Complaint Form

 
Stop - No Classified Information DAIG can only accept UNCLASSIFIED complaints on this website.  Please do not submit any classified information using this complaint form. For information on submitting a classified complaint, visit the Department of Defense Hotline – Classified Complaints.
Note: We will make every effort to protect your identity from disclosure; however, we cannot guarantee confidentiality since disclosure may be required during an investigation or in the course of corrective action.
Please Add these numbers:
5  + 6  =  (Required)   
Do you wish to remain anonymous?
Note: If you file a complaint anonymously, we will be unable to contact you to obtain more information about the case or provide you the results if we conduct an investigation. If you choose to remain anonymous, DO NOT IDENTIFY YOURSELF BELOW.
I consent  / I do not consent to release my personal information outside of IG channels to the chain of command or other officials (but within DoD channels) in order to resolve the matters listed above. I understand that if I do not release my personal information, my request for assistance may go unresolved.

I consent / I do not consent to release the supporting documents I provided to the IG (to exclude this DA Form) outside of IG channels to the chain command or other officials (but within DoD channels) in order to resolve the matters listed above. I understand that if I do not release my documents, my request for assistance may go unresolved.
 
Are you willing to be interviewed?
 
Complainant/Initiator
Last Name: First Name: MI:
SSN (no hyphens): Phone: Email:
Home Address:
Unit Address: Component: Rank:
 
 
 
Is this a request for assistance? If so, clearly state what you would like the IG to do for you.
500 Max Characters Allowed.
 
If you are making a complaint about an individual or organization, complete the following section. Who do you believe did something wrong or wronged you?
Last Name: First Name: MI:
SSN (no hyphens): Phone: Email:
Home Address:
Unit Address: Component: Rank:
 
Last Name: First Name: MI:
SSN (no hyphens): Phone: Email:
Home Address:
Unit Address: Component: Rank:
 
Last Name: First Name: MI:
SSN (no hyphens): Phone: Email:
Home Address:
Unit Address: Component: Rank:
 
What did the subject do or fail to do that was wrong?
500 Max Characters Allowed.
 
What rule, regulation, or law do you think the subject violated?
500 Max Characters Allowed.
 
When did the incident occur? Provide dates and times, if possible.
250 Max Characters Allowed.
 
Where did the incident take place? What location, command, etc.?
250 Max Characters Allowed.
 
Why do you think the incident took place?
500 Max Characters Allowed.
 
How have you tried to resolve the problem? Who have you contacted in your chain of command? Who have you contacted in your local Inspector General Office? Have you tried to resolve your complaint using an established process such as the Army Board for the Correction of Military Records, EO/EEO, or the legal system?
500 Max Characters Allowed.
 
Have you sent your complaint to a Member of Congress or to another Inspector General agency, such as the Department of Defense Inspector General? If so, when did you submit your complaint?
250 Max Characters Allowed.
 
Who else do you believe has information regarding your complaint (name, phone number, email, etc)?
250 Max Characters Allowed.
This information is submitted for the basic purpose of requesting assistance, correcting injustices affecting the individual, or eliminating conditions considered detrimental to the efficiency or reputation of the Army. Those who knowingly and intentionally provide false statements on this form are subject to potential punitive and administrative action (UCMJ Art 107, 18 USC 1001).

Click the "Submit Complaint Form" button below to Certify and Submit the Form.