Military Form DA 5304

2025 Printable Template

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Form last updated: 03/2024. Please verify this is the current version before use.

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01

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How to fill out a DA 5304 online?

Follow these steps to complete your DA 5304 form online.

Step 01

Access DA Form 5304 through official military channels.

Step 02

Review the form instructions to understand the required information.

Step 03

Complete the form with accurate personal and dependent details.

Step 04

Discuss and document the Family Care Plan during the counseling session.

Step 05

Ensure the form is signed by both the soldier and the counselor.

Step 06

Submit the form to the appropriate unit authority as directed.

What is a DA 5304 used for?

DA Form 5304 is used by military personnel to document counseling sessions regarding the establishment of a Family Care Plan. It ensures that soldiers with dependents have made adequate arrangements for their care during deployments or extended duties, in compliance with Army regulations.

Who needs to fill out a DA 5304 form

Military personnel required to establish a Family Care Plan, including single parents and dual-military couples with dependents.

What is the purpose of DA Form 5304?

It is used to document counseling sessions for establishing a Family Care Plan for military personnel with dependents.

Who must complete this form?

Soldiers required to establish a Family Care Plan, such as single parents and dual-military couples with dependents.

When should DA Form 5304 be submitted?

It should be submitted promptly after the counseling session and as directed by unit guidelines.

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