Get Da 5840 Form

Get Da 5840 Form

The DA 5840 form is a legal document known as the Certificate of Acceptance as Guardian or Escort, which is used by military personnel to designate a guardian for their children during their absence. This form ensures that the appointed guardian agrees to take responsibility for the soldier's family members and is informed about their needs and entitlements. Filling out this form accurately is crucial for maintaining a soldier's Family Care Plan.

To start the process of filling out the DA 5840 form, click the button below.

Structure

The DA Form 5840, known as the Certificate of Acceptance as Guardian or Escort, plays a crucial role in ensuring the well-being of soldiers' children when their parents are away. This form, as outlined in Army Regulation 600-20, is designed to formalize the agreement between a guardian and a soldier regarding the care of the soldier's child or children. It requires the guardian to accept responsibility and confirms that they have received all necessary documents to provide adequate support, including financial, medical, educational, and subsistence needs. Additionally, the form includes essential information such as the names and ages of the family members involved, as well as the guardian's contact details. It emphasizes the importance of understanding procedures for accessing military and civilian services on behalf of the children. While the completion of this form is voluntary, not providing the requested information may lead to complications with a soldier's Family Care Plan. The DA Form 5840 must be notarized to validate the guardian's acceptance, ensuring that the soldier can have peace of mind knowing their children are cared for in their absence.

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CERTIFICATE OF ACCEPTANCE AS GUARDIAN OR ESCORT

For use of this form, see AR 600-20; the proponent agency is DCS, G-1.

AUTHORITY:

PRINCIPAL PURPOSE:

ROUTINE USES:

DISCLOSURE:

PRIVACY ACT STATEMENT

10 U.S.C. Section 3013, Secretary of the Army: Army Regulation 600-20, Army Command Policy.

Guardian's agreement to care for a soldier's child(ren) in his or her absence.

None.

Voluntary; However, failure to provide all the requested information could lead to rejection of a soldier's Family Care Plan.

I

 

was provided an original DA Form 5841

(Power of Attorney) or other legally sufficient authority naming me as guardian/escort for:

NAME (s) / AGE (s) OF FAMILY MEMBERS

family members of:

NAME (s)

I agree to accept responsibility for these family members. I have received all necessary documents required to provide financial, medical, educational, quarters, and subsistence support for these family members. I have been briefed on procedures for accessing military/civilian facilities, services, benefits, and entitlements on behalf of these family members.

TYPED OR PRINTED NAME OF GUARDIAN

ADDRESS (Include ZIP Code)

SIGNATURE

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, JUN 2010

PREVIOUS EDITIONS ARE OBSOLETE.

APD PE v1.00ES

Document Data

Fact Name Description
Form Title CERTIFICATE OF ACCEPTANCE AS GUARDIAN OR ESCORT
Governing Regulation Army Regulation 600-20, Army Command Policy
Authority 10 U.S.C. Section 3013, Secretary of the Army
Purpose To document a guardian's agreement to care for a soldier's child(ren) in their absence.
Routine Uses None specified.
Disclosure Information Disclosure is voluntary; however, incomplete information may lead to rejection of a soldier's Family Care Plan.
Required Documentation Guardian must possess DA Form 5841 (Power of Attorney) or other legally sufficient authority.
Responsibilities Guardian agrees to accept responsibility for the named family members and has received necessary support documents.
Notary Requirement Notarization is required, with the notary's commission expiration noted.

How to Use Da 5840

After gathering the necessary documents and information, you can begin filling out the DA 5840 form. This form is essential for establishing a guardian or escort for a soldier's children in their absence. Follow these steps to ensure that you complete the form accurately.

  1. Obtain the DA 5840 form from a reliable source, such as the Army Publishing Directorate or your unit's administrative office.
  2. Read the instructions carefully to understand the requirements for completing the form.
  3. In the first section, provide the name(s) and age(s) of the family members you will be responsible for.
  4. Next, enter the name(s) of the soldier whose family members you are agreeing to care for.
  5. Indicate your agreement to accept responsibility for these family members by checking the appropriate box.
  6. Confirm that you have received all necessary documents for financial, medical, educational, quarters, and subsistence support.
  7. Briefly state that you have been informed about procedures for accessing military and civilian facilities, services, benefits, and entitlements.
  8. Type or print your name in the designated area for the guardian.
  9. Fill in your complete address, including ZIP code.
  10. Sign and date the form, using the format YYYY/MM/DD.
  11. Provide your telephone number with area code and email address.
  12. For notarization, indicate the state and county where the form is being acknowledged.
  13. Have the notary public sign and date the form, including their commission expiration date.

Once you have completed the form, review it for accuracy. Ensure all required fields are filled out correctly. After that, submit the form as instructed, typically to your unit's personnel office or the appropriate authority.

Key Facts about Da 5840

What is the purpose of the DA Form 5840?

The DA Form 5840, also known as the Certificate of Acceptance as Guardian or Escort, is used to establish an individual's agreement to care for a soldier's child or children in the soldier's absence. This form ensures that the guardian understands their responsibilities and has the necessary documentation to provide support for the family members they will be caring for.

Who needs to fill out the DA Form 5840?

The DA Form 5840 must be completed by individuals who have been designated as guardians or escorts for a soldier's children. This is typically required when a soldier is deployed or otherwise unable to care for their family members. The form serves as a formal acknowledgment of the guardian's responsibilities.

What information is required on the DA Form 5840?

The form requires the guardian's name, address, signature, date, telephone number, and email address. Additionally, it asks for the names and ages of the family members being cared for, as well as a statement confirming that the guardian has received all necessary documents related to the support of these family members.

Is the completion of the DA Form 5840 mandatory?

While completing the DA Form 5840 is voluntary, it is highly recommended. Failure to provide the requested information may lead to the rejection of a soldier's Family Care Plan, which could create challenges for both the soldier and the guardian.

What happens if the DA Form 5840 is not completed?

If the DA Form 5840 is not completed, the soldier may face difficulties in ensuring that their children are properly cared for during their absence. Without this form, the Family Care Plan may not be accepted, which can lead to complications in accessing necessary military and civilian services and benefits for the family members.

Is notarization required for the DA Form 5840?

Yes, the DA Form 5840 must be notarized. A notary public will acknowledge the guardian's signature, which adds an extra layer of verification to the document. This is an important step in confirming the guardian's acceptance of their responsibilities.

Common mistakes

Filling out the DA 5840 form can seem straightforward, but many people make common mistakes that can lead to delays or even rejection. One frequent error is not providing complete information. Every section of the form must be filled out accurately. Missing details, like the names or ages of family members, can result in a rejection of the Family Care Plan. Make sure to double-check all entries before submitting.

Another mistake is failing to sign and date the form. It might seem minor, but without a signature and the correct date, the form is incomplete. This oversight can cause significant delays in processing your request. Always remember to review the form for your signature and the date before you turn it in.

People often overlook the importance of the notary section. The form requires notarization to confirm that the guardian's agreement is valid. If this step is skipped, it could invalidate the entire document. Ensure that a notary public acknowledges your signature to avoid complications.

Lastly, many individuals neglect to provide accurate contact information. Including a current telephone number and email address is essential. If the reviewing agency needs to reach you for clarification or additional information, having correct contact details will facilitate communication. Take a moment to verify that all your information is up to date.

Documents used along the form

The DA Form 5840 is a crucial document for guardians or escorts of soldiers' children. It establishes the guardian's agreement to care for the child or children in the absence of the soldier. Alongside this form, there are several other documents that may be needed to ensure a comprehensive Family Care Plan. Below is a list of commonly used forms and documents that often accompany the DA Form 5840.

  • DA Form 5841 (Power of Attorney): This document allows a soldier to designate someone to make legal decisions on their behalf regarding their children or financial matters.
  • DA Form 5842 (Family Care Plan): This form outlines the soldier's plan for the care of their dependents in case of deployment or absence, detailing who will care for the children and how their needs will be met.
  • DD Form 1172 (Application for Uniformed Services Identification Card): This application is used to obtain ID cards for dependents, providing access to military facilities and benefits.
  • DA Form 4700 (Application for the Army Family Action Plan): This form is used to address family issues and seek solutions within the Army community, ensuring that families receive necessary support.
  • DD Form 214 (Certificate of Release or Discharge from Active Duty): This document provides proof of a service member's military service and can be important for accessing benefits for their family.
  • DA Form 8003 (Family Member Relocation Clearance): This form ensures that family members are cleared for relocation, addressing any health or logistical concerns.
  • DA Form 5888 (Family Care Plan Counseling Checklist): This checklist helps soldiers ensure they have completed all necessary steps to create an effective Family Care Plan.
  • SF 600 (Chronological Record of Medical Care): This form documents medical care provided to a family member, which can be essential for accessing healthcare services.
  • DA Form 3070 (Family Care Plan Review): This form is used to review and update the Family Care Plan, ensuring it remains current and effective.

Having these documents prepared and organized can help ensure a smoother process for the soldier and their family. It is important to keep all forms updated and to seek assistance if any questions arise. The well-being of the family is paramount, and being proactive can make a significant difference.

Similar forms

The DA Form 5840 serves as a Certificate of Acceptance as Guardian or Escort, primarily used to formalize the agreement of a guardian to care for a soldier's child or children in their absence. Several other documents share similar purposes or functions. Here’s a list of nine such documents:

  • DA Form 5841 (Power of Attorney): This document allows a person to act on behalf of another, often used to manage financial or legal affairs when the original party is unavailable.
  • DA Form 5305 (Family Care Plan): This form outlines the arrangements made for the care of a soldier's dependents in the event of their deployment or absence.
  • DD Form 1172 (Application for Uniformed Services Identification Card): This application is used to obtain ID cards for family members, ensuring they can access military benefits and services.
  • DA Form 7425 (Child Custody Agreement): This document details the custody arrangements for children, particularly useful in cases of separation or divorce involving military personnel.
  • DA Form 5372 (Affidavit for Child Support): This affidavit is utilized to establish child support obligations and ensure financial support for dependents.
  • DD Form 2656 (Data for Payment of Retired Personnel): This form collects information necessary for the payment of retirement benefits, which can include provisions for dependents.
  • DA Form 4856 (Developmental Counseling Form): This form is used for documenting counseling sessions, including discussions about family responsibilities and care arrangements.
  • SF 1199A (Direct Deposit Sign-Up Form): This form is essential for setting up direct deposit for benefits, which can include payments for dependents.
  • DA Form 7424 (Application for Family Member Travel): This document facilitates travel arrangements for family members of military personnel, ensuring they can join service members during assignments.

Each of these documents plays a vital role in managing the responsibilities and rights associated with guardianship, family care, and military benefits.

Dos and Don'ts

When filling out the DA 5840 form, it's crucial to approach the process with care. Here are ten important dos and don’ts to keep in mind:

  • Do read the instructions carefully before starting.
  • Do provide accurate information about the family members you are agreeing to care for.
  • Do ensure you have the necessary documents to support your application.
  • Do sign and date the form in the appropriate sections.
  • Do include your contact information, including phone number and email address.
  • Don't leave any required fields blank; incomplete forms may be rejected.
  • Don't use outdated versions of the form; always check for the most current edition.
  • Don't forget to have the form notarized if required.
  • Don't provide false information; this can lead to serious consequences.
  • Don't submit the form without reviewing it for errors.

By following these guidelines, you can help ensure that your application is processed smoothly and efficiently. Take the time to double-check your work; it’s worth the effort to avoid complications down the line.

Misconceptions

Here are eight common misconceptions about the DA Form 5840, which is used as a Certificate of Acceptance as Guardian or Escort:

  • It is mandatory for all soldiers. Many believe that every soldier must fill out this form. In reality, it is only required when a soldier needs someone to take care of their children during their absence.
  • Only military personnel can be guardians. Some think that only active-duty members can serve as guardians. However, civilians can also be designated as guardians if they meet the necessary criteria.
  • The form is permanent. There is a misconception that once the DA Form 5840 is completed, it lasts indefinitely. In fact, it is only valid for the duration specified in the soldier's Family Care Plan.
  • It covers all legal responsibilities. Some individuals assume that signing the form transfers all legal responsibilities. While it does establish guardianship for specific purposes, it does not replace legal custody arrangements.
  • It is only for children. People often think this form is exclusively for minor children. In truth, it can also apply to dependents who may need assistance, regardless of age.
  • Filling it out is a complex process. Many fear that completing the form is difficult. The reality is that the form is straightforward and requires basic information about the guardian and the dependents.
  • Notarization is optional. Some believe that notarizing the form is not necessary. However, a notary public must acknowledge the signature to validate the document.
  • It does not require additional documentation. There is a misconception that the form alone is sufficient. In fact, guardians must provide supporting documents to prove their capability to care for the dependents.

Key takeaways

When filling out and using the DA 5840 form, there are several important points to keep in mind. This form is essential for establishing a guardian or escort for a soldier's children in their absence. Here are key takeaways:

  • Understand the Purpose: The DA 5840 form serves as a Certificate of Acceptance as Guardian or Escort, allowing a designated individual to care for a soldier's child or children.
  • Provide Accurate Information: Ensure that all requested information is filled out completely. Incomplete forms may lead to rejection of the soldier's Family Care Plan.
  • Legal Authority: The form requires a reference to a DA Form 5841 (Power of Attorney) or other legal documents that grant you the authority to act as a guardian.
  • Responsibilities Acknowledged: By signing the form, you agree to take responsibility for the soldier's family members and their well-being.
  • Documentation Required: Confirm that you have received all necessary documents to provide financial, medical, educational, and subsistence support for the children.
  • Access to Services: Familiarize yourself with procedures for accessing military and civilian facilities, services, and benefits on behalf of the children.
  • Notary Requirement: The form must be acknowledged by a notary public, ensuring the authenticity of your signature and agreement.

These takeaways will help ensure that the form is filled out correctly and that the responsibilities of guardianship are clearly understood.