DA Form 5189 Application for Respite Care for Children and Adults With Disabilities

DA Form 5189 Application for Respite Care for Children and Adults With Disabilities

What Is DA Form 5189?

This is a military form that was released by the U.S. Department of the Army (DA) on September 1, 2002. The form, often mistakenly referred to as the DD Form 5189, 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 DA Form 5189?
A: DA Form 5189 is an application for respite care for children and adults with disabilities.

Q: Who can use DA Form 5189?
A: Any individual who is responsible for the care of a child or adult with disabilities can use DA Form 5189.

Q: What is respite care?
A: Respite care refers to temporary, short-term care provided to individuals with disabilities, giving their caregivers a break or relief from their caregiving responsibilities.

Q: Why is respite care important?
A: Respite care is important because it helps to prevent caregiver burnout and provides temporary relief for caregivers who may need a break from their caregiving duties.

Q: How can I access respite care?
A: You can access respite care by completing and submitting DA Form 5189 to the appropriate authorities or organizations that provide respite care services.

Q: Is there a fee for respite care?
A: The availability and cost of respite care services can vary. Some programs may charge a fee, while others may offer free or low-cost services. It is best to inquire with the specific respite care provider for more information.

Q: Are there any eligibility requirements for respite care?
A: Eligibility requirements for respite care vary depending on the specific program or organization providing the service. It is best to check with the respite care provider for their specific eligibility criteria.

Q: How long does respite care last?
A: The duration of respite care can vary. It can be a few hours, a day, overnight, or even longer, depending on the needs of the individual and the availability of the respite care services.

Q: Can respite care be provided at home?
A: Yes, respite care can be provided at home. In-home respite care services allow individuals with disabilities to remain in familiar surroundings while receiving temporary care, giving their regular caregivers a break.

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Form Details:

  • A 2-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 5189 down below in PDF format or browse hundreds of other DA Forms stored in our online database.

Download DA Form 5189 Application for Respite Care for Children and Adults With Disabilities

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