Da form 5840 dec 2005-2025

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  1. Click ‘Get Form’ to open the DA Form 5840 in the editor.
  2. Begin by entering your name and the names and ages of the family members you will be responsible for in the designated fields.
  3. Provide the Social Security Numbers (SSNs) of each family member listed. Ensure accuracy to avoid any issues with processing.
  4. In the section regarding your agreement, confirm that you accept responsibility for these family members by checking the appropriate box or signing where indicated.
  5. Fill in your typed or printed name, signature, address (including ZIP code), telephone number, and email address in their respective fields.
  6. Complete the notary section by providing details such as state, county, and date. Ensure a notary public acknowledges your signature.

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2020 4.7 Satisfied (36 Votes)
2010 4.9 Satisfied (45 Votes)
2005 4.1 Satisfied (45 Votes)
1999 4.4 Satisfied (122 Votes)
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To fill out the DA Form 5841, start by providing your personal details including your name and Social Security number. Next, designate your chosen guardians name and address clearly. Finally, ensure you and the designated guardian sign and date the form to validate it.
The EFMP office directs the Soldier to complete DA Form 5888, Family Member Deployment Screening Sheet, and complete blocks 1-7 in consultation with his or her Personnel Representative.
A copy of DA Form 5841 (Power of Attorney) or equivalent documents and a copy of DA Form 5840 (Certificate of Acceptance. as Guardian or Escort) for each escort or guardian whether temporary or long-term is attached to this plan.
d. DA Form 581 Request for Ammunition.
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