Create da form in minutes using a fillable PDF editor. The DA Form , known as a Sworn Statement, serves as a way to legally document a statement related to criminal activities or acts It is used by the Department of the Army. Form Fillable is not the form you’re looking for? The DA is a US Army form used to document a sworn statement or testimony for various purposes . Fillable sworn statement example army. Collection of most popular forms in a given sphere. Fill, sign and send anytime, anywhere, from any device with.

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Any attempt to falsify a statement on this form or intentionally misleading fodm investigation would be considered a very serious crime as this form is considered a legally binding statement. Some other forms of information such as a social security number may be requested but not required. Ssworn Form Example. Anyone to whom this requirement applies is entitled to a copy of the Privacy Act statement in a form suitable for retention.

Any written statements provided by an attorney, physician, family member etc. Appendix Statejent provides guidance for preparing Privacy Act statements. Failure to provide truthful information can lead to disciplinary action taken. The investigating officer or board will assist the witness in preparing a written statement to avoid inclusion of irrelevant material or the omission of important facts and circumstances.

If the provided pages do not support enough space, copies of the second page can be used as additional pages.

An oral statement will be noted in the report either as part of a verbatim fillzble or as an enclosure, in the form of a certificate by the officer who provided the Privacy Act statement. If you got ’em, they can be shared using the form below.


This form may be used to document everything from criminal activities to grievances against superiors or subordinates. The witness may be asked to read, correct, and sign the final statement.

The interviewer must scrupulously avoid coaching the witness or suggesting the existence or nonexistence of material facts. This is especially important when one is a witness to an army crime or filing a grievance since irrelevant information can often confuse or mislead anyone who needs to make an informed decision regarding the subject matter.

Close Window Loading, Please Wait! The section providing instruction for filling out the form is quoted below. Once the statement has been recorded and all signatures and initials placed in the proper boxes, the person making the statement must provide the affidavit on the final page of the DA Form Either a chronological narrative or the more formal question and answer format may be used.

Due to the importance of this document, there is usually an interviewer present when this form is used and a statement is taken to serve as a witness and as a guide to keep the statements relevant and to the purpose. Unless otherwise informed by the appointing authority, an investigating officer or board may presume that the report of proceedings will be retrievable by the name of each person designated as a respondent, but that the report will not be retrievable by the name of any other witness.

Typically, most forms in the military require proof of circumstance. We need more examples. The DA Form is used for a variety of purposes from documenting informal counseling to recording evidence for an investigation.

DA Form 2823, Sworn Statement

Witnesses may not be precluded from discussing any relevant matter with the recorder, a respondent, or counsel for a respondent. If any question arises as to the need for a Privacy Act statement, the investigating officer or board will consult the legal advisor, if any, or the servicing JA.


Thanks for your contributions! The information taken on this form can be provided to non-military law enforcement agencies. Typically it only has a few boxes which need to be filled out.

Download Fillable DA Form – Sworn Statement wikiDownload

The witnesses remain subject to questioning on the substance of such statements. Likewise, the party taking the statement must sign off on the DA Form Any other witness who is provided a Privacy Act statement will, on request, be furnished a copy of the statement in a form suitable for retention.

An investigating officer or board may direct witnesses who are subject to Army rillable, and request other witnesses, not to discuss their statements or testimony with other witnesses or with persons who have no official interest in the proceedings until the investigation is complete. Once this basic identifying information has been provided, the party giving the statement must write their name in box 9.

DA Form Sworn Statement

The army personnel filing this form must first put the general information surrounding the investigation. Witnesses must be present during the statement and must sign off on the affidavit. A tape recorder may be used to facilitate later preparation of written statements, but the witness will be informed if one is used.

DA FormSworn Statement The DA Form is used for a variety of purposes from documenting informal counseling to recording evidence for an investigation. However, narrative testimony may be used.