DA Form 5189 - also known as the "Application For Respite Care For Children And Adults With Disabilities" - is a United States Military form issued by the Department of the Army.
The form - often mistakenly referred to as the DD form 5189 - was last revised on September 1, 2002. Download an up-to-date fillable PDF version of the DA 5189 down below or look it up on the Army Publishing Directorate website.
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