DA Form 5109 Request to Superior to Exercise Article 15, UCMJ, Jurisdiction

DA Form 5109 Request to Superior to Exercise Article 15, UCMJ, Jurisdiction

What Is DA Form 5109?

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 5109, 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.

FAQ

Q: What is DA Form 5109?
A: DA Form 5109 is a Request to Superior to Exercise Article 15, UCMJ, Jurisdiction form.

Q: What is the purpose of DA Form 5109?
A: The purpose of DA Form 5109 is to request the superior to exercise jurisdiction under Article 15 of the Uniform Code of Military Justice (UCMJ).

Q: What is Article 15, UCMJ?
A: Article 15 of the UCMJ provides commanders with a means to address and correct misconduct within their units without going through a formal court-martial process.

Q: Who can use DA Form 5109?
A: DA Form 5109 can be used by military personnel who wish to request their superior to exercise jurisdiction under Article 15, UCMJ.

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Form Details:

  • A 1-page document available for download in PDF;
  • The latest version available from the Army Publishing Directorate;
  • Editable, free, and easy to use;
  • Fill out the form in our online filing application.

Download an up-to-date fillable DA Form 5109 down below in PDF format or browse hundreds of other DA Forms stored in our online database.

Download DA Form 5109 Request to Superior to Exercise Article 15, UCMJ, Jurisdiction

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  • DA Form 5109 Request to Superior to Exercise Article 15, UCMJ, Jurisdiction, Page 1
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