Download the form
DA Form 2627-1 handles one job: summarized record of proceedings under article 15, ucmj. The official title is SUMMARIZED RECORD OF PROCEEDINGS UNDER ARTICLE 15, UCMJ. Download it below, fill it in, sign it, send it where your directive says. The edition on this page is 09/01/2024, status ACTIVE, running 3 page(s) with about 167 fields to complete. This edition is superseded — pull the newer one unless your record was already executed on this version.
Two references decide everything about your use of it: TJAG maintains the content, AR 27-10 sets the trigger and the routing. Consult the directive when your case is not routine; otherwise the printed blocks tell you enough. The person named in the entries fills it, or the administrative office holding the file does it for them.
Pick by how you will enter data: PDF, XFDL on offer. Typing means fillable pdf, where the boxes accept keystrokes and hold them on save. Handwriting means printable pdf, a flat page image sent straight to a printer. Neither version changes what appears on the page.
Save the download and open it in a dedicated reader. That single step prevents the common failure: an in-browser viewer accepts your typing and discards it at tab close. Confirm with one field and one save cycle before committing the whole form. The xfdl copy needs the IBM Lotus Forms Viewer. That format runs in Army systems and nothing else reads it.
No charge, no account, no email address. The file is the published document, distributed unaltered.
What the form asks for
- ContentArea1
- DATE
- DATE2
- DATESEEN
- DATESIGN
- DATSIGN_B
- DATSIGN_appeal
- DENIED
- GRADE
- GRANTED
- GRNTEDgrounds
- IMPCOMDR
- IMPCOMDR1
- IMPCOMDR4
- MISCNDCT
- NAME
- OralRepAdmon
- Page1
- Page2
- Page3
- PunishmentVacated
- PunishmentVacatedrebut
- R106
- R111
Start at the top and get the header exactly right. Official spelling of the name, identification number, unit, date. Everything downstream finds the record through those entries; nothing else on the page has that consequence.
Move between fields with tab; the build-time order follows the page and misses nothing. Click check boxes and option buttons, and expect an exclusive group to release the old choice when you set a new one. The trap is field width. Single-line fields do not wrap, so an overlong entry displays complete on screen and prints cut at the margin — put it in remarks or on a continuation instead. Mark inapplicable fields rather than leaving them blank, since an empty box carries no information about whether the question was read.
The signature closes the form and nothing precedes it. Draft status holds until it is applied, by hand or by an accepted electronic method. Countersignatures go in printed order, each dated at signing. Then one final read from the top, looking for the four recurring defects: empty mandatory fields, swapped digits in identification numbers, day-month inversion in dates, and residue from a reused file that goes forward as though intended.
Read the Privacy Act statement at the point it appears. Authority, purpose, routine uses, mandatory or voluntary — four facts, and they govern what you are about to enter. A completed copy holds personal data and takes the handling rules that attach to it.
Send it where the directive says: the office it names, the unit administrative channel, or the individual's file. Take your copy before submission. How long the record is held comes from the schedule for the series, not from the office holding it.
Related forms are found by series and number. DA series documents under the same proponent or the same prescribing directive are commonly required as a set, and any form named on the face of this one goes forward with it. Assemble continuations, covers and transmittals before submitting, not after the query comes back.
A stored file goes stale silently. The proponent revises, a new edition date is published, and your copy says nothing about it — so compare the printed date against the edition in force before typing into it again. Completed submissions on an earlier edition are not reopened.
These are reproductions of published Department of the Army documents, offered for download. The site is independent, connected to nothing official, and issues no forms of its own. Nothing here is legal advice and no statement is made about acceptance by any office. Questions about an entry, a requirement or eligibility go to TJAG or your servicing administrative office.
Questions and answers
- What is DA Form 2627-1?
- SUMMARIZED RECORD OF PROCEEDINGS UNDER ARTICLE 15, UCMJ
- Which edition is current?
- 09/01/2024
- Who is responsible for this form?
- TJAG
- In which formats can it be downloaded?
- PDF, XFDL, PDF