Get the free DA FORM 2569-R, JUN 69

ATTORNEY OF RECORD DESIGNATION (Civilian and Individual Military Counsel) For use of this form, see AR 190-47; the proponent agency is DEEPER. DATE I, Register Number, Service No./Social Security

How to fill out da form 2569-r jun

How to Fill Out DA Form 2569-R Jun:

1. Start by obtaining the DA Form 2569-R Jun, also known as the Financial Liability Investigation of Property Loss form.
2. Fill in the "Type of Investigation" section, indicating whether it is a preliminary inquiry or formal investigation.
3. In the "Date of Loss" field, enter the exact date when the loss of property occurred.
4. Provide detailed information about the lost property in the "Description of Property Lost or Damaged" section. Include the type of property, its estimated value, and any relevant serial numbers or identification marks.
5. Indicate the "Circumstances Surrounding Loss" by explaining how the property was lost or damaged. Be concise, yet provide all necessary details.
6. Write down the names and contact information of any witnesses to the loss in the "Names and Addresses of Witnesses" section. Include their full names, addresses, and phone numbers.
7. If you are aware of any negligence or misconduct that contributed to the loss, describe it in the "Negligence or Misconduct Resulting in Loss" section.
8. Fill in your personal information as the "Requestor of Investigation." This includes your name, rank, unit, and contact details.
9. If you are filling out the form on behalf of someone else, provide their details in the "For Use by Investigating Officer Only" section.
10. Sign and date the form in the designated spaces to certify that the information provided is accurate to the best of your knowledge.

Who needs DA Form 2569-R Jun:

1. Military personnel who have experienced a loss or damage to government-issued property may need to fill out DA Form 2569-R Jun.
2. This form is necessary for initiating a Financial Liability Investigation of Property Loss, which determines if the individual should be held accountable for the property loss.
3. The DA Form 2569-R Jun is used by both the requestor of the investigation and the investigating officer conducting the inquiry or formal investigation.
4. It is crucial for individuals responsible for government property, such as those in charge of equipment or supplies, to be familiar with this form and its process.
5. Commanders or their designated representatives may also need this form to complete their assessment of liability and determine any potential financial responsibility.

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