DA Form 5192 Family Identification Sheet for a Child Receiving Service

DA Form 5192 Family Identification Sheet for a Child Receiving Service

What Is DA Form 5192?

This is a military form that was released by the U.S. Department of the Army (DA) on October 1, 2003. The form, often mistakenly referred to as the DD Form 5192, 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 a DA Form 5192?
A: DA Form 5192 is a Family Identification Sheet for a Child Receiving Service.

Q: What is the purpose of DA Form 5192?
A: The purpose of DA Form 5192 is to gather information about a child receiving service and their family.

Q: Who is required to complete DA Form 5192?
A: The child's family or guardian is required to complete DA Form 5192.

Q: What information is collected on DA Form 5192?
A: The form collects information such as the child's name, date of birth, family members' names, contact information, and other relevant details.

Q: Is DA Form 5192 specific to any particular service?
A: No, DA Form 5192 can be used for any service provided to a child, regardless of the type of service.

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Form Details:

  • A 3-page document available for download in PDF;
  • The latest version available from the Army Publishing Directorate;
  • Editable, free, and easy to use;

Download an up-to-date fillable DA Form 5192 down below in PDF format or browse hundreds of other DA Forms stored in our online database.

Download DA Form 5192 Family Identification Sheet for a Child Receiving Service

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