DA Form 2465 Client Legal Assistance Record

DA Form 2465 - also known as the "Client Legal Assistance Record" - is a Military form issued and used by the United States Department of the Army.

The form - often mistakenly referred to as the DD form 2465 - was last revised on August 1, 2010. Download an up-to-date fillable PDF version of the DA 2465 below or request a copy through the chain of command.

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DATA REQUIRED BY THE PRIVACY ACT OF 1974
AUTHORITY
Title 10, USC, Section 3013.
The purpose of this form is to assist the attorney in preparing legal documents for the client, and to prepare statistical reports
PRINCIPAL PURPOSE
on legal assistance services provided during the year. The information on this form is protected by the attorney-client privilege
and may be released only in accordance with law or with approval of the client.
ROUTINE USES
Information on this form will be used to provide legal advice and to prepare legal correspondence and documents for the client,
and to prepare statistical reports.
DISCLOSURE
Voluntary. However, nondisclosure may preclude the legal assistance desired by the client.
1.
NAME (Last, first, MI)
2.
CLIENT CATEGORY
SVC MBR
FAM MBR
RET SM/FM
DOD CIV/FM
OTHER
3.
MIL GRADE OF CLIENT OR
4.
MARITAL STATUS
5.
SPOUSE'S NAME*
SPONSOR*
6.
CLIENT'S LOCAL MAILING ADDRESS (Include ZIP Code)
7.
CLIENT'S DAYTIME PHONE
8.
CLIENT'S HOME PHONE
(
)
(
)
9.
MILITARY ORGANIZATION OF CLIENT OR SPONSOR*
10.
PCS*
11.
ETS*
* IF APPLICABLE
(DO NOT WRITE BELOW THIS LINE)
TYPE
TYPE OF
DATE
ATTORNEY
MODE
REMARKS
CASE
SERVICES
PREVIOUS EDITIONS ARE OBSOLETE.
DA FORM 2465, AUG 2010
CLIENT LEGAL ASSISTANCE RECORD
For use of this form, see AR 27-3; the proponent agency is OTJAG
APD LC v1.00
DATA REQUIRED BY THE PRIVACY ACT OF 1974
AUTHORITY
Title 10, USC, Section 3013.
The purpose of this form is to assist the attorney in preparing legal documents for the client, and to prepare statistical reports
PRINCIPAL PURPOSE
on legal assistance services provided during the year. The information on this form is protected by the attorney-client privilege
and may be released only in accordance with law or with approval of the client.
ROUTINE USES
Information on this form will be used to provide legal advice and to prepare legal correspondence and documents for the client,
and to prepare statistical reports.
DISCLOSURE
Voluntary. However, nondisclosure may preclude the legal assistance desired by the client.
1.
NAME (Last, first, MI)
2.
CLIENT CATEGORY
SVC MBR
FAM MBR
RET SM/FM
DOD CIV/FM
OTHER
3.
MIL GRADE OF CLIENT OR
4.
MARITAL STATUS
5.
SPOUSE'S NAME*
SPONSOR*
6.
CLIENT'S LOCAL MAILING ADDRESS (Include ZIP Code)
7.
CLIENT'S DAYTIME PHONE
8.
CLIENT'S HOME PHONE
(
)
(
)
9.
MILITARY ORGANIZATION OF CLIENT OR SPONSOR*
10.
PCS*
11.
ETS*
* IF APPLICABLE
(DO NOT WRITE BELOW THIS LINE)
TYPE
TYPE OF
DATE
ATTORNEY
MODE
REMARKS
CASE
SERVICES
PREVIOUS EDITIONS ARE OBSOLETE.
DA FORM 2465, AUG 2010
CLIENT LEGAL ASSISTANCE RECORD
For use of this form, see AR 27-3; the proponent agency is OTJAG
APD LC v1.00
TYPE
TYPE OF
REMARKS
DATE
ATTORNEY
MODE
CASE
SERVICES
REVERSE OF DA FORM 2465, AUG 2010
APD LC v1.00

Download DA Form 2465 Client Legal Assistance Record

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