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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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.

How to fill out a DA 5304 online?

Follow these steps to complete your DA 5304 form online.

Step 1
Step 1
Access DA Form 5304 through official military channels.
Step 2
Step 2
Review the form instructions to understand the required information.
Step 3
Step 3
Complete the form with accurate personal and dependent details.
Step 4
Step 4
Discuss and document the Family Care Plan during the counseling session.
Step 5
Step 5
Ensure the form is signed by both the soldier and the counselor.
Step 6
Step 6
Submit the form to the appropriate unit authority as directed.
U.S. Army Forms

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Frequently Asked Questions

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

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

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

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