Completing the Form.
a. Figure 4-5 is a sample of DA Form 4833. Refer to it as we review correct completion
b. Suspense Date.
The first block is the suspense date. It follows the six-digit (year/month/day) format. The suspense file
(usually 30 days) is given the subject's commander by the operations officer or NCO. The company
commander must complete and return this report to the PMO by this date. Interim reports (telephonic or
written) will be provided to the PM if final action cannot be completed by the suspense date.
One of your reports concerns a 19-year-old dependent son involved in an assault. What would we do
with the DA Form 4833?
(1) DA Form 4833 is not forwarded to commanders on civilians or family members.
(2) Complete DA Form 4833 and forward it to the father's unit commander for proper action.
Answer: "(1)" is correct. A military dependent is involved.
c. Address Block.
These must be filled out in the proper format. Because the DA Form 4833 must be returned to the PMO,
the form is addressed "THRU" the commander of the subject's next higher headquarters, "TO" the
provost marshal office, "FROM" the subject's unit commander. Always include the zip code.
d. Below the address blocks is a section for the USACRC control number, the MPR number,
and the subinstallation identifier. The CRC and MPR numbers are on the DA Form 3975. The
subinstallation identifier is used only if applicable.
Subject information and offenses requiring commander's action can be obtained from the MPR to which
this report pertains. In Figure 4-5, SPC Taylor was the subject of a larceny on 19 January. Can you find
the error on the Sample DA Form 4833? In reviewing this form, you will see the offense that SPC
Taylor was charged with is larceny (Article 121, UCMJ). Was it larceny of private or government
property? The charge of larceny must be completely stated. When you are reviewing MP forms, make
sure the data is complete and appropriate to the incident.
e. The remainder of the DA Form 4833 will be completed by the unit commander. He/she will
indicate the disciplinary or administrative action taken, complete the signature block, and sign and date
(day/month/ year format) the report.