Counter
                                                         DEVELOPMENTAL COUNSELING FORM
                                                                                          For use this form see FM 22-100
                                                            DATA REQUIRED BY THE PRIVACY ACT OF 1974
AUTHORITY: 5 USC 301, Departmental Regulations; 10 USC 3013, Secretary of the Army and E.O. 9397 (SSN)
PRINCIPAL PURPOSE: To assist leaders in conducting and recording counseling data pertaining to subordinates
ROUTINE USES: For subordinate leader development IAW FM 22-100 leaders should use this form as necessary
DISCLOSURE: Disclosure is voluntary  
                                                                                  PART I - ADMINISTRATIVE DATA
Name (Last, First, MI)
Rank/Grade
Social Security No.
Date of Counseling
Organization
Name and Title of Counselor
                                                                           PART II - BACKGROUND INFORMATION
Purpose of Counseling: (Leader states the reason for the counseling, e.g. Performance/Professional or Event-Oriented counseling and includes the leaders facts
and observations prior to the counseling)

Event-Oriented: Violation of article 90 (Assaulting or willfully disobeying a superior Commissioned Officer) of the Uniform Code Of Military
Justice in that on or about (date) at (location) you assaulted/disobeyed (name) your superior Commissioned Officer. (state in detail what
happened).
                                                                          PART III - SUMMARY OF COUNSELING
                                              Complete this section during or immediately subsequent to the counseling

Key Points of Discussion:

Assaulting/Disobeying a superior Commissioned Officers is a crime and is unacceptable behavior that will not be tolerated.
If found guilty of this offense, the maximum punishment is ______________________. Your misconduct has been
detrimental to unit morale and the discipline of this organization and should not be repeated. (I am recommending that the
commander impose nonjudicial punishment for your misconduct) OR (You will receive corrective training as outlined in the
plan of action).


You are here by notified that if this type of conduct continues, actions may be initiated under the Uniform Code of Military
Justice to separate you from the Army prior to your scheduled ETS Date IAW AR 635-200.  If you are involuntary
separated, you could receive an Honorable Discharge, a General (Under Honorable Conditions) Discharge, or a Under
Other Than Honorable Conditions Discharge. If you receive a discharge Under Other Than Honorable Conditions, you will
be ineligible for reenlistment and for most benefits, including payments of accrued leave, transitional benefits, the
Montgomery GI Bill, VA benefits, and You may also face difficulty in obtaining civilian employment.   
                                                                                       OTHER INSTRUCTIONS
This form will be destroyed upon reassignment (other than rehabilitative transfers), separations at ETS, or upon retirement. For separation requirements and                
                                                                       notification of loss of benefits/consequenses see local directives and AR 635-200
Download and make changes to DA Form 4856 Counseling for violation of Article 90
Assaulting or disobeying a superior commissioned officer of the UCMJ. Requires Pure edge viewer
Army Counseling, Article 90 Assaulting or willfully disobeying a superior commissioned officer: Any member of the armed forces who,
(1)strikes his/her superior Commissioned Officer or draws or lifts up any weapon or offers any violence against the superior while he/she is in
execution of his/her office; (2) willfully disobeys a lawful command of his/her superior may be punished under article 90.
May be punished by
death during time of war
THIS IS NOT A GOVERNMENT SPONSORED WEB SITE
AKO
Custom Search
Ask a Question
Custom Search
sergeant's time training
Home>>> Counseling Examples>> Assaulting a Military Officer
Hosting by Yahoo! Web Hosting

This free script provided by
JavaScript Kit

Download 1 PowerPoint Show with over 20 PowerPoint
Classes. No more digging through all of your files
and folders to find a class
, the main page has a
Menu for easy access to all of your PPT Classes all
are
just a click away. Safe and easy to download Via
link, Try it Today!