DA Form 1704-R Parole Statement – Download PDF

DA Form 1704-R Parole Statement – Download PDF – The form is referenced in AR 190-47, The Army Corrections System, with the Provost Marshal General (PMG) as the proponent agency. It supports parole procedures for eligible military prisoners confined in Army facilities, such as the U.S. Disciplinary Barracks or Regional Corrections Facilities.

Note: This is a legacy/reproducible form (dated 1 FEB 72), still listed in official Army resources. Always verify the latest guidance through official channels.

Purpose of the Parole Statement Form

The primary purpose of DA Form 1704-R is to document a prisoner’s statement regarding parole eligibility and intentions. Key elements include:

  • Indicating desire or non-desire for parole consideration.
  • Providing reasons if declining parole.
  • Detailing future plans, including residence, proposed parole advisor, and employment.

This information feeds into the disposition board review, departmental actions, and overall parole decision process under Army policy. It helps assess the prisoner’s readiness for supervised release and supports rehabilitation and reintegration goals within the Army Corrections System.

Who Uses DA Form 1704-R?

  • Military prisoners eligible for parole consideration in Army confinement facilities.
  • Facility staff, parole officers, and disposition boards reviewing cases.
  • Primarily applies to post-trial prisoners in the Army Corrections System (ACS).

It is part of broader clemency and parole procedures governed by AR 190-47 and related directives like AR 15-130.

How to Fill Out DA Form 1704-R?

While no separate public step-by-step civilian instructions exist, the form itself contains fields and guidance. General process based on its structure:

  1. Header Information — Addressed to the Commandant. Include the typed name of the prisoner, SSN, and registration number.
  2. Section II (Eligibility & Desire) — Initial whether you desire or do not desire parole. State eligibility date and provide reasons if declining.
  3. Section III (Future Plans) — Provide a detailed plan:
    • Where and with whom you will live.
    • Proposed parole advisor (full name and address).
    • Proposed employer (name and nature of employment).
  4. Signatures — Prisoner signs and dates. A witness (with typed name and title) also signs. Additional sections may include facility or board approvals.

Important: Provide truthful, complete information. Inaccurate or incomplete submissions can delay parole consideration. Consult with facility legal or parole staff for specific guidance.

Download the Official Form Here: DA Form 1704-R PDF

Parole Process in the U.S. Army Corrections System

Parole consideration is part of Chapter 8 of AR 190-47. It typically involves:

  • Preliminary screening and disposition board action.
  • Completion of a parole plan (including DA Form 1704-R).
  • Departmental review and possible approval by higher authorities.
  • Conditions upon release, supervision, and potential termination of parole.

Eligibility depends on sentence length, time served, behavior, and other factors. The form supports demonstrating rehabilitation and viable release plans, including employment and stable housing.

  • AR 190-47: The Army Corrections System (core policy).
  • DA Form 1703-R: Eligibility Cross Reference Data (LRA).
  • Other parole-related documents like certificates of release.

For full context, service members and stakeholders should refer to current Army publications on armypubs.army.mil.

Why Accurate Completion Matters?

A well-prepared Parole Statement can positively influence parole decisions by showing responsibility, planning, and commitment to successful reintegration. It contributes to the Army’s goals of discipline, rehabilitation, and reducing recidivism within the military justice framework.

Disclaimer: This article provides general information based on publicly available sources and is not legal or official military advice. Policies can change. Consult official Army channels, your facility commander, or legal advisor for current requirements and assistance. Always use forms directly from armypubs.army.mil.

Last updated information reflects official sources as of 2026. For the most current version or procedures, visit the U.S. Army Publishing Directorate.