|PART II - BACKGROUND INFORMATION
|Purpose of Counseling
• Failure to Follow Instruction.
• Disrespect Towards a Noncommissioned Officer.
|PART III - SUMMARY OF COUNSELING
Complete this section during or immediately subsequent to counseling.
|Key Points of Discussion:
PFC Smith at approximately 1300 hrs on 16 July 2013, you were disrespectful to Sergeant Pelotas by calling him a "Dick" for giving
your Barracks CQ on a training holiday you also refused to stand down after Sergeant Pelotas repeatedly ordered you to remain quiet.
Your failure to obey an order and your blatant disrespect towards the leadership of this unit will not be tolerated.
I am recommending the following action(s) be taken and where necessary referred to the Commander for action:
(Write the Recommended punishment here)
You are being counseled for the mis-conduct noted above. If this type of behavior continues, actions may be initiated to separate you
from the Army IAW AR 635-200. If you are involuntary separated, you may receive an Honorable Discharge, a General but Under
Honorable Conditions Discharge, or Under Other Than Honorable Conditions Discharge. I have discussed with you the negative
impacts of being involuntarily separated from the Military and you understand that you may also face difficulty in obtaining civilian
employment as employers have a low regard for General and Under Other Than Honorable conditions discharges. _______ (SM's
This form will be destroyed upon: reassignment (other than rehabilitative transfers), separation at ETS, or upon retirement. For separation requirements
and notification of loss of benefits/consequences see local directives and AR 635-200.