DD Form 2713 at a glance
What it is: DD Form 2713, the PRISONER OBSERVATION REPORT, is used to report favorable, unfavorable, injuries, or behaviors of prisoners.
Who signs: Box 12 is the SIGNATURE OF REPORTING PERSON, with b. DATE (YYYYMMDD). Box 17, CORRECTIONAL FACILITY/BRIG COMMANDER OR DESIGNEE REVIEW, has a. NAME, GRADE, TITLE, b. SIGNATURE and c. DATE (YYYYMMDD).
A filled-in DD Form 2713 example: a favorable observation report
How to fill out DD Form 2713, box by box
Report date, name and housing
REPORT DATE (YYYYMMDD).
Box 1 is the NAME (Last, First, Middle) and box 2 is the REGISTRATION NUMBER.
Box 3 is the CUSTODY LEVEL, box 4 the HOUSING UNIT/DORM, box 5 the CELL BLOCK, box 6 the DETAIL and box 7 the CELL #/BUNK #.
Observation
In box 8, OBSERVATION, a. TYPE OF OBSERVATION is FAVORABLE, UNFAVORABLE, INJURY, BEHAVIOR or INFORMATION.
OBSERVATION also has b. DATE (YYYYMMDD), c. TIME and d. LOCATION.
In OBSERVATION, e. was the prisoner notified about this report? is YES or NO.
Observation reported by
Box 9, OBSERVATION REPORTED BY, has a. NAME (Last, First, Middle), b. GRADE, c. TITLE and d. DATE (YYYYMMDD).
Witness
Box 10, WITNESS, has a. NAME (Last, First, Middle), b. GRADE, c. TITLE and d. DATE (YYYYMMDD).
Observation summary
In box 11, OBSERVATION SUMMARY: give an in-depth description of the observation; include all necessary information, provide attachment if necessary.
Signature of reporting person
Box 12 is the SIGNATURE OF REPORTING PERSON, with b. DATE (YYYYMMDD).
Immediate medical attention
Box 13, WAS IMMEDIATE MEDICAL ATTENTION NEEDED?, is NO or YES.
Box 13 also has b. DATE (YYYYMMDD), c. TIME and d. DESCRIBE ANY IMMEDIATE MEDICAL ATTENTION GIVEN
Observation reported to
Box 14, OBSERVATION REPORTED TO, has a. SUPERVISOR NAME (Last, First, Middle Initial), b. DATE (YYYYMMDD) and c. TIME.
Actions of supervisor and reviewing authority
Box 15 is ACTIONS OF CORRECTIONS SUPERVISOR:
Box 16 is ACTIONS OF REVIEWING AUTHORITY:
Commander or designee review
Box 17, CORRECTIONAL FACILITY/BRIG COMMANDER OR DESIGNEE REVIEW, has a. NAME, GRADE, TITLE, b. SIGNATURE and c. DATE (YYYYMMDD).
More rules for DD Form 2713
Disclosure of this information is voluntary.
When completed, this form contains personally identifiable information and is protected by the Privacy Act of 1974, as amended.
Sources
[1] DD Form 2713 (NOV 2022), Prisoner Observation Report, Washington Headquarters Services (the Official source link on this page).