DD Form 2923 Privacy Act Data Cover Sheet

DD Form 2923 - also known as the "Privacy Act Data Cover Sheet" - is a United States Military form issued by the Department of Defense.

The form - often incorrectly referred to as the DA form 2923 - was last revised on September 1, 2010. Download an up-to-date PDF version of the DD 2923 below or request a copy through the chain of command.

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Privacy Act Data
Cover Sheet
To be used on
all documents
containing personal
information
DOCUMENTS ENCLOSED ARE SUBJECT
TO THE PRIVACY ACT OF 1974
Contents shall not be disclosed, discussed, or shared with
individuals unless they have a direct need-to-know in the
performance of their official duties. Deliver this/these
document(s) directly to the intended recipient. DO NOT
drop off with a third-party.
The enclosed document(s) may contain personal or privileged information and should be treated
CIVIL
as “For Official Use Only.” Unauthorized disclosure of this information may result in
and
CRIMINAL
penalties. If you are not the intended recipient or believe that you have received this
document(s) in error, do not copy, disseminate or otherwise use the information and contact
the owner/creator or your Privacy Act officer regarding the document(s).
Privacy Act Data Cover Sheet
DD FORM 2923, SEP 2010
Privacy Act Data
Cover Sheet
To be used on
all documents
containing personal
information
DOCUMENTS ENCLOSED ARE SUBJECT
TO THE PRIVACY ACT OF 1974
Contents shall not be disclosed, discussed, or shared with
individuals unless they have a direct need-to-know in the
performance of their official duties. Deliver this/these
document(s) directly to the intended recipient. DO NOT
drop off with a third-party.
The enclosed document(s) may contain personal or privileged information and should be treated
CIVIL
as “For Official Use Only.” Unauthorized disclosure of this information may result in
and
CRIMINAL
penalties. If you are not the intended recipient or believe that you have received this
document(s) in error, do not copy, disseminate or otherwise use the information and contact
the owner/creator or your Privacy Act officer regarding the document(s).
Privacy Act Data Cover Sheet
DD FORM 2923, SEP 2010

Download DD Form 2923 Privacy Act Data Cover Sheet

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