Da form 4856-2025

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  1. Click ‘Get Form’ to open DA Form 4856 in the editor.
  2. Begin with Part I - Administrative Data. Fill in your name, organization, rank/grade, social security number, date of counseling, and the name and title of the counselor.
  3. Move to Part II - Background Information. Clearly state the purpose of counseling, whether it is performance-related or event-oriented, along with relevant facts and observations.
  4. In Part III - Summary of Counseling, document key points discussed during the session. Ensure that all significant topics are covered for clarity.
  5. Outline a Plan of Action in Part IV. Specify actions that the subordinate will take post-counseling to achieve set goals, including timelines for implementation.
  6. Conclude by summarizing key points and ensuring mutual understanding between the counselor and the individual counseled. Both parties should sign and date where indicated.

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The Soldier cannot be forced to sign or comment on DA Form 4856. However, if you disagree with the counseling, you should sign and add your comments. If you refuse to sign, the counseling statement can still be used. The leader will annotate that you have received the DA Form 4856 and refused to sign.
Penalties for Failure to Obey an Order If you are convicted for violating or disobeying an order your military career will be over. In addition to being discharged, you can face other consequences. The seriousness of these consequences will depend on the type of order you violate or disobey.
A counseling rebuttal is your written response to the negative counseling, formally objecting to the allegations. It serves several purposes: Corrects Misinformation: You have the opportunity to clarify any misunderstandings or factual inaccuracies within the negative counseling.
The following forms of performance counseling or corrective action, as more fully explained below, include verbal warning; written warning; performance improvement plan; suspension; and termination. These forms do not need to be applied as progressive or escalating steps.
US military law, primarily the Uniform Code of Military Justice (UCMJ), sets strict guidelines for obedience to orders. Under this code, failure to obey can lead to charges of insubordination or even desertion, both grave offenses with severe penalties.

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Option 2 (Recommended): Disagree with the counseling and write a rebuttal. If you need time to write your rebuttal you can request a reasonable period of time to respond to the counseling statement. Write I request 24 hours to properly prepare my response to this counseling.
PREVIOUS EDITIONS ARE OBSOLETE. OTHER INSTRUCTIONS This form will be destroyed upon: reassignment (other than rehabilitative transfers), separation at ETS, or upon retirement. For separation requirements and notification of loss of benefits/consequences see local directives and AR 635-200.

da 4856 march 2023