DA 5840 2005 free printable template

TYPED OR PRINTED NAME OF GUARDIAN SIGNATURE ADDRESS Include ZIP Code DATE YYYY/MM/DD TELEPHONE NUMBER Include Area Code E-MAIL ADDRESS NOTARY STATE OF COUNTY OF Acknowledged before me this day of Notary Public My commission expires DA FORM 5840 DEC 2005 DA FORM 5840-R APR 99 IS OBSOLETE APD V1.

How to fill out DA 5840

How to fill out DA 5840

1. Obtain a copy of DA Form 5840 from the official Army publications website or your unit's administrative office.
2. Enter the date at the top of the form.
3. Fill in your personal information, including your name, Social Security Number, and unit details.
4. Indicate the type of claim you are filing by checking the appropriate boxes.
5. Provide detailed information regarding the incident or reason for the claim in the designated section.
6. Sign and date the form at the bottom to certify that the information provided is true and accurate.
7. Submit the completed DA Form 5840 to your unit's administrative office or the designated claims office.

Who needs DA 5840?

1. Members of the U.S. Army who need to file a claim for personal property loss or damage.
2. Individuals stationed at military installations who are seeking compensation for claims related to official duties.

• Who uses a DA 5840 form?
• What is the purpose of the DA 5840 form?
• Is the DA 5840 form accompanied by other documents?
• • How long does it take to fill the DA 5840 form out?
  • What information should be provided in the form DA 5840?
  • What do I do with the form DA 5840 after its completion?

Who uses a DA 5840 form?

This form is used by the US Army soldiers as a part of the Family Care Plan. The DA 5840 form is completed by the guardian (not the soldier) in the presence of a notary.

What is the purpose of the DA 5840 form?

The Certificate of Acceptance as Guardian or Escort is a guardian’s agreement to care for the soldier’s children) in his or her absence. The Family Care Plan is an important document for soldiers who have families, as it contains the specific measures they took to ensure that the family is cared for during their absence. It’s especially relevant for a single military parent or families in which both parents are serving in the military.

Is the DA 5840 form accompanied by other documents?

The certificate is a part of the Family Care Plan and is usually accompanied by the DA form 5841, Power of Attorney, where the soldier authorizes another person to care for his/her dependents on his behalf.

How long does it take to fill the DA 5840 form out?

The estimated time for completing the form is 15 minutes.

What information should be provided in the form DA 5840?

The Guardian must provide the following information:

• Name of the guardian, address, telephone number, e-mail address

• Name and age of all the family members of the soldier

• Name of the soldier

The Guardian also has to sign and date the form.

The certificate has to be signed and dated by the notary as well.

What do I do with the form DA 5840 after its completion?

The signed form is forwarded to the corresponding Army branch. The copies of the certificate are kept by the guardian and the authorizing soldier.

People Also Ask about

What is the purpose of the family care plan?

A Family Care Plan (FCP) is a method by which the Army ensures a Soldier's “Family Member(s)” are taken care of when the Soldier is absent due to military requirements. Pursuant to the FCP, the Soldier will appoint a “guardian” for the family member to act in the Soldier's place while he or she is unavailable.

What does a family care plan consist of?

A family care plan is designed to guide caregivers, providing the important details about child care, school, medical care and family activities. An official family care plan is required for military members and it must be kept up to date.

What is the DA form for address change?

A fillable DA 3955 Form is used as a change of address form for Army soldiers. Also known as a Change of Address and Directory Card, the completed form helps soldiers ensure that their mail is delivered. The person completing the form can also request whether their new address should be kept private.

What is DA form 5840?

Certificate of Acceptance as Guardian or Escort. Form proves that the Guardian has agreed to accept the responsibility of caring for the Family members of a Soldier and has been provided the legal authority and means to do so. Must be completed and signed in the presence of a notary.

What is the DA 5841 family care plan?

DA Form 5841-R, Power of Attorney, is the legal means by which the Soldier gives another person the legal authorization to care for the Soldier's dependent children and to make important decisions regarding the children on behalf of the absent Soldier-parent.

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What is DA 5840?

DA 5840 is a form used in the United States Army to report and document financial transactions, particularly for the disposition of excess personal property.

Who is required to file DA 5840?

DA 5840 must be filed by Army personnel who are transferring or disposing of government property that is no longer needed.

How to fill out DA 5840?

To fill out DA 5840, personnel must provide accurate details about the property being disposed of, including item descriptions, quantities, reasons for disposal, and signatures from the responsible parties.

What is the purpose of DA 5840?

The purpose of DA 5840 is to ensure proper management and accountability of government property, facilitating its disposal in accordance with regulations.

What information must be reported on DA 5840?

DA 5840 requires reporting information such as item identification, quantity, condition, identification of the disposing unit, and signatures of authorized personnel.