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Da form 5863-2026

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The document is an information sheet for the Exceptional Family Member Program (EFMP) used by Department of the Army civilian employees. It outlines the requirements for identifying the special education and medical needs of dependent children and adult family members when relocating to a location outside the United States where travel is authorized at government expense. The form collects personal and medical information to ensure appropriate services are available, emphasizes confidentiality, and mandates disclosure for processing overseas assignments.

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Click ‘Get Form’ to open it in the editor.
Begin by filling out Part A - General Information. Enter the sponsor's name, title, and grade in the designated fields. Ensure accuracy as this information is crucial for processing.
Provide your home and duty addresses along with contact numbers. This helps maintain communication regarding your family's needs during overseas assignments.
In Part B, list family members authorized for travel outside the U.S. Include their relationship, date of birth, and sex. This section is vital for identifying dependents.
Carefully answer all questions regarding the medical and educational needs of your family members. Your responses will guide necessary support services.
Finally, sign one of the certification statements at the end of the form to confirm your answers are accurate and complete.

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Versions	Form popularity	Fillable & printable
2009	4.8 Satisfied (178 Votes)
2002	4 Satisfied (54 Votes)

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