other names	form 2823, da form 2823 fillable, da 2823, sworn statement army

How to Fill Out DA Form 2823

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

DA Form 2823 example filled out, example: a soldier gives a sworn statement — Jane Sample, a soldier, gives a sworn statement on DA 2823. She reports a lost radio on March 14, 2026, and the whole statement fits on page 1. The picture shows page 1 filled in, and its names and figures are sample values. The affidavit is signed later before a person who administers oaths, so the affidavit stays empty.

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).