Download the form
The scope here is Department-wide. DD Form 2716 — DD Form 2716, Parole Acknowledgement Letter, March 2013 — exists to Parole Acknowledgement Letter, and it applies across the services rather than inside one. That is what the DD prefix encodes: joint issue, single edition, every branch and defense agency working from identical paper.
Requirement traces to not stated; the form belongs to not stated. Everything about schedule sits below that in local instruction, which is where to ask if a date matters.
Use not stated, status not stated. Older printings circulate widely and lose their currency Department-wide the moment a new edition issues.
Available: PDF, across 1 pages, roughly 11 fields.
All formats are free. One operational note: save the file locally and open it in a desktop reader. Browser-embedded viewers drop field properties and lose typed data without warning.
What the form asks for
- Report date (4 digit year, 2 digit month, 2 digit day, no separators).
- 1. Prisoner name (last, first, middle).
- 2. Social security number (last 4 only).
- 3. Correctional facility.
- 5. Press space bar to mark X in first box if I accept parole release, or second box if do not accept parole release.
- 6. Parole denial. X first box if desire to appeal the denial of parole, or second box if do not desire to appeal.
- 9. Witness name, grade and title (last, first, middle initial).
- 12. Date (4 digit year, 2 digit month, 2 digit day).
- 8. Date (4 digit year, 2 digit month, 2 digit day).
- 7. Prisoner signature.
- 10. Signature of certifying official.
Start by matching the printed date to not stated. Old blanks accumulate in shared folders for years. Because the Department reissues to all services in one action, nobody is still accepting the previous layout by local custom.
Work the printed sequence: header, body, signature block. The order is functional rather than decorative, since entries below frequently key to identifying data above them.
Mark inapplicable items N/A rather than leaving white space. Use the date format the form specifies. This matters more on Department forms than on service forms: the record may be reviewed by personnel outside your branch who share none of your office conventions.
Privacy Act Statement first, personal entries second. It names the authority for the collection, what the data is for, who else routinely sees it, and whether you have to answer at all.
Sign last, in ink or with a credentialed digital signature. A typed name in a signature field certifies nothing. CAC-based signing is the usual electronic method where the receiving system supports it. Date the block immediately — unsigned and undated certifications account for a large share of returns.
Check before submitting. The recurring failures are edition mismatch, gaps in required boxes, unreadable scanned handwriting, wrong date format, and certification without signature or date. Field-level questions go to the printed instructions, then to not stated, which is authoritative.
Submit to the office named in not stated or in local instruction; retain a duplicate before it leaves. Joint routing often sends a DD form across organizational boundaries, and tracing one afterward is not a same-day matter.
A number is a complete address in the DD series. Because the sequence is Department-level and not duplicated per service, there is nothing further to specify.
Prefix before number. A DA citation and a DD citation in the same instruction point at separate systems — one Army, administered by an Army proponent, one Department-wide under not stated — and there is no correspondence between them at any number.
Three drivers of revision: directive reissue, altered collection requirements, updated statutory notice text. No notification accompanies any of them, so download fresh and confirm not stated rather than reusing an archived file.
Limits of this page: it distributes a published Department of Defense document and describes it. No legal advice, no procedural ruling, no statement about whether any submission will be accepted. Applicability, eligibility and procedure belong to not stated, to a servicing personnel office, or to the office named in not stated.
Questions and answers
- What is DD Form 2716?
- DD Form 2716, Parole Acknowledgement Letter, March 2013
- Which edition is current?
- Not stated by the publisher
- Who is responsible for this form?
- Not stated
- In which formats can it be downloaded?