DD Form 493 Extract of Military Records of Previous Convictions

DD Form 493 - also known as the "Extract Of Military Records Of Previous Convictions" - is a United States Military form issued by the Department of Defense.

The form - often incorrectly referred to as the DA form 493 - was last revised on October 1, 1984. Download an up-to-date fillable PDF version of the DD 493 below or request a copy through the chain of command.

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EXTRACT OF MILITARY RECORDS OF PREVIOUS CONVICTIONS
IDENTIFICATION
1. NAME (Last, First, Middle Initial)
2. SSN
3. RANK
4. UNIT/COMMAND NAME
PART I - RECORD OF PREVIOUS CONVICTIONS BY COURTS-MARTIAL
1
5a. TYPE OF COURT-MARTIAL b. CM ORDER OR SCM NO. c. HEADQUARTERS
d. ARTICLE(S)
e. SYNOPSIS OF SPECIFICATION(S) INCLUDING DATE OF OFFENSE (If more space is needed, continue on reverse.)
f. SENTENCE ADJUDGED
g. DATE SENTENCE ADJUDGED
2
(YYMMDD)
h. DATE SENTENCE FINALLY APPROVED
4
(YYMMDD)
i. I CERTIFY THE FOREGOING IS CORRECT.
3
(1)(a) TYPED OR PRINTED NAME OF PERSON SIGNING ORIGINAL ENTRY IN MILITARY RECORD (Last, First, Middle Initial) (b) RANK
(2)(a) TYPED OR PRINTED NAME OF PERSON SIGNING ORIGINAL ENTRY IN MILITARY RECORD (Last, First, Middle Initial) (b) RANK
6a. TYPE OF COURT-MARTIAL b. CM ORDER OR SCM NO. c. HEADQUARTERS
d. ARTICLE(S)
e. SYNOPSIS OF SPECIFICATION(S) INCLUDING DATE OF OFFENSE (If more space is needed, continue on reverse.)
f. SENTENCE ADJUDGED
g. DATE SENTENCE ADJUDGED
2
(YYMMDD)
h. DATE SENTENCE FINALLY APPROVED
4
(YYMMDD)
i. I CERTIFY THE FOREGOING IS CORRECT.
3
(1)(a) TYPED OR PRINTED NAME OF PERSON SIGNING ORIGINAL ENTRY IN MILITARY RECORD (Last, First, Middle Initial) (b) RANK
(2)(a) TYPED OR PRINTED NAME OF PERSON SIGNING ORIGINAL ENTRY IN MILITARY RECORD (Last, First, Middle Initial) (b) RANK
PART II - ATTESTING CERTIFICATE BY CUSTODIAN
7. NAME OF UNIT/COMMAND OF CUSTODIAN
8. ADDRESS OF UNIT/COMMAND OF CUSTODIAN
9. DATE COMPLETED
(Street, City, State, Zip Code)
(YYMMDD)
I certify that I am the official custodian of the military personnel records pertaining to previous convictions by
court-martial of the above-named person, and that the foregoing is a true copy of the entries contained therein.
1
10. TYPED NAME (Last, First, Middle Initial)
11. RANK
12. OFFICIAL CAPACITY
13. SIGNATURE
Only admissible previous convictions will be listed. To determine admissibility, see rules on reverse. For Army personnel, the extract will be
1
prepared from the Service Record or DA Form 2-2. For Air Force personnel, the extract will be prepared from AF Form 1226. For Navy
personnel, the extract will be prepared from NAVPERS Form 1070/607 or Administrative Remarks, Page 13. For Marine Corps personnel, the
extract will be prepared from NAVMC Form 118(13)-PD.
For convictions by summary courts-martial or special courts-martial without a military judge, entry is "Sentence as Approved."
2
If the service record certification block being extracted fails to contain the required: (a) Signature of the personnel records custodian, request
3
that officer to take immediate action; (b) rank and unit/command of the custodian of the conviction record, enter remark such as "None,"
"Rank not shown," "Unit/command not shown," as appropriate, in applicable block of the extract. Entries in this section are extracted from
the source document. No actual signatures will be made in this section.
Applies only to convictions by summary courts-martial and special courts-martial without a military judge. The date of sentence approval is
4
the date that review has been completed pursuant to Article 64 or Article 66, if applicable.
Previous editions are obsolete.
DD Form 493, OCT 84
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EXTRACT OF MILITARY RECORDS OF PREVIOUS CONVICTIONS
IDENTIFICATION
1. NAME (Last, First, Middle Initial)
2. SSN
3. RANK
4. UNIT/COMMAND NAME
PART I - RECORD OF PREVIOUS CONVICTIONS BY COURTS-MARTIAL
1
5a. TYPE OF COURT-MARTIAL b. CM ORDER OR SCM NO. c. HEADQUARTERS
d. ARTICLE(S)
e. SYNOPSIS OF SPECIFICATION(S) INCLUDING DATE OF OFFENSE (If more space is needed, continue on reverse.)
f. SENTENCE ADJUDGED
g. DATE SENTENCE ADJUDGED
2
(YYMMDD)
h. DATE SENTENCE FINALLY APPROVED
4
(YYMMDD)
i. I CERTIFY THE FOREGOING IS CORRECT.
3
(1)(a) TYPED OR PRINTED NAME OF PERSON SIGNING ORIGINAL ENTRY IN MILITARY RECORD (Last, First, Middle Initial) (b) RANK
(2)(a) TYPED OR PRINTED NAME OF PERSON SIGNING ORIGINAL ENTRY IN MILITARY RECORD (Last, First, Middle Initial) (b) RANK
6a. TYPE OF COURT-MARTIAL b. CM ORDER OR SCM NO. c. HEADQUARTERS
d. ARTICLE(S)
e. SYNOPSIS OF SPECIFICATION(S) INCLUDING DATE OF OFFENSE (If more space is needed, continue on reverse.)
f. SENTENCE ADJUDGED
g. DATE SENTENCE ADJUDGED
2
(YYMMDD)
h. DATE SENTENCE FINALLY APPROVED
4
(YYMMDD)
i. I CERTIFY THE FOREGOING IS CORRECT.
3
(1)(a) TYPED OR PRINTED NAME OF PERSON SIGNING ORIGINAL ENTRY IN MILITARY RECORD (Last, First, Middle Initial) (b) RANK
(2)(a) TYPED OR PRINTED NAME OF PERSON SIGNING ORIGINAL ENTRY IN MILITARY RECORD (Last, First, Middle Initial) (b) RANK
PART II - ATTESTING CERTIFICATE BY CUSTODIAN
7. NAME OF UNIT/COMMAND OF CUSTODIAN
8. ADDRESS OF UNIT/COMMAND OF CUSTODIAN
9. DATE COMPLETED
(Street, City, State, Zip Code)
(YYMMDD)
I certify that I am the official custodian of the military personnel records pertaining to previous convictions by
court-martial of the above-named person, and that the foregoing is a true copy of the entries contained therein.
1
10. TYPED NAME (Last, First, Middle Initial)
11. RANK
12. OFFICIAL CAPACITY
13. SIGNATURE
Only admissible previous convictions will be listed. To determine admissibility, see rules on reverse. For Army personnel, the extract will be
1
prepared from the Service Record or DA Form 2-2. For Air Force personnel, the extract will be prepared from AF Form 1226. For Navy
personnel, the extract will be prepared from NAVPERS Form 1070/607 or Administrative Remarks, Page 13. For Marine Corps personnel, the
extract will be prepared from NAVMC Form 118(13)-PD.
For convictions by summary courts-martial or special courts-martial without a military judge, entry is "Sentence as Approved."
2
If the service record certification block being extracted fails to contain the required: (a) Signature of the personnel records custodian, request
3
that officer to take immediate action; (b) rank and unit/command of the custodian of the conviction record, enter remark such as "None,"
"Rank not shown," "Unit/command not shown," as appropriate, in applicable block of the extract. Entries in this section are extracted from
the source document. No actual signatures will be made in this section.
Applies only to convictions by summary courts-martial and special courts-martial without a military judge. The date of sentence approval is
4
the date that review has been completed pursuant to Article 64 or Article 66, if applicable.
Previous editions are obsolete.
DD Form 493, OCT 84
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Adobe Professional 8.0
RULES FOR DETERMINING ADMISSIBILITY OF PREVIOUS CONVICTIONS
(See RCM 1001(b)(3), MCM, 1984)
There is a conviction in a court-martial when a
Article 64(a) or Article 66, UCMJ, if applicable.
sentence has been adjudged, except that a
A vacation of suspended sentence is not a
conviction by a summary court-martial or a
conviction and is not admissible as such. An
special court-martial without a military judge is
adjudication of guilt by a civilian forum is a
not admissible in a subsequent court-martial
conviction in accordance with the law of that
until review has been completed pursuant to
jurisdiction.
INTRODUCING EVIDENCE OF PREVIOUS CONVICTIONS
NOTE:
To be considered by a court-martial, previous convictions must be ADMITTED in evidence.
Ordinarily, they are proved by introducing in evidence a duly authenticated extract copy of accused's
military personnel record (DD Form 493). They may also be proved by the record of previous convictions
or by the order promulgating the results of trial. After the Record of Previous Convictions has been
marked for identification and shown to the defense counsel, the introduction proceeds as follows:
Trial Counsel: Prosecution Exhibit __________ for identification, a duly authenticated extract copy of the
accused's military personnel record of previous conviction(s) by court-martial, is offered in evidence as
Prosecution Exhibit ________ .
Defense Counsel: (No objection.) (The accused objects to ________ on the grounds that _______.)
Military Judge (President): Prosecution Exhibit _______ for identification is (not) admitted in evidence as
Prosecution Exhibit _______.
DD Form 493 Reverse, OCT 84
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