How to Fill Out DA Form 2627

DA Form 2627 at a glance

What it is: DA Form 2627 is the Record of Proceedings Under Article 15, UCMJ.

Who signs: The commander enters the NAME, GRADE, AND ORGANIZATION OF COMMANDER, signs under SIGNATURE and enters the DATE (YYYYMMDD). The service member enters the SIGNATURE, the NAME AND GRADE OF SERVICE MEMBER and the DATE (YYYYMMDD). The REVIEWING JUDGE ADVOCATE enters the SIGNATURE, the NAME, RANK, AND ORGANIZATION and the DATE (YYYYMMDD).

The principal purpose of this form is to document all action, except summarized proceedings, taken by commanders pursuant to Article 15, UCMJ.

A filled-in DA Form 2627 example: a commander opens an Article 15 proceeding

DA Form 2627 example filled out, example: a commander opens an Article 15 proceeding
A commander starts an Article 15 on DA Form 2627. The Soldier, grade E-4, has 48 hours to decide, so Items 3 to 10 stay empty. The picture shows page one's top half; its names and figures are sample values. The monthly base pay of 2,700.00 is a sample figure for grade E-4. Nothing goes in the punishment worksheet or the continuation sheet because no punishment is chosen yet.

How to fill out DA Form 2627, box by box

Name, grade, DoD ID No., unit and location, and monthly base pay

DA Form 2627 example filled out, name, grade, DoD ID No., unit and location, and monthly base pay

Enter the NAME, GRADE, DoD ID No., UNIT AND LOCATION and MONTHLY BASE PAY.

1. The following misconduct

DA Form 2627 example filled out, 1. The following misconduct

In 1, the following misconduct is the misconduct for which I am considering whether you should be punished under Article 15, UCMJ; enter it in the box.

Item 3, decisions, to Item 5, appeal

DA Form 2627 example filled out, item 3, decisions, to Item 5, appeal

In 3, initial appropriate blocks, date, and sign after having been afforded the opportunity to consult with counsel.

Mark a. I demand trial by court-martial, or b. I do not demand trial by court-martial and in the Article 15 proceedings: (1) I request the hearing be Open or Closed; (2) A person to speak in my behalf Is requested or Is not requested; (3) Matters in defense, extenuation, and/or mitigation Are not presented, Will be presented in person or Are attached.

The service member enters the SIGNATURE, the NAME AND GRADE OF SERVICE MEMBER and the DATE (YYYYMMDD).

In 4a, in an Open or Closed hearing, having considered all matters presented, the finding is one of the following: Not Guilty of All Specifications (line out all Specifications and sign in 4a); Guilty of All Specifications; or Guilty of Some Specifications (line out Not Guilty Specifications). Based on my findings, I impose the punishments that are officially recorded in Item 6 of this form.

In box 4b, I direct the original DA Form 2627 be filed in the: Performance section of the AMHRR (required for sex-related offense, regardless of grade); Restricted section of the AMHRR; or NA as soldier was an E-4 or below at start of proceedings.

In 4c, enter the next superior authority: you are advised of your right to appeal to the next superior authority within five (5) calendar days. An appeal made after that time may be rejected as untimely. Punishment is effective immediately unless otherwise stated in Item 6.

The commander enters the SIGNATURE, the NAME, GRADE, AND ORGANIZATION OF COMMANDER and the DATE (YYYYMMDD).

In 5, initial appropriate block, date, and sign: I do not appeal, I appeal and do not submit additional matters, or I appeal and submit additional matters.

Enter the SIGNATURE, the NAME AND RANK OF SERVICE MEMBER and the DATE (YYYYMMDD).

6, punishment, to 10, Allied Documents and/or Comments

DA Form 2627 example filled out, 6, punishment, to 10, Allied Documents and/or Comments

On page 2, enter the NAME, GRADE, DoD ID No. and UNIT AND LOCATION.

In 6, enter the following punishment: The following punishment is imposed.

In 7, enter: I have considered the appeal and it is my opinion that.

The REVIEWING JUDGE ADVOCATE enters the SIGNATURE, the NAME, RANK, AND ORGANIZATION and the DATE (YYYYMMDD).

In 8, after consideration of all matters presented in the appeal, mark Denied, or mark Granted as follows and enter what follows; then enter the SIGNATURE, the NAME, RANK, AND ORGANIZATION OF COMMANDER and the DATE (YYYYMMDD).

In 9, I have seen the action taken on my appeal: enter the SIGNATURE, the NAME AND RANK OF SERVICE MEMBER and the DATE (YYYYMMDD).

In 10, enter the Allied Documents and/or Comments.

Article 15 punishment worksheet

DA Form 2627 example filled out, article 15 punishment worksheet

ARTICLE 15 PUNISHMENT WORKSHEET (Generated by MJOnline): Soldier's Data, Imposing Commander, Type of Article 15. The following maximum allowable punishment may be imposed:

Enter the maximum Reduction, the Forfeiture and the Deprivation of Liberty Punishments.

Correctional Custody: Maximum of 30 days. Note: This punishment may be imposed only if a CCF is available. Only Soldiers in grades E-1 to E3 can be placed in a CCF. May not be combined with Extra Duty or Restriction.

Enter the Extra Duty and the Restriction.

Reprimand: May be an oral or written reprimand. (Must be in writing if an officer.) Any punishment may be suspended for up to 6 months.

Enter the Date Punishment Imposed and the Commander's Initials.

Item 1, Continued: continuation sheet

DA Form 2627 example filled out, item 1, Continued: continuation sheet

Item 1, Continued: use the Record of Proceedings Under Article 15, UCMJ Continuation Sheet.

If your situation is different

Maximum punishments under a formal Article 15 for enlisted Soldiers if imposed by a Company Grade, Field Grade or General Officer

On page 3, under a formal Article 15 for enlisted Soldiers, a Company Grade Officer may impose: An oral or written reprimand, restriction for 14 days, extra duty for 14 days, correctional custody for 7 days (if the Soldier is in the grade of E-3 or below and if a correctional custody facility is available), reduction of one grade (if the Soldier is in the grade of E-4 or below), and forfeiture of 7 days' pay.

On page 3, a Field Grade or General Officer: An oral or written reprimand, restriction for 60 days, extra duty for 45 days, correctional custody for 30 days (if the Soldier is in the grade of E-3 or below and if a correctional custody facility is available), reduction of one or more grades (if the Soldier is in the grade of E-4 or below, and if imposed by a Commander of a unit authorized a Commander in the grade of O-5 or higher), reduction of one grade if the Soldier is in the grade of E5 or E6, and forfeiture of ½ of one month's pay for two months.

The amount of the forfeiture is computed at the reduced grade, even if suspended, if reduction is part of the punishment imposed.

When restriction is combined with extra duty, the maximum period of restriction is 45 days.

Common questions about DA Form 2627

Can a soldier refuse an article 15?

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

What is the purpose of Article 15?

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

Sources

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

DA Form 2627 PDF Details

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.

Appeal: right to appeal to the next superior authority within five (5) calendar days; an appeal made after that time may be rejected as untimely.

Attorney: a Soldier has the right to discuss the Article 15 and its proceedings with an attorney in private.

Hearing: a Soldier has the right to request an open or closed hearing.

Suspension: any punishment may be suspended for up to 6 months.

Officers: reprimands of commissioned or warrant officers must be in writing.

QuestionAnswer
Form NameDA Form 2627
Form Length5 pages
Fillable?Yes
Fillable fields71
Avg. time to fill out12 min
EditionSEP 2024
Proponent agencyOTJAG (AR 27-10)
Who signsThe service member and the commander
Other namesDA Form 2627, DA 2627, DA2627, Form 2627, Article 15 form, Record of Proceedings Under Article 15, UCMJ
Official sourceDA Form 2627 (Rev SEP 2024), OTJAG