Fillable Summarized Record Of Proceedings Under Article 15, Ucmj printable pdf download

SUMMARIZED RECORD OF PROCEEDINGS UNDER ARTICLE 15, UCMJ

For use of this form, see AR 27-10, Chapter 3; the proponent agency is OTJAG-CL.

A summarized Article 15 may only be used for enlisted personnel. The punishments that may be imposed are limited to: extra duty for 14 days or less,

restriction for 14 days or less, an oral reprimand/admonition, or any combination thereof. The imposing commander will ensure that the Soldier understands the

rights found on page 2 of this form. An NCO will normally go over these rights with the Soldier.

NAME

GRADE

SSN

UNIT & LOCATION

1. On

the above Soldier was informed that the commander was considering imposition of nonjudicial punishment under

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the provisions of Article 15, UCMJ, Summarized Proceedings, for the following misconduct:

2. The member was advised that no statement was required, but that any statement made could be used against him or her in the proceeding or in a court -

martial. The member was also informed of the right to demand trial by court-martial, the right to present matters in defense, extenuation and/or mitigation, that

any matters presented would be considered by me before deciding whether to impose punishment, the type or amount of punishment, if imposed, and that no

punishment would be imposed unless I was convinced beyond a reasonable doubt that the service member committed the misconduct. The service member

was afforded the opportunity to take 24 hours to make a decision regarding these rights. No demand for trial by court-martial was made. After considering all

matters presented, the following punishment was imposed:

Guilty of all offenses

Guilty of the offenses not lined out

Not guilty of all offenses (destroy form)

Based on the findings, I imposed the following punishment (s):

Extra Duty for

days (max of 14)

Restriction for

days (max of 14)

Oral reprimand or admonition

The punishment(s) of

(was / were)

suspended, to be automatically remitted if not vacated before

(date)

3. I advised the Soldier of his or her right to appeal to the next superior authority within five (5) calendar days, that an appeal made after that time could be

rejected as untimely, and that the punishment was effective immediately unless otherwise stated. The Soldier:

Elected immediately not to appeal

Requested a reasonable time to decide whether to appeal.

NAME, RANK, AND ORGANIZATION OF COMMANDER

SIGNATURE

DATE

4. (Initial appropriate block, date, and sign)

I do not appeal.

I appeal and do not submit matters for consideration. c.

I appeal and submit additional matters

NAME AND RANK OF SERVICE MEMBER

SIGNATURE