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                                          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 89 (disrespect toward a superior Commissioned Officer) of the Uniform Code Of Military Justice in that on or
about (date) at (location) you were disrespectful to (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:

Disrespect towards superior Commissioned Officers is unacceptable behavior and will not be tolerated. If found guilty of
this offense, the maximum punishment is ______________________. Your disrespect 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 Army Counseling for violation of Article 89
Disrespect toward a superior Commissioned Officer of the UCMJ. Requires Pure edge viewer
Army Counseling, Article 89 Disrespect toward a superior Commissioned Officer: Any member of
the armed forces who behaves with disrespect toward a superior Commissioned Officer, may be
punished under article 89.
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Home>>> Counseling Examples>> Disrespect towards an Officer
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Use this Counseling Example when your Soldier speaks or acts in a disrespectful manner toward a Commissioned Officer.
What is considered disrespect? Disrespect can be anything from a simple nasty facial expression to F U Captain, I ain't doing
jack. Everyone is different and what I take as disrespect may not apply to other Officers. Bottom line, counsel the Soldier if you
feel disrespect and recommend for UCMJ punishment if the offence warrants it.  Got Questions or Comments?
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