Every entry in the Defense records system exists because some decision needed a documented basis, and DD Form 2716-1 is one of those instruments: DD Form 2716-1, DoD Certificate of Supervised Release, March 2013, created to Department of Defense Certificate of Supervised Release. The reason it carries a DD number rather than a service designation is structural — the Department maintains a single body of forms for matters that arise identically in every service, so that a record created in one component remains intelligible in another.
This is why the arrangement matters to you rather than only to the archivists. not stated governs the form throughout the Department, with not stated as the responsible office, so the record you create is legible outside your own component. Joint assignments, agency details and cross-service transactions all depend on that: the paperwork does not have to be reconstructed each time it crosses a boundary.
The edition in force is not stated, carried by the publisher as not stated, and edition discipline is stricter on a Department form than most people expect, precisely because supersession happens everywhere at once. There is no interval during which one service still works from the previous layout while another has moved on.
Work down the page in the printed order, and understand why the order exists. The identifying block establishes whose record this is and under what circumstances it arises. The body of the form then answers questions that are only meaningful once that context is fixed. The signature block comes last because a certification signed before the entries are complete certifies nothing.
Before the first entry, compare the date printed on the form face with not stated. This is not bureaucratic fussiness. Editions change field numbering, and a receiving office working from the current layout may look for information where your copy does not put it. On a Department form the exposure is wider than usual: your record may be reviewed by an office in another service entirely, one with no reason to remember what the previous edition looked like.
Every field takes an entry, N/A included. The reason is evidentiary rather than clerical: a completed record is supposed to show what was asked and what was answered, and blank space records neither. On dates, follow the format printed beside the field. Conventions vary between components, and a joint document is read by people who do not share your habits.
Where the form collects personal identifiers, a Privacy Act Statement accompanies it, and its placement is meaningful. The statute requires disclosure at the point of collection — authority, purpose, routine uses, and the consequence of declining — so that the person supplying the information does so knowing what becomes of it. Reading it after you have filled the fields inverts the arrangement entirely.
What the signature block asks for is an act, not a text. Ink on a printed copy performs that act; a digital signature bound to your credential performs it electronically, CAC-based in most Defense systems. Typing your name performs nothing, since anyone with the file could type the same characters. Enter the date at the same moment: the certification is a statement about a point in time and needs one recorded.
Every item on the standing defect list undermines the record in the same way — it leaves a question the file cannot answer later. Obsolete edition, empty mandatory boxes, illegible scanned handwriting, non-conforming dates, missing signature or date. Unclear entries are resolved from the printed instructions first and from not stated where the two texts diverge.
Download the form
What you can download: PDF. The form runs 4 pages and asks for approximately 33 entries. The plurality of formats is deliberate: Defense distribution has never been able to assume one operating environment across the whole force.
The difference between a fillable and a printable pdf is a difference in what the file contains. A fillable release carries an interactive layer: each box is a defined field with a name and a data type, and what you type is stored as data inside the document. A printable release has no such layer — it is an image of the page, and the only place your answers can go is onto paper. The distinction matters downstream, because a Department record often gets scanned and forwarded several times before it reaches its final file, and typed characters survive that chain in a way pen strokes do not.
If you find an xfdl file here, its presence is historical. The format belongs to IBM Lotus Forms, which the Department adopted Department-wide for electronic forms and fielded on a scale that makes wholesale removal slow. You need the matching viewer to open it; ordinary pdf software cannot read the format and will say so unhelpfully.
Every format is free, as published government documents are. A note on tools, though — the interactive field layer that makes a fillable pdf useful is precisely the part browser viewers handle least reliably. Save the file, open it in a full pdf reader, and the fields behave as the form's designer intended.
What the form asks for
- The term of supervision hereby granted will become effective: (2 digit month, 2 digit day, 4 digit year).
- and will expire on: (2 digit month, 2 digit day, 4 digit year).
- Signed (chairman, parole and clemency board).
- Enter Mandatory Supervised Release or Parole.
- Endorsement: The above named individual was released from confinement and placed on release or parole the: day.
- Month.
- Year.
- Dated: (2 digit month, 2 digit day, 4 digit year).
- Signed (Commander of corrections facility).
- Parole Agreement. 1.a. Probation/parole officer name (last, first, middle).
- b. Telephone number (include area code).
- c. Agency address.
- d. City.
- e. State.
- f. Zip code.
- 2. Probation/parole destination (limitation of travel will be designated by Parole Officer).
- Supervisee's facility address (facility name/state/zip code).
- Supervisee name (last, first, middle initial)
- Social security number (do not include dashes).
- Additional conditions of supervised release (inserted by Clemency and Parole Board).
- Signature of supervisee.
- Date of supervised release (2 digit month, 2 digit day, 2 digit year, no separators).
- Date (2 digit month, 2 digit day, 2 digit year, no separators).
- Social security number (do not include dashes).
The completed form goes to the office named in not stated or in local implementing procedure, and it is worth keeping a copy before it goes. On a Department form the destination is frequently outside your own chain — another service, a defense agency, a joint staff — and recovering a document that has crossed an organizational boundary is a slower business than retrieving one from a file down the hall.
Forms referenced inside this one are located by number alone, and that simplicity is a direct product of Department-level numbering. Because the DD sequence is maintained centrally and not duplicated by service, a number is a complete address: one number, one document, throughout the Defense establishment.
Where a service form is cited in the same instruction, the two numbering systems should not be read across. DA numbering belongs to the Army and is administered by an Army proponent; DD numbering belongs to the Department and is administered by not stated or an equivalent Department office. The systems developed separately and were never harmonized, so identical digits in each identify two documents with nothing in common. The prefix, not the number, tells you which system you are in.
A form is downstream of the policy that requires it, and revision usually starts there: a directive is reissued, a collection requirement is altered, notice language is updated by statute. The form is republished as a consequence. Since none of that reaches individual users, an archived copy quietly becomes wrong, and verifying not stated each time you download is the whole remedy.
What you have here is the document and a description of it, which is a different thing from guidance. This page is not an organ of the Department, gives no legal or procedural advice, and makes no representation about the outcome of any filing; the offices that administer the requirement are the only ones positioned to answer that. Applicability, eligibility and procedural questions belong to not stated, to your servicing personnel office, or to the office designated in not stated.
Questions and answers
- What is DD Form 2716-1?
- DD Form 2716-1, DoD Certificate of Supervised Release, March 2013
- Which edition is current?
- Not stated by the publisher
- Who is responsible for this form?
- Not stated
- In which formats can it be downloaded?