The DA 7666 Form, officially known as the Parental Consent Form for Medical Treatment of a Minor, is a crucial document for military personnel. It allows parents or guardians to authorize medical treatment for their minor children in their absence. To ensure your child's health and wellness are safeguarded while you're away, click the button below to complete the form.
Filling out government paperwork can often feel like navigating through a maze, but understanding the purpose and requirements of each form can make the journey smoother. The DA 7666 form is a critical piece of documentation for individuals connected to the U.S. Army, serving a specific and important role. This form is integral for parents and guardians within the Army community, providing a structured way to establish and record family care plans. It's used not only as a way to ensure that military children have proper care in the absence of their parent or guardian but also to detail the specifics of that care. The DA 7666 helps address various contingencies, ensuring that even in unforeseen circumstances, there's a clear, legally documented plan for the welfare of Army members' dependents. The importance of this form cannot be overstated, as it directly impacts the readiness and peace of mind of those serving, knowing their loved ones are taken care of.
PARENTAL CONSENT
For use of this form, see AR 600-20; the proponent agency is DCS, G-1.
AUTHORITY: PRINCIPAL PURPOSE:
ROUTINE USES:
DISCLOSURE:
PRIVACY ACT STATEMENT
10 U.S.C. Section 3013, Secretary of the Army: Army Regulation 600-20, Army Command Policy.
To record the agreement of both parents with their child's custodial arrangement as documented in the Family Care Plan.
None.
Mandatory; failure to maintain a Family Care Plan could subject you to separation, administrative action, or disciplinary action under the UCMJ.
In accordance with this agreement the parties confirm the following stipulations of fact and terms of agreement:
,
a member of the United States Army, (hereinafter "the Soldier"), and
are the parents of
(hereinafter "the child"), date of birth
, born in
.
The child currently resides primarily with
at
a.As a function of performing military duties, the Soldier may have to perform temporary duty, be deployed, or otherwise not be available to care for the minor child.
b.The Soldier has been notified that he or she is to be temporarily deployed. The time period of deployment has been estimated to be
in length. As a matter of military necessity, the minor child will not be able to reside with, or exercise access to the Soldier during this time. (Initial appropriate paragraph)
The parties agree that each has reviewed the attached Family Care Plan as set forth in Form DA 5305, which indicates that for the time period that the
Soldier is absent,
is to serve as the minor child's temporary physical guardian.
The parties agree that during this period the minor child will reside at
The parties agree that each will cooperate with the execution of any additional documentation as may be necessary to facilitate the designation of physical custody to the temporary guardian and effectuate this consent.
By the signatures below, each party indicates their consent to the arrangements outlined in the attached Family Care Plan and this agreement.
(SOLDIER'S SIGNATURE)
STATE OF
COUNTY OF
Acknowledged before me this
day of
(NOTARY PUBLIC)
My commission expires:
(OTHER PARENT'S SIGNATURE)
DA FORM 7666, SEP 2009
APD LC v1.01
After deciding to utilize the DA 7666 form, the process of filling it out correctly is straightforward but needs careful attention to detail. This form is designed to ensure that all necessary information is accurately captured and presented. It's crucial to read through the entire form before starting to fill it out to have a clear understanding of what information is required. The following detailed steps are designed to guide you through this process, ensuring your form is completed correctly and efficiently.
Upon completing and submitting the DA 7666 form following the above steps, the provided information will be processed according to the form's intended use. It's important to keep a copy of the completed form and any submission confirmations received. This documentation can be crucial for future reference or in case any follow-up actions are required.
DA Form 7666 is an official document used by the United States Army. It's primarily for establishing a Parental Plan in cases where military duties might affect custody arrangements and visitation rights for service members with children. This form helps ensure that the welfare of the child is considered and maintained, providing a structured approach to addressing how parental responsibilities will be managed in light of military obligations.
Any Army service member who has custodial responsibilities for a minor child or children and is facing deployment, an extended training mission, or any other military duty that may impact their ability to fulfill those responsibilities may need to complete a DA Form 7666. This is also applicable when there are court-ordered custody arrangements that may be affected by military service.
The DA Form 7666 requires several pieces of information to ensure a comprehensive plan is formed. This includes, but is not limited to:
DA Form 7666 can be obtained through several channels:
Filling out the DA 7666 form, like any official document, requires attention to detail and a careful understanding of the instructions provided. People often make errors that could be avoided with a bit of care and awareness. Below is a list of nine common mistakes:
Not reading the instructions thoroughly: Before filling out the form, it's crucial to review all the instructions carefully to understand each section's requirements.
Incorrect personal information: Providing inaccurate details such as name, Social Security number, or contact information can lead to processing delays or outright rejection of the form.
Omitting necessary signatures: Every required signature field must be completed. Missing signatures can invalidate the form.
Misunderstanding the sections: Each section is designed for specific information. Misinterpreting what is asked can lead to incorrectly filled fields.
Using an outdated form version: Always check for the most recent version of the form. Using an outdated version can result in submission being rejected.
Not providing detailed information where required: Some sections may require detailed explanations or descriptions. Failing to provide sufficient details can affect the form's processing.
Forgetting to check for errors: Before submitting, review the entire form to catch and correct any mistakes.
Sending the form to the wrong department: Verify the correct submission address or department to ensure your form reaches the right hands without unnecessary delays.
Ignoring date formats: The form may specify particular date formats. Ensure all dates are correctly filled in as instructed.
To minimize errors:
Gather all necessary information before starting.
Allocate plenty of time to fill out the form without rushing.
Consider having someone else review the form for any overlooked mistakes.
By being mindful of these common pitfalls, you can increase the likelihood of your DA 7666 form being processed smoothly and efficiently. Remember, thoroughness and accuracy are key when dealing with any official documentation.
The DA 7666 form, pivotal for various operations within specific sectors, often necessitates the accompaniment of several other key documents to ensure comprehensive processing and compliance. These documents not only complement the DA 7666 form but also enhance the procedural integrity and facilitate smoother workflows. Here is a list and brief descriptions of some of these essential documents that are commonly used alongside the DA 7666 form.
Understanding and properly managing these documents, along with the DA 7666 form, is essential for ensuring that all required processes are followed effectively. Each document plays a distinct role in contributing to the holistic administrative framework, ensuring that personnel management, security clearances, and recognition of service are handled with the utmost diligence and accuracy.
DA Form 4187 - Personnel Action: Similar to the DA 7666, this form is used within the Army to request various personnel actions. Both forms are integral in managing soldiers' careers and ensuring their personal and professional information is accurately recorded.
DD Form 93 - Record of Emergency Data: Like the DA 7666, the DD Form 93 is crucial for emergency situations, providing necessary personal information to military officials. Both forms are vital in ensuring that the appropriate actions are taken in times of need.
DA Form 31 - Request and Authority for Leave: This form shares its purpose with the DA 7666 in managing personal affairs, albeit specifically for leave requests. Both are utilized by service members to formalize requests relating to their service and personal time.
DA Form 638 - Recommendation for Award: Similar to the DA 7666 in its function of recognizing individual achievements and contributions. While the DA 638 is used for awards, the DA 7666 might encompass a broader range of personal and professional developments.
SF 86 - Questionnaire for National Security Positions: Like the DA 7666, SF 86 is a comprehensive document used to gather personal information for background checks, crucial for security clearances. Both forms collect detailed personal data for official purposes.
DA Form 2823 - Sworn Statement: The DA 2823 is used for legal documentation of statements, similar to the DA 7666 in that it might be employed in situations requiring formal documentation of personal accounts or incidents within the military environment.
DA Form 4856 - Developmental Counseling Form: This form is akin to the DA 7666, focusing on the development and guidance of soldiers. Both forms play a crucial role in the personal and professional growth of service members by documenting counseling sessions and plans of action.
Filling out the DA 7666 form requires careful attention to detail. To help you navigate the process smoothly, here are eight essential do's and don'ts. This guidance ensures that you complete the form accurately, avoiding common mistakes.
By following these dos and don'ts, you can fill out the DA 7666 form confidently and correctly, ensuring your submission is processed smoothly.
When it comes to understanding and completing the DA form 7666, a variety of misconceptions can lead to confusion and errors. It's important to clarify these misunderstandings to ensure that individuals can fill out the form accurately and with confidence. Here's a list of common misconceptions and their explanations.
It's only for military personnel: Many believe that the DA 7666 form is exclusively for use by members of the military. In reality, this form can be required for civilian contractors or family members of military personnel in certain situations, not just uniformed service members.
It can be submitted electronically by anyone: While digital submissions of forms are increasingly common, the DA 7666 must be submitted through the proper channels and may require a physical signature. Access to electronic submission systems is often restricted to specific, authorized individuals.
There's no deadline for submission: There is a common belief that the DA 7666 form can be submitted at any time. However, there are often specific deadlines tied to the purpose of the form. Missing these deadlines can result in delays or the refusal of requests.
All sections must be filled out: Not all parts of the DA 7666 are applicable to every situation. While it's important to provide all necessary information, some sections may be intentionally left blank if they do not apply to the individual's circumstances.
Corrections are not permitted after submission: It's a common misconception that once the DA 7666 form is submitted, no changes can be made. Corrections or updates can often be made, but they typically must go through a formal request process.
No supporting documentation is needed: Another misunderstanding is that the DA 7666 form stands alone without the need for additional documentation. Often, supporting documents are required to verify information or provide additional context.
It's a one-size-fits-all form: The belief that the DA 7666 is a universal form for all purposes is incorrect. The form serves specific functions and must be completed with information relevant to its intended use.
Personal information isn't secure: Concerns about personal information security can arise. However, procedures are in place to protect sensitive data provided on the DA 7666, adhering to privacy and confidentiality regulations.
It's the same as other DA forms: Each DA form serves a unique purpose. Comparing the DA 7666 to other forms without recognizing its specific requirements and functions can lead to mistakes. It's important to review the form and its instructions carefully.
By addressing these misconceptions, individuals can approach the DA 7666 form with a clearer understanding of its purpose and requirements, easing the process of completing and submitting it correctly.
The DA 7666 form, also known as the "Parental Consent Form for Access to Army Community Service (ACS) Program," is crucial for ensuring minors' access to ACS programs under proper consent. Here are 10 key takeaways to consider when filling out and using this form:
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