The Department of Defense Form 2627-1, also known as the "Surviving Spouse Separation Allowance Application," is a form used to apply for separation pay benefits. If you are a military spouse and have been left alone due to your partner's deployment or transfer, you may be eligible for this type of assistance. The form can be downloaded from the DoD website, and must be filled out in its entirety before submission. Note that eligibility requirements and application procedures can vary depending on your situation, so it's important to consult with an expert if you have any questions.
| Question | Answer |
|---|---|
| Form Name | Da Form 2627 1 |
| Form Length | 3 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 45 sec |
| Other names | da form 2627, da form 2627 1, 2627, 1 |
SUMMARIZED RECORD OF PROCEEDINGS UNDER ARTICLE 15, UCMJ
For use of this form, see AR
A summarized Article 15 may only be used for enlisted personnel. The punishments that may be imposed are limited to: extra duty for 14 days or less, restriction for 14 days or less, an oral reprimand/admonition, or any combination thereof. The imposing commander will ensure that the Soldier understands the rights found on page 2 of this form. An NCO will normally go over these rights with the Soldier.
NAME
GRADE
SSN
UNIT & LOCATION
1. On |
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the above Soldier was informed that the commander was considering imposition of nonjudicial punishment under |
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the provisions of Article 15, UCMJ, Summarized Proceedings, for the following misconduct:
2. The member was advised that no statement was required, but that any statement made could be used against him or her in the proceeding or in a court
Guilty of all offenses OR |
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Guilty of the offenses not lined out OR |
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Based on the findings, I imposed the following punishment (s):
Not guilty of all offenses (destroy form)
Extra Duty for |
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days (max of 14) |
Restriction for |
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days (max of 14) |
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The punishment(s) of
Oral reprimand or admonition
suspended, to be automatically remitted if not vacated before |
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(WAS / WERE) |
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(DATE) |
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3.I advised the Soldier of his or her right to appeal to the next superior authority within five(5) calendar days, that an appeal made after that time could be rejected as untimely, and that the punishment was effective immediately unless otherwise stated. The Soldier:
Elected immediately not to appeal
Requested a reasonable time to decide whether to appeal.
NAME, RANK, AND ORGANIZATION OF COMMANDER
SIGNATURE
DATE
4.(Initial appropriate block, date, and sign)
a.
I do not appeal. b.
I appeal and do not submit matters for consideration. c.
I appeal and submit additional matters
NAME AND RANK OF SERVICE MEMBER
SIGNATURE
DATE
5. After consideration of all matters presented in appeal, the appeal is:
Denied
Granted as follows:
NAME, RANK, AND ORGANIZATION OF COMMANDER
SIGNATURE
DATE
6. I have seen the action taken on my appeal.
SIGNATURE OF SERVICE MEMBER
DATE
7. ALLIED DOCUMENTS AND/OR COMMENTS
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PREVIOUS EDITIONS ARE OBSOLETE. |
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SUMMARIZED ARTICLE 15 RIGHTS, MAXIMUM PUNISHMENTS, AND FILING:
Article 15, UCMJ, is a federal law that permits commanding officers to conduct
Summarized Article 15 procedures are the most informal type of Article 15 proceeding and are governed by the rules in AR
SOLDIERS HAVE THE FOLLOWING RIGHTS AT A SUMMARIZED ARTICLE 15 PROCEEDING:
a.To refuse Article 15 proceedings and demand trial by
b.To remain silent and to not make any statement about the charged offenses. Any statement made may be used against the Soldier in any other proceeding, including a trial by
c.To confront witnesses, to examine the evidence, and to present matters in defense, extenuation, or mitigation.
d.To appeal the findings and punishment to the next superior authority.
e.To be given a reasonable amount of time (normally 24 hours) to decide whether to accept summarized Article 15 procedures or to demand trial by court- martial. Because of the limited nature of potential punishments under a summarized Article 15 proceeding, the Soldier has no right to consult with legal counsel.
MAXIMUM PUNISHMENTS UNDER SUMMARIZED ARTICLE 15 PROCEEDINGS:
Regardless of the rank of the commander imposing a summarized Article 15, the maximum punishment may not exceed 14 days extra duty, 14 days restriction, an oral reprimand or admonition, or any combination thereof.
THE RECORDING AND FILING OF SUMMARIZED ARTICLE 15 FORMS:
The proceedings will be reflected on DA Form
The form will be destroyed at the end of two years from the date of imposition of the punishment, or upon the Soldier’s transfer from the unit, whichever occurs first. A copy will be provided to the Soldier if a request is submitted during the filing period. The DA
THE NEED TO IMPROVE STANDARDS OF PERFORMANCE AND CONDUCT:
Soldiers found guilty at any Article 15 proceeding, including a summarized proceeding, are considered to be on notice that they must improve their conduct and performance. An Article 15, whether summarized or formal, may form the basis, in whole or in part, for an administrative separation that results in a less than honorable discharge. Soldiers are strongly encouraged to exhibit the behavior necessary to receive an Honorable Discharge. If not, one or more of the following situations may occur:
a.The Soldier may be separated with a General Discharge under Honorable Conditions or with an Other Than Honorable Discharge.
b.A Soldier separated with less than an honorable discharge may be barred from ever enlisting again, may encounter problems securing civilian employment, and may forfeit the many benefits generally associated with an Honorable Discharge.
e. The Soldier should know that the likelihood of upgrading a less than honorable discharge, while possible, is unlikely.
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Continuation Sheet, DA Form
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