In Figure 4-1, the subject is CW2 Barkey. Because of his rank, the report is marked "Surname"
(c) Number 7 - Summary of Incident. This is a narrative summary of the incident. In the
summary is the dollar value of property lost, damaged, stolen, or destroyed. The degree of access to
classified information should be noted in the summary. The action taken to suspend or remove the
security clearance of persons involved in an SIR is included here. See Figure 4-3 where subject
Barkey's security clearance was suspended.
The MP Report Number and CID Report of Investigation Number (ROI) are included in the summary.
In Figure 4-4, the CID ROI Number is 12345. Also, included in the summary are the results of
preliminary investigative action and/or corrective action taken.
(d) Number 8 - Remarks. This section includes all comments that do not fit into other
subject areas. It also provides data about racial incidents. Notice the example in Figure 4-4. Use it to
confirm a telephone report.
(e) Number 9 - Publicity. This indicates the degree of news media coverage occurring or
anticipated. The sender of the sample SIR anticipates local and national coverage.
(f) Number 10 - Commander Reporting. The name of the commander; refer to Figure 29
for an example of the format.
(g) Number 11 - Downgrading Instructions.
For a classified report, indicate
downgrading instructions or the removal data of FOUO (For Official Use Only) markings.
3.
Distribution
Joint messages for SIRs require special handling. They are assigned proper security classification or
marked FOUO. Release of these reports, or the information on them, is strictly regulated. This
completes the discussion of DD Form 173/1 for Serious Incident Reports.
PART B - DA FORM 4833,
COMMANDER'S
REPORT
OF
DISCIPLINARY
OR
ADMINISTRATIVE ACTION
1.
General.
The PMO sends DA Form 4833 with the MP report to the subject's commander when action is required.
These forms are not sent to commanders when offenders are civilian personnel or military dependents.
The commander will indicate the disciplinary and/or administrative action taken. The form is then
returned to the PM.
4-9
MP2003
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