Da Form 3975 – Fill Out and Use This PDF

The DA Form 3975 serves as a vital document for recording details related to incidents requiring military police investigation or documentation. Its comprehensive layout captures the relationship between the victim and the offender, types of injuries sustained, and various personal details of individuals associated with the report. For those involved in or witness to such incidents, understanding how to appropriately fill out this form is crucial.

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Da Form 3975 PDF Details

The DA Form 3975, often encountered within the realms of military and civilian law enforcement, serves a crucial role in documenting incidents involving victims and offenders. This form delves into the intricate details surrounding an incident, including the relationship between the victim and the offender, the type of injury sustained, and whether victims were provided with DD Form 2701, which informs them of their rights. Categories ranging from familial ties to more complex relationships like conspiracy or solicitation are meticulously outlined to ensure a comprehensive understanding of each case. Additionally, the form captures data on the individuals related to the report, their personal and contact information, and their association with the military or civilian status, thereby offering a holistic view of the incident's context. Property loss or damage is another aspect thoroughly documented, providing insights into the nature and value of affected items. The DA Form 3975's detailed approach to capturing the nuances of each incident underscores its value in maintaining the integrity of investigations and ensuring all involved parties are accurately represented and informed.

Question	Answer
Form Name	Da Form 3975
Form Length	2 pages
Fillable?	No
Fillable fields	0
Avg. time to fill out	30 sec
Other names	1998, sittee, VCR, YYYYMMDD

Form Preview Example

6. RELATIONSHIP OF VICTIM TO OFFENDER (For multiple offender relationships, enter

VICTIM

Accessory

Principle

the subject's number)

INVOLVEMENT

Conspiracy

Solicit

AA Spouse

AV Step-Sibling

BL Homosexual Relationship

INJURY TYPE (Check up to five)

AB Child

AZ Friend

BN Extended Family

B Broken Bones

O Major Injury

AC Sibling

BA Neighbor

BY Employee

I Possible Internal

T Tooth Loss

AD Parent

BB Com. Law Spouse

BZ Employer

L Severe Laceration

U Unconsciousness

AE Parent-in-Law

BC Acquaintance

BX Stranger

M Minor Injury

Z None

AF Step Child

BD Baby-Sittee (baby)

CA Otherwise Known

9a.

DD FORM 2701 PROVIDED VICTIM

AG Grandparent

BE Boy/Girlfriend

CB Relationship Unknown

YES

AH Step-Parent

BF Child of Boy/Girlfriend

VO Offender

9b.

IF NOT PROVIDED, WHY NOT?

AK Grandchild

BH Former Spouse

Declined

Not Required

SECTION V - PERSONS RELATED TO REPORT (For additional persons related to report, complete DA Form 3975-4)

1a.

PERSON RELATED TO REPORT NUMBER

1b.

STATUS

Civil Authorities

Complaint

Military Police

Sponsor

Witness

1c.

NAME (Last, First, Middle Name, Jr., Sr., III)

1d.

SSN/FNN/ALIEN REG NO.

1e.

CITIZENSHIP

Resident Alien

Country

(Specify)

1f. CATEGORY

1g. DOB (YYYYMMDD)

1h. POB (City, State, County)

1i. GRADE

1j. HOME PHONE

A Army

C Coast Guard

F Air Force

1k.

WORK PHONE

1l. NICKNAMES/ALIAS

1m. COMPONENT

G Nat'l Guard

H Public Health

R Regular

V Reserves

M Marine

1n.

DRIVER LICENSE NUMBER

1o. IS LICENSE

State (Specify)

Other

(Specify)

N Navy

Foreign

O NOAA

International

P Family Member

2a.

ORGANIZATION, UIC, AND STREET ADDRESS

2b.

INSTALLATION/CITY

2d.

ZIP/APO

Q Civil Service

R Civilian

2c.

STATE/COUNTRY

2e.

UNIT PHONE

S Contractor

T Other Gov. Empl.

3a.

RESIDENCE STREET ADDRESS

3b.

INSTALLATION/CITY

3d.

ZIP/APO

U Foreign Nat'l Empl.

V Other Foreign Nat'l

3c.

STATE/COUNTRY

W Retired Military

4a. DD FORM 2701 PROVIDED

4b. IF NOT PROVIDED, WHY NOT?

5. NUMBER OF VICTIMS AND WITNESSES NOTIFIED

VICTIM/WITNESS

Declined

Not Required

WITH DD FORM 2701

YES

SECTION VI - PROPERTY

(For additional Property, complete DA Form 3975-5)

1a.

ITEM NO.

1b. CODE

1c.

QUANTITY

1d.

VALUE

1e. DESCRIPTION

1f.

SERIAL NUMBER

1g. DATE RECOVERED

1h. DATE RETURNED

1i. SECURITY

1j. PROPERTY OWNERSHIP

(YYYYMMDD)

S Secured

A Federal

E Foreign Govt.

1k.

PROPERTY LOSS TYPE (Check all that apply)

U Unsecured

B State

F Private

1 None

5 Recovered

Z Unknown

C City

U Unknown

2 Burned

6 Seized

D County/Borough

3 Counterfeited/Forged

7 Stolen

4 Damaged/Destroyed/Vandalized

PROPERTY DESCRIPTION CODE TABLE

Aircraft

Farm Equipment

Office-Type Equipment

34 Structures-Storage

Alcohol

Firearms

Other Motor Vehicles

35 Structures-Other

Automobile

Gambling Equipment

Purse/Handbag/Wallet

36 Tools/Hand and Power

Bicycle

Heavy Construction Equip.

Radio/TV/VCR

37 Trucks

Buses

Household Goods

Audio/Visual Recording

38 Vehicle Parts/Accessories

Clothing/Furs

Jewelry/Precious Metals

Recreational Vehicle

39 Watercraft

Computer Hard/Software

Livestock

Structure-Single Occupancy

40 OTHER (Specify)

Consumable Goods

Merchandise

Structures-Other Dwellings

Credit/Debit Cards

Money

Structures-Commercial/Business

Drugs/Narcotics (See below) 21

Negotiable Instruments

Structures-Industry/Manufacturing

41 Pending Inventory

Drugs/Narcotics Equipment

Non-Negotiable Instruments

Structures-Public/Community

42 Special Category

DRUG/NARCOTIC MEASURES

GM-Gram KG-Kilogram OZ-Ounce LB-Pound FO-Fluid Ounce

GL-Gallon

LT-Liter

ML-Milliliter

DU-Dosage Unit

NP-Number of Plants

PAGE 4, DA FORM 3975, DEC 1998

PAGE

APD V1.01

SECTION VII - NARRATIVE


1. ENCLOSURES	2. DISTRIBUTION	3. NAME

		4.	GRADE

		5.	TITLE OF REPORTING OFFICIAL

		6.	SIGNATURE

PAGE 5, DA FORM 3975, DEC 1998			PAGE	OF

APD V1.01

Da Form 3975 – Fill Out and Use This PDF

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