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This version of the form is not currently in use and is provided for reference only. Download this version of
DA Form 5521
for the current year.
DA Form 5521 Record of Emergency Data and Designation of Beneficiary for Unpaid Compensation of Deceased NAF Employee
What Is DA Form 5521?
This is a military form that was released by the U.S. Department of the Army (DA) on October 1, 2001. The form, often mistakenly referred to as the DD Form 5521, is a military form used by and within the U.S. Army. As of today, no separate instructions for the form are provided by the DA.
FAQ
Q: What is the DA Form 5521?A: The DA Form 5521 is a record of emergency data and designation of beneficiary for unpaid compensation of a deceased NAF employee.
Q: What is the purpose of DA Form 5521?A: The purpose of DA Form 5521 is to gather and maintain important information about a deceased NAF employee and their designated beneficiary for unpaid compensation.
Q: Who uses the DA Form 5521?A: The DA Form 5521 is used by NAF employees to designate their beneficiary and provide emergency contact information in case of their death.
Q: What information is included in the DA Form 5521?A: The DA Form 5521 includes the employee's personal data, emergency contact information, and the designation of beneficiary for unpaid compensation.
Q: What happens to the DA Form 5521 after it is completed?A: The completed DA Form 5521 is kept on file by the employing organization and is used to initiate the process of disbursing the unpaid compensation to the designated beneficiary in the event of the employee's death.
Form Details:
- A 1-page document available for download in PDF;
- The latest version available from the Army Publishing Directorate;
- Editable, free, and easy to use;
- Fill out the form in our online filing application.
Download an up-to-date fillable DA Form 5521 down below in PDF format or browse hundreds of other DA Forms stored in our online database.
