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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Should the statement not fit on the pages provided, the second page is available. The information taken on this form can be provided to non-military law enforcement agencies.

It is illegal to give a false statement under most circumstances and particularly so via the DA Form thus, one must take care to remember the facts as well as they can and avoid anything which may be viewed as falsifying such a document or hindering an investigation.

If the witness is unavailable or 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 statement is an accurate summary of what the witness said.

Typically, most forms in the military require proof of circumstance. Box 9 should be filled out using the words of the declaring party.

Army Publishing Directorate

Witnesses may not be precluded from discussing any relevant matter with the recorder, a respondent, or counsel for a respondent. The DA Form may also act as supporting documentation when filling out applications and forms. Typically it only has a few boxes which need to be filled fillzble.

Either a chronological narrative or the more formal question and answer format may be used. This precaution is appropriate to eliminate possible influence on the testimony of witnesses still to be heard.


Box 9 can be written by the swearing party or it can be written word for word by another party taking the statement.

Thanks for your contributions! 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 This form may be used to document everything from criminal activities to grievances against superiors or subordinates.

Examples may be contributed using the form below. By putting their name in box 9, the party is swearing under oath that the statement is accurate and truthful. 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. Failure to provide truthful information can lead to disciplinary action taken.

Anyone to whom this requirement applies is entitled to a copy of the Privacy Act statement in a form suitable for retention.

DA Form Sworn Statement

When giving a statement it is very important to stick to only to the facts. The army personnel filing this form must first put the general information surrounding the investigation. The DA Form is used for a variety of purposes from documenting informal counseling to recording evidence for an investigation.

Appendix B provides guidance for preparing Privacy Act statements. 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.

Witnesses must be present during the statement and must sign off on the affidavit. A written statement will be attached to the report of proceedings as an enclosure.


These additional pages must be identified and initialed by the party giving the statement.

The fomr 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. 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.

The witnesses remain subject to questioning on the substance of such statements. Sworn statements may be taken in documenting informal events or recording evidence for a formal investigation. Boxes 5 through 8 are used to identify the party that is giving the sworn statement.

The section providing instruction for filling out the form is quoted below. Taking testimony or statements. 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.

The party giving the statement must provide on the document their name, social security number, their rank, and contact information. Close Window Loading, Please Wait!

DA Form 2823, Sworn Statement

This may take a second or two. Some other forms of information such as a social security number may be requested but not required. A tape recorder may be used to facilitate later preparation of written statements, but the aemy will be informed if one is used. Any written statements provided by an attorney, physician, family member etc.

However, narrative testimony may be used.