DA 5888 2002-2024 free printable template

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ADDRESS e. PHONE NUMBER Include Commercial and DSN 11. ARMY MTF EFMP PHYSICIAN S AUTHENTICATION To be signed when a medical practitioner other than a physician completes this form. a. TYPED OR PRINTED NAME OF PHYSICIAN c. RANK DA FORM 5888 SEP 2002 EDITION OF AUG 1995 IS OBSOLETE USAPA V1. FAMILY MEMBER DEPLOYMENT SCREENING SHEET For use of this form see AR 608-75 the proponent agency is OACSIM AUTHORITY PRINCIPAL PURPOSE ROUTINE USES DISCLOSURE DATA REQUIRED BY THE PRIVACY ACT OF 1974 Title...

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How to fill out da form 5888

Point by point instructions for filling out DA Form 5888:

01

Start by obtaining a blank copy of DA Form 5888. This can be obtained from the appropriate military or government agency.

02

Begin by filling out the top section of the form, including the date, your name, rank, and organization. Ensure that all personal information is accurate and up-to-date.

03

Move on to the main body of the form, where you will provide details about the incident or event that requires reporting. This may include the date and time of the incident, location, and a brief description of what occurred.

04

Be thorough and concise in your description, providing as much information as possible. This will help ensure that the form is completed accurately and effectively.

05

If there were any witnesses to the incident, provide their names, ranks, and contact information in the designated section. This information may be crucial for further investigation or follow-up.

06

Next, indicate whether any injuries were sustained as a result of the incident. If there were injuries, provide detailed information about the individuals involved, the nature of the injuries, and any medical treatment provided.

07

If there was property damage or loss, provide a detailed description of the damage or loss, including any estimates or assessments made.

08

Finally, review the completed form carefully to ensure all information is accurate and complete. Make any necessary corrections or additions before submitting the form.

Who needs DA Form 5888?

01

DA Form 5888 may be required by military personnel who have witnessed or been involved in an incident that requires reporting. This includes active duty service members, reservists, and National Guard members.

02

Additionally, government employees and contractors who serve in various capacities within the military or government agencies may also be required to fill out DA Form 5888 when necessary.

03

It is important to consult the specific regulations and guidelines of your organization or unit to determine if DA Form 5888 is required in your particular situation. Different units or agencies may have their own reporting protocols and forms.

Who needs a DA form 5888?
What is the DA form 5888 for?
Is it accompanied by other forms?

Who needs a DA form 5888?

Active duty soldiers in the US army have the opportunity to participate in the Exceptional Family Member Program. This program provides medical and educational benefits for the exceptional family members (FM) of the soldier. An FM is any family member of an active duty soldier, regardless of age, with any physical, emotional, developmental or educational need that requires special therapy, treatment, training, education or counselling on an ongoing basis.

What is the DA form 5888 for?

The purpose of this form is to validate family members for deployment screening and provide authorities with the necessary data for making assignment decisions. If the screening is successful, EMP officials will find a facility where the special needs of the family member can be accommodated.

Is it accompanied by other forms?

If the screener indicates that EMP enrollment may be warranted, copies of applicable DA form 2792 (EMP Medical Summary) and/or DA 2792/1 (EMP Special Education/Early Intervention Summary) should be included in the completed nomination package.

When is DA form 5888 due?

This form expires in a year from authentication date given in Part B, block 11e. If the assignment selection process or training extends beyond one year, a new DA form 5888 and screening are required.

How do I fill out a DA form 5888?

This process should not take long. The form must be filled out after the screening. There is only one sheet to fill out with general information about an exceptional family member and the screening results.

Where do I send it?

Send it to the Army EMP MTF office.

Video instructions and help with filling out and completing da form 5888

Instructions and Help about da form 5888 command sponsorship

Welcome to the USA our pain management division our last DEA form 5960 training the last DEA form 5960 was implemented in November 2014 to ensure soldiers received the correct rate of bah RC when performing one to 29th day active duty periods since building the last DEA form 5960 we have seen a variety of user errors that are resulting in incorrect DEA form 59 60s and incorrect being H payments this video will help unit administrators process DEA form 59 60s accurately, so soldiers received the correct rate of bah entitlement this is the outline we have broken the last DEA form 59 60 training into three parts please make sure you view all three videos to receive all the training information the primary guidance on processing DEA form 59 60s in our last is in the reserve base supplemental guidance information on determining entitlement to bah is in the USA our pamphlet 37 – 1 and the finance guide for the USA our soldiers all of these references are available on the U.S. arc GA pay management division SharePoint site for this training we will use the UCP Mr to demonstrate via HR c information the same information is available on the MMP a report but the UCP Mr is much easier to use the purpose of the DEA form 5960 is to document the soldiers dependent status RLS translates the information you enter on the DEA form 59 60 into bah status and dependent codes that appear on the soldier's pay accounts' mm PA and the CPM are these codes still the paid system what rate of bah to pay the soldier during active duty periods of 1 to 29 days this is bah status and dependent information from the section 1 of the UCP Mr seed the USA our Pam 37 – 1 appendix I for bah codes you must review the UCP Mr to ensure each soldier has the correct dependent information for via H one way to do this is to compare the dependent information on the 5960 validation report from the last personnel module to the codes on the CPM our dependent information and our last personnel is usually up to date if the information and our last personnel is correct but the UCP Mr is incorrect you must process ad a form 59 60 these are the bah status and dependent codes you will see in section 1 of the UCP Mr stat 0 equals no dependence 1 equals dependence DEP dependent type code date effective date of bah entitlement DOB date of birth of child when the child is the primary dependent this should be the date of birth of the youngest child the next slide depicts typical BIH status and dependent codes this chart lists the bah our C codes used by the PA system and the bah rates associated with those codes you can find these codes in the USA our pamphlet 37 – 1 appendix G and I as discussed creating a DEA form 5960 triggers transactions to update the soldiers dependent information in the pace system eliminating the need to send DEA form 59 60s to the USA our pay center you must process all the form 59 60s in our laughs this is necessary to ensure our last has accurate dependent information the UPC...

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What is da form 5888?

DA Form 5888 is a personnel action form used by the U.S. Army. It is used to document personnel actions such as transfers, promotions, awards, reassignments, and separations. It is also used to document changes to a soldier's pay grade, benefits, and duty station.

When is the deadline to file da form 5888 in 2023?

The deadline for filing DA Form 5888 in 2023 is December 31, 2023.

What is the penalty for the late filing of da form 5888?

There is no penalty for late filing of DA Form 5888.

Who is required to file da form 5888?

DA Form 5888 (Family Member Deployment Screening Sheet) is required to be filed by military service members who are planning to deploy and have family members.

What is the purpose of da form 5888?

DA Form 5888, Family Member Deployment Screening Sheet, is used by the Department of Defense (DoD) to assess the potential impact of a military member's deployment on their family members. The purpose of this form is to gather important information about the military member's dependents, their needs, and the availability of support systems during the deployment period. It helps the military leadership to identify any potential challenges or issues that may arise and determine the necessary support services to be provided to the family members during the deployment. The form is part of the overall process of ensuring the well-being and readiness of military families.

What information must be reported on da form 5888?

DA Form 5888 is used for reporting incidents involving hazardous materials, explosives, or petroleum products. The information that must be reported on this form includes: 1. Incident details: - Date and time of the incident - Location of the incident - Type of incident (hazardous material release, explosion, fire, etc.) - Description of the incident and any casualties or injuries 2. Material information: - Specific type(s) of hazardous material(s) involved (including UN/NA number if applicable) - Quantity of the material(s) involved - Physical and chemical properties of the material(s) - Storage and handling information 3. Reporting unit information: - Unit identification (company, battalion, etc.) - Point of contact information (name, rank, phone number) 4. Notification and response: - Notification details (who was notified, date and time of notification) - Emergency response actions taken (evacuations, containment, decontamination, etc.) - Medical treatment provided (if applicable) 5. Investigation and follow-up: - Description of any investigation conducted - Root cause analysis and contributing factors (if determined) - Corrective actions taken or recommended Note: The specific information required may vary depending on the severity and nature of the incident, as well as any local regulations or additional reporting requirements. It is important to consult the relevant regulations and guidance when completing DA Form 5888.

How to fill out da form 5888?

DA Form 5888, also known as the Family Member Deployment Screening Sheet, is used to collect information about family members of military personnel who may experience significant stress during their service member's deployment. Here are the steps to fill out the form: 1. Obtain a copy: You can download and print DA Form 5888 from the official Department of Defense publications website or obtain a physical copy from your military unit or administrative office. 2. Identify the servicemember: Provide the service member's name, rank, Social Security Number, and unit on the top part of the form. 3. Personal information: Fill in the personal details of the family member being screened, including their name, Social Security Number, birthdate, and relationship to the service member. 4. Deployment details: Indicate the deployment location, start date, and expected return date. If multiple deployments are expected, specify each one individually. 5. Household information: Provide details about the residence where the family member lives, including address, phone number, and significant alternative contacts if necessary. 6. Health-related information: Answer questions related to physical and mental health conditions and any special needs or medication requirements of the family member. 7. Deployment impact assessment: Assess the potential impact of deployment on the family member by rating their risk level for various stressors, such as separation anxiety, financial concerns, child care, and support systems. 8. Children and dependents: If the family member has children or dependents, provide their names, birthdates, and details about their living and care arrangements during the deployment. 9. Additional comments: Use any additional space provided to share any relevant information or concerns about the family member's circumstances or potential challenges during deployment. 10. Certification and signatures: The family member being screened should read and sign the certification statement at the bottom of the form, certifying the accuracy of the information provided. 11. Submit the form: Once completed, submit the form to the appropriate military office or command as instructed by your unit or installation. Remember to review the form thoroughly before submitting it, ensuring all information is accurately filled out.

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