DAFORMFILLABLE.COM | DA FORM 5512 Fillable – Army Pubs 5512 PDF – DA FORM 5512, officially titled Respite Care Agreement, is an essential document used within the United States Army for formalizing agreements related to respite care. The form is critical for both caregivers and service members, ensuring clarity and mutual understanding of the terms and conditions under which respite care is provided.
DA FORM 5512 – Respite Care Agreement
| Form Number | DA Form 5512 |
| Form Title | Respite Care Agreement |
| Form Date | 09/01/2002 |
| Form Proponent | G-9 |
Publication Details
- Pub/Form Number: DA FORM 5512
- Pub/Form Date: September 1, 2002
- Pub/Form Title: Respite Care Agreement
- Pub/Form Proponent: G-9
- Pub/Form Status: Active
- Prescribed Forms/Prescribing Directive: AR 608-75
- Security Classification: Unclassified
- Distribution Restriction Code: A (Approved for public release; distribution is unlimited)
- Pub/Form IDN: 990001
- Pub/Form PIN: 059846
Purpose of DA FORM 5512
The primary purpose of DA FORM 5512 is to outline the terms of respite care services provided to military families. Respite care is a service designed to give temporary relief to primary caregivers of individuals who require constant supervision or assistance, such as those with disabilities or chronic illnesses.
Key Components of DA FORM 5512
Agreement Terms
The form delineates the specific responsibilities of both the caregiver and the family receiving care. This includes:
- Duration and frequency of respite care services.
- Payment terms, if applicable.
- Duties and expectations of the caregiver.
- Emergency procedures and contact information.
Signatures
Both parties must sign DA FORM 5512 to validate the agreement. This ensures that all involved understand and agree to the specified terms, providing a layer of protection and accountability.
Prescribing Directive: AR 608-75
AR 608-75, the prescribing directive for DA FORM 5512, provides comprehensive guidelines on Exceptional Family Member Program (EFMP) services, which include respite care. This directive ensures that all procedures and services are consistently applied across the Army, safeguarding the well-being of service members and their families.
Importance of Respite Care in the Military
Respite care is vital in the military context, as it supports the emotional and physical well-being of primary caregivers. By providing regular breaks, respite care helps prevent caregiver burnout, ensuring that they can continue to provide high-quality care for their loved ones.
Accessibility and Distribution
DA FORM 5512 is produced only in electronic media, making it readily accessible to military personnel and caregivers. The form is unclassified, and its distribution is unlimited, ensuring that anyone who needs it can obtain it without restrictions.
Conclusion
In summary, DA FORM 5512 – Respite Care Agreement is a crucial document for managing and formalizing respite care services within the military. By clearly outlining the terms of care, it helps protect both caregivers and families, ensuring that everyone involved has a clear understanding of their responsibilities and expectations. This agreement, supported by AR 608-75, underscores the Army’s commitment to the well-being of its members and their families.
For more information and to access DA FORM 5512, visit official military resources or relevant websites dedicated to military forms and directives.
DA FORM 5512 Fillable – Army Pubs 5512 PDF DOWNLOAD
