Army Separation From Service Counseling Statement
Purpose: Inform the Soldier that he/she is being separated from the Army and the requisite articles and provisions
under which the Soldier is being processed.
Frequency: Upon initiation of separation; follow-on counseling is discretionary upon further adverse behavior
Minimum areas to address:
- Discuss the offenses leading to the decision to separate the Soldier, including the dates of the offenses
- Explain to the Soldier the least favorable discharge he/she may receive as a result of the separation, and some
possible benefits they may lose
Required Actions:
- Initiate separation action at company level, ensure chain of command is aware of intent to separate Soldier
- Ensure commander has completed the DA 4856 under “Assessment of the Plan of Action” and signed stating
whether or not he agrees with the separation initiation
- Monitor Soldier’s behavior during separation proceedings and initiate further counseling/UCMJ as required
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