DA Form 5459 Authorization to Release Information From Army Records on Nonsupport/Child Custody/Paternity Inquiries

DA Form 5459 - also known as the "Authorization To Release Information From Army Records On Nonsupport/child Custody/paternity Inquiries" - is a United States Military form issued by the Department of the Army.

The form - often mistakenly referred to as the DD form 5459 - was last revised on October 1, 2003. Download an up-to-date fillable PDF version of the DA 5459 down below or look it up on the Army Publishing Directorate website.

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AUTHORIZATION TO RELEASE INFORMATION FROM ARMY
RECORDS ON NONSUPPORT/CHILD CUSTODY/PATERNITY INQUIRIES
For use of this form see AR 608-99; the proponent agency is OTJAG.
DATA REQUIRED BY THE PRIVACY ACT OF 1974
Title 10, USC, Section 3013
AUTHORITY
To obtain your approval to release personal information from your military records (DoD finance,
PRINCIPAL PURPOSE
Army personnel and unit records) to reply to inquiries concerning nonsupport/child custody/paternity.
The personal information from your military records will be used to reply to inquiries concerning
ROUTINE USES
nonsupport/child custody/paternity. This information also may be used to determine the amount of
financial support you should be providing to your family members. It also may be used to support
administrative or disciplinary action, if appropriate. If you authorize the release of personal
information from your military records that information may be used, where relevant, together
with any other information you provide, to answer inquiries concerning nonsupport/child
custody/paternity.
Your decision on whether or not to authorize the release of personal information from your military
DISCLOSURE
records is voluntary. If you do not authorize the release of personal information, this may affect
efforts to provide complete information in response to inquiries concerning nonsupport/child
custody/paternity.
I do not authorize the release of any personal information from my military records to
respond to persons or agencies outside the Department of Defense on nonsupport/child
custody/paternity inquiries.
I hereby authorize the release of personal information (except as indicated below) from
my military records to respond to persons or agencies outside the Department of
the Defense on nonsupport/child custody/paternity inquiries.
SIGNATURE OF SOLDIER
DATE (YYYYMMDD)
REPLACES DA FORM 5459-R, AUG 1994, WHICH IS OBSOLETE.
DA FORM 5459, OCT 2003
APD LC v1.01ES
AUTHORIZATION TO RELEASE INFORMATION FROM ARMY
RECORDS ON NONSUPPORT/CHILD CUSTODY/PATERNITY INQUIRIES
For use of this form see AR 608-99; the proponent agency is OTJAG.
DATA REQUIRED BY THE PRIVACY ACT OF 1974
Title 10, USC, Section 3013
AUTHORITY
To obtain your approval to release personal information from your military records (DoD finance,
PRINCIPAL PURPOSE
Army personnel and unit records) to reply to inquiries concerning nonsupport/child custody/paternity.
The personal information from your military records will be used to reply to inquiries concerning
ROUTINE USES
nonsupport/child custody/paternity. This information also may be used to determine the amount of
financial support you should be providing to your family members. It also may be used to support
administrative or disciplinary action, if appropriate. If you authorize the release of personal
information from your military records that information may be used, where relevant, together
with any other information you provide, to answer inquiries concerning nonsupport/child
custody/paternity.
Your decision on whether or not to authorize the release of personal information from your military
DISCLOSURE
records is voluntary. If you do not authorize the release of personal information, this may affect
efforts to provide complete information in response to inquiries concerning nonsupport/child
custody/paternity.
I do not authorize the release of any personal information from my military records to
respond to persons or agencies outside the Department of Defense on nonsupport/child
custody/paternity inquiries.
I hereby authorize the release of personal information (except as indicated below) from
my military records to respond to persons or agencies outside the Department of
the Defense on nonsupport/child custody/paternity inquiries.
SIGNATURE OF SOLDIER
DATE (YYYYMMDD)
REPLACES DA FORM 5459-R, AUG 1994, WHICH IS OBSOLETE.
DA FORM 5459, OCT 2003
APD LC v1.01ES

Download DA Form 5459 Authorization to Release Information From Army Records on Nonsupport/Child Custody/Paternity Inquiries

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