NAVPERS Form 1740/7 "Family Care Plan Arrangements"

What Is NAVPERS Form 1740/7?

This is a legal form that was released by the U.S. Department of the Navy - Navy Personnel Command on February 1, 2011 and used country-wide. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on February 1, 2011;
  • The latest available edition released by the U.S. Department of the Navy - Navy Personnel Command;
  • Easy to use and ready to print;
  • Yours to fill out and keep for your records;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of NAVPERS Form 1740/7 by clicking the link below or browse more documents and templates provided by the U.S. Department of the Navy - Navy Personnel Command.

ADVERTISEMENT
ADVERTISEMENT

Download NAVPERS Form 1740/7 "Family Care Plan Arrangements"

1211 times
Rate (4.7 / 5) 69 votes
FAMILY CARE PLAN ARRANGEMENTS
NAVPERS 1740/7 (Rev. 02-2011)
Supporting Directive OPNAVINST 1740.4
PRIVACY ACT
AUTHORITY: 10 U.S.C. Section 5013, Secretary of the Navy; OPNAVINST 1740.4D.
PRINCIPAL PURPOSE: To identify and ensure that single military members and military couples with dependents have made adequate dependent
care arrangements. To ensure the member is world-wide assignable. To ensure combat readiness and document a plan for the care of family
members in the event of a medium or long term absence. To evaluate compliance with DOD and Navy programs requiring Family Care Plans. To
ensure family members are cared for during deployments, reserve mobilizations, temporary duty, etc. and that arrangements are in place for the
financial well being of family members covered by the Family Care Plan during separations.
ROUTINE USES: Used by the Commanding Officer or his/her representative to ensure Family Dependent Care Program is in place.
DISCLOSURE: Individuals who fail to maintain a current Family Care Plan may be subject to separation from the Navy (OPNAVINST 1740.4D
paragraph 7.d.(6)).
CHECK THE ITEMS THAT YOU HAVE COMPLETED FOR YOUR FAMILY CARE PLAN. PLEASE PROVIDE THE PERSONAL CONTACTS AND
LOCATION OF INFORMATION.
1. FINANCIAL ARRANGEMENTS:
ALLOTMENTS TO CAREGIVER
IDENTIFICATION OF ACCOUNTS WITH ACCESS FOR CAREGIVER
ACCESS TO FUNDS WITH ACCOUNTABILITY
AUTO-PAYMENT OF OBLIGATIONS
MODIFICATION OF SUPPORT AGREEMENTS/ORDERS
ADDITIONAL COMMENTS:
2. LOGISTICAL ARRANGEMENTS:
MOVEMENT OF FAMILY MEMBERS AND/OR CAREGIVER(S)
EXISTING CUSTODY/VISITATION ORDERS
MODIFICATIONS OF EXISTING CUSTODY/VISITATIONS ORDERS
NOTIFICATION TO OTHER NATURAL OR ADOPTIVE PARENT
COURT ORDER GRANTING PERMISSION TO RELOCATE
WRITTEN CONSENT TO RELOCATE FROM OTHER NATURAL OR ADOPTIVE PARENT
METHOD OF RELOCATION
AIRLINES:
DATE DEPARTURE:
AIR
VEHICLE:
GROUND
ITINERARY AND MAPS PROVIDED
FINANCIAL SUPPORT AT THE NEW LOCATION
CARE OR MAINTENANCE OF HOME/QUARTERS
LANGUAGE TRANSLATOR
(IF REQUIRED)
Page 1 of 3
FOR OFFICIAL USE ONLY- PRIVACY SENSITIVE
Print Form
Reset Form
FAMILY CARE PLAN ARRANGEMENTS
NAVPERS 1740/7 (Rev. 02-2011)
Supporting Directive OPNAVINST 1740.4
PRIVACY ACT
AUTHORITY: 10 U.S.C. Section 5013, Secretary of the Navy; OPNAVINST 1740.4D.
PRINCIPAL PURPOSE: To identify and ensure that single military members and military couples with dependents have made adequate dependent
care arrangements. To ensure the member is world-wide assignable. To ensure combat readiness and document a plan for the care of family
members in the event of a medium or long term absence. To evaluate compliance with DOD and Navy programs requiring Family Care Plans. To
ensure family members are cared for during deployments, reserve mobilizations, temporary duty, etc. and that arrangements are in place for the
financial well being of family members covered by the Family Care Plan during separations.
ROUTINE USES: Used by the Commanding Officer or his/her representative to ensure Family Dependent Care Program is in place.
DISCLOSURE: Individuals who fail to maintain a current Family Care Plan may be subject to separation from the Navy (OPNAVINST 1740.4D
paragraph 7.d.(6)).
CHECK THE ITEMS THAT YOU HAVE COMPLETED FOR YOUR FAMILY CARE PLAN. PLEASE PROVIDE THE PERSONAL CONTACTS AND
LOCATION OF INFORMATION.
1. FINANCIAL ARRANGEMENTS:
ALLOTMENTS TO CAREGIVER
IDENTIFICATION OF ACCOUNTS WITH ACCESS FOR CAREGIVER
ACCESS TO FUNDS WITH ACCOUNTABILITY
AUTO-PAYMENT OF OBLIGATIONS
MODIFICATION OF SUPPORT AGREEMENTS/ORDERS
ADDITIONAL COMMENTS:
2. LOGISTICAL ARRANGEMENTS:
MOVEMENT OF FAMILY MEMBERS AND/OR CAREGIVER(S)
EXISTING CUSTODY/VISITATION ORDERS
MODIFICATIONS OF EXISTING CUSTODY/VISITATIONS ORDERS
NOTIFICATION TO OTHER NATURAL OR ADOPTIVE PARENT
COURT ORDER GRANTING PERMISSION TO RELOCATE
WRITTEN CONSENT TO RELOCATE FROM OTHER NATURAL OR ADOPTIVE PARENT
METHOD OF RELOCATION
AIRLINES:
DATE DEPARTURE:
AIR
VEHICLE:
GROUND
ITINERARY AND MAPS PROVIDED
FINANCIAL SUPPORT AT THE NEW LOCATION
CARE OR MAINTENANCE OF HOME/QUARTERS
LANGUAGE TRANSLATOR
(IF REQUIRED)
Page 1 of 3
FOR OFFICIAL USE ONLY- PRIVACY SENSITIVE
Print Form
Reset Form
FAMILY CARE PLAN ARRANGEMENTS
NAVPERS 1740/7 (Rev. 02-2011)
Supporting Directive OPNAVINST 1740.4
2. LOGISTICAL ARRANGEMENTS
:
(CONTINUED)
SCHOOL ARRANGEMENTS
(MAY NOT BE ABLE TO ENROLL CHILD IN SCHOOL WITHOUT COURT ORDER)
ACCESS TO AND USE OF GOVERNMENT SERVICES
(COMMISSARY, EXCHANGE, ETC.)
NON-MILITARY ESCORT FOR FAMILY MEMBERS NEEDING ASSISTANCE
(CHILDREN, ELDERLY, DISABLED)
CELL PHONE:
NAME::
PHONE:
ADDRESS:
E-MAIL:
ADDITIONAL COMMENTS:
3. MEDICAL/HEALTH CARE SERVICES:
IN LOCO PARENTIS POWER OF ATTORNEY TO ALLOW TREATMENT OF CHILDREN
EXPLAINED INSURANCE AND MEDICAL PAYMENT METHODS
IDENTIFIED CURRENT HEALTH CARE CONCERNS AND ON-GOING TREATMENTS
PROVIDED LOCATION OF MEDICAL FACILITIES
NAME OF FACILITY:
PHONE:
ADDRESS:
PROVIDED NAME OF MEDICAL, DENTAL AND OTHER HEALTH CARE PROVIDERS
DOCTOR:
DENTIST::
ADDITIONAL COMMENTS:
4. EDUCATIONAL FACILITIES LOCATION:
IDENTIFIED EDUCATIONAL FACILITIES
NAME OF SCHOOL:
PHONE:
ADDRESS:
PRINCIPAL:
CONTACTED SCHOOLS AND LOCAL BOARD OF EDUCATION FOR ENROLLMENT INFORMATION
EDUCATIONAL/CHILDCARE FACILITIES WILL ACCEPT CHILDREN
Page 2 of 3
FOR OFFICIAL USE ONLY- PRIVACY SENSITIVE
Print Form
Reset Form
FAMILY CARE PLAN ARRANGEMENTS
NAVPERS 1740/7 (Rev. 02-2011)
Supporting Directive OPNAVINST 1740.4
4. EDUCATIONAL FACILITIES LOCATION
:
(CONTINUED)
POWER OF ATTORNEY
COURT ORDER FOR CAREGIVER
ADDITIONAL COMMENTS:
5. LEGAL:
PROVIDED COPIES OF EXISTING COURT ORDERS FOR CUSTODY/VISITATION/SUPPORT/OTHER
DISCUSSED PENDING COURT CASES FOR CUSTODY/VISITATION/SUPPORT/OTHER
NAME OF COURT:
LOCATION:
PENDING CIVIL MATTERS FOR OTHER ISSUES:
PROVIDED LOCATION OF LEGAL DOCUMENTS
(WILLS, POWER OF ATTORNEY, COURT ORDERS)
IDENTITY OF PERSONS/AGENTS TO MANAGE YOUR AFFAIRS IN THE EVENT OF INCAPACITY
NAME:
PHONE:
ADDRESS:
E-MAIL:
LEGAL POINTS OF CONTACT FOR THE CAREGIVER
ATTORNEY:
PHONE:
LEGAL SERVICE OFFICE:
PHONE:
EXPLAINED WHAT THE CAREGIVER SHOULD DO IN THE EVENT THEY ARE NO LONGER ABLE TO CARE FOR FAMILY MEMBERS
ADDITIONAL COMMENTS:
7. MEMBER'S SIGNATURE:
6. TYPED OR PRINTED NAME OF MEMBER:
8. DATE
(YYYYMMDD):
Page 3 of 3
FOR OFFICIAL USE ONLY- PRIVACY SENSITIVE
Reset Form
Print Form
Page of 3