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The DA Form 5841-R is a special power of attorney (POA) that may be used to authorize a person to take care of your child(ren) in your absence. It is important that you understand that you are not required to use this POA for your Family Care Plan.
Certificate of Acceptance as Guardian or Escort. Form proves that the Guardian has agreed to accept the responsibility of caring for the Family members of a Soldier and has been provided the legal authority and means to do so. Must be completed and signed in the presence of a notary.
Department of the Army (DA) offers a form search engine, a publications database and downloads in six formats. Catalogue is organized by divisions and major commands. Visit http://www.e-publishing.af.mil/ To access their Forms.
How to Fill Out DA Form 5840? The name of the guardian. The names and ages of the dependent family members that will be in the care of that guardian. The address, telephone, and e-mail of the guardian along with their signature and the date of signing.
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