Army Counseling, violation of article 123a, Issuing worthless check

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(Issuing Worthless Checks) of the UCMJ. Requires Pure edge viewer

Article 123a Issuing Worthless Checks: Any member of the armed forces who, wrongfully writes a check with the intent to defraud, may be
punished under article 123a of the UCMJ.

DEVELOPMENTAL COUNSELING FORM
For use this form see FM 22-100

DATA REQUIRED BY THE PRIVACY ACT OF 1974

AUTHORITY: 5 USC 301, Departmental Regulations; 10 USC 3013, Secretary of the Army and E.O. 9397 (SSN)
PRINCIPAL PURPOSE: To assist leaders in conducting and recording counseling data pertaining to subordinates
ROUTINE USES: For subordinate leader development IAW FM 22-100 leaders should use this form as necessary
DISCLOSURE: Disclosure is voluntary

PART I - ADMINISTRATIVE DATA

Name (Last, First, MI)

Rank/Grade

Social Security No.

Date of Counseling

Organization

Name and Title of Counselor

PART II - BACKGROUND INFORMATION

Purpose of Counseling: (Leader states the reason for the counseling, e.g. Performance/Professional or Event-Oriented counseling and includes the leaders facts
and observations prior to the counseling)

Event-Oriented: Violation of article 123a (issuing worthless checks) of the Uniform Code Of Military Justice in that on or about(date) at
(location) you wrongfully issued a check with no funds to (What happened?)________________.

PART III - SUMMARY OF COUNSELING
Complete this section during or immediately subsequent to the counseling

Key Points of Discussion:

                                                                     OTHER INSTRUCTIONS
This form will be destroyed upon reassignment (other than rehabilitative transfers), separations at ETS, or upon retirement. For separation requirements and
                                                                       notification of loss of benefits/consequenses see local directives and AR 635-200