DA Form 3169 "Report of Judicial Disciplinary Activity in the Army"

What Is DA Form 3169?

This is a military form that was released by the U.S. Department of the Army (DA) on September 1, 2002. The form, often mistakenly referred to as the DD Form 3169, is a military form used by and within the U.S. Army. As of today, no separate instructions for the form are provided by the DA.

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Download DA Form 3169 "Report of Judicial Disciplinary Activity in the Army"

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REPORT OF JUDICIAL DISCIPLINARY ACTIVITY IN THE ARMY
Requirement Control Symbol
JAG-2(R 12)
For use of this form, see AR 27-10; the proponent agency is OTJAG
MONTH ENDING
REPORT DATE (YYYYMMDD)
REPORT CONTROL NUMBER
FROM: (Preparing SJA Office - Include ZIP Code)
TO:
HQDA (JALS-CC)
Nassif Building
Falls Church, VA 22041-5013
SECTION A - NONJUDICIAL PUNISHMENT
ITEMS
SUMMARIZED
FORMAL
1a.
Total soldiers punished
b.
Total imposed for drug offenses
2.
Total number of appeals from punishment
3.
Number of appeals granted
4.
Number of soldiers who were offered but refused to accept Article 15
5a.
Combined total (Soldiers Punished)
b.
Profile of soldiers punished by Article 15
ENLISTED
ETHNIC BACKGROUND
ALL OFFENSES
DRUG OFFENSES
(Summarized)
MALE
FEMALE
MALE
FEMALE
Black
White
Hispanic
American Indian
Asian/Pacific Islander
Foreign Nat'l Serving w/US
Other
TOTAL
ENLISTED
OFFICERS
ETHNIC BACKGROUND
ALL OFFENSES
DRUG OFFENSES
ALL OFFENSES
DRUG OFFENSES
(Formal)
MALE
FEMALE
MALE
FEMALE
MALE
FEMALE
MALE
FEMALE
Black
White
Hispanic
American Indian
Asian/Pacific Islander
Foreign Nat'l Serving w/US
Other
TOTAL
(See Sec. A, block 1a & 1b)
SECTION B - SUMMARY COURTS-MARTIAL
NUMBER OF CASES
DRUG SPECIFICATIONS
TRIED
CONVICTED
ITEMS
USE/POS-
DISTRI-
MANUFAC-
TOTAL
TOTAL
DRUG
DRUG
TRIED
CONVICTED
SESSION
BUTION
TURE
OFFENSES
OFFENSES
Total number of summary courts-martial
6a.
Tried by military Judge
b.
Number included in item 6a who refused
7a.
Article 15 (Summarized)
Number included in item 6a who refused
b.
Article 15 (Formal)
Number included in item 6a who pleaded
8.
guilty to all charges and specifications
DA FORM 3169, MAY 87, IS OBSOLETE.
DA FORM 3169, SEP 2002
APD LC v1.02ES
REPORT OF JUDICIAL DISCIPLINARY ACTIVITY IN THE ARMY
Requirement Control Symbol
JAG-2(R 12)
For use of this form, see AR 27-10; the proponent agency is OTJAG
MONTH ENDING
REPORT DATE (YYYYMMDD)
REPORT CONTROL NUMBER
FROM: (Preparing SJA Office - Include ZIP Code)
TO:
HQDA (JALS-CC)
Nassif Building
Falls Church, VA 22041-5013
SECTION A - NONJUDICIAL PUNISHMENT
ITEMS
SUMMARIZED
FORMAL
1a.
Total soldiers punished
b.
Total imposed for drug offenses
2.
Total number of appeals from punishment
3.
Number of appeals granted
4.
Number of soldiers who were offered but refused to accept Article 15
5a.
Combined total (Soldiers Punished)
b.
Profile of soldiers punished by Article 15
ENLISTED
ETHNIC BACKGROUND
ALL OFFENSES
DRUG OFFENSES
(Summarized)
MALE
FEMALE
MALE
FEMALE
Black
White
Hispanic
American Indian
Asian/Pacific Islander
Foreign Nat'l Serving w/US
Other
TOTAL
ENLISTED
OFFICERS
ETHNIC BACKGROUND
ALL OFFENSES
DRUG OFFENSES
ALL OFFENSES
DRUG OFFENSES
(Formal)
MALE
FEMALE
MALE
FEMALE
MALE
FEMALE
MALE
FEMALE
Black
White
Hispanic
American Indian
Asian/Pacific Islander
Foreign Nat'l Serving w/US
Other
TOTAL
(See Sec. A, block 1a & 1b)
SECTION B - SUMMARY COURTS-MARTIAL
NUMBER OF CASES
DRUG SPECIFICATIONS
TRIED
CONVICTED
ITEMS
USE/POS-
DISTRI-
MANUFAC-
TOTAL
TOTAL
DRUG
DRUG
TRIED
CONVICTED
SESSION
BUTION
TURE
OFFENSES
OFFENSES
Total number of summary courts-martial
6a.
Tried by military Judge
b.
Number included in item 6a who refused
7a.
Article 15 (Summarized)
Number included in item 6a who refused
b.
Article 15 (Formal)
Number included in item 6a who pleaded
8.
guilty to all charges and specifications
DA FORM 3169, MAY 87, IS OBSOLETE.
DA FORM 3169, SEP 2002
APD LC v1.02ES
SECTION B - SUMMARY COURTS-MARTIAL (Continued)
NUMBER OF CASES
DRUG SPECIFICATIONS
TRIED
CONVICTED
ITEMS
USE/POS-
DISTRI-
MANUFAC-
TOTAL
TOTAL
DRUG
DRUG
TRIED
CONVICTED
SESSION
BUTION
TURE
OFFENSES
OFFENSES
Profile of soldiers tried, profile of soldiers
9.
convicted by summary courts-martial
a.
Males
Black
White
Hispanic
American Indian
Asian/Pacific Islander
Foreign Nat'l Serving w/US
Other
b.
Females
Black
White
Hispanic
American Indian
Asian/Pacific Islander
Foreign Nat'l Serving w/US
Other
SECTION C - PROCESSING TIME
1
(AVERAGE Processing Time for Non Bad Conduct Discharge (BCD) Special and Summary Court-Martial)
SUMMARY
SPECIAL
COURT-MARTIAL
COURT-MARTIAL
ITEMS
(SCM)
(SPCM)
10.
Total number of cases completed this month
11.
Average days from restraint or charges to termination, acquittal, or sentence
12.
Average days from sentence to action by convening authority
13.
Average days from convening authority's action to receipt by SJA
SECTION D - CHAPTER 10s
DRUG SPECIFICATIONS
TOTAL
TOTAL
DRUG
USE/POS-
DISTRI-
MANUFAC-
CHAP 10s
RELATED
SESSION
BUTION
TURE
14.
General court-martial
BCD special court-martial
Special court-martial
Summary court-martial
Not referred
TOTAL
SECTION E - CIVILIAN FELONY CONVICTIONS
2
15.
Number of US Federal and State Court Felony Convictions
REMARKS
TYPED NAME, GRADE, AND TITLE
SIGNATURE
1
FOOTNOTES:
Only those SPCM's not forwarded for review by a Court of Criminal Appeals UP Article 65(b), UCMJ, will be reported here.
2
A conviction is reportable when the offense is a felony under the law of the jurisdiction in which the accused was convicted.
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DA FORM 3169, SEP 2002
APD LC v1.02ES
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