Da 7279 Form PDF Details

The DA 7279 form, also known as the Equal Opportunity and Harassment Complaint Form, is a crucial document designed to address issues of discrimination and harassment within the Army. This form is governed by several authoritative directives, including the Department of Defense Military Equal Opportunity Program and Army Command Policy, establishing a structured process for soldiers to report grievances relating to racial, gender, religious, or sexual orientation discrimination as well as harassment in the form of hazing, bullying, or other discriminatory behaviors. The form serves multiple purposes, including filing complaints, initiating investigations, and outlining the procedures for handling, resolving, and appealing decisions regarding these complaints. It allows for detailed submission of the incident, including the nature of the complaint, the requested remedy, and an affidavit section for the complainant to swear to the truthfulness of the report. Importantly, this form also outlines the rights of both the complainant and the subject(s) of the complaint, emphasizing the importance of a fair and thorough investigation process. The acknowledgment sections for receiving and investigating the complaint, alongside the parts dedicated to the results of the investigation and actions to resolve the complaint, show a comprehensive approach to handling such sensitive issues. Furthermore, the DA 7279 form includes a structured appeals process, ensuring that all parties have the opportunity to seek further review if they disagree with the findings or the outcomes. The emphasis on confidentiality and the voluntary nature of disclosure, balanced against the potential impacts of failing to provide comprehensive information, illustrates the form’s role in fostering a respectful and equitable environment within the Army.

QuestionAnswer
Form NameDa 7279 Form
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesda form 7279, 7279 form, dd form 7279, da 7279

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EQUAL OPPORTUNITY AND HARASSMENT COMPLAINT FORM

For use of this form, see AR 600-20; the proponent agency is DCS, G-1.

PRIVACY ACT STATEMENT

AUTHORITY: 10 USC 7013, Secretary of the Army: DoDD 1350.2, Department of Defense Military Equal Opportunity (MEO) Program; DOD Instruction 1020.03 Harassment Prevention and Response in the Army in the Armed Forces; AR 600-20, Army Command Policy.

PRINCIPAL PURPOSE:

ROUTINE USES:

To provide a means for filing complaint based on discrimination due to (race, color, sex (to include gender identity), religion, national origin, or sexual orientation) and harassment due to (hazing, bullying, or other discriminatory harassment). Information provided will be used to process the discrimination or harassment complaint and will be shared with the Soldiers Commander. For additional information see the System of Records Notice A0600-20 SAMR, Soldiers Equal Opportunity Investigative Files (https://dpcld.defense.gov/Privacy/SORNsIndex/ DOD-Component-Notices/Army-Article-List/).

There are no specific routine uses anticipated for this form, however, it may be subject to a number of proper and necessary routine uses identified in the system of records notice specific in the purpose statement above.

DISCLOSURE: Voluntary, however, failure to provide all the requested information could lead to rejection of complaint for inadequate data.

1.

NAME

2. RANK

3.

UNIT

4.

RACE/ETHNIC GROUP

5. SEX

6.

DATE (YYYYMMDD)

PART I - COMPLAINT

7a. NATURE OF COMPLAINT. (Give, in as much detail as possible, the basis for your complaint; describe the incident/behavior(s) and date(s) of the occurrence(s); the names of parties involved, witnesses, and to whom it may have been previously reported; plus, any additional information that would be helpful in resolving your complaint. I understand submitting a false EO complaint is punishable under UCMJ. Attach additional sheets, as needed.)

7b. REQUESTED REMEDY. (What do you think the final outcome should be?)

8a. AFFIDAVIT.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

I,

 

 

 

 

 

 

 

 

have read or have had read to me

this

statement which begins on this page (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. I

made the statement without threat of punishment,

and without coercion, unlawful influence, or unlawful inducement. I understand submitting a false EO complaint is punishable under UCMJ.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(Signature of Person Making Statement)

Subscribed and sworn to before me, a person authorized by law to administer oaths, this

 

 

 

 

 

 

 

day of

 

 

,

 

 

at

 

 

 

 

 

 

.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(Signature of Person Administering Oath)

 

 

 

 

(Typed/Printed Name of Person Administering Oath)

 

8b. AGENCY RECEIVING COMPLAINT.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

I acknowledge receipt of this complaint from

 

 

 

 

 

 

 

 

 

 

 

 

 

(name/rank)

of

 

 

 

 

 

 

 

(unit) on

 

 

(date).

I understand I have 3 calendar days (next drill period for reserve soldiers) in which to refer this complaint to the appropriate

commander of the complainant.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

8c. NAME

 

 

 

 

 

 

8d. RANK

8e. DATE (YYYYMMDD)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

8f. AGENCY

 

 

 

 

 

 

8g. SIGNATURE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DA FORM 7279, JUL 2020

PREVIOUS EDITIONS ARE OBSOLETE.

 

 

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9a.

ACKNOWLEDGEMENT.

 

I acknowledge receipt of this complaint, on behalf of (complainant's name)

 

,

submitted to me by (name, rank, alternative agency)

 

 

 

 

 

on

. I understand I have 5 calendar days (AC/RC) from the date of receipt in

 

which to initiate an investigation into the complaint, implement a plan to prevent reprisal, and reported complaint to the first SPCMCA when processed at the battalion or company level, or first GCMCA when processed at the brigade level and above. I also have 30 calendar days (three MUTA (90 days) - for USAR) in which to complete an investigation from the acknowledge date on the DA Form 7279. The legal sufficiency review will be conducted within 14 calendar days from the date the investigation is completed.

9b.

NAME

 

 

 

9c. RANK

 

 

9d. DATE (YYYYMMDD)

 

 

 

 

 

 

 

 

 

9e.

ORGANIZATION

 

 

 

9f. SIGNATURE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PART II - RESULTS OF INVESTIGATION

 

 

 

10a.

I (name of commander)

 

 

 

 

reviewed the report of investigation into

 

 

 

 

 

your allegations. I

concur

nonconcur with the findings of the investigating officer. I find that your allegations are:

 

 

substantiated

unsubstantiated. I base my decision on the following points:

 

 

 

 

 

 

 

 

 

 

 

10b.

SIGNATURE OF COMMANDER

 

 

10c. DATE (YYYYMMDD)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PART III - ACTIONS TO RESOLVE COMPLAINT

11a.

The command has done (or will do) the following actions to resolve this complaint and continue to prevent acts of reprisal:

11b. ADVISEMENT TO COMPLAINANT/SUBJECT: You have the right to appeal these actions to resolve the complaint. You will have 7 calendar days (next MUTA-4 for USAR) to submit your appeal in writing (timeline applies to both the first and second appeal requests.)

 

11c. SIGNATURE OF COMMANDER

11d. DATE (YYYYMMDD)

 

 

 

 

 

 

 

11e. ACKNOWLEDGEMENT BY THE COMPLAINANT AND SUBJECT(S) OF THE COMPLAINT OF FINDINGS, FEEDBACK, AND

 

APPEALS OPTIONS

 

 

 

 

 

 

 

 

 

 

 

 

 

(Signature of Complainant)

 

(Date)

 

 

 

 

 

 

 

 

 

(Signature of Subject(s) of Complaint)

 

(Date)

 

FOR ADDITIONAL SUBJECT(S) OF COMPLAINT, USE A BLANK SHEET OF PAPER.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PART IV - APPEAL

 

 

 

 

 

12a. I elect to appeal the outcome of my complaint for the following reasons:

 

 

 

 

 

 

 

 

Continuation sheet(s) is attached

 

Continuation sheet(s) is not attached

 

 

 

 

 

 

 

 

 

12b. COMPLAINANT'S SIGNATURE

12c. DATE (YYYYMMDD)

 

 

 

 

12d. SUBJECT'S SIGNATURE

12e. DATE (YYYYMMDD)

 

 

 

 

12f. I have reviewed the complaint file, the investigative findings, and other information regarding this case. My findings are:

 

 

 

 

12g. SIGNATURE OF APPELLATE AUTHORITY

12h. DATE (YYYYMMDD)

 

 

 

 

 

 

 

12i. I acknowledge being counseled concerning the outcome of this appeal.

 

 

 

 

 

 

 

 

12j. COMPLAINANT'S SIGNATURE

12k. DATE (YYYYMMDD)

 

 

 

 

12l. SUBJECT'S SIGNATURE

12m. DATE (YYYYMMDD)

 

 

 

 

 

 

 

 

 

 

DA FORM 7279, JUL 2020

 

 

 

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