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INTERNMENT SERIAL NUMBER FINGERPRINT CARD For use of this form, see AR 190-8; the proponent agency is PMG. LAST NAME POWER SERVED FIRST NAME NATIONALITY SEX GRADE AGE OTHER MARKS OF IDENTIFICATION
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How to fill out DA Form 2663-R:

01
Start by entering the date in the top right corner of the form.
02
Provide your name, rank, and organization in the section labeled "Soldier Information."
03
Enter your Social Security Number in the designated box.
04
Indicate whether you are active duty, Reserve, or National Guard.
05
Provide the date of the incident or event that requires reporting.
06
Briefly describe the incident or event in detail, including location and any injuries or damages.
07
If applicable, indicate whether the incident involved civilian property or personnel.
08
If there were witnesses, list their names and contact information.
09
Specify whether medical treatment was given and the type of treatment received, if applicable.
10
Identify any equipment or vehicles involved, their identification numbers, and the extent of damage.
11
Provide a detailed statement of the circumstances surrounding the incident.
12
If the report involves hazardous materials, describe the material and any actions taken to mitigate the situation.
13
If there are additional pages or attachments, indicate the number and type of attachments.
14
Sign and date the form on the bottom right corner.
15
Submit the completed DA Form 2663-R to the appropriate chain of command or reporting authority.

Who needs DA Form 2663-R:

01
Soldiers who have been involved in an incident, accident, or event, whether on or off duty, that requires reporting and recording.
02
Military personnel responsible for investigating and documenting incidents or accidents within their respective units.
03
Commanders or supervisors who need to be aware of and take appropriate action based on the reported incident or event.
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The DA Form 2663-R is a form used by the United States Army to report police officer misconduct.
Police officers and other personnel involved in law enforcement activities are required to file DA Form 2663-R.
To fill out DA Form 2663-R, individuals must provide detailed information about the incident, the individuals involved, and any witnesses.
The purpose of DA Form 2663-R is to document and report police officer misconduct in the United States Army.
Information related to the incident, individuals involved, witnesses, and any evidence must be reported on DA Form 2663-R.
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