AF Form 1466 Request for Family Member's Medical and Education Clearance for Travel

AF Form 1466 Instructions

Filling out AF Form 1466 starts with an authorization for disclosure of the patient's medical information. The information collected is assessed to check if there are adequate medical, housing and community resources to meet the required needs at the sponsor's proposed duty locations. The form includes nine sections in total:

1. Section I - Sponsor's Data - full name, grade, SSN, duty/home phone, present unit/location, if the spouse is on active duty - name, branch, SSN.
2. Section II - Family Members Not Traveling - a list of family members who will not accompany the sponsor during the assignment.
3. Section III - Family Members Requesting Command Sponsorship to Travel - all family members requesting command sponsorship for the purpose of accompanying the military sponsor.
4. Section IV - Family Members Requesting Command Sponsorship to Travel (Continued) - the family members' names, the relationships, the ages, the grade school, the location of medical records, the month/year of travel, the medical/emotional/behavioral/dental/educational conditions that apply.
5. Section V - Certification of Applicant - all previous instructions must be read and understood; those entries are true, complete, and correct to the best of applicant's knowledge.
6. Section VI - Medical Provider Evaluation - all family members requesting travel are interviewed, their medical records are reviewed, and their medical conditions are identified.
7. Section VII - Special Needs Coordinator Endorsement - the family advocacy involvement, the mental health needs, the modified housing, the special medical equipment, etc.
8. Section VIII - Certification by Losing Base - all the information is sufficient for medical decision making.
9. Section IX - Facility Determination Inquiry, Disposition - the family members for whom travel is recommended.

AF 1466 Related Forms:

• AF IMT Form 1466D, Dental Health Summary - an assessment by the dentist needed to determine dental health as part of the family member relocation clearance for travel.
• DD Form 2792, Family Member Medical Summary - a document used by military assignment personnel to match the special medical needs of family members against the availability of medical services and by civilian personnel officers to advise civilian employees about the availability of medical services to meet the special medical needs of their family members.
• DD Form 2792-1, Special Education/Early Intervention Summary - a document used by the Department of Defense (DoD) personnel to identify, evaluate, and register the special education needs of family members.