This version of the form is not currently in use and is provided for reference only.
Download this version of DA Form 5840 for the current year.
DA Form 5840, Certificate of Acceptance as Guardian or Escort is a form that is filed by a guardian and signifies their agreement to care for a child or children in the absence of their parents.
The latest version of the form - sometimes incorrectly referred to as the DD Form 5840 and previously listed as DA Form 5840-R - was released by the Department of the Army (DA) on June 1, 2010. An up-to-date DA Form 5840 fillable version is available for download and online filing below or can be found through the Army Publishing Directorate website.
The form is part of a series of Family Care-related paperwork. The document verifies that the guardian has been thoroughly briefed on all the responsibilities he will assume, the locations of pertinent documents and the procedures for accessing military and civilian facilities and services on behalf of the soldier's members of the family.
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