2. Form is prepared for each accused enlisted person referred to — Commanding Officers Office Hours (AST-c47a92c3)

UNIT PUNISHMENT BOOK (5812) NAVMC 10132 (Rev 10-81) (EF) (8-75) edition will be used.) SN: 0109-LF-063-1900 U/I: PD (100 Sheets per paid) 1. See Chapter 2. Marine Corps Manual for Legal administration MCO P5800.8 2. Form is prepared for each accused enlisted person referred to Commanding Officers Office Hours 3. Reverse side may used to summarize proceedings as required by MCO P5800.8 INDIVIDUAL (Last Name, first name, middle initial) 2. GRADE 3. SSN _____________________________________________________________________________________________. 4. Unit 5. offences (To include specific circumstances and the date and place of commission of the offense) 6. I have been advised of and understand my rights under Article 31 UCMJ. I also have been advised of and understand my rights to demand trial by court martial in lieu of non-judicial punishment. I (do) (do not) demand trial and (will) (will not) accept non-judicial punishment subject to my right of appeal. I further certify that I (have) (have not) been given the opportunity to consult with a military lawyer, provided at no expense to me, prior to my decision to accept non-judicial punishment. (DATE) _______________________________ (Signature of accused)______________________________ 7. The accused has been afforded these rights under Article 31, UCMJ, and the right to demand trial by court-martial in lieu of non-judicial punishment. (DATE)____________________________ (Signature of immediate CO of accused)____________________________________ 8. FINAL DISPOSTION TAKEN AND DATE. 9 SUSPENSION OF EXECUTION OF PUNISHMENT, IF ANY. 10. Final disposition taken by (name, grade rank, title) 11. Upon consideration of the facts and circumstances surrounding (this offence) (these offences) and upon further consideration of the Needs of military discipline in this command, I have determined the offense (s) involved herein to be minor and properly punishable Under the Article 15, UCMJ, such punishment to be that indicated in 8. 9. 12. Date of notice to accused of final disposition taken. (Signature of CO who took final disposition in 8 and 9) ____________________________________ ___________________ 13. The accused has been advised of the right of appeal. 14. Having been advised of and understanding my Right of appeal at this time I (intend) (do not intend) to file an appeal. 15. Date of Appeal, if any _______________________ _________________________________ ________________ _______________________ ___________ (DATE) (signature of CO who took final action in 11) (Date) (Signature of accused) 16. DECISION ON APPEAL (IF APPEAL IS MADE), DATE THEREOF, AND SIGNATURE OF CO WHO MADE DECISION. 17. Date of notice to accused of decision on appeal _______________________________ _________________________________________________ __________________________ (DATE) (Signature of CO making decision on appeal) 18. REMARK 19. FINAL ADMINISTRATIVE ACTION, AS APPRPRIATE, HAS BEEN COMPLETED. ___________________________