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.
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.
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
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.
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.
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.
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.
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.
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.
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:
Each of these documents plays a vital role in managing the responsibilities and rights associated with guardianship, family care, and military benefits.
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:
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.
Here are eight common misconceptions about the DA Form 5840, which is used as a Certificate of Acceptance as Guardian or Escort:
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:
These takeaways will help ensure that the form is filled out correctly and that the responsibilities of guardianship are clearly understood.