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Da Form 5863

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Dependents Schools Outside the United States), 28 August 1986, 10 USC 3013; 20 USC 921-932 and 1401 et . seq . PRINCIPAL PURPOSE: To identify the special education and medical needs of dependent children and medical needs of adult family members of Department of the Army civilian employees processing for an assignment to a location outside the United States where dependent family member travel is authorized at Government expense. ROUTINE USES: Information will be used by civilian personnel...

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What is the DA Form 5863

The DA Form 5863, also known as the Exceptional Family Member Program (EFMP) Family Member Sheet, is a crucial document used by the United States Army. This form is designed to collect information about family members who have special medical or educational needs. It assists in identifying and accommodating the needs of service members' families, ensuring they receive the necessary support and resources during assignments and relocations.

How to use the DA Form 5863

The DA Form 5863 is utilized by service members to provide essential information about their family members' exceptional needs. It is important to fill out this form accurately and completely to ensure that the appropriate services and accommodations can be provided. The information collected on this form is used by the Army to facilitate the assignment process and to ensure that family members receive the necessary support based on their unique circumstances.

Steps to complete the DA Form 5863

Completing the DA Form 5863 involves several key steps:

  • Begin by gathering all necessary information about your family members, including medical diagnoses, educational needs, and any other relevant details.
  • Fill out the form accurately, ensuring that all sections are completed. Pay special attention to the sections that require detailed descriptions of the exceptional needs.
  • Review the completed form for accuracy and completeness. It is essential to double-check that all information is correct before submission.
  • Submit the form to the appropriate personnel as indicated in the instructions. This may involve submitting it to your unit's EFMP coordinator or another designated official.

Legal use of the DA Form 5863

The DA Form 5863 is legally recognized and serves as an official document within the Army. It is essential for ensuring compliance with the Exceptional Family Member Program guidelines. The information provided on this form is protected under privacy laws, and it is used solely for the purpose of supporting service members and their families. Accurate completion of the form is critical for maintaining eligibility for necessary services and accommodations.

Key elements of the DA Form 5863

Key elements of the DA Form 5863 include:

  • Family Member Information: Details about each family member, including name, date of birth, and relationship to the service member.
  • Exceptional Needs: A comprehensive description of the medical or educational needs of each family member.
  • Service Member Information: Information about the service member, including rank, unit, and contact information.
  • Signature and Date: The form must be signed and dated by the service member to validate the information provided.

How to obtain the DA Form 5863

The DA Form 5863 can be obtained through various channels:

  • Visit the official Army publications website, where the form is available for download in PDF format.
  • Request a copy from your unit's administrative office or the EFMP coordinator.
  • Access the form through Army knowledge online (AKO) or other military resource platforms.

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