军事司法统一法典》行动申请表

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时间:2023-06-08

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上传者:战必胜
UCMJ REQUEST FORM
UNIT Battalion
ATTN: Legal Office
1. I request the following UCMJ action be prepared concerning the following
soldier:
________________________________________________________________
(Last Name, First, MI) (Rank)
________________________________________________________________
(UNIT)
_____________________ __________________ _______________
(SSN) (BASD) (Race/Sex)
a. Nonjudicial Punishment (Article 15) (Check Applicable item)
_____Summarized
_____Company Grade
_____Field Grade
b. Supporting Documents
_____DA Form 268
_____ERB
_____Counseling statements and other supporting documents, i.e.,
blotter reports, etc.
2. Reason:
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________
(Unit Commander's Signature)
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