DA FORM 5328 Fillable – Army Pubs 5328 PDF

DAFORMFILLABLE.COM | DA FORM 5328 Fillable – Army Pubs 5328 PDFDA FORM 5328 – Bona Fide Dependent Declaration (CIVILIAN) is a crucial document used within the Department of the Army to officially declare dependents of civilian employees. This form ensures that dependents are recognized for various benefits and entitlements. Understanding its purpose, completion process, and related regulations is essential for those handling administrative duties within military and civilian personnel offices.

DA FORM 5328 – Bona Fide Dependent Declaration (CIVILIAN)

Form Number DA Form 5328
Form Title Bona Fide Dependent Declaration (CIVILIAN)
Form Date 02/01/2009
Form Proponent G-1

Overview of DA FORM 5328

DA FORM 5328 was published on February 1, 2009, and is actively used under the authority of AR 638-2. It is an unclassified document, approved for public release, and available exclusively in electronic media. The form’s primary function is to declare bona fide dependents of civilian employees, ensuring they receive the appropriate benefits and support.

Purpose and Importance

The Bona Fide Dependent Declaration is a formal statement that verifies the relationship between the civilian employee and their dependents. It is essential for:

  • Obtaining benefits: Dependents must be officially recognized to receive benefits such as healthcare, housing, and travel allowances.
  • Administrative accuracy: Ensures that the personnel records are up-to-date and accurate.
  • Legal documentation: Provides legal evidence of dependency, which may be required for various administrative or legal processes.

Completion Process

Section-by-Section Guide

Filling out DA FORM 5328 correctly is vital to avoid delays or errors in dependency recognition. The form is divided into several sections:

Personal Information

  • Employee’s Full Name: Enter the full legal name of the civilian employee.
  • Social Security Number (SSN): Provide the SSN of the employee.
  • Unit/Organization: Specify the unit or organization where the employee is assigned.

Dependent Information

  • Dependent’s Full Name: Enter the full legal name of the dependent.
  • Relationship: State the relationship of the dependent to the employee (e.g., spouse, child).
  • Date of Birth: Provide the dependent’s date of birth.

Certification

  • Signature of Employee: The employee must sign to certify the information provided.
  • Date: Enter the date of certification.

Submission Guidelines

  • Electronic Submission: Since the form is produced only in electronic media, ensure it is filled out and submitted through the appropriate electronic system.
  • Review Process: Once submitted, the form undergoes a review process by the personnel office to verify the declared dependents.

Regulations and Directives

The use and submission of DA FORM 5328 are governed by AR 638-2. This regulation outlines the procedures and requirements for declaring dependents and the benefits associated with recognized dependents. It is crucial to adhere to these guidelines to ensure compliance and avoid any administrative issues.

Distribution and Security

The form is classified as UNCLASSIFIED, with a distribution restriction code of A, meaning it is approved for public release and can be distributed without limitation. The form’s IDN is 990001, and its PIN is 056674.

Key Takeaways

  • DA FORM 5328 is essential for declaring dependents of civilian employees within the Department of the Army.
  • Proper completion and submission of the form are critical to ensure dependents receive their entitled benefits.
  • The form is governed by AR 638-2 and is only available in electronic media.
  • Understanding and following the guidelines for this form helps maintain accurate and up-to-date personnel records.

By adhering to the guidelines provided, civilian employees can ensure their dependents are properly recognized and can access the necessary benefits and support.

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