How to Fill Out DA Form 2627-1

DA Form 2627-1 at a glance

What it is: DA Form 2627-1 is the summarized record of proceedings under Article 15, UCMJ.

Where and when to file: This form will be maintained locally in the unit's nonjudicial punishment file (file number 27-10f).

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.

A filled-in DA Form 2627-1 example: a commander imposes a summarized Article 15

DA Form 2627-1 example filled out, example: a commander imposes a summarized Article 15
Specialist Jane Sample's commander completes DA Form 2627-1. She gets 10 days of extra duty and an oral reprimand, so restriction stays empty. The picture shows page 1 and none of its entries is real. Suspended punishment stays empty because no punishment is suspended. The Soldier does not appeal, so appeal result and seeing the action stay empty. Allied documents and comments stays empty because nothing is attached.

How to fill out DA Form 2627-1, box by box

Soldier: name, grade, DoD ID, unit and location

DA Form 2627-1 example filled out, soldier: name, grade, DoD ID, unit and location

Enter the Soldier's NAME, GRADE, DoD ID and UNIT AND LOCATION.

Box 1: misconduct

DA Form 2627-1 example filled out, box 1: misconduct

In box 1, enter the Following Misconduct and when the above Soldier was informed that the commander was considering imposition of nonjudicial punishment under the provisions of Article 15, UCMJ, Summarized Proceedings.

Box 2: extra duty, restriction and oral reprimand

DA Form 2627-1 example filled out, box 2: extra duty, restriction and oral reprimand

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.

Mark one: Guilty of all offenses, Guilty of the offenses not lined out, or Not guilty of all offenses (destroy form).

Enter the days for Extra Duty (max of 14) if it is imposed and the days for Restriction (max of 14) if it is imposed.

Based on the findings, mark Oral reprimand or admonition if it is imposed.

Box 2: suspended punishment

DA Form 2627-1 example filled out, box 2: suspended punishment

If a punishment is suspended, enter the punishment(s) in The punishment(s) of, mark was or were suspended, and enter when it will be automatically remitted if not vacated before.

Box 3: right to appeal

DA Form 2627-1 example filled out, box 3: right to appeal

In box 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. Mark whether the Soldier: Elected immediately not to appeal or Requested a reasonable time to decide whether to appeal.

Enter the NAME, GRADE, AND ORGANIZATION and the DATE, and sign on the SIGNATURE line.

The date of imposition of NJP is the date items 4 and 5 on DA Form 2627, or items 1 through 3 on DA Form 2627 - 1, as appropriate, are signed by the imposing commander.⁠[2]

Box 4: initial, date and sign

DA Form 2627-1 example filled out, box 4: initial, date and sign

In box 4, initial the appropriate block, date, and sign: a. I do not appeal, b. I appeal and do not submit matters for consideration, or c. I appeal and submit additional matters.

Enter the NAME AND GRADE OF SERVICE MEMBER and the DATE, and sign on the SIGNATURE line.

Box 5: the appeal

DA Form 2627-1 example filled out, box 5: the appeal

In box 5, after consideration of all matters presented in appeal, mark Denied or Granted as follows.

Enter the NAME, GRADE, AND ORGANIZATION OF COMMANDER and the DATE, and sign on the SIGNATURE line.

Box 6: action taken on my appeal

DA Form 2627-1 example filled out, box 6: action taken on my appeal

In box 6, enter the DATE and sign on the SIGNATURE line: I have seen the action taken on my appeal.

More rules for DA Form 2627-1

On the Continuation Sheet, enter what DA Form 2627-1 is Pertaining to.

If your situation is different

Warrant or commissioned officers

Summarized Article 15 procedures may not be used for warrant or commissioned officers.

Rights at a summarized Article 15 proceeding

Article 15, UCMJ, is a federal law that permits commanding officers to conduct non-judicial proceedings for minor offenses.

A Soldier may refuse Article 15 proceedings and demand trial by court-martial, unless attached to or embarked on a vessel.

A Soldier has the following right at a summarized Article 15 proceeding: 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.

A Commander may find a Soldier guilty of an offense at an Article 15 proceeding only after being convinced by a preponderance of the evidence that the Soldier is guilty.

Filing and destroying the 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 2627-1 is not filed in the Soldier's Army Military Human Resource Record.

Discharge after an Article 15

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, the Soldier may be separated with a General Discharge under Honorable Conditions or with an Other Than Honorable Discharge.

Common questions about DA Form 2627-1

Where do I file it?

This form will be maintained locally in the unit's nonjudicial punishment file (file number 27-10f).

Sources

[1] DA Form 2627-1 (SEP 2024), Summarized Record of Proceedings Under Article 15, UCMJ, U.S. Department of the Army (the Official source link on this page).

[2] armypubs.army.mil, submission_method. Accessed October 31, 2026.

DA Form 2627-1 PDF Details

Under 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.

Appeal: the Soldier has the right to appeal to the next superior authority within five (5) calendar days.

Decision time: normally 24 hours to decide whether to accept summarized Article 15 procedures or to demand trial by court martial.

Counsel: at a summarized Article 15 proceeding, the Soldier has no right to consult with legal counsel.

Filing: this form will be maintained locally in the unit's nonjudicial punishment file (file number 27-10f).

Record: the DA 2627-1 is not filed in the Soldier's Army Military Human Resource Record.

QuestionAnswer
Form NameDA Form 2627-1
Form Length3 pages
Fillable?Yes
Fillable fields29
Avg. time to fill out5 min
EditionSEP 2024
Proponent agencyOTJAG
Where to fileThe unit's nonjudicial punishment file
Other namesDA Form 2627-1, DA 2627-1, DA 2627, DA2627-1, Article 15 form, Summarized Record of Proceedings Under Article 15
Official sourceDA Form 2627-1 (Rev SEP 2024), U.S. Army