DA Form 5304 Family Care Plan Counseling Checklist

DA Form 5304 Family Care Plan Counseling Checklist

What Is DA Form 5304?

This is a military form that was released by the U.S. Department of the Army (DA) on July 1, 2020. The form, often mistakenly referred to as the DD Form 5304, is a military form used by and within the U.S. Army. As of today, no separate instructions for the form are provided by the DA.

Form Details:

  • A 3-page document available for download in PDF;
  • The latest version available from the Army Publishing Directorate;
  • Editable, free, and easy to use;
  • Fill out the form in our online filing application.

Download an up-to-date fillable DA Form 5304 down below in PDF format or browse hundreds of other DA Forms stored in our online database.

ADVERTISEMENT

How to Fill Out DA Form 5304?

Familiarize yourself with the DA Form 5304 instructions to ensure that filling the form in will be as simple as possible:

  • Give your contact details including your name, rank, and any other required private details . Complete the necessary fields truthfully;
  • Include the full names, birthdates, and any special needs or restrictions for every one of your dependents . Specify any relevant medical details;
  • Determine who can help those closest to you in a time of need or a situation in which you are not available, and request their contact information;
  • List the names, addresses, and phone numbers of the people who will be watching your kids while you are away, if relevant . Include any extra information or specific guidelines pertaining to child care;
  • Indicate the names, addresses, and phone numbers of the medical professionals in charge of your family's health care . Include any pertinent health issues or prescription drugs;
  • Any unique requirements or issues, such as allergic reactions, restrictions on food, or ongoing therapy, for your family members should be noted . Give carers specific guidelines to adhere to while you are away;
  • Verify that all of the data you provided is accurate and complete by checking it twice . To attest that the data on the form is true and current, please sign and date the document.

It is worth keeping in mind that the particular requirements for completing the checklist may change depending on unit or command standards. Any additional directions given by your unit or the person who issued them should be obeyed.

Consult authorized military authorities for comprehensive instructions that are unique to the Family Care Plan Counselling Checklist. You will receive the most precise and recent information on how to submit the form from them.

Other Revision

Download DA Form 5304 Family Care Plan Counseling Checklist

4.6 of 5 (72 votes)
  • DA Form 5304 Family Care Plan Counseling Checklist

    1

  • DA Form 5304 Family Care Plan Counseling Checklist, Page 2

    2

  • DA Form 5304 Family Care Plan Counseling Checklist, Page 3

    3

  • DA Form 5304 Family Care Plan Counseling Checklist, Page 1
  • DA Form 5304 Family Care Plan Counseling Checklist, Page 2
  • DA Form 5304 Family Care Plan Counseling Checklist, Page 3
Prev 1 2 3 Next
ADVERTISEMENT