DA Form 5109. Request to Superior to Exercise Article 15, Ucmj, Jurisdiction

Form DA 5109 is a Request to Superior to Exercise Article 15, UCMJ, Jurisdiction. This form is used to request a commanding officer or superior to exercise jurisdiction under Article 15 of the Uniform Code of Military Justice (UCMJ). The purpose of this form is to initiate non-judicial punishment for minor offenses committed by a service member under the authority of the UCMJ.

The form consists of sections where the details of the alleged offense and the service member's information are documented. This may include sections for providing a statement of the offense, the recommendation for punishment, and the service member's acknowledgment of their rights. The form is essential for ensuring that the appropriate procedures are followed when initiating non-judicial punishment.

Important fields in this form include accurate documentation of the alleged offense, the recommended punishment, and the service member's acknowledgment of their rights. Properly completing this form is crucial for safeguarding the service member's rights and ensuring that the punishment is proportionate to the offense.

Application Example: A commanding officer receives a report of a service member's minor infraction, and the officer believes non-judicial punishment is appropriate. The officer uses Form DA 5109 to document the details of the offense, the recommended punishment, and the service member's acknowledgment of their rights before proceeding with the Article 15 process.

Related Forms: There may be other forms used for documenting non-judicial punishment proceedings and the outcome of Article 15 actions.