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Defense Department form, series DD, number 2967. Full title: DD Form 2967, Domestic Abuse Victim Reporting Option Statement, August 2013. Function: Domestic Abuse Victim Reporting Option Statement. Edition in force: not stated. Publisher status: not stated.
Governing directive: not stated. Responsible office: not stated. The DD designation signals joint scope — all military departments, combatant commands and defense agencies draw on a single edition of the document.
Common users: service members regardless of branch, Defense civilian staff, and the offices that file, verify or retain the finished document.
Submission follows the schedule set by not stated and by local implementing procedures. This page provides the blank form for download and general orientation only.
Formats offered: PDF. Length: 2 pages. Fillable field count: roughly 16.
The pdf is the primary distribution format. A fillable pdf accepts typed entries in defined field boxes and stores them in the file; a printable pdf is a flat image of the blank, meant for pen entry after printing. The distinction matters for legibility and for records that pass between offices.
Every listed format is free to download. Modern pdf software handles the pdf files, with the caveat that browser-embedded viewers sometimes ignore field properties that a desktop reader honours.
What the form asks for
- Line1
- Page1
- SignatureField1
- StaticText2
- T01
- case_no
- creator
- form1
- full_name
- report_to
- sarc_date
- sarc_date_6d
- states
- title
- vic_date
- vic_date_6b
The document is filled from the top down. Identification precedes substance, substance precedes certification. Fields lower on the page are commonly keyed to entries made above them.
The current edition is not stated. Superseded editions of DD forms are frequently rejected at the receiving office, since Department-wide forms change centrally and older layouts lose their field correspondence. Edition date appears in the lower corner of the printed blank.
Certification requires a signature in the designated block — ink on paper, or a digital signature where the receiving office supports one. Typing a name into the field does not constitute execution. CAC-based signing is the usual digital method for Defense forms.
Privacy Act notice: DD forms that collect personal data carry a Privacy Act Statement stating the authority for collection, the principal purpose, routine uses and whether disclosure is voluntary or mandatory. The statement is part of the form and should be read before entry, not after.
Recurring errors: entry on a superseded edition, blanks left in mandatory fields, illegible handwriting on scanned copies, dates in a format other than the one the form specifies, missing signature or missing date beside the signature.
Instructions printed on the form or in not stated govern individual field entries. Where the two differ, the governing publication controls.
Once executed, routing follows not stated and the submitting organization's own instruction. Keeping a copy is standard.
Related documents are located by series and number. DD forms sit in a single Department-wide sequence, so a form referenced inside DD Form 2967 is normally found by its number alone, without regard to service.
A DD number and a DA number may appear in the same instruction without being related. DA forms belong to the Army alone; DD forms belong to the Department and are administered at Department level. The sequences are independent.
Revision occurs when the prescribing directive is reissued, when the data collected changes, or when statutory notice language is amended. Verification of the edition date at download addresses all three.
Scope of this page: distribution of a published form and description of its contents. It offers no legal guidance and no assurance regarding any particular submission. Direct procedural questions to not stated, to the servicing personnel office, or to the office designated in not stated.
Questions and answers
- What is DD Form 2967?
- DD Form 2967, Domestic Abuse Victim Reporting Option Statement, August 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?