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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Anyone to whom this requirement applies is entitled to a copy of the Privacy Act statement in a form suitable for retention. The DA Form is used for a variety of purposes from documenting informal counseling to recording evidence for an investigation.

Once this basic identifying information has been provided, the party giving armh statement must write their name in box 9. Any attempt to falsify a statement on this form or intentionally misleading an investigation would be considered a very serious crime as this form is considered a legally binding statement.

However, narrative testimony may be used. The DA Form may also act as supporting documentation when filling out applications and forms. This precaution is appropriate to eliminate possible influence on the testimony of witnesses still to be heard.

Appendix B provides guidance for preparing Privacy Act statements. Taking testimony or statements. These additional pages sfatement be identified and initialed by the party giving the statement. The location, date, time, and file number must be placed in boxes 1 through 4 in order to properly file the form and to ensure that it is properly documented under Army regulations.

If you got ’em, they can be shared using the form below. 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. If the witness is unavailable staatement refuses to sign, the person who took the statement will note, over his or her own signature, the reasons the witness has not signed and will certify that the frm is an accurate summary of what the witness said.


Should the statement not fit on the pages provided, the second page is available.

Download Fillable DA Form – Sworn Statement wikiDownload

An oral statement will be noted in the report either as part of a verbatim transcript or as an enclosure, in the form of a certificate by the officer who provided the Privacy Act statement. Either a fiplable narrative or the more formal question and answer armh may be used.

The witness may be asked to read, correct, and sign the final statement. The party giving the statement must provide on the document their name, social security number, their rank, and contact information.

An investigating officer or board may direct witnesses who are subject to Army authority, 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. Failure to provide firm information can lead to disciplinary action taken.

If the provided pages do not support enough space, copies of the second page can be used as additional pages. Examples may be contributed using the form below. This form may be used to document everything from criminal activities to grievances against superiors or subordinates. DA Form Example.

The army personnel filing this form must first put the general information surrounding the investigation. The DA Form is a document used in the army whenever a sworn testimony is needed. 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.


The interviewer must scrupulously avoid coaching the witness or suggesting the existence or nonexistence of material facts. By putting their name in box 9, the party is swearing under oath that the statement is accurate and truthful.

DA Form 2823, Sworn Statement

The witnesses remain subject to questioning on the substance of such statements. These are mainly used for identification of the interviewer or interviewee. Box 9 can be written by the swearing party or it can be written word for word by another party taking the statement. Typically it only has a few boxes which need to be filled out. Close Window Loading, Please Wait! Box 9 should be filled out using the words of the declaring party. 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.

Sworn statements may sworb taken in documenting informal events or recording evidence for a formal investigation. A written statement will be attached to the report of proceedings as an enclosure. 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 The arny taken on this form can be provided to non-military law enforcement agencies.

We need more examples. Typically, most forms in the military require proof of circumstance. Thanks for your contributions!