Fill Out a Valid DA 7666 Form

Fill Out a Valid DA 7666 Form

The DA 7666 form is a document used by the U.S. Army for parental consent in specific situations. It's essential for certain procedures that require a legal guardian's approval. This form acts as a bridge between military operations and the respect for family rights and responsibilities.

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When military personnel navigate the complexities of family care plans, the DA 7666 form emerges as a critical document. This form serves as a pivotal tool for those in the armed services, ensuring that dependents are well cared for in the event the service member is deployed, assigned to remote locations without family support, or participates in missions that might limit their ability to fulfill family obligations. The essence of the DA 7666 lies in its requirement for service members to outline comprehensive care arrangements, covering aspects such as guardianship, financial support, and healthcare provisions for their dependents. Its importance cannot be understated, as it not only provides a structured approach for addressing the welfare of children and other dependents during challenging times but also adheres to military regulations, guaranteeing that those serving can do so with the assurance their loved ones are protected. Understanding the nuances of this form, from who must complete it to the detailed information required, is essential for compliance and peace of mind for those who dedicate their lives to the service of their country.

Document Example

PARENTAL CONSENT

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.

To record the agreement of both parents with their child's custodial arrangement as documented in the Family Care Plan.

None.

Mandatory; failure to maintain a Family Care Plan could subject you to separation, administrative action, or disciplinary action under the UCMJ.

In accordance with this agreement the parties confirm the following stipulations of fact and terms of agreement:

 

 

,

a member of the United States Army, (hereinafter "the Soldier"), and

 

 

 

 

 

are the parents of

 

(hereinafter "the child"), date of birth

, born in

.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

The child currently resides primarily with

 

 

 

at

 

 

.

 

a.As a function of performing military duties, the Soldier may have to perform temporary duty, be deployed, or otherwise not be available to care for the minor child.

b.The Soldier has been notified that he or she is to be temporarily deployed. The time period of deployment has been estimated to be

in length. As a matter of military necessity, the minor child will not be able to reside with, or exercise access to the Soldier during this time. (Initial appropriate paragraph)

The parties agree that each has reviewed the attached Family Care Plan as set forth in Form DA 5305, which indicates that for the time period that the

Soldier is absent,

 

is to serve as the minor child's temporary physical guardian.

 

The parties agree that during this period the minor child will reside at

 

.

The parties agree that each will cooperate with the execution of any additional documentation as may be necessary to facilitate the designation of physical custody to the temporary guardian and effectuate this consent.

By the signatures below, each party indicates their consent to the arrangements outlined in the attached Family Care Plan and this agreement.

 

(SOLDIER'S SIGNATURE)

 

 

 

 

 

STATE OF

 

 

 

 

 

 

COUNTY OF

 

 

 

 

 

 

 

 

 

 

Acknowledged before me this

 

day of

,

.

 

 

 

 

 

 

 

 

 

 

 

(NOTARY PUBLIC)

My commission expires:

(OTHER PARENT'S SIGNATURE)

 

 

 

 

 

STATE OF

 

 

 

 

 

 

COUNTY OF

 

 

 

 

 

 

 

 

 

 

Acknowledged before me this

 

day of

,

.

 

 

 

 

 

 

 

 

 

 

 

(NOTARY PUBLIC)

My commission expires:

DA FORM 7666, SEP 2009

APD LC v1.01

Form Breakdown

Fact Name Description
Form Purpose The DA 7666 form is used for Family Care Plans in the military, helping service members outline care arrangements for family members when deployment or other duties prevent them from fulfilling their family responsibilities.
Applicability This form is required for all service members who have family members that would require special care in their absence.
Components The form includes sections for detailing the care provider's information, specific needs of dependents, legal documentation, and a contingency plan.
Submission Guidelines After completion, the DA 7666 must be submitted to and approved by the service member's commanding officer.
Governing Law(s) While the DA 7666 is a federal form, specific state laws regarding guardianship and family care may also apply depending on the service member's legal state of residence.

DA 7666 - Usage Guide

Completing the DA 7666 form is essential for initiating the process it is designed for. As a meticulous task, it demands your attention to detail to fill it out accurately and completely. The form is structured to gather necessary information through a series of entries, ensuring that all relevant data is captured for further action. Before embarking on filling it out, gather all the requisite information to streamline the process. Here’s a step-by-step guide to help you undertake this task effectively.

  1. Start by entering the date in the designated space, ensuring it reflects the current date when the form is being filled.
  2. Next, input the applicant’s full name, starting with the last name, followed by the first name, and middle initial, if applicable.
  3. For sections asking for identifying information, such as Social Security Number or other identification numbers, be meticulous to avoid errors.
  4. Address details must be filled in accurately. Begin with the street address, followed by the city, state, and ZIP code.
  5. Enter contact information, including the best phone number to reach the applicant and an alternate number, if available.
  6. In sections requiring detailed descriptions or narrative entries, provide clear and concise explanations. Stick to factual information relevant to the questions asked.
  7. If the form requests information about specific dates or durations, double-check these entries to guarantee their accuracy.
  8. Where signatures are required, ensure that the signer has read the preceding information and understands their declaration before signing and dating the form.
  9. Review the entire form for completeness and accuracy. Look for any sections that might have been skipped or filled incorrectly.
  10. Once the form is fully completed and checked, proceed to submit it according to the accompanying instructions, which might include mailing, emailing, or personally delivering it to the designated office.

After the form is submitted, it will undergo a review process by the relevant authority. This stage is crucial as the information provided will be examined for completeness and accuracy. Any discrepancies or errors might lead to delays or the necessity to resubmit the form. Thus, taking the time to carefully fill out the DA 7666 form the first time around is of utmost importance to ensure a smooth process going forward. Patience and thoroughness during this initial phase can significantly enhance the efficiency and speed of the subsequent steps.

More About DA 7666

What is the DA 7666 form?

The DA 7666 form, also known as the Parental Consent Form for Medical Treatment, is a document used by the United States Army. It allows the parents or legal guardians of a minor to give consent for medical treatment in case it is needed while the minor is under Army supervision or participating in an Army-related activity.

Who needs to fill out the DA 7666 form?

This form must be completed by the parent or legal guardian of a minor who is involved in any activity or program sponsored by the Army. The consent is crucial for ensuring the minor can receive medical treatment promptly, should the need arise.

What information is required on the DA 7666 form?

The form requires detailed information, including the minor's full name, date of birth, and medical history. Additionally, it asks for the parent or guardian's contact information, health insurance information, and specific consent for medical treatments and procedures the minor may need.

Is the DA 7666 form required for all military-sponsored activities involving minors?

Yes, in most cases, the submission of a DA 7666 form is a prerequisite for minors participating in military-sponsored activities. This ensures that the Army can provide appropriate medical care in a timely manner, respecting the legal guardians' wishes.

How often does the DA 7666 form need to be updated or renewed?

It's advisable to update the DA 7666 form annually or anytime there are significant changes to a minor's health information, insurance details, or the legal guardian's contact information. This ensures the information remains accurate and up-to-date.

Where can I find the DA 7666 form?

The form can be obtained from the Army's Human Resources department or downloaded from the official Army website. It's important to ensure you're using the most recent version of the form.

Can the DA 7666 form be filled out electronically?

While the preference for filling out the form may vary by location and command, many Army installations allow or even prefer the form to be completed electronically to streamline the process and ensure legibility.

What should I do after completing the DA 7666 form?

After filling out the form, you should submit it to the appropriate Army official or department as directed by the program or activity your child will be participating in. Keep a copy for your records in case it needs to be referred to later.

Is there a penalty for not completing the DA 7666 form?

Failure to complete the DA 7666 form can result in the minor being unable to participate in the Army-sponsored activity or program. It's a necessary step to ensure the safety and well-being of all participating minors.

Who can I contact if I have questions about filling out the DA 7666 form?

If you have any questions or need assistance with the form, it's best to reach out to the point of contact for the specific Army activity or program. They can provide guidance and answer any questions you may have about the process.

Common mistakes

One common mistake individuals often make when filling out the DA 7666 form is not thoroughly reviewing their information for accuracy. It's crucial to double-check every detail, as even minor errors can lead to significant delays or complications in processing. Incorrect or outdated information can mislead decision-making processes, affecting the outcome of what may be critical requests or submissions. Ensuring that all entries are correct before submission is a key step that is frequently overlooked.

Another frequent oversight is failing to complete all required sections of the DA 7666 form. Sometimes, individuals may overlook certain fields, assuming they are optional or not applicable to their situation. However, every section of the form is designed with a purpose, and omitting information can render the submission incomplete. This can lead to the unfortunate consequence of having the form returned for additional information, thereby delaying the process further. It is always better to clarify uncertainties by seeking guidance rather than leaving sections blank.

A significant error made during the completion of the DA 7666 form is the misuse of the additional remarks section. Many individuals either leave this part blank or use it to provide information that is irrelevant to their specific request or situation. This section should be utilized to clarify or emphasize information that cannot be adequately communicated within the constraints of the form's structured fields. When used correctly, the additional remarks section can provide valuable context or clarification that supports the submission.

Last but not least, forgetting to sign and date the form is a surprisingly common error that can have immediate repercussions. A signature and a current date are necessary to validate the form, serving as a legal attestation to the accuracy of the information provided and agreement to any declarations made within it. Without this, the DA 7666 form is considered incomplete and cannot be processed, which underscores the importance of this final step in the completion process.

Documents used along the form

The task of navigating through the necessary forms and documents in the military can often seem daunting. Among them, the DA 7666 form is well-recognized, but it doesn't stand alone. To ensure comprehensive and compliant documentation, other forms often accompany it, facilitating processes that range from parental consent to health assessments. Understanding these additional documents helps in streamlining the procedure, ensuring that all necessary steps are completed accurately and efficiently.

  • DA Form 3349: This form is crucial for documenting an individual’s physical profile, capturing the medical fitness and any physical limitations of a service member. It plays a significant role, especially when it comes to determining the kind of duties a military member can perform, taking into account any health-related restrictions.
  • DA Form 31: Well-known among service members, this document is used for requesting leave. It allows military personnel to apply for leave of absence, detailing the leave start and end dates, the type of leave requested, and personal information for tracking and approval purposes.
  • DA Form 2028: Occasionally, it's necessary to recommend changes to Army publications and blank forms. The DA Form 2028 is used for this purpose, allowing individuals to suggest amendments that could help in keeping documents up-to-date and as useful as possible.
  • DD Form 93: A fundamentally important document, the DD Form 93, or "Record of Emergency Data," is the form service members use to record emergency contact information and beneficiary details for military death gratuities and allowances. This form ensures that, in the event of a tragedy, the military knows whom to contact and how to distribute any owed benefits.
  • DA Form 4856: This is a developmental counseling form widely used within the Army for documenting counseling sessions between leaders and their subordinates. It covers a vast range of counseling aspects, from career development to personal issues, setting a formal record of the discussion and any agreed-upon action plans.
  • DA Form 5500/5501: These forms are body fat content worksheets, with the DA Form 5500 being for male service members and the DA Form 5501 for females. They are used to calculate and document body fat percentages, ensuring service members meet the Army's physical fitness standards and body composition program requirements.

Altogether, these forms create a seamless workflow that supports various facets of military administration, from health and wellness to duty assignments and emergency preparedness. Each document serves its purpose, collectively ensuring that service members are cared for, duties are aptly assigned, and processes are conducted smoothly. Familiarity with these forms not only helps in navigating the bureaucratic aspect of military service but also in ensuring that all necessary procedural steps are taken care of with the thoroughness and attention to detail they deserve.

Similar forms

The DA 3349 form shares similarities with the DA 7666, particularly in its focus on medical conditions. The DA 3349 is used to document physical profiles for service members, indicating any medical restrictions. Much like the DA 7666, it ensures individuals are placed in appropriate roles considering their health status. Both forms play crucial roles in managing the health-related aspects of military personnel, ensuring that their medical needs are accurately documented and considered in assignments.

DD Form 2807-1, the Report of Medical History, also parallels the DA 7666. This form is filled out by individuals seeking to join the armed forces, documenting their medical history in detail. Its purpose is akin to the DA 7666 in that it helps to identify any health issues or conditions that might affect the individual's service. Both documents are essential for maintaining a healthy and capable military force, with detailed health records guiding decision-making processes.

The SF 86, Questionnaire for National Security Positions, while not exclusively focused on medical information, contains sections that require disclosures similar to those on the DA 7666. Applicants must provide comprehensive personal information, including health history, to assess their suitability for sensitive positions. This thorough vetting process mirrors the DA 7666's goal of placing individuals in roles that match their health status and capabilities, ensuring their well-being and the security of operations.

The SF 88, Report of Medical Examination, closely aligns with the DA 7666 by detailing the results of medical examinations for service members. Primarily used for entrance and periodic health assessments, it captures a snapshot of an individual's health, similar to how the DA 7666 might be used to document specific medical concerns or conditions. Both forms contribute to a comprehensive health profile critical for determining fitness for duty and any necessary accommodations.

DA Form 3161, the Request for Issue or Turn-in, is also similar in its administrative function, albeit for equipment and supplies rather than medical documentation. However, like the DA 7666, it plays a crucial role in ensuring that the needs of military personnel are met. Instead of focusing on health issues, the DA 3161 ensures that service members have the necessary equipment to perform their duties, which indirectly supports their well-being and effectiveness.

The DA 31 form, used for requesting leave, shares an underlying similarity with the DA 7666 in managing the well-being of military personnel. By allowing for time off, the DA 31, like the DA 7666, acknowledges the importance of addressing personal and health concerns outside of duty. Both forms recognize the significance of individual circumstances, such as health conditions or personal needs, in maintaining overall readiness and morale.

Dos and Don'ts

When filling out the DA 7666 form, it is important to follow guidelines to ensure the information is accurately and effectively communicated. Below are lists of dos and don'ts to guide you through the process.

Things You Should Do

  1. Read the instructions carefully before you begin to fill out the form.
  2. Use a black or blue ink pen if filling out the form by hand.
  3. Ensure all information provided is accurate and up to date.
  4. Print legibly to avoid any confusion or misinterpretation of your information.
  5. Check for spelling and grammatical errors, particularly with names or places.
  6. Include all required attachments as specified in the form instructions.
  7. Verify that all sections applicable to your situation have been filled out.
  8. Sign and date the form where required, as an unsigned form may be considered invalid.
  9. Make a copy of the completed form for your records before submission.
  10. Contact a superior or legal advisor if you have any questions or uncertainties.

Things You Shouldn't Do

  1. Do not use pencil or colors other than black or blue ink.
  2. Do not leave applicable sections blank; if a section does not apply, write "N/A".
  3. Do not provide inaccurate or outdated information.
  4. Do not rush through the form, as this may lead to mistakes or omissions.
  5. Do not forget to check the form for errors before submitting.
  6. Do not skip required signatures and dates, as they are essential for the form's validity.
  7. Do not submit the form without ensuring all attachments are included.
  8. Do not fill the form out in a manner that's hard to read (e.g., messy handwriting).
  9. Do not ignore the instructions, as they are there to help you complete the form accurately.
  10. Do not be afraid to ask for help if you are unsure about any part of the form.

Misconceptions

When it comes to understanding the DA 7666 form, there are several misconceptions that can lead to confusion. Below is a list of common misunderstandings and clarifications to help navigate the topic more accurately.

  • It's only for active duty military members. In reality, the DA 7666 form can also be relevant for reservists and National Guard members under certain circumstances. Its application is not strictly limited to those on active duty.

  • The form is complicated and requires legal expertise to complete. While it's important to fill out this form accurately, it's designed to be user-friendly. Most individuals can complete it with the instructions provided, although consulting with a legal advisor or mentor can be beneficial if there are uncertainties.

  • It's only used in negative situations. Contrary to popular belief, the DA 7666 form isn't solely for documenting adverse events or actions. It can also be used in planning and documenting positive developmental and support measures for military personnel.

  • The form is available online for anyone to submit. While the form can be found online, its submission is restricted. It needs to be submitted through the proper military channels and is not intended for public or general use.

  • There's no deadline for submission. Depending on the specific use and requirements set by the military unit or command, there may be deadlines for submitting the DA 7666 form. It's essential to verify these details to ensure timely compliance.

  • Electronic signatures aren't allowed. This misconception overlooks modern updates to many military forms and processes. Electronic signatures are often accepted, but it's important to verify with the specific protocol of the unit or department handling the form.

  • Once submitted, the form cannot be amended or withdrawn. Corrections or adjustments can usually be made to a DA 7666 form after submission, especially if done promptly and through the proper channels. Consultation with a legal advisor or supervising officer can provide guidance on this process.

  • There are no privacy considerations or protections involved. In fact, the information on the DA 7666 form is subject to privacy regulations and protections. It should be handled and shared in adherence to these rules to safeguard the personal information of the individuals involved.

  • The DA 7666 form is a standalone document. Often, this form is part of a more comprehensive package or process. It may need to accompany other forms or documents, and its submission might trigger further actions or reviews. Understanding its context within broader procedures is crucial.

Understanding the DA 7666 form accurately is crucial for those it impacts, encompassing a range of individuals in the military community. Dispelling these misconceptions is a step toward ensuring that military members and their supporting personnel manage and utilize this document effectively and within the intended guidelines.

Key takeaways

Filling out and using the DA 7666 form, which is crucial for documenting certain procedures within the U.S. Army, requires careful attention to detail and understanding of its purpose. Below are key takeaways designed to guide individuals through the process of completing and using this form effectively.

  • The DA 7666 form is used primarily for parental consent and medical evaluation in situations involving the health and welfare of military family members. Understanding its specific purpose helps in filling it out correctly.
  • It is essential to read all the instructions on the form carefully before filling it out. This ensures that every section is completed accurately, preventing any delays or issues in processing.
  • Ensure all personal information is provided accurately, including full names, dates, and other specifics required on the form. Accuracy in this area is critical for proper record-keeping and identification.
  • For sections of the form that require detailed medical information or parental consent, it is important to consult with a healthcare provider or legal advisor if there are any uncertainties. This can help in providing accurate and legally sound information.
  • The parental consent part of the form is particularly sensitive and must be filled out thoroughly. Individuals should affirm that they have the legal authority to grant this consent and ensure that all consent-requiring activities are clearly understood.
  • Upon completion, the form should be reviewed for any mistakes or missing information. This step is crucial for ensuring that the form is processed without unnecessary delays.
  • Know the deadlines by which the form needs to be submitted and plan accordingly. This is imperative to ensure that the form is considered within the required timeframe, especially in time-sensitive situations.
  • Submitting the form usually involves sending it to a specific department or individual as indicated by the instructions. Knowing where and whom to submit the form to is essential for proper routing and processing.
  • Keep a copy of the completed form for personal records. This is important not only for tracking purposes but also in case any disputes or questions arise concerning the information provided.

In conclusion, the DA 7666 form is a vital document within the U.S. Army used for obtaining parental consent and conducting medical evaluations. Properly filling out and handling this form ensures smooth proceedings in matters concerning the health and welfare of military family members. Individuals tasked with this responsibility should approach the form with the diligence and attention to detail it requires.

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