DA Form 5888 Family Member Deployment Screening Sheet

What Is a DA Form 5888?

DA Form 5888, Family Member Deployment Screening Sheet is a form that is used to validate family member deployment screening, and to provide the gaining command with information that will assist them in making an assignment decision.

The latest version of the form - sometimes incorrectly referred to as DD Form 5888 - was released by the Department of the Army in September 2002 with August 1995 edition being obsolete. An up-to-date fillable DA Form 5888 is available for download and digital filing down below or can be found on the Army Publishing Directorate website.

All dependent children of service members 72 months and younger are required to have a physical exam and a developmental screen. Physical examinations are also required for dependents over 72 months of age if there is not enough data to make a decision about the existence of a qualifying special need.

Service members are asked to make the appropriate appointments with their health care providers and schedule a follow-up meeting with an Exceptional Family Member Program (EFMP) officer on their own if this examination is deemed necessary.

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FAMILY MEMBER DEPLOYMENT SCREENING SHEET
For use of this form, see AR 608-75; the proponent agency is OACSIM
DATA REQUIRED BY THE PRIVACY ACT OF 1974
Title 10, USC Section 3013.
AUTHORITY:
PRINCIPAL PURPOSE:
Personnel support.
ROUTINE USES:
To validate family member deployment screening, and to provide gaining command with data to assist in
making an assignment decision.
The provision of requested information is mandatory. Failure to respond may preclude successful
DISCLOSURE:
processing of an application for family member travel/command sponsorship and may lead to appropriate
administrative or disciplinary action against the soldier.
PART A - SOLDIER/FAMILY MEMBER DATA
1. NAME OF SOLDIER (Last, first, MI)
2. SOCIAL SECURITY NUMBER
3a. RANK
3b. MOS/BRANCH
4a. HOME ADDRESS
5a. DUTY ADDRESS
6. DATE OF EDAS
CYCLE OR RFO
(0FF) DATE
4b. HOME PHONE NO. (Include Area Code)
5b. DUTY PHONE NO. a. DSN
b. COMMERCIAL (Include area code)
7. FAMILY MEMBERS
a. NAME
b. RELATIONSHIP
c. DOB (YYYYMMDD)
d. HOME ADDRESS
8. AUTHENTICATION
c. RANK (Grade)
d. SIGNATURE
a. MILITARY PERSONNEL DIVISION/PERSONNEL
SERVICE COMPANY REPRESENTATIVE'S NAME
b. TITLE
e. DATE (YYYYMMDD)
PART B - FAMILY MEMBER SCREENING RESULTS
EXCEPTIONAL FAMILY MEMBER PROGRAM (EFMP) ENROLLMENT (Check one)
b. CONSIDERATION
9. NAME
c. SUBSTANTIAL CHANGE SINCE ENROLLMENT
a. NOT
WARRANTED (Date
WARRANTED
sent for Coding)
NO
YES
DATE SENT FOR CODING
10. ARMY MEDICAL TREATMENT FACILITY (MTF) EFMP MEDICAL PRACTITIONER COMPLETING THIS FORM
a. PRINTED NAME OF MEDICAL PRACTITIONER
b. SIGNATURE
c. DATE (YYYYMMDD)
d. ADDRESS
e. PHONE NUMBER (Include Commercial and DSN)
11. ARMY MTF EFMP PHYSICIAN'S AUTHENTICATION
(To be signed when a medical practitioner other than a physician completes this form.)
a. TYPED OR PRINTED NAME OF PHYSICIAN
b. TITLE
c. RANK
d. SIGNATURE
e. DATE (YYYYMMDD)
DA FORM 5888, SEP 2002
EDITION OF AUG 1995 IS OBSOLETE
USAPA V1.00ES

Download DA Form 5888 Family Member Deployment Screening Sheet

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How to Fill Out DA Form 5888?

A complete overview of the form can be found in the Army Manual (AR) 608-75. DA Form 5888 Instructions are as follows:

The form has 2 Parts and 11 Blocks in total. A Military Personnel Division (MPD) representative or a Personnel Services Battalion (PSB) representative will enter the data about the service member and their dependents after a face-to-face consultation with the service member.

Part A - Soldier/Family Member Data, contains 5 Blocks intended for personal data. This includes the following:

  1. The Sponsor’s Name;
  2. The Sponsor’s Email Address;
  3. The Sponsor’s SSN;
  4. The Sponsor’s Phone Number(s);
  5. The  Family Members' Names and Dates of Birth;
  6. The Family Member's Email Address;
  7. The Family Member's Phone Number(s);
  8. The Family Member's Fax Number;
  9. The Family Member’s Complete Mailing Address.

Family members will not be screened unless Part A of the DA 5888 has been completed and the information authenticated by the representative.

Part B of the form is for the screening results of the family members. This part is completed by an EFMP practitioner at an Army Medical Treatment Facility (MTF) after discussing the special medical and educational needs of the family members with the service member.

Exceptional Family Member Program (EFMP)

DA Form 5888 is one of the several forms that are part of the EFMP. The EFMP works with other military and civilian agencies to provide housing, medical and educational support and personnel services to military dependents with special needs. Enrollment in the program is done through MTFs.

Related EFMP forms include:

Enrollment is to be updated every three years (or every time there are changes in the enrollment conditions). The information provided within the forms in considered sensitive to disclosure and is only available to authorized personnel. Participation in the program does not influence the career.

Family members must be medically and educationally screened and enrolled in EFMP for all service members in processing for Outside Continental United States (OCONUS) assignments. The DA Form 5888-1 is used for providing assignment instructions that later help facilitate the process.