DAFORMFILLABLE.COM | DA FORM 5192 Fillable – Army Pubs 5192 PDF – DA FORM 5192 – Family Identification Sheet For A Child Receiving Service is a crucial document used by the military to gather and maintain essential information about a child receiving services. This form, dated October 1, 2003, remains active and is mandated under AR 608-18. Its primary purpose is to ensure that all relevant details about the child’s family and their service needs are documented accurately.
DA FORM 5192 – Family Identification Sheet For A Child Receiving Service
| Form Number | DA Form 5192 |
| Form Title | Family Identification Sheet For A Child Receiving Service |
| Form Date | 10/01/2003 |
| Form Proponent | G-9 |
Purpose of DA FORM 5192
The Family Identification Sheet plays a vital role in the military’s family support system. It helps in maintaining a detailed record of the child’s family background, ensuring that the services provided are tailored to meet their specific needs. The form is used to:
- Document family information: Collects comprehensive data about the child’s family, including names, addresses, and contact details.
- Facilitate service provision: Ensures that the child receives appropriate services based on their family background and requirements.
- Maintain accurate records: Helps in keeping up-to-date records for future reference and continuity of care.
Key Components of DA FORM 5192
DA FORM 5192 consists of several sections designed to capture detailed information about the child and their family. Key components include:
- Child’s Information: Details about the child receiving the service, including name, date of birth, and service needs.
- Family Details: Information about the child’s family members, including parents’ names, addresses, and contact information.
- Service Information: Specific services being provided to the child and any relevant notes or instructions for service providers.
How to Complete DA FORM 5192
Completing DA FORM 5192 requires careful attention to detail to ensure all necessary information is accurately captured. Here are the steps involved:
Step 1: Gather Family Information
Begin by collecting all relevant family details. This includes the names, addresses, and contact numbers of the child’s parents or guardians. Ensure that all information is current and accurately recorded.
Step 2: Fill Out Child’s Information
Provide detailed information about the child receiving services. This includes their full name, date of birth, and specific service requirements. It’s crucial to be thorough in this section to ensure the child receives the appropriate care.
Step 3: Service Details
Document the services being provided to the child. Include any specific instructions or notes that service providers need to be aware of. This section helps in tailoring the services to meet the child’s unique needs.
Step 4: Review and Submit
After filling out all sections, review the form carefully to ensure accuracy. Once completed, the form should be submitted as per the prescribed directive under AR 608-18.
Importance of DA FORM 5192
The Family Identification Sheet is more than just a form; it is a vital tool in ensuring the well-being and proper care of children receiving services. By maintaining accurate and detailed records, the military can provide better support and resources tailored to each child’s unique needs.
Privacy and Security
DA FORM 5192 requires a Privacy Act Statement under AR 340-21, ensuring that all information collected is handled with the utmost confidentiality. The form is classified as UNCLASSIFIED, and its distribution is approved for public release, making it widely accessible for those who need it.
Conclusion
In conclusion, DA FORM 5192 – Family Identification Sheet For A Child Receiving Service is an essential document in the military’s efforts to provide comprehensive and tailored support to children and their families. By understanding its purpose, key components, and how to complete it, service providers can ensure that each child receives the care and services they need.
Maintaining detailed and accurate records through this form not only supports the child’s immediate needs but also helps in planning and providing ongoing support. For those involved in filling out or utilizing DA FORM 5192, it is crucial to follow the guidelines and ensure all information is up-to-date and accurate, guaranteeing the best possible outcomes for the children receiving services.
DA FORM 5192 Fillable – Army Pubs 5192 PDF DOWNLOAD
