MND-B

INSPECTOR GENERAL
Desktop Advisor

TABLE OF CONTENTS SECTION Preface CG Letter IG Letter Chapter 1 Chapter 2 Chapter 3 Chapter 4 Chapter 5 Chapter 6 APP A Preface Commanding Generals Letter Inspector General Office Contact Information History of the Inspector General The Role of the Inspector General Inspector General Orientation What gets Leaders in Trouble Non-Support of Family Members Mental Health Referral Investigations Issues Frequently Filed as IG Complains Unit Climate Assessments Leave and Pass Policy Tattoo Policy, Body Piercing, Backpack Wear and Hair Coloring by Uniformed Personnel Performance Counseling Enlisted Promotions 35 37 40 31 32 TITLE PAGE 4 5 6 7 15 18 21 22 25

TABLE OF CONTENTS (CONTINUED) SECTION APP A (CONT) TITLE PAGE

OER/NCOER Processing Extra Training or Instruction Suspension of Favorable Personnel Actions (Flags) Referral to Army Substance Abuse Program (ASAP) Absentee Reporting and Dropped From The Roll Procedures Physical Profiles

42 44

46

48

50 52

Medical Evaluation Board/Physical Evaluation Board Process/Physical Profiles Special Population Physical Training Program Special Physical Fitness Programs Army Physical Fitness Test (APFT) Failure/Flag Action Counseling Army Weight Control Program Weight Control Counseling Family Care Plans Family Care Plan Counseling Equal Opportunity Complaint Procedures (EO) Family Advocacy Program APP B APP C References Frequently Used Websites Frequently Used

54 57 59

61 66 69 74 76 103 105 107 110

PREFACE

The day Soldiers stop bringing you their problem is the day you have stopped leading them. They have either lost confidence that you can help them or concluded that you do not care. Either case is a failure of leadership. (Excerpt from Gen Colin Powells autobiography, My American Journey) The MND-B Leaders Handbook can be an effective and informative tool for Soldiers in leadership positions who support the working Soldiers day-to-day issues. Leaders are encouraged to contact the Subject Matter Experts in resolving problems or answering questions. The Inspector General (IG) staff MND-B is always available to assist the leadership. The modern Army IG is an extension of the eyes, ears, voice, and conscience of the Commanding General. The IG is a personal staff officer providing the commander with a sounding board for sensitive issues. Inspectors General are honest brokers and consummate fact finders. Our functions include inspecting, assisting, investigating and teach/train. The IG works closely with commanders at all levels to resolve issues and provide solutions at the lowest level possible while protecting the confidentiality of all concerned. This handbook has been staffed through Subject Matter Experts, and is as current as of the date of the publication. The Leaders Book can be found in electronic version in the MND-B Portal IG under our organization or you may contact the IG Administrative Assistant at 318-847-2045 for additional information. This handbook is a guide; always refer to the appropriate regulation for the current changes and updates.

The Inspector General Staff January 2007

DEPARTMENT OF THE ARMY

HEADQUARTERS, MULTI-NATIONAL DIVISION-BAGHDAD Camp Liberty BAGHDAD, IRAQ APO, AE 09344

REPLY TO ATTENTION OF

Office of the Commanding General

4 February 2007

Army Leaders MND-B Baghdad, Iraq Todays Army leaders must keep pace with the changing dynamics of leadership. Leaders must be mindful that their actions are always under scrutiny. Leaders are expected to do what is right, instill the warrior ethos, and lead by example at all times. As a leader, you are in a position to make powerful and positive impacts on the Soldiers and family members entrusted to you. It is an honor to lead, train, and mentor Army Soldiers. Know the standards, enforce the standards, and always be fair. The Inspector General Desktop Advisor is designed as a starting point that gives directions on where to go to get answers to basic problems. It does not supersede or replace any Army regulations. Each subject area contains a short explanation, leader responsibilities, points of contact, and key references. Weve included a listing of links and references to facilitate your fact finding. The solutions provided here are not the only courses of action available to leaders. It provides a foundation to assist leaders in accomplishing their missions. No two situations are ever the same, so no two solutions are ever the same. If you are ever in doubt, or just want a second opinion, dont hesitate to contact your local Inspector General or Staff Judge Advocate. Taking care of Soldiers is a responsibility that should never be taken lightlySoldiers are your most valued resource.

JOSEPH F. FIL, JR. Major General, USA Commanding 5

Inspector General Office Contact Information

If you need additional information or guidance, please contact the Inspector General Office Staff at the following numbers; MND-B DSN 318-847-2044/2353 Mailing Address; HHC, DSTB, 1CD, IG Section Unit 43207 APO, AE 09344

CHAPTER 1
(THE HISTORY OF THE INSPECTOR GENERAL)

History of the U.S. Army Inspector General

Origins The French Army provides us with the first examples of Inspectors General in Western culture. In 1668, an inspector general of infantry and an inspector general of cavalry were appointed, with the principal duties of reviewing the troops and reporting to the king. Louis XIV expanded the system to include geographical inspectors. They examined everything within their sphere of influence. Soon, military inspections became an essential aspect of all modern armies. 1775 - 1783 The U.S. Army Inspector General System was born during the Revolutionary War. The Continental Army, when formed in 1775, was a disorganized array of militia from different states, with no uniformity in organizations, procedures, drills, appearance, or equipment.

The Continental Army's leadership was not comparable to the good, solid officer leadership of the British Army, and General Washington was not satisfied with the training and readiness of his diversified forces. By the time of the American Revolution, The appointment of inspectors, at least in functional areas, was an established routine in European armies. The tactics of the day, volley fire and massed bayonet charges, required stern disciplineand extensive drill and training. It followed that commanders needed a close look at the units and their readiness. On 29 October 1777, General Washington met with 14 general officers and decided among other things that an Inspector General for the Army was desirable. The Inspector General would superintend the training of the entire Army in order to ensure troop proficiency and common tactics. He would be the commander's agent to ensure tactical efficiency of the troops, that of tactical competence. The duties envisioned were those of a "drill master general" or a "muster-master general." At the same time, the Continental Congress recognized the need for an inspector general to provide it with information concerning a significant public investment. Therefore, the Congress understandably wanted an agent in the Army to help in accountability for the military investments. It also wanted assurances the military would remain subordinate to its authority. This parallel IG requirement created tension between the military and the civilian authorities. General Washington's preference for an IG answerable only to the Army chain of command prevailed, and subsequently inspectors general were ordered to report to the Commander in Chief. However, the tension created by a dual requirement for information continues even today. On 13 December 1777, Congress created the Inspector General of the Army. The Congressional resolution directed that the Inspector General would: 8

review the troops see that officers and Soldiers are instructed in exercise maneuvers established by the Board of War ensure that discipline be strictly observed ensure that officers command properly and treat Soldiers with justice

Baron Von Steuben 1730-1794

The first Inspector General of the Army was MG Thomas Conway. Conway, an Irish Soldier of fortune, resigned shortly after his appointment because he couldn't get along with anyone in the American Army, to include General Washington The first effective U.S. Army Inspector General was Baron Frederick William Augustus Von Steuben. Von Steuben was a former captain in the Prussian Army. He was recruited for the American Army in Paris by Benjamin Franklin in 1777. Franklin recognized that quality of Von Steuben but was concerned that Congress wouldn't accept only a captain for such a position of responsibility. So Franklin "doctored" von Steuben's resume in order to present him as a former lieutenant general, a grade he knew would be acceptable to Congress. Von Steuben was accepted as the Inspector General of the Army on a trial basis by General Washington. He reported to duty at Valley Forge in February 1778. He spoke no English but learned quickly and impressed everyone with his hard work to improve the training, drills, discipline, and organization of the Continental Army.

Baron Von Steuben Memorial (NY State Park)

In May 1778, he was officially appointed Inspector General of the Army with the rank and pay of major general. Congress also appointed two ranks of inspectors general under the IG, providing us the first Inspector General organization. Many of the Continental Army's regimental colonels resented bitterly the efforts of the inspector general, whose duties as outlined by Congress included "to report all abuses, neglect and deficiencies to the Commander in Chief." It was von Steuben's character, tact and genius that overcame a great deal of this resistance and as such, set the precedent for the manner and behavior for future IGs. MG von Steuben is recognized as the "Father of the Inspector General System," and significantly influenced our Army's ability to fight and win.

1783 - 1900 The size and influence of the IG within the Army rose and fell, at times dramatically, during the 18th and 19th centuries. This was caused by Army strength fluctuations, changing personalities, and philosophical approaches to doing business by the senior Army policymakers of that era. During the 1790s the Inspector General was second in command of the Army. For a period after 1800 the IG duties were relegated to the Department of the Adjutant General and there were several times the position of IG was eliminated altogether. The Act of 3 March 1813, which reorganized the staff of the Army, established the Inspector General's Department though it would not be until 1878 that the Department became a formal part of the Army organization. In addition to an Inspector General, the act provided for eight inspectors general and many assistant inspectors general. These inspectors general did tasks that were very inconsistent with those of a present-day IG. This mix of duties was caused by not having a centrally developed doctrine that clearly defined the role of the IG. How 10

commanders used the IG improved greatly following the Civil War, when the War Department published an order defining the duties of the Inspector General. In 1876, the Secretary of War directed the Inspector General of the Army to report to the General of the Army on all subjects pertaining to military control and discipline and all "field IGs" to report directly to the unit commanding general (CG). This directive placed IGs under the local CG's control for all matters. An inspector general was no longer a "spy" from a higher headquarters. This relationship continues today. 1900 - 1949 The greatest hindrance to IGs in inspecting the "old" Army was the dispersion of its force across the globe. After 1898, Army troops were scattered around the world, occupying Caribbean Islands and trying to suppress the growing rebellion in the Philippines. By 1900, IGs were inspecting all regiments deploying to the Philippine Insurrection and establishing a systematic inspectorate in the islands. The IG duty to inspect units deploying for combat overseas resurfaced during World Wars I and II, the Korean War, Vietnam, Grenada, and Operation Desert Shield/Storm. From after World War I until 1939, the number of IGs in the Army changed very little and IG duties remained stable. By 1940, all subordinate commanders down to and including divisions were allocated an inspector general under their direct control to conduct inspections and investigations as needed within their respective commands. By 1945, there were about 3,000 IGs serving with the Army around the world. The inspector general mission grew in importance and scope during World War II and this trend continued into the postwar Army. Of particular note was the emergence of the assistance function, as we know it today. The rapid draw-down of the Army from about 9 million in 1945 to a few hundred thousand in 1946, caused the inspector general to respond to thousands of requests for help from Soldiers being released from the Army (many because they weren't being released quick enough.) 1950 - 1959 The statutory basis for the current IG system comes from the 1950 Army Reorganization Act. This reorganization replaced the Inspector General's Department with The Office of the Inspector General of the Army (OTIG). The Inspector General (TIG) was responsible to the Chief of Staff, Army and responsive to the Secretary of the Army. The reorganization charged TIG with inquiring into and reporting upon the discipline, efficiency, and economy of the Army. Specifically, IGs were to focus their effort on training and combat readiness.

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In 1952, OTIG initiated an orientation course for officers selected to be IGs. Prior to this there was no specific provision for the formal instruction of IGs, although the old Inspector Generals Department had maintained and distributed instructional material to each IG in the form of inspection and investigation guides, handbooks, and other procedural material. A legal case in 1953 resulted in the classification of IG data as having restricted access and use. Inspector General investigations and reports were declared "privileged" as a matter of law. As such, they could not be used as evidence in judicial or other proceedings, except as specifically authorized by the authority ordering the investigation or higher authority. The qualifications for IGs were first formally codified in 1957. Army Regulation (AR) 614-100 stated only the highest caliber of Army officers should be detailed as IGs and should meet the following minimum qualifications: Mature with broad military experience. Have not previously completed a normal three year tour as an IG. Moral and personal traits which are necessary for a position of dignity and prestige. The mission to conduct the indoctrination course for all officers newly detailed as IGs was transferred from the OTIG Inspection Division to a newly established Field Services Division on 5 November 1956. The course, for CONUS based officer IGs only, was increased to three weeks (one week inspections, one week investigations and one week procurement), averaged 53 students a course, and was taught four times a year. The frequency of presentation increased to six by FY 58 and expanded to allow selected civilian employees and NCOs assigned to IG offices to attend. Also in FY 58, a modified, two week IG orientation course began to be taught in selected overseas areas. 1960 - 1990 In May 1956, the Secretary of the Army directed the Department of the Army to assume responsibility for technical proficiency inspections (TPI) of Army atomic organizations worldwide. General Order #40, dated 24 August 1956, placed these inspections under the jurisdiction of the IG. The March 1960 revised AR 20-1 for the first time provided policy concerning IG technical proficiency inspections. IG Technical Bulletin #4, published in 1960, for the first time standardized the approved method and procedures for IGs to receive and process Inspector General Action Requests (IGAR).

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In 1962, an OTIG investigation looked into allegations of inefficiencies during the call up of Reserve and National Guard units during the Berlin buildup. The US Army IG philosophy began to be shared with out allies when the OTIG presented its standard course of instruction to groups composed entirely of foreign officers. In FY 61, instruction was presented to Republic of Korea Army officers in Seoul, Korea, and to Nationalist Chinese Army Officers in Taipei, Formosa. The early 1980s heralded a significant change in the way IGs did inspections. Traditionally, general inspections had focused primarily on evaluating a unit's compliance to regulations. However, purely compliance inspections tended to address symptoms rather than causes and made the assumption that policy guidance and directives were correct. The new emphasis for IGs was on a compliance-systemic inspection methodology. This focused attention on causes rather than symptoms, allowed policy errors or omissions to be addressed for resolution, traced unit problems to Army problems, emphasized correction at the proper level, and minimized the need for onetime unit inspection preparation. Follow-up inspections were also stressed, primarily to verify that corrective action was carried out and to ensure the corrections truly solved the problems. In 1986 Goldwater-Nichols Reorganization Act reversed the IG portion of the 1950 Army Reorganization Act in that now TIG became responsible to the Secretary of the Army and responsive to the Chief of Staff, Army. TIG's other responsibilities remained the same.

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Also during the 1980s, the IG system became automated. Automation gave inspectors general the tool to better assimilate all available IG information, as well as audit reports written by outside agencies (e.g., Defense Audit Service, General Accounting Office (GAO). The first effort was called the Inspector General Management Information Resource System (IGARS). IGMIRS was later replaced by the Inspector General Worldwide Network (IGNET).

EDITOR'S NOTE: THIS PAPER WAS EXTRACTED AND SUMMARIZED FROM THE FOLLOWING REFERENCES: THE INSPECTORS GENERAL OF THE UNITED STATES ARMY 1777 - 1903, David A. Clary and Joseph W. A. Whitehorne, (US Government Printing Office, Washington, DC), 1987. Historical Perspective, IG in Wartime, from the US Army Inspector General Agency (USAIGA0 War Plan, dtd 5 Jul 1989. The Army Almanac, United States Government Printing Office, 1950 (not issued). OTIG Historical Summaries for various years from 1950 - 1989 IGs - Old and New: A Matter of Misunderstood Roles, LTC Robert L. Maginnis, unpublished manuscript.

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CHAPTER 2
(THE ROLE OF THE INSPECTOR GENERAL) PURPOSE To inform commanders and leaders of the role of the Inspector General (IG) IAW AR 20-1, Inspector General Activities and Procedures, and AR 1-201, Army Inspection Policy. INFORMATION 1. The IG serves as a personal staff officer to the Commanding General (CG) and is charged with inquiring into and periodically reporting on the discipline, efficiency, economy, morale, training, and readiness throughout the command. The IG is sometimes described as functioning as an extension of the eyes, ears, and conscience of the Commanding General 2. The IG performs this mission through four primary functions: Assistance, Investigations, Inspections and teaching and training. ASSISTANCE 1. Assistance is provided to all Soldiers, DA civilians, family members, or any personnel presenting matters of interest to the command. Commanders should be aware that preventing communication with an IG, taking reprisal actions against an individual who has gone to an IG, or making false official statements to an IG, are all violations of punitive regulations. 2. When an individual requests assistance from an IG, the official receiving the complaint or assistance request will fill out DA Form 1559 Inspector General Action Request (IGAR). Individuals may lodge a request for assistance or complaint either in person, via letter or by email. Army regulation prohibits an IG from taking direct action on a matter where an appeal process exists to redress perceived problems or injustices until the appeal has run its course. During an appeal the IGs role is limited to insuring due process in accordance with applicable laws and regulations were afforded to the individual. The Soldiers communication with the IG is kept confidential to the maximum extent possible; however confidentiality is never guaranteed to any client. Sometimes overlooked is the fact the IG can also provide Commanders and Leaders/ Supervisors with timely assistance in arriving at solutions to problems or questions that arise in their command. Occasionally, requests for assistance will contain allegations, which may cause the IG to open an informal inquiry or formal investigation. (Ref AR 608-99)

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INQUIRIES AND INVESTIGATIONS 1. An IG inquiry is an informal fact-finding process that normally results in a finding that the allegation is substantiated or non-substantiated. Conclusions are reached based on a preponderance of credible evidence (a lesser degree of evidence required than beyond reasonable doubt necessary in a criminal trial). A substantiated allegation is maintained in the IG database for 30 years. 2. An IG investigation is a formal process that must be directed by the CG and is based on a written directive signed by him. The IG will normally notify the CG when allegations are made which may require a formal investigation. Again, conclusions are based on a preponderance of credible evidence. 3. IG records can not be used as the basis for adverse action against any individual without the written approval of The Inspector General of the Army (TIG). IG records also may not be used to compare commands or commanders, used as the basis for any evaluation report, performance appraisal or award recommendation. IG records will not be converted to personal use. INSPECTIONS 1. The command is the proponent for the MND-B Inspection Program (OIP) which consists of three parts: the Command Inspection Program (CIP), Staff Inspection Program (SIP), and IG Inspections. While the first two programs focus primarily on organizations, the IG inspection focuses either on organizations or functional areas, or both. The IG inspection conducts special inspections of functional areas or systems throughout the installation, without identifying specific units inspected. The IG formulates an annual inspection plan for approval by the CG based on input from MND-B leaders and higher headquarters. Follow-up inspections and Compressed inspections, as directed by the commander, augment this program of special inspections. 2. IG inspection results will not be used to compare units or organizations, or be used as criteria for unit competitive awards; IG inspections are not designed to reward or penalize units, commanders, or individuals. However, if an IG discovers serious deficiencies involving breaches of integrity, security violations, or criminality, he will inform the CG and recommend an appropriate course of action.

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TEACHING AND TRAINING

1. IGs have a responsibility to train commanders, leaders and staff officers on how the IG system operates and on specific standards, responsibilities, processes, and systems related to non-IG activities. 2. During periods of organizational change, Soldiers and their leaders may lack a complete understanding of required Army standards and procedures. IGs, by background, training, and assignment, are in an ideal position to teach skills, provide information, and assess attitudes while assisting, investigating, and inspecting. 3. Talk to your IG if you have further questions.

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CHAPTER 3
(INSPECTOR GENERAL ORIENTATION) MISSION Advise the Commanding General on the state of the economy, efficiency, discipline, morale, esprit de corps, and other matters affecting mission accomplishment and sustain the community through the conduct of systemic inspections, inquiries, and investigations. Provide IG support as an assistance function to all personnel and organizations under MND-B. OBJECTIVE Focus on providing top quality IG support to the MND-B. THE INSPECTOR GENERAL 1. Serves as extensions of the CGs eyes, ears, voice, and conscience. 2. Responsible to inform the CG of IG observations, findings, and impressions. 3. Granted high degree of independence and unlimited access to information while performing IG duties. 4. Relationship with CG is one of extraordinary trust and confidence. INSPECTOR GENERAL METL 1. 2. 3. 4. INSPECTIONS ASSISTANCE INVESTIGATIONS TEACH & TRAIN ASSISTANCE AND INVESTIGATIOS 1. Receive, inquire into, and respond to complainants allegations or requests for assistance. 2. Conducts informal fact-finding process (Inquiries) or formal investigations. CG must authorize investigations with a written directive.

INSPECTION BRANCH 1. Assess the effectiveness of management and leaders by providing unbiased look at operations with focus on systemic issues.

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2.

Types of inspections: o Announced- directed by the CG o Follow-up -- Assess actions taken to correct findings noted in special or Compressed inspections. o Special- In-depth, limited scope. o Planned. TEACH & TRAIN

1. 2. 3. 4.

Integrated in all IG activities. Train new personnel and temporary assistant IGs. Conduct IG orientation during in-processing. Conduct IG overview during Co Cdr/1SG course. STAFF FUNCTIONS

Serves a Personal Staff Member to the Commanding General. Universal switchboard for information/standards for all subordinate commands and personnel. SOLDIERS HAVE A RIGHT TO SEE THE IG 1. The Chain of Command must allow their Soldiers to see the IG - when mission permits. 2. Dont take it personal - encourage your Soldiers to see the IG. 3. Dont be threatened - Ill call the IG is nothing to get excited over. 4. Dont get angry - Reprisals occur when leaders get angry over Soldiers calling the IG.

NON-SUPPORT OF FAMILY MEMBERS AR 608-99 1. Commanders/1SGs have 14 days from the time notified to take appropriate action (Ref. AR 608-99). SJA is the proponent - Seek their counsel. 2. Commanders/1SGs routinely get personally involved in emotional issues Dont do it! Follow the SJA advice and the regulation!

PRIVATE ORGANIZATIONS COMMERCIAL SOLICITATION 1. Fundraising is not your mission. Coordinate all bake sales, car washes, barbecues, etc, through DCA. 2. Do you want to buy a candy bar? Soliciting for goods or services at work is in violation of the Joint Ethics Regulation (JER). 3. Use of government resources for a Private Organization is a NO-NO! 4. Rule of Thumb: Seek SJA (Ethics Counselor) counsel for all fundraising/commercial activities and actions.

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MILITARY WHISTLEBLOWER PROTECTION 1. Military members may at any time make protected communications to a Member of Congress, IG, DOD, law enforcement agency, or the chain of command. 2. Military leaders may not take or threaten to take unfavorable personnel actions or withhold a favorable personnel action as reprisal for making a protected communications. 3. Substantiated reprisals are punishable under Article 92 of the UCMJ. IMPROPER REFFERAL FOR MENTAL HEALTH EVALUATION 1. Military members may at any time make protected communications to a Member of Congress, IG, DOD, law enforcement agency, or the chain of command. 2. Military leaders may not refer a military member for a mental health evaluation as reprisal for making a protected communication. 3. Substantiated reprisals are punishable under Article 92 of the UCMJ. Ensure the Soldier is allowed due process IAW DOD directive 6490.1 COMMAND CONCERNS 1. Arms Room 2. Leaves and Passes 3. NCOERs 4. Soldier/Leader Fraternization 5. Counseling 6. Family Readiness Group 7. Weight Control 8. APFT Compliance 9. Profiles 10. Family Care Plans 11. Flagging Actions 12. Promotions 13. Non-Support

POTENTIAL (NEGATIVE) PERCEPTIONS 1. Corrective Training must be related to the inappropriate action 2. Treatment of Soldiers (equal and fair) 3. Yelling versus constructive criticism 4. Being singled out 5. Soldier Counseling 6. NCOERs

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CHAPTER 4
(WHAT GETS LEADERS INTO TROUBLE) SOLDIERS RIGHT TO SEE IG . . . Anyone may submit a complaint, allegation, or request for assistance to any Army IG concerning matters of army interest . . . (AR 20-1) 1. No one can be stopped from seeing an IG. They do not have to tell the chain of command why they want to see the IG. Stopping them from seeing the IG is a criminal offense and punishable under law. 2. Rest assured the MND-B IGs will always ask the Soldier if he/she has talked to his/her chain of command. Most of the Soldiers problems can be resolved by the Soldiers chain of command. 3. If the problem is the chain of command the IG will hear both sides of the issue and act impartially to resolve the problem in accordance with established policies and Army Regulations. IG ACTIVITIES YOU NEED TO KNOW ABOUT IGs are authorized access to all documents and all other evidentiary material needed to discharge their duties. These documents include normally protected data. Some examples are classified documents, records of board proceedings, acquisition information, medical records, medical quality assurance records, drug and alcohol records, financial records, evaluation reports, back channel messages, security dossiers, criminal investigation reports, copies of personnel restricted fiche (R-fiche) (after compliance with AR 640-10), and financial disclosure statements.

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CHAPTER 5
(NON-SUPPORT OF FAMILY MEMBERS) PROBLEM The Soldiers spouse called you and said her husband abandoned her and he is not providing any support. BACKGROUND The Soldier recently moved back into the billets. He was living in a rented apartment in Killeen. His squad leader is aware of some family difficulties but has no specifics. In fact, the squad leader thought that the wife left town to go home to her family. REFERENCE Army Regulation (AR) 608-99, Family Support, Child Custody, and Paternity, dated 29 October 2003 POSSIBLE SOLUTION 1. Begin by determining the facts: a. Find out when the last support was provided, what type and in what amount. Determine if the family has any immediate needs, specifically, do they need medical care, housing (including utilities), or subsistence. If this is the case, refer the family to the appropriate agency on post or in the community for immediate assistance (MEDDAC, Red Cross, Army Emergency Relief (AER), Army Community Services (ACS), county social services (WIC), etc.). b. Contact the Soldier. If you suspect he is in violation of the provisions of AR 608-99, advise him of his Article 31, Uniform Code of Military Justice (UCMJ) rights (violations of AR 608-99 might be punishable under Article 92) before questioning. c. Get his side of the story. If the Soldier claims hes been providing support, ask for receipts. Document your findings, including any counseling sessions. The documentation may be necessary in later administrative or punitive actions. 2. Remember, personnel subject to UCMJ who fail to comply with the financial support obligations imposed by AR 608-99, paragraphs 2-5 or 2-9 are subject to punishment, adverse administrative action and other adverse action authorized by applicable sections of the United States Code. a. Paragraph 2-5 states, Soldiers will not violate financial support provisions of court orders; the financial support provision of a written financial support agreement in the absence of a court order; or in the absence of a written 22

support agreement or court order, the support requirements of AR 608-99, paragraph 2-6. b. Punishment in these cases is based upon the Soldiers failure to provide financial support when due, not for the Soldiers failure to pay arrears. As indicated in paragraph 2-5, A Soldier cannot fall into arrears without violating this regulation. Family members who are entitled to financial support should be paid on the first day of the month following the month for which it is authorized. 3. Soldiers without court order, or written financial support agreement will provide an amount equal to BAH II-WITH if the spouse does not reside in government housing. Encourage the Soldier to provide the minimum support specified by the regulation. If the spouse still resides in government housing the Soldier is not required to provide support IAW paragraph 2-6(d)(2). 4. Urge the Soldier to provide the support by allotment to avoid further incidents of this nature. Unless provided for in a court order, AR 608-99 stipulates that payment will be by cash, check, money order, or allotment to the spouse. Payments in kind (rent, utilities, insurance, etc.) are only acceptable if agreed to by both parties. Consult with your trial counsel and document the results. 5. Determine if the Soldier has a right to receive basic allowance for housing (BAH). The local finance and accounting office can assist in making this determination. Whether or not a Soldier receives BAH, he or she must provide the minimum support specified in the regulation (the amount equal to BAH), separation agreement or court order. If they fail to provide the minimum support, Defense Finance and Accounting Service (DFAS) may withdraw the BAH entitlement under certain circumstances; this only puts a bigger burden on the Soldier and his ability to pay support. 6. Allow the Soldier to consult with legal assistance on the case. The Judge Advocate General promulgates all Army policies regarding the obligation of Soldiers to provide financial support to their family members. Consult with the SJA concerning divorce, separation, and suspected non-support matters, as they are serious and can adversely affect a career if not properly handled. OTHER ACTIONS 1. Follow up with the complainant and monitor the situation. Repeated failure to support family members can be the basis for more extensive administrative or judicial actions. Additionally, the squadron/battalion commander of a Soldier will be informed of any inquiry alleging a repeated or continual violation of AR 60899. 2. In cases of multiple claims (the Soldier has support obligations with different spouses), each supported family member is entitled to a pro-rata share of the BAH (or as specified in the court order). Seek SJA advice on exact requirements. 23

3. Determine if the Soldier owes arrears (back support). If so, determine an appropriate payment plan. AR 608-99, para 2-5c states, A Soldier cannot fall into arrears without violating this regulation. Although the collection of arrearages based on violations of subparagraph a (1) and (2) may be enforced in court, there is no legal means for the military to enforce collection of arrearages based on violations of subparagraph a (3). Nevertheless, in all cases, Soldiers should be encouraged, but not ordered to pay arrearages. Subparagraph 3-10b states, Commanders will ensure that actions they take enhance the enforcement of this regulation. Commanders will also avoid taking actions that enable or foster the efforts of Soldiers to evade the requirements of this regulation or the application of laws or the enforcement of court orders addressed by this regulation. 4. If a Commander determines that the Soldier has failed to comply with this regulation in the past, for whatever reason, or indicates any unwillingness to comply with this regulation in the future, the company or battalion Commander, as appropriate, will order the Soldier to comply with this regulation. The order should specifyThat financial support is to be provided not later than a specified date (no later than 30 days following receipt of inquiry). 5. Commanders receiving a non-support inquiry should follow the guidance given in AR 608-99, Chapter 3. Under the regulation commanders are required to personally review and sign each inquiry within 14 days of receipt. 6. AR 608-99 is a commanders regulation so, consult the regulation. Almost every non-support case is different. In that regard, the actions taken should enhance the enforcement of the regulation, while avoiding actions that enable or foster the efforts of Soldiers to evade the requirements of the regulation, the application of laws, or the enforcement of court orders.

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CHAPTER 6
(MENTAL HEALTH EVALUATION COMPLAINTS AND ADMINISTRATIVE PROCEDURES) Military members may at any time make protected communications to a Member of Congress, IG, DOD, law enforcement agency, or the chain of command. Military leaders may not refer a military member for a mental health evaluation as reprisal for making a protected communication. Substantiated reprisals are punishable under Article 92 of the UCMJ. Provide the Soldier due process IAW DOD Directive 6490.1. and 6490.4. MENTAL HEALTH REFERRAL INVESTIGATION CHECKLIST 1. Complainant name/address. 2. Case Number. a. Date complaint received. b. Date complaint referred. c. Date report received from service. 3. Investigators Name, Rank, Organization, Duty Phone. 4. Allegations. 5. Type of Referral: Non-emergency/Emergency PART A: Non-emergency (Outpatient and Inpatient Referrals) 1. Did the Commanding Officer: a. Consult with a mental health professional before referring the individual for a mental health evaluation? If so when? b. Provide the member written notice of the mental health referral? When? Is members acknowledgement of the notice present? c. If written notice was provided, did the notice include: (1) Date and time of the scheduled mental health evaluation? (2) Factual description of the behavior and/or verbal communications that caused the commanding officers mental health evaluation referral? (3) Name of the mental health professional with whom the commanding officer consulted before making the mental health evaluation referral? If not, does the notice explain why? (4) Positions and telephone numbers of authorities, including attorneys and IGs, who could assist the member who wishes to question the mental health evaluation referral? 25

2. If the member was referred for a mental health evaluation, was the member provided a copy of the listing of the following rights to: (this applies in nonemergency mental health evaluation referrals) a. Seek advice from an attorney who is a member of the Armed Forces or who is employed by the DOD and designated to provide such advice under DOD Directive 6490.1 or an IG or an alternate source if an attorney is not reasonably available? b. Submit an allegation of referral in violation of DOD Directive 6490.1 to any IG? c. Be evaluated by a mental health professional of his or her choosing and at his or her expense if reasonably available and within a reasonable time after the referred mental health evaluation? d. Not be restricted from lawfully communicating with an IG, attorney, Member of Congress, or others about the mental health referral? e. Have at least two business days before the scheduled evaluation to meet with an attorney, IG, chaplain, or other party? If not, is there an explanation? (This only applies in non-emergency mental health evaluation referrals) 3. If the member was aboard a naval vessel or in duty circumstances that made compliance with Dodd 6490.1 impractical, did the commanding officer prepare a memorandum stating the reasons for the inability to comply with the directive? If so, when: 4. Did the mental health professional who conducted the mental health evaluation: a. Assess the circumstances surrounding the request for mental health evaluation to ensure that the evaluation does not appear to have been in reprisal for whistle blowing? b. Report to the superior of the referring commander, via mental health professionals command channels, evidence indicating that the evaluation may have been inappropriate? c. Advise the member of the purpose, nature and likely consequences of the evaluation? d. Make clear to the member that the evaluation is not confidential? 5. If the mental health professional performed both evaluative and therapeutic roles, did the mental health professional explain to the member the possible conflict of interest issues at the outset of the therapeutic relationship? 26

DEPARTMENT OF THE ARMY USA MEDDAC COMMUNITY MENTAL HEALTH SUBJECT: DECISION TREE for DoD Directive 6490.1 and DoD Instruction 6490.4. Chain of Command (CoC) feels a Soldiers behavior merits a mental health evaluation Is the Soldier dangerous to himself or others??
NO

Does CoC need* to be kept informed?

YES

YES

NO

Give Soldier an intake appointment

Soldier can decline DIV Surg.

Does Soldier want to be evaluated?

NO

YES

NO

YES

Does CoC insist on an evaluation?

Allow Soldier to Self refer

COMMAND CONSULT 1) CO completes referral AND 2) CO speaks with DIV Surg.

Have Soldier escorted to MHS clinic for triage NOW. *CoC need to be kept informed on issues pertaining to: 1) Soldiers ability to perform mission 2) can Soldier deploy/go to field 3) is Soldier dangerous

YES

Is Soldier dangerous?

NO

Schedule to see Soldier in 2 days. (This allows Soldier time to see JAG/IG/others)

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Office Symbol MEMORANDUM FOR: Division Surgeon

Date

SUBJECT: Command request for mental health evaluation of (Name, Rank, SSN):___________________ ______________________________________________________________________________________ 1. IAW DoDD 6490.1, DoDD 6490.4, and MEDCOM Reg 40-38, I hereby request a formal mental health evaluation of the above referenced SM. The following requirements have been met: [ ] EMERGENCY situation, imminent danger to self or others (suicidal/homicidal) (SKIP to #2) Non-emergent situation, with following requirements met: [ ] consulted with the following mental health professional prior to executing request:_________________ [ ] provided SM with at least 2 working days notice prior to the scheduled evaluation [ ] date and time of evaluation:_______________________________ [ ] name of provider conducting evaluation [ ] brief factual description of behaviors prompting referral [ ] phone numbers of JAG and IG for SM to consult with prior to appointment [ ] a copy of his/her rights IAW DoDD 6490.1 to include right to consult with JAG or civilian attorney at own expense, right to submit IG complaint, and right to be evaluated by a MH professional of won choosing (civilian at own expense) [ ] copy of this form [ ] affirmation that his/her right to communicate with the IG, a member of Congress, must be filed 2. IDENTIFYING DATA (ALL ENTRIES MUST BE FILLED): DOB:___________________Marital Status:__________________GT Score:____________________ Unit Phone:______________Home Phone:___________________ Unit 1SG:_____________________Enlistment Date:____________________ETS:________________ Date of Arrival to Unit:__________________________ 3. PURPOSE OF EVALUATION: Evaluation for question of __________________________________

___________________________________________________________________________________ Discharge Pending? [ ] No 4. [ ] Yes, Chapter (number/type)_____________________________________

DISCIPLINARY ACTION? List any previous or pending Courts Martial or AR15:_______________

______________________________________________________________________________________ 5. REHABILITATION ATTEMPTS: [ ] Unit counseling or Transfers:____________________________

______________________________________________________________________________________ [ ] Previous Mental Health Contacts:_____________________________________

6.

COMMANDERS COMMENTS/PROBLEM: (may attach additional comments) Include your impression of the Soldier, including potential for retention:___________________________________

______________________________________________________________________________________

SOLDIERS SIGNATURE & DATE:_______________________________________________________ (My signature attests that I have been explained the nature of this referral and my rights as outlined above in paragraph 1, Non-emergency referral, and I have received a copy of this form.) COMMANDERS SIGNATURE & DATE:___________________________________________________ ___________________________________________________ Printed Name, Rank, Branch

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Mental Status Examination (MSE) Requirements

Process for military schools requiring

Chapters 13, 14 & 15

Soldier schedules appointment with DIV Surg. for evaluation

Commander shall assure counseling and rehabilitative requirements have been taken IAW, AR 635-200, 1-18

Soldier is given copy of evaluation for school

Commander shall consult with DIV Surg. and submit memorandum IAW DoD Directive 6490.1

Commander will be notified if disqualifying information is found

Appointment scheduled

Commander will provide a unit escort, SGT or above

Escort will hand carry results of MSE to commander for administrative action

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Office Symbol MEMORANDUM FOR: Mental Health SUBJECT: Chapter Mental Health Examination

Date

7. The following Soldier _____________________________________________requires a mental status examination IAW AR 635-200 for Chapter______________________________. 8. The unit escort identified for this appointment is _____________________________________________. 9. POC for this memorandum is the undersigned at ____________________________________.

Commanders Name

Commanders Signature

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APPENDIX A
(ISSUES FREQUENTLY FILED AS IG COMPLAINTS) Unit Climate Assessments

PROBLEM You assumed company command last week and were told to schedule a unit climate assessment within 90 days of assuming command. BACKGROUND 1. Army Regulation 600-20 (Army Command Policy) directs each company commander to conduct a unit climate assessment within 90 days of assuming company command and annually thereafter. 2. The Inspector General (IG) or the Equal Opportunity Office is available to assist with conducting the assessment. Once completed, commanders are to develop proactive programs to take corrective action or sustain success. REFERENCES 1. Army Regulation (AR) 600-20, Army Command Policy, dated 7 June 06

2. Department of the Army Pamphlet (DA PAM) 600-69, Unit Climate Profile Commanders Handbook, dated 1 October 1986

POSSIBLE SOLUTION Contact the IGs office at 318-847-2044 or 242-7596 to schedule a unit climate assessment within 90 days of assuming command.

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Leave and Pass Policy PROBLEM A Soldier submitted a request for 20 days leave. You approved it one month ago. Yesterday, the Soldier failed to complete the 10 KM road march within the required time limit. Because of this, you are considering canceling his leave until he successfully completes the road march. BACKGROUND The Soldier, in your opinion, is a Soldier that lacks motivation. Readiness and physical conditioning are stressed from the brigade commander down to the squad leader. There is an unwritten company policy that if you fail or are overdue for an APFT, road march, weapon qualification, or 4-mile run, you will not be granted leave. Because of this policy, your company consistently maintains the highest rates within the brigade. The Soldiers leave is supposed to start this coming Monday. REFERENCES Army Regulation (AR) 600-8-10, Leaves and Passes, dated 5 Feb 06

POSSIBLE SOLUTION Leave for a Soldier is governed by Title 10, United States Code (Federal Law). As the commander you are responsible for the execution of an aggressive leave program, so do not impose anything that would work against your program (AR 600-8-10, para 1-4 (j). a. Counsel the Soldier and set a date for retesting; hold the immediate supervisor responsible for the train-up period. b. Allow the Soldier to go on leave as scheduled; deal with the road march upon his/her return. c. Separate your training program from your annual leave program, which is designed to provide maximum opportunity for all Soldiers to take leave.

OTHER CONCERNS 1. Effective 15 November 2006, DOD instruction 1327.6, Policy change on use of leave in conjunction with a special pass. a. Now authorizes use of ordinary leave in-conjunction with special (3- day or 4-day ) passes without a duty day in between the two periods of absences. 32

b. A regular pass is a short, non-chargeable, Authorized absence from post or duty during normal off duty hours. Non Duty periods of absence, other than the established or normal duty hours, are considered a pass period, to include official holidays. c. Special passes: there are two kinds of special passes, a 3-day and 4day. d. Refer to above message for more specifics. 2. Commanders will encourage and assist all Soldiers to use their entire 30 days leave each year. a. Do not deny leave unnecessarily to key persons engaged in important activities. b. Counsel Soldiers who refuse to take leave when the opportunity is afforded them on the command annual leave program. Soldiers have an obligation to execute military programs and policies. c. If practical, Soldiers married to each other will be granted leave concurrently, if desired by the Soldiers. 3. Excess leave is expensive and may place the Soldier in a no pay due status. Closely monitor advance and excess leave. Advance leave over 30 days, whether it can be accrued prior to expiration term of service (ETS) or not, is excess and will be charged accordingly.

4. AR 600-8-10, para 2-2c lists leave criterion including, but not limited to the following: a. Upon permanent change of station (PCS). b. After periods of particularly difficult duty. c. After prolonged periods of deployment. d. Block leaves IAW command policy. e. Reenlistment. f. Traditional national holidays. g. Spiritual retreats or other religious observances for which a pass is inadequate.

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h. Soldiers or their families personally affected by natural disasters. Emergency leave may be appropriate (AR 600-8-10, Chapter 6. i. Transition from active duty. 5. Avoid the perception of double standards in your leave program.

6. The portion of time away from duty that exceeds a pass period must be charged as leave. For example, PFC Jones was granted a special 4-day pass Saturday through Tuesday. On Tuesday, he calls the unit and states his car broke down, and it is being fixed, and he cannot return on Wednesday. Wednesday must be charged as leave. Do not charge the entire period of absence as leave (AR 600-8-10, para 12-37). The same example would hold true for a three-day pass given from Friday through Sunday or Saturday through Monday. 7. Review the Unit Commanders Finance Report (UCFR) to help you ensure Soldiers are being charged for leave properly.

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Tattoo Policy, Body Piercing, Backpack Wear and Hair Coloring by Uniformed Personnel PURPOSE To provide commanders information concerning unauthorized tattoos, earring wear, backpack authorization and wear, and hair coloring by members of the armed forces. REFERENCE Army Regulation (AR) 670-1, Wear and Appearance of the Army Uniform and Insignia, dated 3 February 2005. TATTOOS 1. Any tattoo or brand anywhere on the head or face is prohibited except for permanent make-up (Paragraph 1-8b(1)a. 2. Types of tattoos that are prohibited: 1-8 e a. Show an alliance or association with extremist organizations. b. Are indecent. For example, those which are grossly offensive to modesty, decency, or propriety; shock the moral sense because of their vulgar, filthy, or disgusting nature; tend to incite lustful thoughts; or tend to corrupt morals or incite libidinous thoughts. c. Tattoos that have a sexist or racist content. 3. Under most circumstances, small, inconspicuous, or inoffensive tattoos or brands on areas of the body other than the face or head are not prohibited. a. Existing tattoos or brands on the hands that are not extremist, indecent, sexist, or racist, but are visible in the class A uniform (worn with slacks/trousers) are authorized. b. The Medical Command will assist in removing those tattoos or brands that do not comply with the policy. The Soldier must request assistance in tattoo removal and the Soldier must be command referred. c. Commanders may encounter circumstances in which Soldiers refuse to have a tattoo or brand removed. The following steps should be taken: 1-8 e (3) (1) Ensure that the Soldier understands the policy. (2) Ensure the Soldier has the opportunity to seek medical advice about the process of removing a tattoo or brand and associated risks. 35

(3) Counsel the Soldier in writing. The counseling form will state that the Soldiers refusal to remove extremist, indecent, sexist, or racist tattoos or brands anywhere on the body will result in discharge. . (4) Commanders may not order Soldiers to remove tattoos or brands. In cases where there is a question of enforcement, it is recommended that special court-martial convening authorities consult with the SJA. BODY PIERCING No attaching, affixing, or displaying objects, articles, jewelry or ornamentation to or through the skin (both visible and body surfaces not readily visible) while in uniform, in civilian clothes while on duty, or in civilian clothes off duty on any military installation or other places under Army control (this includes earrings for male Soldiers). Female Soldiers are authorized to wear earrings on Army installations while on duty in civilian attire IAW AR 670-1, and may also wear approved earrings while in uniform, IAW AR 670-1. BAGS/BACKPACK WEAR AR 670-1 states, Soldiers may carry civilian gym bags, civilian rucksacks, or similar civilian bags while in uniform. Soldiers may carry these bags by hand, on one shoulder using a shoulder strap, or over both shoulders using shoulder both straps. HAIR/HAIR COLORING AR 670-1, states in part, Extreme or fad style haircuts or hairstyles are not authorized. If dyes, tints, or bleaches are used, colors used must be natural to human hair and not present an extreme appearance. Lines or designs will not be cut into the hair or scalp. Soldiers who have a texture of hair that does not part naturally may cut a part into the hair. The part will be one straight line, not slanted or curved. Soldiers will not cut designs into their hair or scalp. CONCLUSION Commanders are encouraged to seek EO assistance on tattoo identification and SJA assistance concerning inspection procedures and adverse administrative action to be taken against Soldiers not in compliance with the Army clothing wear and appearance standards.

36

Performance Counseling PROBLEM A Soldier recently arrived to your company and is concerned about the effects counseling statements can have on his career. He also wants to know his supervisor's expectations of him. He tells you that he has heard from other junior enlisted Soldiers that recommendations for promotions are pretty tough to get in this company. BACKGROUND PFC Sampson and PFC Franks were discussing the issues as to why PFC Franks had not been promoted. PFC Franks squad leader failed to counsel him on the positive aspects as well as the negative aspects of his performance. PFC Franks peers within the company were promoted ahead of him because their squad leaders had a good counseling program, which improved their professional leader development and helped them get promoted. REFERENCES 1. Field Manual (FM) -6-22, Army Leadership, dated 12 October 2006

2. DA Form 4856-R, Record of Counseling, dated June 1999 POSSIBLE SOLUTION 1. Counseling is a basic responsibility of every leader and an important part of taking care of Soldiers. Counseling responsibility ranges from holding scheduled structured counseling sessions to reacting to problem situations as they occur by giving on-the-spot guidance. All too often, counseling occurs only when a Soldier performs in a substandard manner. Leader responsibility to counsel Soldiers is much more extensive. Some of the requirements, such as for disciplinary action and OER/NCOER purposes are regulatory; others, such as reinforcing positive performance and helping with personal problems are moral leadership obligations. 2. FM-6-22 (APPX B), There are 3 types of counseling, developmental, event, performance. Event counseling brakes down furthermore into the following: a. Instances of superior or substandard performance. b. Reception and Integration. c. Crisis Counseling. d. Referral e. Promotion 37

f. Separation. 3. Consider emphasizing the importance of all types of counseling by conducting professional development classes for your chain of command centered on the discussion in FM -6-22. Make counseling a matter of command interest in your unit, checking its status in a formalized way, and setting up a simple counseling suspense system for: Promotion counseling and DA 3355 when a Soldier first reaches the primary zone of consideration. Subsequent counseling will be at least quarterly thereafter. b. PVT-SPC counseling at a minimum, should be monthly. 4. Once a counseling program is established, leaders should develop creative ways to verify that counseling is being conducted in the unit. Some examples include: a. Emphasizing counseling during staff calls. a. Develop in processing checklists containing counseling requirements as a reminder to leaders. b. Periodically checking counseling files to ensure Soldiers are being counseled in accordance with the commanders guidance and appropriate Army regulations. 5. Frequency of counseling: a. For NCOs: (1) Initial counseling within the first 30 days utilizing the DA Form 2166-1 (NCO Evaluation Report), IAW AR 623-3. (2) Additional counseling will be conducted at least quarterly. (3) Counseling completed between the quarterly requirements is recorded on DA Form 4856-R (General Counseling Form). b. For PVT-SPC: (1) Initial counseling within the first 30 days utilizing DA Form 4856-R. (2) Additional counseling conducted monthly or as needed utilizing DA Form 4856-R.

38

c. For SPC and SGT eligible for promotion Counseling completed on a DA Form 4856-R and DA 3355, the DA Form 4856-R will inform the Soldier if they are being recommended for promotion or not being recommended. Both forms are then forwarded to the promotion authority for final decision. Remember, promotion authority to SGT and SSG belongs to Field grade commanders in the grade of LTC or higher. OTHER CONSIDERATIONS 1. Leaders are reminded that written counseling should be based on factual information only. Therefore, if counseling statements are written properly, a Soldier should not non-concur. If they do non-concur, they should state specifically why. Counseling is a fundamental task that must be accomplished by each leader to provide Soldiers feedback (both positive and negative). 2. Without proper counseling, a subordinate will not have the tools to correct shortcomings and can become a liability rather than an asset to a unit. A good unit-counseling program is necessary to develop Soldiers of all grades to their fullest potential by coaching, teaching, and mentoring them along the professional development path of success. Soldiers should know where they stand as individuals in terms of their strengths and weaknesses. Then they can adjust and correct, focusing on those traits and principles of leadership, which will make them better leaders.

39

Enlisted Promotions PROBLEM To inform company commanders and first sergeants of procedures necessary to promote or recommend for promotion fully eligible Soldiers. BACKGROUND Two weeks ago you assumed command of Company A, 1st Underwater Mess Kit Repair Battalion (Hooah). Your previous duty was the Squadron S-3 Operations. The First Sergeant just brought you the C01 report for your signature. While reviewing it, you notice the names of Soldiers (outstanding performers) that you have worked with and are fully eligible for promotion without a waiver; however, they are not being recommended for promotion. You ask the First Sergeant and he states, Sir, round here, we set our own standards, cause the Armys standard aint high enough. Bottom line, we only promote the best! REFERENCES 1. Army Regulation (AR) 600-8-19, Enlisted Promotions and Reductions, dated 9 November 2006 2. Field Manual (FM) 6-22, Army Leadership, dated 12 October 2006 3. Army Regulation (AR) 350-1, Army Training and Education, dated 13 January 2006 POSSIBLE SOLUTION 1. Find out if higher standards have been set within the company. If so, eliminate those higher standards as criteria for promotion. AR 350-1, para 4-13 a (2) allows commanders to establish APFT standards which exceed Army standards, but a Soldier who fails to meet those higher unit standards may not be punished or disciplined for the failure. Denying promotion could be considered a form of punishment. Commanders throughout the division and Army should be basing promotion recommendations on the requirements contained in AR 600-8-19. Higher standards unnecessarily penalize and put your Soldiers behind their peers. Some examples of higher than required standards are: 280 or better on APFT, expert qualification with their assigned weapon, etc. Although these examples should not be used to refuse an otherwise eligible Soldier, they may be used as discriminators when granting waivers for promotion. All this considered, promotion authorities may disapprove recommendations for promotion. A promotion authority who disapproves a recommendation for promotion will state his or her reasons clearly on the recommendation and the Soldier will be advised in writing of his or her deficiencies and given suggestions to improve (AR 600-8-19, paragraph 3-11).

40

2. If a Soldier is a poor performer, ensure he or she is properly counseled. Counseling should address promotion, retention, good/bad performance, and if necessary, how to achieve the standard. Counseling should also cover strengths, weaknesses, potential, and professional development. Just because the Soldier is fully eligible without waiver, it does not mean you have to promote him or her. However, you owe the Soldier counseling IAW AR 600-8-19, para 1 26 which states, Counseling of Soldiers not recommended for promotion: a. First-line leaders will counsel Soldiers who are eligible for promotion to PV2 through SSG without a waiver (fully qualified) but, not recommended in writing. Counseling will: (1) take place initially when the Soldier attains eligibility, and (2) periodically (at least every 3 months) and (3) include information as to why the Soldier was not recommended and what can be done to correct deficiencies or qualities which lack promotion potential. (4) forward the counseling and the DA 3355 to the promotion authority b. There are no requirements to counsel Soldiers who are not recommended for promotion to SFC through SGM. Review your companys counseling program or ask inspector during your initial assessment inspection to take a hard look at counseling. Use the findings to address problem areas. OTHER CONCERNS All parties involved (i.e., Soldier, supervisor, Cdr/1SG, Sqdn/Bn S-1, Sqdn/Bn Cdr/CSM), must take an active roll in the promotion process.

41

OER/NCOER Processing PROBLEM You have recently assumed command of your company. During youre in brief with the battalion commander, he tells you that he is concerned with the late NCOERs and OERs within your new unit. BACKGROUND The previous Commander and First Sergeant were given three months to get a handle on NCOER and OER timeliness in the company. It appeared everything was under control until three Change of Rater NCOERs and one OER came to the Squadron Commander late for signature. As a result, you and your new First Sergeant feel strongly that this situation must be corrected immediately. REFERENCES 1. Army Regulation (AR) 623-3, Enlisted Evaluation Reporting System and Officer Evaluation Reporting System, dated 15 May 2006.

POSSIBLE SOLUTION 1. Ensure there is a published rating scheme for the company, which includes all sergeants, and above. For NCOs, the rating scheme should be by name (not position) showing the Rated individual, Rater, Senior Rater, and Reviewer along with the effective date of each rating official. For officers, rating schemes are drawn up by name, showing each rating official with their effective date. Effective dates are important for determining rated time. 2. Ensure rating officials are qualified and know their responsibilities. This includes timely counseling. Initial face-to-face counseling is required for both officers and enlisted within the first 30 days. NCOs are counseled every three months thereafter. The rated officer and his/her rater continually assess whether the duty description and performance objectives are adequate. Besides being mandatory, counseling is necessary to be successful and meet the standards and objectives. You will find that reports are easy when proper counseling is done. 3. Annual reports close 12 months after the ending date of the last report. Position/duty changes almost always generate the need for a report; both for the person moving and those he/she rates.

OTHER ACTIONS 1. You may also wish to address NCOER/OER preparation and timeliness during OPD and NCOPD classes. This serves to heighten the leaders 42

awareness of the impact of the evaluation report on his/her own career as well as that of subordinates. Additionally, stress that subordinates should take the initiative to prod the system when they see changes occur which will affect their careers and records. 2. Remember if you, as the Commander/First Sergeant place emphasis in this area, so will your subordinate leaders.

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Extra Training or Instruction PROBLEM A Soldier has showed up several times over the last month with holes in his uniform, boots not shined and on two occasions in the wrong uniform. BACKGROUND The Soldier is a good Soldier who tries hard but has been overheard on several occasions telling his platoon buddies he is not a garrison Soldier, but rather he is a field Soldier and does not care how he looks in the cantonment area. REFERENCES 1. Army Regulation (AR) 600-20, Army Command Policy, Paragraph 4-6, dated 7 June 2006. 2. Army Regulation (AR) 27-10, Military Justice, Chapter 3, dated 16 November 2005. POSSIBLE SOLUTION 1. Make sure the Soldier is counseled in writing on DA Form 4856-R (General Counseling Form). Since the problem seems to be related to an attitude, try different leadership approaches. 2. Extra training is an effective non-punitive measure when used correctly. Extra training is a primary tool for teaching proper standards of conduct and performance. Extra training or instruction will never be used as punishment; to do so may constitute a violation of the Uniform Code of Military Justice (UCMJ). The reasons that would cause a commander to assign a Soldier extra training may be simple neglect, forgetfulness, inattention to instructions, immaturity, or other similar deficiencies. Extra training must relate directly to the deficiency observed, and must be oriented to correct that particular deficiency within a timely manner. For example, if a Soldier appears in an improper uniform, he is required to correct the deficiency immediately. If Soldiers have training deficiencies, they will be required to take extra training or instruction in subjects directly related to the shortcoming. 3. If Soldiers perceive the training as punishment, all training and instruction is degraded and the value jeopardized. All levels of command must ensure that training is not used in an oppressive manner to evade procedural provisions of imposing non-judicial punishment under Article 15, Uniform Code of Military Justice (UCMJ). 4. Corrective measures may be taken after normal duty hours. Such measures assume the nature of the training or instruction, not punishment. Corrective 44

training should continue only until the deficiency is overcome. Authority to use corrective measures is part of the inherent powers of command. 5. Once the deficiency is corrected, the incident will be treated as a closed case and will not be noted in the Soldiers official training records. OTHER ACTIONS As with all training in the Army, most extra training is accomplished by NCOs. The person who notes the shortcoming should normally correct small infractions using on-the-spot corrections; continual corrections however would indicate a need for more formal training (e.g., remedial/extra training). In most cases, the immediate supervisor will conduct such training. CONCLUSION Extra training must be directly related to an observed deficiency and must be oriented toward improving the Soldiers performance in the problem area. Extra training may not be used in an oppressive or humiliating manner.

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Suspension of Favorable Personnel Actions (Flags) PROBLEM CPL (P) Jones received a field grade Article 15 two months ago for being disrespectful to a senior NCO. BACKGROUND CPL (P) Jones, in your opinion, is one of the most outstanding junior NCOs in the company. Because of how strongly his chain of command supported him (they expressed this to the squadron commander), his punishment was forfeiture of $400.00 per month for two months, suspended for six months. You remember signing the DA Form 268 nearly three months ago; however, you received promotion orders promoting him to SGT effective the first of next month. REFERENCES 1. Army Regulation (AR) 600-8-2, Suspension of Favorable Personnel Actions (Flags), dated 23 December 2004 2. Army Regulation (AR) 600-8-19, Enlisted Promotions and Reductions, dated 9 November 2006 POSSIBLE SOLUTION Check the AAA-095, Suspension of Favorable Personnel Actions Roster to see if CPL (P) Jones is flagged in the system. The suspended punishment is the reason for the flag. Notify the order issuing authority that the Soldier is flagged so the orders may be revoked. This situation could have been caused by the SIDPERS clerk not doing the transaction to update the database or by not providing copies of the DA Form 268 to the Flagged Records Section or Finance. When a promotion is delayed due to a flag, the effective date is determined by how the flag is closed.

a. If closed as favorable, and the Soldier would have been promoted while the flag was in effect and was otherwise eligible, the effective date and date of rank will be that of his peers. Promotion is retroactive to the date the Soldier would have been promoted if not flagged.

b. If closed as unfavorable, the effective date and date of rank will be the effective date of the removal of the flag. c. If closed as other, the effective date and date of rank will be the effective date of the removal of the flag.

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OTHER CONCERNS

1. Review the AAA-095 report monthly to ensure that only those Soldiers who should be flagged are actually flagged. 2. A flag alone will not hold a Soldier past his expiration term of service (ETS) (see AR 635-200, Section IV). 3. Stress timeliness and accuracy to the clerks that handle the flagging actions. 4. The flag roster is marked FOR OFFICIAL USE ONLY. Ensure it is handled as such. 5. The Soldier must be informed when a flag is initiated or removed. A good way to do this may be by counseling him/her and providing the Soldier a copy of the flagging action. You can also keep a suspense copy until you verify it as posted to the AAA-095. 6. There are special requirements for Soldiers that were previously flagged for overweight. The AAA-095 will show Soldiers that were enrolled and were successfully released from the weight control program within the previous 36 months. 7. In most cases, flags prohibit favorable personnel actions; however, there are some exceptions. For example: a. APFT flags block promotion, reenlistment, and extension only. b. Weight control flags block , promotion, assumption of command, reenlistment, and extension. May not apply to deployed Soldiers.

c. Retirement awards and decorations for valor may be processed and presented to flagged Soldiers. d. Only under limited circumstances (criminal investigation) will a flag stop leave. Consult with SJA before denying leave in this case. 8. Soldiers that are flagged for overweight will carry that in their records for 36 months. Be careful not to erroneously flag a Soldier for overweight; once flagged and removed, it is very difficult to clear the Soldiers record. 9. The IG is available to provide clarification.

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Referral to Army Substance Abuse Program (ASAP) PROBLEM The Texas State Police arrested A Soldier for DWI. His breath alcohol registered 0.13%. BACKGROUND SPC Doe is an exceptional Soldier, 22 years of age, married, and on the standing promotion list to sergeant. He was arrested on Central Texas Expressway for speeding (95 MPH in a 55 MPH zone). At the time of his arrest he was returning home from a promotion party at a friends house. REFERENCES 1. Army Regulation (AR) 600-85, Army Substance Abuse Program (ASAP), dated 24 March 2006. 2. Army Regulation (AR) 600-8-2, Suspension of Favorable Personnel Actions (Flags), dated 23 December 2004

POSSIBLE SOLUTION 1. Despite SPC Does previous outstanding record, you are left with no choice but to refer him to the Army Substance Abuse Program (ASAP). 2. The referral will result in SPC Does attendance in Army Substance Abuse Training (ASAT), as a minimum. This referral and education may be very positive from the standpoint that this mistake could have been caught early enough to prevent him from doing something worse at a later date. 3. If SPC Doe is placed in ASAP, he will be flagged under AR 600-8-2. 4. The fact that he is placed in ASAP should be kept confidential; Normally only the commander, supervisor, ASAP staff, and SPC Doe need to be aware of the enrollment. This right is protected under the law. As such, do not maintain lists of Soldiers attending the program in the unit area.

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OTHER ACTIONS 1. You will also refer individuals for incidents of family violence involving drugs or alcohol (AR 600-85) or on the basis of apprehension or investigation by law enforcement authorities. A simple rule is that if a blotter entry indicates alcohol or drug involvement (shown as one of the last entries in the blotter), refer the individual for screening and evaluation. He may not be enrolled as a result of the evaluation; the counselors will recommend appropriate action. 2. You will also refer individuals, within 72 hours of being notified, if an individual has tested positive for drugs or a SF 513 (Medical Counseling Statement) has been generated. 3. Appointments will be made in such a manner so as to create the least interference with duty requirements (AR 600-85). In order for this to work in your favor, you must have an open dialog with the counselors. 4. Get to know your unit representatives well. They will work with ASAP personnel to help you maintain an effective prevention and control program. 5. Commanders should encourage Soldiers with alcohol or drug related problems to self refer themselves to the ASAP. If you have a Soldier involved in repetitive instances of alcohol/drug related misconduct, consider him for separation.

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Absentee Reporting and Dropped From the Roll Procedures PROBLEM A Platoon Sergeant just reported that one of his Soldiers is not present for duty and cannot be located in the company area. He hasnt been seen since the evening before, and you believe he is absent without leave (AWOL). BACKGROUND The Soldier recently graduated from Advanced Individual Training (AIT) and is having trouble adapting to life at Fort Hood. The Platoon Sergeant has been regularly counseling him on correcting his attitude and getting on with his mission. REFERENCES 1. Army Regulation (AR) 190-9, Absentee Deserter Apprehension Program and Surrender of Military Personnel to Civilian Law Enforcement Agencies, dated 9 November 2004 2. Army Regulation (AR) 630-10, Chapters 2 and 3, Absence Without Leave, Desertion and Administration of Personnel Involved in Civilian Court Proceedings, dated 13 January 2006 3. Army Regulation (AR) 700-84, Issue and Sale of Personal Clothing, dated 18 November 2004 4. Army Regulation (AR) 735-5, Policies and Procedures for Property Accountability, dated 28 February 2005 POSSIBLE SOLUTION When reporting Soldiers AWOL and submitting Dropped from the Rolls (DFR) packets, commanders are reminded to review the appropriate regulatory requirements. a. Commanders will complete DA Form 4384 (Commanders Report of Inquiry), to determine the Soldiers possible location and reason for absence, and DA Form 2823 (Sworn Statement). Unit commanders will concurrently notify the installation Provost Marshal Office, Personnel Office, Deserter Control Officer and Finance Office within 48 hours of the commanders inquiry that find no justified reason for the Soldiers absence. On the 10th day of AWOL, commanders will notify (via mail) the next of kin of the Soldier. b. When the Soldier has been AWOL for 30 consecutive days submit the 50

DFR packet to the battalion S-1. Commanders will complete DA Form 4187 (signed by the battalion commander), changing the duty status of the Soldier from AWOL to DFR on the 31st day of absence. c. Commanders will forward copies of DA Forms 4187, DD Form 458 (Charge Sheet), DD Form 553 (Deserter/Absentee Wanted by the Army Forces), and Soldiers medical/dental records through the local G-1 to the Commander, USAEREC, ATTN: PCRE-RD, Fort Benjamin Harrison, IN 46249-5301 within 48 hours after a Soldier has been Dropped From the Rolls (DFR). A copy of DA Form 553 will be forwarded to the Provost Marshal within the same timeframe. OTHER ACTIONS 1. The abandoned property of a Soldier AWOL will be inventoried without delay as soon as the Soldier is determined to be in an AWOL status. These procedures apply only if the enlisted Soldier resides in troop billets. 2. The unit commander will designate a commissioned officer, warrant officer, or noncommissioned officer (E-5 through E-9) to conduct the inventory. The inventory officer will ensure abandoned clothes actually belong to the absent Soldier. A witness is also required. 3. The inventory officer will do the following: a. Make sure clothing is not exchanged. b. Prepare a DA Form 3078 (Personnel Clothing Request). c. Witness and the unit commander or designated representative will verify and initial this form. d. Place the original copy of the inventory in the Soldiers duffel bag, and retain three copies in the units suspense file. e. See DA Pam 6008 for instructions on how privately owned military personal property is inventoried. f. Ensure safekeeping of inventoried clothing in a secured area. 4. When an enlisted Soldier is dropped from the rolls, see AR 700-84, for disposition of his clothing and personal effects. 5. CTA 50-900 items will be accounted for IAW AR 735-5, this also includes installation property as well. Missing or destroyed property must be accounted for by a mandatory initiation of a Report of Survey.

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Physical Profiles PROBLEM PFC Smith just returned from the Troop Medical Clinic with a DD Form 689 (Individual Sick Slip), which states, Lower back pain, no PT, no field duty for 30 days. BACKGROUND On review of the profile, you disagree with the doctors recommendations. In your opinion, PFC Smith is a marginal performer who has been riding sick call to avoid field training and you have another field exercise coming up in the next week. However, you believe he can be motivated to be a good Soldier. REFERENCES Army Regulation (AR) 40-501, Standards of Medical Fitness, dated 27 June 2006 POSSIBLE SOLUTION 1. Separate any emotions you may have about the Soldier from the case. Then analyze the facts and the situation. 2. The DA Form 689 (Individual Sick Slip) can only be used as a profile for periods not to exceed 30 days. For longer periods, the profiling officer must use a DA Form 3349 (Physical Profile). 3. A profile stating no field duty is an inappropriate medical recommendation, and no PT is probably not a realistic recommendation either. AR 40-501, Chapter 7 discusses this at some length. 4. AR 40-501, para 7-3e(2) states. It is the responsibility of the commander or personnel management officer to determine proper assignment and duty, based upon knowledge of the Soldiers profile, assignment limitations, and the duties of his or her grade and MOS. In other words, medical personnel offer recommendations to the commander on Soldier limitations but the commander makes the decision. However, before you make a decision that may further injure the Soldier, consider the following: a. What is the extent of the lower back pain? b. What can PFC Smith do in the field to assist you in performing your mission? c. What PT can PFC Smith do that will not cause further injury (stretching, walking, arm curls)? 52

5. The commander or first sergeant should contact the profiling officer and determine the exact nature of the injury and come to terms on what PFC Smith can do. Do not send PFC Smith back to the clinic to get the answers; contact the profiling officer personally. The commander must develop a close working relationship with profiling officials since the commander has more knowledge of the Soldier and mission. By putting PFC Smith back in the middle trying to solve the problem, you may only further create confusion. Get the story first hand. OTHER ACTIONS 1. If you truly suspect malingering, contact the installation surgeons office for a review of the record. Malingering is punishable under the Uniform Code of Military Justice (UCMJ). Coordinate this with the Staff Judge Advocate (SJA) if the surgeon also has reason to believe malingering is evident. 2. Dont try and make a public example out of PFC Smith. This may cause other injured Soldiers not to seek treatment for fear of retribution or humiliation at the hands of the chain of command. An absence of treatment may further exacerbate the injury and result in a longer loss of the Soldiers services to the command. 3. Give a profiled Soldier time to heal. Most want to be good Soldiers and do their job. Rarely does a Soldier injure himself to get out of work or to cause maltreatment or harassment by the chain of command. Also recognize that different Soldiers heal at different rates. 4. If you have questions, call the Inspector General (IG). While we may not be able to assist in clarifying the medical questions, we have seen more than our share of profile violations and can advise you of the potential consequences. 5. Commanders need to consider the legal liability when directing a Soldier to violate a medical profile. Dont get caught up in trying to help a Soldier because of a promotion board or school. Do what is right to protect the Soldier, command and the U.S. Army. 6. Remember, profiling officers recommend; commanders decide.

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Medical Evaluation Board /Physical Evaluation Board Process PROBLEM As the commander, you have decided to request a fit for duty evaluation through the Physical Evaluation Board Liaison Officer to determine if SGT Brown is medically fit to remain on active duty. BACKGROUND SGT Brown has suffered from numerous medical problems during the last six months. He is a good NCO but his medical status keeps you from being able to use him as a squad leader and it does not appear that the situation will improve. REFERENCES 1. Army Regulation (AR) 600-60, Physical Performance Evaluations System, dated 25 June 2002 2. Army Regulation (AR) 635-40, Physical Evaluation for Retention, Retirement, or Separation, dated 8 February 2006 3. Army Regulation (AR) 40-501, Standards of Medical Fitness, dated 27 June 2006 POSSIBLE SOLUTION 1. Requesting a fit for duty medical evaluation is the first step in the process which can take anywhere from 4-6 months from beginning to end. Being patient, understanding the process and keeping in close contact with the MEB/PEB Liaison Officer during the Medical Evaluation Board (MEB)/Physical Evaluation Board (PEB) proceedings will allow you to do the best thing for the Soldier and the Army. 2. Once the military physician has enough data to decide a MEB is appropriate he will send a summary of the Soldiers condition through the Medical Department Activity (MEDDAC) commander to the MEB/PEB Liaison Officer. At this time the Soldier will review the physicians comments and will either agree or disagree. If he disagrees, he can add a statement of rebuttal, which is attached to the summary. The summary will contain one of the following recommendations: a. Return to duty. The Soldier meets retention standards. b. Refer to MOS/Medical Retention Board (MMRB). 54

c. Trial of duty for 120 days (normally only for cardiac cases). d. Refer to PEB. The Soldier does not meet retention standards. 3. The MEDDAC MEB/PEB Liaison Officer notifies the company commander when a Soldier is recommended for the MEB process upon receipt of a copy of the P3 profile from Patient Administration Division. MEB/PEB Liaison Officer also notifies the commander of the date the Soldier is to attend the group MEB briefing. At the same time the MEB/PEB Liaison Officer gives the commander a suspense to provide data needed to proceed with the PEB process within 14 days: a. An administrative/flagging action letter confirming no adverse personnel action is being considered against the Soldier and describing the Soldiers current duty performance. b. A completed line of duty investigation. c. A certified copy of the Soldiers Enlisted Records Brief (ERB). d. After the Soldier signs his summary, it is forwarded to the PEB at Walter Reed Army Medical Center (WRAMC). This board will determine the final disposition of the Soldiers case. The board will make one of the following recommendations: (1) Fit for duty. This means the board has found the Soldier can reasonably perform duties required of his rank and MOS. (2) Unfit for duty. Disability of 20 percent or less. This is not a medical retirement. The Soldier will be separated from the service with severance pay, which is a one-time payment. The amount of disability will not affect the amount of severance pay received. (3) Medical retirement. For disability of 30 percent or more, the Soldiers will be medically retired. The Soldier can either be placed on the permanent disability retirement list (PDRL) or he can be placed on the temporary disability retirement list (TDRL). The PDRL is permanent, and the Soldier will receive a percentage of his base pay for the rest of his life. TDRL means the Soldiers condition is not stable enough to make a final decision, and he will be reevaluated in 1-18 months, as determined by the PEB. 4. Once the PEB has acted on the Soldiers case, it is returned to the MEB/PEB Liaison Officer. The Soldier is called into the MEB/PEB Liaison Officers office and can agree or disagree with the results. If the Soldier disagrees with the PEB recommendation, he can request a formal hearing. 5. The Soldier may elect to have a formal board with or without a personal appearance. If the Soldier wishes to have a personal appearance at the formal board, it is the units responsibility to provide TDY orders and funds for this. He 55

may elect to have regular appointed counsel (a SJA lawyer stationed at WRAMC) or provide his own counsel at his own expense. This board can raise the percentage or keep it the same, but it cannot lower it unless it discovers a mistake in the original board findings. 6. Once the case is final, either the Soldier agrees with the PEB findings or, after a formal board, the packet is sent to the Department of the Army (DA). DA will take up to 30 days (or more, depending on backlog) to transmit a discharge message. OTHER ACTIONS 1. The above is only one of several possible scenarios you may face. Each case is unique; your best hope of helping the Soldier is to be familiar with the process and assist the Soldier in any way possible. If the process is confusing to you, imagine how your Soldier must feel. 2. Stay in constant touch with the MEB/PEB Liaison Officer. That office is the focal point of the process at Fort Hood and will be able to answer the majority of your questions. The Installation Surgeon can also provide a considerable amount of medical advice and explanation. 3. Finally, remember the process is very complex and can take up to two years to complete. This is most often due to the nature of the medical conditions involved. Work with the Soldier to get a resolution of the problem; but if the case appears to linger, dont take your frustrations out on the Soldier. He or she most likely didnt ask, to get broke. Work the Soldier to his or her full potential while in the process without adding to the injury by piling your frustration with the system into his/her rucksack.

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Special Population Physical Training Program PROBLEM PFC Jones returned from sick call with a medical limiting profile (DA Form 3349) on his left knee. BACKGROUND PFC Jones has always succeeded in attaining maximum score on Army Physical Fitness Test (APFT). During a recent field training exercise he received a left knee injury but did not seek medical attention until he fell out of a run complaining of pain. REFERENCES 1. Army Regulation (AR) 40-501, Standards of Medical Fitness, dated 27 June 2006 2. Army Regulation (AR) 350-1, Army Training and Education, dated 1 January 2006 3. Field Manual (FM) 21-20, Physical Fitness Training, dated 30 September 1992, w/ interim change 1, dated 1 January 2006 POSSIBLE SOLUTION 1. Start by reviewing the limitations of the Soldiers profile. Personnel identified with medically limited ailments/injuries shall be placed in a rehabilitative program consistent with their limitations as advised by medical authorities and supervised by their commander. However, all Soldiers having a profile should take part in as much of the regular fitness program as possible. 2. For individuals with limiting profiles, commanders will develop physical fitness programs in cooperation with health care personnel. If questions arise about limitations of the profile, contact the profiling physician. A commander must have a clear understanding of the medical condition, which only the profiling officer can provide. Establish and maintain communications with your medical personnel to avoid making the condition worse. Once the Soldier has the profile, dont put him in the middle of that communications link. If you believe the profile is inappropriate or does not accurately state the condition, relay these concerns to the profiling physician; he/she may alter the profile based on different information. 3. Once the profile is lifted, the Soldier must be given twice the time of the profile (but not more than 90 days) to train for the APFT. For example, if the profile period was seven days, the Soldier has 14 days to train for the APFT after the 57

profile period ends. If a normally scheduled APFT occurs during the profile period, the Soldier should be given a mandatory make-up date. OTHER ACTIONS 1. FM 21-20, Chapter 2, describes some aerobic activities the Soldier can do to maintain cardio respiratory fitness when running is not possible. 2. FM 21-20, Chapter 3, shows how to strengthen each body part. Applying this information should allow some strength training to continue even when body parts are injured. The same principle applies to flexibility. The profiling physician may also recommend physical therapy. 3. Master Fitness Trainers (MFT) can help profiled Soldiers by explaining alternative exercises and how to perform them safely under the limitations of their profile. CAUTION: MFT are not, however, trained to diagnose injuries or prescribe rehabilitative exercise programs; this can be accomplished only by qualified medical personnel. 4. Activity levels of Soldiers usually decrease while they are recovering. As a result they should pay special attention to their diet to avoid gaining body fat. 5. With medical supervision, proper diet, and the right PT programs, Soldiers should be able to overcome their physical profiles and return to their normal routines and fitness levels. 6. If a Soldier cannot overcome the profile, discuss reclassification or Medical Evaluation Board (MEB)/Physical Evaluation Board (PEB) with medical and personnel specialists.

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Special Physical Fitness Programs PROBLEM You have just assumed command of your unit and during routine physical fitness training (PT) in the morning you notice several Soldiers are unable to complete the squadrons run and road march goal. You discuss this with the first sergeant and he informs you the old commander did not believe in a special PT program. BACKGROUND In checking with your staff you discover that your unit has done poor in their overall physical fitness test scores and is the highest profile company in the squadron. The squadron commander wants you to organize a special physical fitness program for your unit to correct these shortcomings. REFERENCES 1. Army Regulation (AR) 350-1, Army Training and Education, dated 9 April 2003. 2. Field Manual (FM) 21-20, Physical Fitness Training, dated 30 September 1992, w/ interim change 1, dated 1 October 1998. POSSIBLE SOLUTION 1. Special PT programs will be conducted at the squadron/battalion/separate company level under the supervision of a Master Fitness Trainer (MFT). These programs must be designed to achieve goals safely and adhere to the principles of conditioning outlined in FM 21-20. 2. Special PT programs must be designed to meet individual needs to overcome specific weaknesses (such as aerobic or strength deficiency). In addition, Special PT programs will be conducted during normal training time and will not be punitive in nature. Care should be taken by the chain of command to ensure unit standards do not arbitrarily replace the Army standard. Soldiers who meet Army minimum standards, but fail to meet higher unit standards may not be punished or disciplined; however, they may be candidates for special PT programs. For example a Soldier who has difficulty running 4 miles in 36 minutes can be placed on a special PT program designed to overcome that weakness. Additionally, all Soldiers placed in a special PT program must be counseled explaining the reason for placement in the program and that the standards will be enforced. 3. Special PT programs should be tailored according to AR 350-1, para 4-9 and kept separate from the Army Body Composition/Weight Control Program, except for exercise programs prescribed to assist Soldiers with weight control problems. Commanders should avoid placing Soldiers that exceed body fat standards and 59

Soldiers who have fitness problems into the same category with the expectation that more exercise will automatically result in decreased body fat. OTHER ACTIONS Special programs should be employed to the greatest extent possible for Soldiers with physical fitness problems. MFT should be used at squadron/battalion level to ensure the programs are tailored to the special needs of the Soldiers involved.

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Army Physical Fitness Test (APFT) Failure/Flag Action Counseling 1. PT Test Failure Counseling, as a minimum, should include: o Soldiers responsibility to maintain standards. o Date Soldier failed APFT. o Date Soldier will be re-tested. o Notification to Soldier of flagging action.** (DA Form 268, Report to Suspend Favorable Personnel Actions (Flag) is required along with this counseling.) o Future actions if Soldier fails to pass PT test. o Notify Soldier of enrollment in an additional/supplemental PT program. o A Soldiers Plan of Action and Leader's Responsibilities. o Soldiers and counselors signatures. Flag Counseling**, as a minimum, should: o Notify the Soldier of the reason for counseling. o Notify the Soldier that a flagging action may be initiated if the behavior continues. o Notify the Soldier of the type of discharge that could result from the possible separation action and the effect of each type. o Notify the Soldier of what behavior is expected of him/her in the future. o Have the Soldiers and counselors signatures. o Enroll SPC Doe in the units Extra Conditioning Physical Fitness Program monitored by the unit MFT. o Start working on SPC Doe's weak areas. o Inform the chain-of-command, within 90 days, when SPC Doe is ready to take another record APFT. 4. Possible Leader Responsibilities: o Enroll SPC Doe in the units Extra Conditioning Physical Fitness Program monitored by the unit MFT. o Monitor SPC Doe's progress. o Do PT with SPC Doe to give him moral support and to ensure that he is working on his weak areas. o Schedule SPC Doe for another record APFT within 90 days, when he and the commander both feel that the Soldier is ready. (note: this section continued on next page)

2.

3. Possible Plan of Action:

5. Important note on flagging a Soldier for APFT failure: IAW Message, dated 251850Z Jul 01, subject: Clarification and Reinforcement of Army Training Policies, Record APFT is defined as an APFT administered by the commander and specified beforehand that the results are for record; this is to include a make-up or retest APFT... commander may administer the APFT as often as they wish (for record or practice) as long as they adhere to the policy described below: 61

o The Active Component (AC) will take the APFT for record at least twice each calendar year... o A minimum of four months will separate record tests for AC Soldiers. o The intent is for AC ...to take a record APFT every six months.

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An APFT other than to meet the above requirement is not to be considered a record APFT. An APFT given individually to a Soldier in preparation for institutional training is a practice APFT. An APFT given during institutional training is part of course application and/or requirement. FLAGGING ACTION WILL ONLY APPLY TO RECORD APFT SCHEDULED BY THE COMMANDER.DEVELOPMENTAL COUNSELING FORM For use of this form see FM 22-100.

DATA REQUIRED BY THE PRIVACY ACT OF 1974

AUTHORITY: 5 USC 3XX, Departmental Regulations; 10 USC 3XX3, Secretary of the Army and E.O. 9397 (SSN) PRINCIPAL PURPOSE: To assist leaders in conducting and recording counseling data pertaining to subordinates. ROUTINE USES: For subordinate leader development IAW FM 22-100. Leaders should use this form as necessary. DISCLOSURE: Disclosure is voluntary.

Name (Last, First, MI)

Doe, John D.

PART I - ADMINISTRATIVE DATA SSN Rank / Date of 000-00-0000 SPC/E-4 Counseling

22 May XX

Organization
YOUR UNIT

Name and Title of Counselor

Jones, John, Commander

PART II - BACKGROUND INFORMATION

Purpose of Counseling: (Leader states the reason for the counseling, e.g. Performance/Professional or Event-Oriented counseling and includes the leaders facts and observations prior to the counseling):

Army Physical Fitness Test Failure and Flagging Action Counseling.

PART III - SUMMARY OF COUNSELING Complete this section during or immediately subsequent to counseling. Key Points of Discussion:

SPC Doe, today, 22 May XX, you were administered a Record APFT and you failed to achieve a passing score of 180 points (60 points per event: sit-ups, pushups, and twomile run) within the authorized time limits IAW FM 21-20 and AR 350-1. You were given notification of the upcoming APFT on or about 3 May XX. In your monthly counseling statements, you were informed that physical fitness is an individual responsibility and can have a great impact on your military career, i.e., promotions, reenlistment, etc. I also informed you that if you needed more time to train, I would place you in the squadron Special Fitness Program. You stated that you had no problems with your physical fitness and you would pass the APFT with no problems. SPC Doe, to my knowledge you were not on any medical profile or medications which would/could impact upon your ability to pass the APFT. I am recommending that you be flagged immediately IAW AR 600-8-2, for your unsatisfactory performance resulting in an APFT failure. SPC Doe, you will be placed in an Extra Conditioning Physical Fitness Program and you will have to take another record APFT within 90 days. Once your APFT performance meets the standards, this flag will be removed. Consequences of failing the second APFT may result in a Bar to Reenlistment or process for elimination from the military service. I am informing you that separation action may be initiated if this behavior continues under the provisions of AR 635-200, Involuntary Separations, due to misconduct (Chapter 14), unsatisfactory performance (Chapter 13), entry-level status performance and conduct (Chapter 11), or personality disorder (Chapter 5-13). (Chapter 18). If separation action is initiated you could receive and Honorable, General, or Other than Honorable discharge. If you are separated prior to the expiration of your term of service, you may forfeit contributions to the GI Bill Education Program.
OTHER INSTRUCTIONS This form will be destroyed upon: reassignment (other than rehabilitative transfers), separation at ETS, or upon retirement. For separation requirements and notification of loss of benefits/consequences see local directives and AR 635-200.

DA FORM 4856, JUN 99

EDITION OF JUN 85 IS OBSOLETE

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Plan of Action: (Outlines actions that the subordinate will do after the counseling session to reach the agreed upon goal(s). The actions must be specific enough to modify or maintain the subordinates behavior and include a specific time line for implementation and assessment (Part IV below):

Enroll SPC Doe in the units Extra Conditioning Physical Fitness Program monitored by the unit MFT. Start working on SPC Doe's weak areas.

Inform the chain-of-command, within 90 days, when SPC Doe is ready to take another record APFT.

Session Closing: (The leader summarizes the key points of the session and checks if the subordinate understands the plan of action. The subordinate agrees/disagrees and provides remarks if appropriate): Individual counseled: I agree / disagree with the information above

Individual counseled remarks:

In what areas has the Soldier failed? The impact on the Soldiers career for failing the APFT. Flagging action placed on the Soldier and its impact. The requirement to take another APFT within 90 days. Consequences of failing the second record APFT.

Signature of Individual Counseled: _________________________________________ Date:

Leader Responsibilities: (Leaders responsibilities in implementing the plan of action):

Enroll SPC Doe in the units Extra Conditioning Physical Fitness Program monitored by the unit MFT. Monitor SPC Doe's progress. Do PT with SPC Doe to give him/her moral support and to ensure that he is working on his weak areas.

Schedule SPC Doe for another record APFT within 90 days, when he and the commander both feel that the Soldier is ready. Signature of Counselor:
_________________________________________________ Date: _____________________

Part IV - ASSESSMENT OF THE PLAN OF ACTION

Assessment: (Did the plan of action achieve the desired results? This section is completed by both the leader and the individual counseled and provides useful information for follow-up counseling):

Counselor: ____________________ Individual Counseled:_________________ Date of Assessment: ____________ Note: Both the counselor and the individual counseled should retain a record of the counseling. DA FORM 4856 (Reverse)

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REPO RT TOSUSPEND FAV O RABLE PERSO NNEL AC TIO NS (FLAG )

F o ru seo f th is fo rm,seeA R 600-8-2;thep ro p o nen t ag encyisM ILPE RC E N.

S ECTIO NI - A D M IN IS TRA TIV ED A TA

1.NAM E (Last,F irst, M I) 2.S S N 3.R A N K

4.

O nactiv ed u ty

N o to n activ ed u ty

O nA D T

5.E TS/E S A/M R D 7.S TA TIO N (G eo g raph ical lo catio n )

6.UN ITA S S IG NE DA NDA R M YM A J O RC O M M A N D

8.PS CC O NTR O LLIN GF LA G G IN GA C TIO NA NDTE LE PHO N ENUM BE R

9.TH IS A C TIO N ISTO : In itiate aflag (S ectio nsII an d Von ly ) Tran sfer aflag (S ection s III andVo nly ) R em o veflag (S ectio nsIVan d Von ly )

S ECTIO NII - IN ITIA TE AFLA G

10. AF LAGIS INITIA TE D ,E F F EC TIV E N O N-TR A NS F E R A BLE A d v erseactio n(A ) E lim in atio n- fieldin itiated(B) R em o v al fro mselectio nlist -fieldin itiated(C ) R eferredO ER(D ) S ecu rityvio latio n (E ) HQ DAu seo n ly -elimin atio no r remo v al fro mselectio nlist (F ) F O RTHEF O LLOW INGR E A S O N : TR A NS F E R A BLE A PF Tfailu re(J ) W eig h t co ntro lp rog ram(K )

S ECTIO NIII - TRA N SFER AFLA G

11. AF LA GISTR AN S F E R E DF O R THEF O LLO W INGR E A S O N : A d v erseactio n-H QD Ad irectedreassig n men t (G ) A d v erse actio n- p u n ish m en tp h ase(H) S u p p o rtin gd o cu m entsattach ed ? Y es N o A PF Tfailu re(J ) W eig h t co ntro lp rog ram(K )

SECTIO NIV- REM O V E AFLA G

12. AF LA GISR E M O V E D ,E F F EC TIV E C ase clo sedfav o rab ly (C ) Discip linaryactio n taken(D) F O RTHEF O LLOW INGR E A S O N : S o ld ier transferredto ad ifferen tA rm ycom p o n en to r d isch arg edw h ilecasein p ro cess (d estroycasefile) (E ) O th er fin al actio n (E )

S ECTIO NV- A U TH EN TICA TIO N

D IS TR IBU TIO N 1-Un it C o m m an d er 1- PS C N A M E ,R A NK ,TITLE ,A NDO R G A NIZA TIO N 1-F &A O 1-C o m m an d er,g ain ingu nit (tran sfer flagon ly ) S IG NA TUR E DA TE

D AFO RM 268, JUN 87

E D ITIO NO F1J A N 80ISOBS O LE TE .

U SA PPCV 2.00

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Army Weight Control Program PROBLEM Your unit is scheduled for the Army Physical Fitness Test. As a minimum, personnel will be weighed prior to testing at least every six months. That is when you discover SSG Taylor is overweight and exceeds authorized body fat content. SSG Taylor is 31 years old, his height is 68, weighs 200 lbs., and has a body fat content of 25 percent. SSG Taylors screening weight is 179, and his maximum allowable body fat should be no more than 24 percent. BACKGROUND SSG Taylor is the acting Platoon Sergeant for 1st Platoon and is doing an outstanding job. He is respected by his leaders and peers alike, but is overweight. However, you do not want this to end an otherwise promising career. REFERENCES 1. Army Regulation (AR) 600-8-2, Suspension of Favorable Personnel Actions (Flags), dated 23 December2004. 2. Army Regulation (AR) 600-9, Army Weight Control Program, dated 27 November 2006. 3. Army Regulation (AR) 635-200, Active Duty Enlisted Administrative Separations, dated 6 June 2006. POSSIBLE SOLUTION All commanders and supervisors are required to monitor the height and weight standards of the members of their command. Routine weigh-ins should be accomplished at unit level. Commanders should follow the steps of the flow chart process guide for screening and weight control actions as prescribed in AR 6009, page 10, figure 3-2. a. Enrollment into the weight control program starts on the day the Soldier is counseled by the unit commander that he/she has been entered in a weight control program. Unless health care personnel determine that the Soldiers condition is due to an underlying associated disease, you must enter him or her into the program.

66

b. SSG Taylor will be considered non-promotable while he is enrolled in the weight control program. The commander should initiate suspension of favorable personnel actions under the provisions of AR 600-8-2 while in the weight control program. c. IAW 600-9, 3-2g , After a period of dieting and/or exercise for 6 months and except as described in paragraph 3-2b, Soldiers who have not made satisfactory progress and who still exceed the screening table and body fat standards will be processed as follows. (1) If health care personnel determine that the condition is due to an underlying or associated disease process, action described in paragraph 3-2d will be taken. (2) The unit commander will initiate a mandatory bar to reenlistment or administrative separation proceeding for Soldiers who do not make satisfactory progress in the AWCP after a 6 month period and for whom no medical reasons exist to cause the overweight condition. d. The commander or supervisor will inform the Soldier in writing that a bar to reenlistment or separation proceedings are being initiated under the following regulations: AR 135-175; AR 135-178; AR 600-8-24, chapters 4 and 5; AR 601280; AR 635-200, chapters 5 through 15, and 18; NGR 600-5; NGR 600-101; NGR 600-200, chapter 7; or NGR 635-100. These actions will be taken unless a medical reason is found to prelude the loss of weight.

OTHER ACTIONS Supervisors are required to provide educational and other motivational programs to encourage personnel to attain and maintain proper weight (body fat) standards. a. SSG Taylor should be counseled and the maximum allowable percentage of body fat standard should be explained to SSG Taylor. b. The commander will recommend SSG Taylor for nutrition education sessions conducted by qualified health care professional. These sessions are required for all Soldiers enrolled in a weight control program. c. SSG Taylor should be linked up with a Master Fitness Trainer even if he meets minimum APFT standards. d. A safely attainable goal for weight loss for SSG Taylor is 3-8 pounds per month. To enable him to lose excess body fat and meet the body fat standards, SSG Taylor will need to decrease 500 calories a day and increase his exercise by 200 calories (keeping in mind 3500 calories equals one pound). This will be a 67

total of 700 calories a day to attain a weight loss of 1-2 pounds a week, which is a safe and reasonable goal. However, if SSG Taylor has an injury that will keep him from exercising, qualified medical personnel must determine what will be an attainable weight loss. Consult with the nutrition personnel. e. The commander will remove SSG Taylor administratively from the weight control program as soon as his body fat standard is achieved. f. If within 12 months from the date of the previous removal from the program the commander determines he again exceeds the screening table weight and body fat standards with no associated diseases found as the cause, SSG Taylor will be subject to separation from the service. g. If after 12 months, but before 36 months from the date of the previous removal from the program, he is overweight again with no associated diseases found as the cause, SSG Taylor will have 90 days to meet the standards. Following the 90-day period if he is still overweight, SSG Taylor will be subject to separation from the service. h. Finally, there are no informal weight control programs or grace periods. Units that establish such programs have difficulty taking administrative action at a later date because of a lack of documented counseling and action and may lead to perceptions of favoritism. i. Maximum allowable percent body fat standards are as follows: Age Group 17-20 Male (% body fat) Female (% body fat) 20 30 Age Group 21-27 Male (% body fat) Female (% body fat) 22 32

Age Group 28-39 Male (% body fat Female (% body fat) 24 34

Age Group 40+ Male (% body fat) Female (% body fat) 26 36

68

Weight Control Counseling 1. Possible topics to discuss during counseling: o Weight and tape standards per AR 600-9. o The impact on the Soldiers career for failing the Army's weight standards. o Flagging action placed on the Soldier and its impact. o Placed in the unit's Special Physical Fitness program. o Medical screening. o Nutrition class. o Monthly weigh-in. o Consequences of failing to meet the standards of successful progress in losing weight while on the overweight program. 2. Possible Plan of Action: (Person counseled develops plan with counselors guidance.) o Get enrolled in the units Special Physical Fitness program. o Attend the Nutrition class. o Use the advice from the Nutrition class for a diet and sticking with the diet. o Weigh in every two to three days to monitor weight loss. o Inform the chain-of-command of any medical problems that may come up. 3. Possible Leaders Responsibilities: (This is only an example for you to use as a guide.) o o o o o o Enroll the Soldier in the units Weight Control Program. Flag Soldier for overweight. Schedule the Soldier for a medical screening. Schedule the Soldier for a Nutrition class. Monitor the Soldiers progress and weigh Soldier every 30 days. Do PT with the Soldier to give him moral support.

69

Highlights to Changes of AR 600-9

1. Changes to AR 600-9 which are noteworthy are as follows; (a) paragraph 214 (c) states; a. Maintain data as listed in 2-14f on Soldiers in their command or under their supervision who (1) Number of personnel tested for physical fitness and body fat. (2) Number of personnel who failed the physical fitness test. (3) Number of personnel in physical fitness remedial training. (4) Number of personnel who failed the body fat standards. (5) Number of personnel placed on the AWCP. (6) Number of personnel who successfully completed physical fitness remedial training. (7) Number of personnel who successfully completed the AWCP. b. Be prepared to submit the information above to HRC annually on a report that will be sent down at a later date. 2. Paragraph 3-2 b states, Soldiers not meeting body fat standards after 1 year from date of entry into the Active Army will be entered in the AWCP and flagged under the Provisions of AR 600-8-2 by the unit commander.

70

DEVELOPMENTAL COUNSELING FORM

For use of this form see FM 22-100.

DATA REQUIRED BY THE PRIVACY ACT OF 1974

AUTHORITY: 5 USC 301, Departmental Regulations; 10 USC 3013, Secretary of the Army and E.O. 9397 (SSN) PRINCIPAL PURPOSE: To assist leaders in conducting and recording counseling data pertaining to subordinates. ROUTINE USES: For subordinate leader development IAW FM 22-100. Leaders should use this form as necessary. DISCLOSURE: Disclosure is voluntary.

PART I - ADMINISTRATIVE DATA

Name (Last, First, MI) Rank / Grade Social Security No.

Taylor, Joe J.
Organization

SSG/E-6

000-00-0000

Date of Counseling

21 Oct XX
Name and Title of Counselor

YOUR UNIT

SFC Doe, Jane

PART II - BACKGROUND INFORMATION Purpose of Counseling: (Leader states the reason for the counseling, e.g. Performance/Professional or Event-Oriented counseling and includes the leaders facts and observations prior to the counseling):

21 Oct XX, Failure to meet your prescribed height and weight standards IAW with AR 600-9.

PART III - SUMMARY OF COUNSELING Complete this section during or immediately subsequent to counseling. Key Points of Discussion:

21 Oct XX, SSG Taylor, you are being counseled for exceeding your body fat standard by 1.5%, as outlined in AR 600-9. This will impact your career as far as any further favorable actions, i.e. awards and promotions, due to being flagged. You will be placed on the units Overweight Physical Fitness Program. You will be screened to ensure that you do not have any medical problems that could have contributed to your weight and to ensure that you can be put on a diet. If you are medically cleared to be placed on a diet you will attend a nutrition class to also assist you in your weight loss. You will be required to weigh-in on a monthly basis to ensure that you are making progress. You should try to lose between three to eight pounds per month. Failure to make satisfactory progress or achieve your body fat standards could result in separation from the service.

OTHER INSTRUCTIONS This form will be destroyed upon: reassignment (other than rehabilitative transfers), separation at ETS, or upon retirement. For separation requirements and notification of loss of benefits/consequences see local directives and AR 635-200.

DA FORM 4856, JUN 99

71

Plan of Action: (Outlines actions that the subordinate will do after the counseling session to reach the agreed upon goal(s). The actions must be specific enough to modify or maintain the subordinates behavior and include a specific time line for implementation and assessment (Part IV below):
z z z z z

Get enrolled in the units Physical Fitness Program. Attend a nutrition class. Use the advice from the nutrition class for a diet and maintain the diet. Weigh-in every three to four days to monitor weight loss. Inform the chain-of-command of any possible medical problems.

Session Closing: (The leader summarizes the key points of the session and checks if the subordinate understands the plan of action. The subordinate agrees/disagrees and provides remarks if appropriate): Individual counseled: I agree / disagree with the information above

Individual counseled remarks:

Signature of Individual Counseled: _________________________________________ Date: ____________________ Leader Responsibilities: (Leaders responsibilities in implementing the plan of action):
z z z z z z

Enroll SSG Taylor in the units Overweight Program. Flag SSG Taylor for being overweight. Schedule SSG Taylor for a medical screening. Schedule SSG Taylor for a nutrition class. Monitor SSG Taylors progress and weight loss every 30 days. Do PT with SSG Taylor to give him moral support.

Signature of Counselor: _________________________________________________ Date: _____________________

Part IV - ASSESSMENT OF THE PLAN OF ACTION

Assessment: (Did the plan of action achieve the desired results? This section is completed by both the leader and the individual counseled and provides useful information for follow-up counseling): Counselor: ____________________ Individual Counseled:_________________ Date of Assessment: ____________ Note: Both the counselor and the individual counseled should retain a record of the counseling. DA FORM 4856 (Reverse)

72

REPO RT TOSUSPEND FA V O RA BLE PERSO NNEL A C TIO NS (FLA G )

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73

Family Care Plans PROBLEM As a new commander, you want to be sure that all of your Soldiers are deployable. You ask your First Sergeant, also new, to bring you the companys Family Care Plans (FCP). The First Sergeant looks at you for a minute and asks, What Family Care Plans? BACKGROUND One of the issues your Squadron Commander has emphasized to you is FCP. You are vaguely familiar with FCP, but will have to read up on the regulation to be sure that you do them right. No one in the unit seems to know who needs an FCP. REFERENCE Army Regulation (AR) 600-20, Army Command Policy, Paragraph 5-5, dated 13 May 2002 POSSIBLE SOLUTION The first step in the process is to decide who is required to have an FCP. The best way is to use your squad leaders to help you screen your Soldiers. AR 60020 identifies the following Soldiers as being required to maintain FCP: a. A pregnant Soldier who has no spouse or ; who is divorced, widowed or separated; who is residing without her spouse; or who is married to another service member of an Active Component (AC) or Reserve Component (RC) of any service. b. A Soldier who; (1) has no spouse (2) is divorced (3) widowed (4) separated (5) residing apart from his or her spouse (6) who has joint or full legal and physical custody and physical custody of one or more dependent family members under the age of 19 (7) has an adult dependent family member(s) incapable of self-care regardless of age.** c. A Soldier who is divorced (not remarried) and who has liberal or extended visitation rights by court decree that would allow dependent family members to be solely in the Soldiers care in excess of 30 consecutive days.** d. A Soldier whose spouse is incapable of self-care or is otherwise physically, 74

mentally, or emotionally disabled so as to require special care or assistance. e. A Soldier categorized as half of a dual-military couple of the AC or RC of any service who has joint or full legal custody of one or more dependent family members under age 19 or who has adult dependent family member(s) incapable of self-care regardless of age. ** Includes single or divorced Soldiers who live in the barracks but have dependents. Unless commanders question Soldiers on whether they have dependents or do a SIDPERS query for dependents, these Soldiers are not usually identified as needing FCP. OTHER ACTIONS 1. As a commander, you need to be aware of changes involving family members such as a death, disability, legal separation, divorce and the custody of family members, adoption, foster care, guardianship, extended periods of absence by the spouse, etc. Any number of situations can change causing a requirement for a FCP. 2. Soldiers on permanent change of station status (PCS) to your unit who meet any of the criteria listed in 4a-e above need to be counseled concerning FCP. They should produce a valid FCP within 30 days of signing in to the unit (this may be extended for an additional 30 days per AR 600-20). The commander is responsible for validating the FCP. The plan should be detailed enough to convince you it can be implemented with little or no notice. Examples of that detail include: specifics of transportation of the dependents to the temporary guardian, medical power of attorney, ID cards (if required and authorized), and financial arrangements. 3. Re-certify FCP at least annually. This is done during the Soldiers birth month or when any changes in circumstances require updating of the FCP, when the Soldier is mobilized, deployed, or processed for overseas movement. This should be part of your SRP processing. 4. Commanders with questions about FCP should contact either their unit S-1, the G-1 at 847-1838, SJA at 847-1853 or the IG at 847-2044.

75

Family Care Plan Counseling A. Possible topics to discuss during counseling: 1. Complete the following forms for your Family Care Plan: a. DA Form 5304-R Family Care Plan Counseling Checklist b. DA Form 5305-R Family Care Plan c. DA Form 5840-R Certificates of Acceptance as Guardian or Escort (Long term and Short term) d. DA Form 5841-R Power of Attorney or equivalent delegation of legal control e. DD Form 1172 Application for Uniformed Services Identification Card DEERS Enrollment (Completed) Form f. DD Form 2558 Authorization to Stop, Start, or Change an Allotment for Active Duty or Retired Personnel; or other proof of financial support arrangements g. Letter of Instruction (Detailed) 2. Family Care Plan is complete IAW AR 600-20 3. Family Care Plan is outdated 4. Family Care Plan is incomplete B. Possible Plan of Action: (Person counseled develops plan with counselor's guidance.) 1. Keep the chain-of-command informed of any changes. 2. Provide the chai+n-of-command with updated forms. 3. Provide the chain-of-command with all missing forms. C. Possible Leader's Responsibilities: (This is only an example for you to use as a guide.) 1. Make necessary changes to the Family Care Plan when needed. 2. Recertify the Family Care Plan annually. 3. Start the separation process for failure to maintain a current, valid Family Care Plan IAW AR 635-200 if necessary. D. Voluntary separation; Counsel Soldiers when parenthood interferes with military responsibilities. AR 600-20, Paragraph 5-5 (d) and (e) reads as follows; d. Enlisted Soldiers will be counseled on voluntary and involuntary separation whenever parenthood interferes with military responsibilities (see DA Form 5305) under provision of (1) AR 635200 for AA Soldiers. (2) AR 135178 for USAR and Army National Guard of the United States (ARNGUS) Soldiers. 76

(3) AR 13591 for Army National Guard Soldiers. e. Officers will be counseled on voluntary and involuntary separations whenever parenthood interferes with military responsibilities (see DA Form 5305) under provision of (1) AR 600824 for AA Soldiers and USAR and officers serving on active duty or on active duty for training (ADT) for a period in excess of 90 days. (2) AR 135175 for ARNGUS and USAR Soldiers, except for officers serving on active duty or on ADT for a period in excess of 90 days. (3) NGR 635101 for Army National Guard Soldiers.

77

DEVELOPMENTAL COUNSELING FORM

For use of this form see FM 22-100.

DATA REQUIRED BY THE PRIVACY ACT OF 1974

AUTHORITY: 5 USC 301, Departmental Regulations; 10 USC 3013, Secretary of the Army and E.O. 9397 (SSN) PRINCIPAL PURPOSE: To assist leaders in conducting and recording counseling data pertaining to subordinates. ROUTINE USES: For subordinate leader development IAW FM 22-100. Leaders should use this form as necessary. DISCLOSURE: Disclosure is voluntary.

PART I - ADMINISTRATIVE DATA

Name (Last, First, MI) Rank / Grade Social Security No. Date of Counseling

Doe, Jane D.
Organization

PVT/E-1

000-00-0000

4 Jan XX
Name and Title of Counselor

YOUR UNIT

Joe Brown, SFC, NCOIC

PART II - BACKGROUND INFORMATION

Purpose of Counseling: (Leader states the reason for the counseling, e.g. Performance/Professional or Event-Oriented counseling and includes the leaders facts and observations prior to the counseling):

PVT Doe, you are being counseled on your Family Care Plan.

PART III - SUMMARY OF COUNSELING Complete this section during or immediately subsequent to counseling. Key Points of Discussion:

PVT Doe, you are being counseled on your Family Care Plan and the following forms must be completed:
z z z z z z

DA Form 5304-R DA Form 5305-R DA Form 5840-R DA Form 5841-R

Family Care Plan Counseling Checklist Family Care Plan Certificate of Acceptance as Guardian or Escort Power of Attorney or equivalent delegation of legal control DD Form 1172 Application for Uniformed Services Identification Card DEERS Enrollment (Completed) DD Form 2558 Authorization to Stop, Start, or Change an Allotment for Active Duty or Retired Personnel; or other proof of financial support arrangements Letter of Instruction (Detailed)

IAW AR 600-20, your Family Care Plan is complete.

OTHER INSTRUCTIONS This form will be destroyed upon: reassignment (other than rehabilitative transfers), separation at ETS, or upon retirement. For separation requirements and notification of loss of benefits/consequences see local directives and AR 635-200.

DA FORM 4856, JUN 99

EDITION OF JUN 85 IS OBSOLETE

78

Plan of Action: (Outlines actions that the subordinate will do after the counseling session to reach the agreed upon goal(s). The actions must be specific enough to modify or maintain the subordinates behavior and include a specific time line for implementation and assessment (Part IV below):

You are responsible for informing the chain-of-command of any changes that may affect your Family Care Plan.

Session Closing: (The leader summarizes the key points of the session and checks if the subordinate understands the plan of action. The subordinate agrees/disagrees and provides remarks if appropriate): Individual counseled: I agree / disagree with the information above

Individual counseled remarks:

Signature of Individual Counseled: _________________________________________ Date: ____________________ Leader Responsibilities: (Leaders responsibilities in implementing the plan of action):
z z

Make necessary changes to the family care plan when needed. Recertify the Family Care Plan annually.

Signature of Counselor: __________________ Date: _____________________

Part IV - ASSESSMENT OF THE PLAN OF ACTION

Assessment: (Did the plan of action achieve the desired results? This section is completed by both the leader and the individual counseled and provides useful information for follow-up counseling):

Counselor: ____________________ Individual Counseled:_________________ Date of Assessment: ____________ Note: Both the counselor and the individual counseled should retain a record of the counseling. DA FORM 4856 (Reverse)

79

DEVELOPMENTAL COUNSELING FORM

For use of this form see FM 22-100.

DATA REQUIRED BY THE PRIVACY ACT OF 1974

AUTHORITY: 5 USC 301, Departmental Regulations; 10 USC 3013, Secretary of the Army and E.O. 9397 (SSN) PRINCIPAL PURPOSE: To assist leaders in conducting and recording counseling data pertaining to subordinates. ROUTINE USES: For subordinate leader development IAW FM 22-100. Leaders should use this form as necessary. DISCLOSURE: Disclosure is voluntary.

PART I - ADMINISTRATIVE DATA

Name (Last, First, MI) Rank / Grade Social Security No. Date of Counseling

Doe, Jane D.
Organization

PVT/E-1

000-00-0000

4 Jan XX
Name and Title of Counselor

YOUR UNIT

Joe Brown, SFC, NCOIC

PART II - BACKGROUND INFORMATION

Purpose of Counseling: (Leader states the reason for the counseling, e.g. Performance/Professional or Event-Oriented counseling and includes the leaders facts and observations prior to the counseling):

PVT Doe, you are being counseled for your Family Care Plan being incomplete.
PART III - SUMMARY OF COUNSELING Complete this section during or immediately subsequent to counseling. Key Points of Discussion:

PVT Doe, you are being counseled on your Family Care Plan and the following forms must be completed (check what applies): z DA Form 5304-R Family Care Plan Counseling Checklist z DA Form 5305-R Family Care Plan z DA Form 5840-R Certificate of Acceptance as Guardian or Escort z DA Form 5841-R Power of Attorney or equivalent delegation of legal control z DD Form 1172 Application for Uniformed Services Identification Card DEERS Enrollment (Completed) z DA Form 2558 Authorization to Stop, Start, or Change an Allotment for Active Duty or Retired Personnel; or other proof of financial support Arrangements Letter of Instruction (Detailed) IAW AR 600-20, your Family Care Plan is incomplete. You are being informed that separation action may be initiated if this behavior continues under the provisions of AR 635-200, Involuntary Separations, due to misconduct (Chapter 14), unsatisfactory performance (Chapter 13), entry-level status performance and conduct (Chapter 11), or parenthood (Chapter 5-8). If separation action is initiated you could receive an Honorable, General, or Other than Honorable discharge. If you are separated prior to the expiration of your term of service, you may forfeit contributions to the G.I. Bill Education Program. You could also expect to encounter substantial prejudice in civilian life if a General or Other than Honorable discharge is issued to you. You may also be ineligible for many or all benefits as a veteran depending on the type of discharge issued if General or Other than Honorable. It is not likely that you would be successful in any attempt to have the character of your discharge changed.
OTHER INSTRUCTIONS This form will be destroyed upon: reassignment (other than rehabilitative transfers), separation at ETS, or upon retirement. For separation requirements and notification of loss of benefits/consequences see local directives and AR 635-200.

DA FORM 4856, JUN 99

EDITION OF JUN 85 IS OBSOLETE

80

Plan of Action: (Outlines actions that the subordinate will do after the counseling session to reach the agreed upon goal(s). The actions must be specific enough to modify or maintain the subordinates behavior and include a specific time line for implementation and assessment (Part IV below):
z

You are missing the following items: ______________________________________________________________ ______________________________________________________________ __ and have ______ days from today to correct these deficiencies.

Session Closing: (The leader summarizes the key points of the session and checks if the subordinate understands the plan of action. The subordinate agrees/disagrees and provides remarks if appropriate): Individual counseled: I agree / disagree with the information above

Individual counseled remarks:

Signature of Individual Counseled: _________________________________________ Date: ____________________ Leader Responsibilities: (Leaders responsibilities in implementing the plan of action):
z

Start the separation process for failure to maintain a current, valid Family Care Plan IAW AR 635-200 if necessary.

Signature of Counselor: _________________________________________________ Date: _____________________

Part IV - ASSESSMENT OF THE PLAN OF ACTION

Assessment: (Did the plan of action achieve the desired results? This section is completed by both the leader and the individual counseled and provides useful information for follow-up counseling):

Counselor: ____________________ Individual Counseled:_________________ Date of Assessment: ____________ Note: Both the counselor and the individual counseled should retain a record of the counseling. DA FORM 4856 (Reverse)

81

DEVELOPMENTAL COUNSELING FORM

For use of this form see FM 22-100.

DATA REQUIRED BY THE PRIVACY ACT OF 1974

AUTHORITY: 5 USC 301, Departmental Regulations; 10 USC 3013, Secretary of the Army and E.O. 9397 (SSN) PRINCIPAL PURPOSE: To assist leaders in conducting and recording counseling data pertaining to subordinates. ROUTINE USES: For subordinate leader development IAW FM 22-100. Leaders should use this form as necessary. DISCLOSURE: Disclosure is voluntary.

PART I - ADMINISTRATIVE DATA

Name (Last, First, MI) Rank / Grade

Doe, Jane D.
Organization

PVT/E-1

Social Security No.

Date of Counseling

4 Jan XX

000-00-0000
Name and Title of Counselor

YOUR UNIT

Joe Brown, SFC, NCOIC

PART II BACKGROUND INFORMATION

Purpose of Counseling: (Leader states the reason for the counseling, e.g. Performance/Professional or Event-Oriented counseling and includes the leaders facts and observations prior to the counseling):

PVT Doe, you are being counseled for your Family Care Plan being outdated.
PART III - SUMMARY OF COUNSELING Complete this section during or immediately subsequent to counseling.

Key Points of Discussion:

PVT Doe, you are being counseled on your Family Care Plan and the following forms are outdated (check what applies): z DA Form 5304-R Family Care Plan Counseling Checklist z DA Form 5305-R Family Care Plan z DA Form 5840-R Certificate of Acceptance as Guardian or Escort z DA Form 5841-R Power of Attorney or equivalent delegation of legal control z DD Form 1172 Application for Uniformed Services Identification Card DEERS Enrollment (Completed) z DD Form 2558 Authorization to Stop, Start, or Change an Allotment for Active Duty or Retired Personnel; or other proof of financial support arrangements z Letter of Instruction (Detailed) IAW AR 635-200, your Family Care Plan is outdated. You are being informed that separation action may be initiated if this behavior continues under the provisions of AR 635-200, Involuntary Separations, due to misconduct (Chapter 14), unsatisfactory performance (Chapter 13), entry level status performance and conduct (Chapter 11), or parenthood (Chapter 5-8). If separation action is initiated you could receive an Honorable, General, or Other than Honorable discharge. If you are separated prior to the expiration of your term of service, you may forfeit contributions to the G.I. Bill Education Program. You could also expect to encounter substantial prejudice in civilian life if a General or Other than Honorable discharge is issued to you. You may also be ineligible for many or all benefits as a veteran depending on the type of discharge issued if General or Other than Honorable. It is not likely that you would be successful in any attempt to have the character of your discharge changed.
OTHER INSTRUCTIONS This form will be destroyed upon: reassignment (other than rehabilitative transfers), separation at ETS, or upon retirement. For separation requirements and notification of loss of benefits/consequences see local directives and AR 635-200.

DA FORM 4856, JUN 99

EDITION OF JUN 85 IS OBSOLETE

82

Plan of Action: (Outlines actions that the subordinate will do after the counseling session to reach the agreed upon goal(s). The actions must be specific enough to modify or maintain the subordinates behavior and include a specific time line for implementation and assessment (Part IV below):
z

The following items: _____________________________________________________________ _____________________________________________________________ ___ are outdated and you have ________ days from today to correct these deficiencies.

Session Closing: (The leader summarizes the key points of the session and checks if the subordinate understands the plan of action. The subordinate agrees/disagrees and provides remarks if appropriate): Individual counseled: I agree / disagree with the information above

Individual counseled remarks:

Signature of Individual Counseled: _________________________________________ Date: ____________________ Leader Responsibilities: (Leaders responsibilities in implementing the plan of action):
z

Start separation process for failure to maintain a current, valid Family Care Plan IAW AR 635-200 if necessary.

Signature of Counselor: _________________________________________________ Date: _____________________

Part IV - ASSESSMENT OF THE PLAN OF ACTION

Assessment: (Did the plan of action achieve the desired results? This section is completed by both the leader and the individual counseled and provides useful information for follow-up counseling):

Counselor: ____________________ Individual Counseled:_________________ Date of Assessment: ____________ Note: Both the counselor and the individual counseled should retain a record of the counseling. DA FORM 4856 (Reverse)

83

FA MILY CA RE PLA N CO UNSELINGCHECKLIST

For use of th is form , se e AR 600-20 ; the propo nent agencyis O DCS PER

AUTHO RITY:

PRIVACY A CTSTA TEMENT 10U.S .C.Sectio n3013,Secretaryo f th eA rmy:A rmyReg ulatio n 600-20,A rmyC o m man dPolicyan dE .O 9397 (SSN). Toem ph asize tosold iers th esig n ifican ce o f th eir resp o n sibilities toth em ilitary serv icean d th eir fam ily m em b ers w h ileperfo rm in greq uiredm ilitary d u ties.

PRINCIPA LPURPO SE: RO UTINE USES: DISCLO SURE: No n e.

M an d ato ry;Failu reto m aintain aFam ilyC arePlan co u ldsub ject thesold ier to separatio n , ad min istrativ e UC MJ.

actio n ,o r discip linary actio nun d er th e

C arefu lp lan n in g is req uired to en sure ad eq u ate care of fam ily m emb ers wh ile perfo rmin g req u ired m ilitary d uties. Preg nan t so ld iers, sing le p aren ts, an d du al-m ilitary co u p les w ith fam ily m em b ers will b e co u n seled in acco rd ance w ith A R600-20. Th e sold ier an dth e co m m an din go fficer (o rd esig nated represen tativ e) w ill initial eachitemo n th echecklist. PA RTI -A CTIVE ARMYANDRESERVE CO MPO NENT
A. I amreceivingFam ily Care Pla n cou nseling bym yc om m an der (or de signa ted repres entative) because m ycurren t fam ily statu s is: 1. Apregnan t soldie rw ho: a. Has nospouse;is divorc ed; w idow ed, or se parated;or is res iding w ithout her spouse. b. Is m a rriedto a nothe r servicem em be r of AC or RC o f anyserv ice (Arm y, Air Force,Navy, M arines,Coast Guard). 2. Asoldie rw ho has no spous e; is divorc ed, w idow ed, or se parate d or is residing a part from his/her spouse ;w ho has jo int or full legal and ph ysical custodyof on e or m ore fa m ily m em bersunder age 1 8or w ho hasadult fam ily m em bers incapab le of self-c are re gardle ss of age. 3. A soldier w h o is divorced (not rem arried) and w ho has liberal or extendedvisita tion rightsby cou rt dec ree w h ich w o uld allowfa m ily m em bersto be solely in the so ldier'scare inexcess o f 30 con secutivedays. 4. A soldier w ho se sp ouse is in capab le of self-care or is oth erw is e phy sically, m entally, o r em o tiona lly d isabled so as to req uire special ca re or assistance. 5. A soldier catego rizedas half of adualm ilita ry cou ple of the A C or R C of a ny service (Arm y, Air Force,Navy,M arines , Coast Guard) w ho hasjoint or full legal custody of one o rm ore fam ily m em bers und er ag e 18or w h o hasadult fam ily m em bers inc apable of selfcareregardlessof a ge. B. I understa nd th at I m ust arran ge fo r thecareof m y fam ily m em ber (s) so as to be: (1) Available for duty w hen and w here the nee ds of the Arm y dic tate; (2) Ab le to perform m ya ssigne dm ilitary d uties w ithou t inte rfe ren ce of fam ily responsibilities. C. I ha ve bee n coun seledon theim portanceof: 1. S electing qua lified, reliable , an d stable gua rdia ns (tem pora ry andlongterm ), w homI w ouldhave no reservatio ns about entrustin g the sole care of m y fam ily m em b ers,and w ho are both cap ableand w illin g tocarefor themin m yabsen ce. 2. Providing m ax im um inform a tion to guardians on the full extent of th eir re sponsibilities and on procedures for gaining acc ess to m ilitary/civilian facilities,services,entitlem en ts an d ben efitson b ehalf of m y fam ily m em ber(s). 3. Providing all neces sary d ocum en tationand financial sup port s o that the d esigna ted gu ardian s haveevery thingnecess ary toact in that capac ity. D. I understand that des igna ted guardian sm u st b e ab le to as sum e res pons ibility for m y fam ily m e m ber(s) during any p eriods of ab sen ce to inc lud e: during duty hours, alerts, fieldduty, roster du ty, TDY ,deploym ents, AT ,M UTAs,ADT, or in theevent of hospita lization , or oth er perio ds of ab sence fo rm ilita ry duty, em ergen ciesor unex pected c ircu m sta nces . E. I understand tha t I am fully res pons ible for m ak ing all nece ssary arrang em en ts (housing, e ducational, leg al, transp ortation, finan cial, religious , spe cial, etc.) to ensure a sm ooth,rapid turnover of fam ilym em b er ca re re spons ibilitiesin ca se th e pla n isim ple m ente d.

S O LDIE R

C O M M A NDE R

F. I understan d that I m ust initia te legal d ocum entation such asthe pow er of attorn ey for gua rdianship(DAForm5841-R) w hichw ill authorize gu ardian (s) to act in loco parentis; to p erformany and all ac ts as fully toall in tents a nd purp oses asI m igh t or co uld if persona lly pre sent; to autho rize fo r the c are and treatm ent of m y fam ily m e m ber(s) regardless of w hether on an e m ergenc y basis , or fo r routine care , inclu ding all m ajor surgery deem e d neces sary bya duly licensed staff physicia na ta ny m ilita ry or civ ilian hos pital; to re gis ter m y ch ild (ren) in school, and to grant or tow ithh old pe rm issions asm y attorneyshall deemap prop riate.

G. I un dersta nd tha t designatedguard ians m ust su bm it n otariz ed certifica tes of accep tance(DAForm5840-R) agreeing to ac cept full re sponsibilityfor m y fam ily m em ber ( s); attesting that they hav e received all necess ary andessential doc um ents;and attestingto the fact that they have been provided in form ation on ho w to g ain ac ces s to m ilitary/c ivilia n facilities ,s erv ice s, entitlem e nts an db ene fits o nb eha lf of m y fam ily m em ber(s).

DAFO RM 5304-R, APR 1999

DA FO RM5304-R, MAR 92 ISO BS O LETE

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PA RTI -A CT IV EA RM YA N DRESERV ECO M PO N EN T (C o n tin ued )

H . I understand that I m ust m ain tain in m yF am ily Ca re P lan, a D D Fo rm 1 1 7 2for each fam ily m em b er to en sure the iss ue/renew al o fU n iform ed S erv ices IdentificationCardsin m yabsen ce. I. I understand that m y Fam ily C are Plan m us t be upd ated and rec ertifiedbym yc om m a nder at leas t an nually (m oreoftenif req uiredby m ycom m an der or m ission of m y unit) , or in the even t of an y chang e in m yfam ilystatus , guard ians, legal cu stody,duty station,etc. J. I u ndersta nd that it isstrongly encou raged (though not m anda tory) that I en sure that I hav e an updated w ill w h ich s pecifies m y des iresconce rning custodyof m y fam ily m e m ber (s) in theevent of m y dea th. K. I understand that there are voluntary a nd inv olu nta ry pro ced ure s for m y sep ara tio n fromm ilitary se rvice w he nm yp are nta l resp ons ibilitiesin terfere w ith the pe rform anceof m ym ilitarydutie s. L. I understand that I w ill receive n o sp ecia l co nsid eration in d uty assignm e ntsor d uty stationsbas ed o nm y res pons ibility for m y fam ily m e m ber(s) unless enrolled intheExcep tiona l Fam ily M em ber Prog ram(EFM P) in accordance w ith A R6 0 8 -7 5 . M . I understand that I amfully res ponsible for all tra nsportatio n arrangem entsand c ostsperta ining to transp ortation o f fam ily m em ber (s) to g uardian or guardian todepe ndent fam ily m e m ber (s). N . If I amassignedO CO N U S , I understa nd that I m ust ide ntify anescort fo rm y fam ily m em ber (s) in the even t that N oncom b atant E vacuation O perations (N EO ) areput in to effect. O . If N EO p rocedu res are not initia ted at the tim e I am req uired to im p lem ent m y Fa m ily C are Plan, I unders tand that I m ay re quest the op portun ity to personally escort m y fam ily m em be r(s) b ack to CO N U S if tim e and the nature of the m ilita ry situ ation p erm its, and m y com m an der app roves. I also understand that I m ay req uest app rova l fo r th e de sign ated gua rdia n to res ide in m y go vern m ent qua rters inm yabse nce. Ifurther unde rsta nd that theA rm y w ill not be resp onsible for reim burs em en t of any tra vel costs in curred b y th e gu ardian o r es cort unlessthey are oth erw ise e ligible unde r th eir ow nm ilitary fam ilym em be r status.

S O LD IE R

C O M M A N D E R

P. I understand that m e m bersof a dual-m ilitary couple m ay subm it th e sam e bas ic Fa m ily Care Plan to bo th co m m and ers, provided that n eithe rm ilitary m em ber is identified as the long-te rmgua rdian in the plan. T he origin al Fam ily Ca re Pla nw ill be m a intain ed by the co m m a nde ro f the m ilita rym em ber le ast likely to deploy,w ith acopy o f the D AForm5 3 0 5 -Rforw ard ed to the spou se'sco m m ander. If b oth m ilitary m em bersare equ ally likely todeploy , the o riginal w ill be filed w ith the A rm ym em ber'sco m m and er an da c opy w ith the co m m and er of theother serv ice. If b oth a re A rm ym e m bersandequally likelyto de ploy, it isinconse quential w hich com m ander hasthe original,so lo ng asboth c om m and ersha ve cop iesinthe u nit files.

Q . I understand that I s hould p rovidelettersof ins tructio n outlining all special arra ngem entsand instructionsth e guard iansor escort shouldbe aw a re of (S ee Figure 5 -4 ,A R6 0 0 -2 0 ). R. I have received cop iesof all therequired form sand d ocum entation,and kno ww homto contact inthe eve nt I ha ve additional questio nsor n eed add itional assistance in prep aringthe Fa m ily C are Plan. S . I understand that I m ust subm it the c om plete Fam ily C are Plan w ith all attend ant docu m ents to m y com m ande rw ithin the tim e lim itsspe cified b ym y com m a nde r (or de signa ted repres entative): A A3 0daysfromdate of thiscounseling session. RC 6 0daysfro mdate of th iscounselin g session. T . I unde rstand that it ism y res ponsibility to n otify m ycom m and er in ad vance if I amaw are of a ny circu m stancesbeyondm y control that m ight prevent m e fromm eeting the sub m issio n dead lines. T hecom m an der isautho rizedto gra nt a o ne-tim e exte nsionof 3 0daysb ased o n exte nuatin g circ um stan ces.

PA RTII -A CT IV EA RM YA N DRCSERV IN GO NA CT IV ED U T Y
Policies, Provision s, Entitlem ents, Bene fits, a nd S erv ices: A . Policiesg overningdeletionor deferm ent fromassignm en t instruc tionsbec ause of p ersonal reasons. S ee Chapter 3 ,A R6 1 4 -2 0 0 (A Aenlisted) or C hapter 6 ,A R6 14 -1 0 0 (A Aofficers) or A R1 3 5 -9 1 (RC). B. Policiesgov erning reass ignm ent elig ibility. A ll so ldie rs a re e xpec ted to s erve CO N U Sa nd O CO N U S to urs(includ ing unac com p anie d to urs) . T h e nee ds of the S ervice providethe basisfor selecting a sold ier for re assignm ent in accord ance w ithA R6 1 4 -3 0 ,A R6 1 4 -2 0 0 , and A R6 1 4 -1 0 0 . C. Entitle m entstoassignm ent of g overnm en t or payof basic allow a ncesfor quarters. S eeChapter 1 0 ,A R2 1 0 -5 0 . D . Policiesgoverning entitlem en t to basic allo w ance for subsistenc e, ap plica tion proce dures , and paym ent. T hes e are contained in C hapte r1 , part 3 ,A R 3 7 -1 0 4 -3 ; and Ch apter 2 0 ,D oDM ilitary Payand A llow anc esEntitlem en tsM anual. E. Provisionsfor applyin g for conc urren t tra vel o f fam ily m em bersw he n ale rtedfor o verse asm o vem en tA pp rovedjoin t dom icileassignm en tsdonot constitute authority to m ove fam ily m em b ersto the o vers eascom m and at g overnm en t ex pens e. A pplicationfor fam ily m em be r travel m us t bem ad e inacc orda ncew ith A R5 5 -4 6 .

PA G E2 ,D AFO RM5 3 0 4 -R, A PR1 9 9 9

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B. 1 .

I (W e) have designated th e follow in g ind ividu al(s) as p rincipal long-term g uardian(s) for m y(ou r) fa m ily m em be r(s). The designate d gua rdian (s) residein the co ntine ntal Unite dS ta tes o r United S tates territories. T Y PEDO R PRINTEDNA M E 2a. CO M PLET EA DDRES S (Includ ing S treet, A pa rtm en t Num ber, P.O . Box Num b er, Rura l RouteNum ber,City, S tate, andZIP +4 w hereapp lica ble)

3 .

T ELEPHO NE NUM BER (Includ eA rea C ode) 2b. E-M A IL A DDRES S

C. 1 .

I (W e) have des ignatedthe fo llow ingindividual(s)as esc ort for m y(our) fam ily m em be r(s) if evacua tion fromO CO N USbeco m es nec essary(applie s onlyto pers ons ass igned O CO NUS ): T Y PEDO R PRINTEDNA M E 2a. CO M PLET EA DDRES S (Includ ing S treet, A pa rtm en t Num ber, P.O . Box Num b er, Rura l RouteNum ber,City, S tate, andZIP +4 w hereapp lica ble)

3 .

T ELEPHO NE NUM BER (Includ eA rea C ode) 2b. E-M A IL A DDRES S

PART III - DUAL MIL ITARY C OU PLES O NLY MILITARY SPOUSE ANDC O MMAND ER C ERTIFIC ATION
A . 1 . Spouse: W e havem adearran gem en ts an dw ill m aintainarra ngem e nts for th e care of our fam ilym em b er(s)in a ll circum s tance s req uiredby o ur co m m itm ent to them ilitaryand o ur fa m ily. S IG NA T URE O FS PO US E 2. DA TE (Y Y Y Y /M M /DD)

3 .

T Y PEDO R PRINTED NA M EO FS PO US E
a. IN IT. b . IN IT. c. IN IT.

4 .

S S N
d . IN IT. e. IN IT.

D A TE

D A TE

D A TE

D A TE

D A TE

5 . B. 1 .

Recertification Com m ander: I have counseled the m ilitaryspou se as signe d tom y un it, review ed th e Fam ily C are P lan,and I ams atisfied that the m e m bershavem adeadeq uatefam ily care arrangem ents. S IG NA T URE O F CO M M A NDER 2 . DA T E 3. UNITA DDRES S

4 .

T Y PEDO R PRINTEDNA M EO F CO M M A NDER

a. IN IT. b . IN IT. c. IN IT. d . IN IT. e. IN IT.

D A TE

D A TE

D A TE

D A TE

D A TE

5 .

Recertification

PART IV- SOLDIERAND C OMMA NDER C ERT IFIC ATIO N

A . 1 . Soldier: I (W e) ha ve m ade arra ngem ents and w ill m a inta in a rran gem e nts for the care of m y(o ur) fam ily m em be r(s) in all circ um stance s re quired b ym y (our) co m m itm ent to the m ilitary and m y( our) fam ily. S IG NA T URE O FS O LDIER 2. DA TE (Y Y Y Y /M M /DD)

3 .

T Y PEDO R PRINTEDNA M EO FS O LDIER

a. IN IT. b . IN IT. c. IN IT.

4 .

S S N
d . IN IT. e. IN IT.

D A TE

D A TE

D A TE

D A TE

D A TE

5 . B. 1 .

Recertification Com m ander: I have review ed the Fam ily Ca re P lan, and I a m sa tisfied that the m em bers hav em a de a dequ ate fam ily c are arra ngem entstha tw ill a llowfor a full rang e of m ilitary du ties and for w orldw ide a vailabilityas d efin ed h ere. S IG NA T URE O F CO M M A NDER 2 . DA T E 3. UNITA DDRES S

4 .

T Y PEDO R PRINTEDNA M EO F CO M M A NDER

a. IN IT. b . IN IT. c. IN IT. d . IN IT. e. IN IT.

D A TE

D A TE

D A TE

D A TE

D A TE

5 .

Recertification

REVERSE O F DAFO RM5305-R,A PR 1999

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C ERTIFIC A TE O FA C CEPTA NCE A SG U A RD IA NO R ESC O RT

For use of th isform , se eA R6 0 0 -2 0 ; the propo nent agencyisO D CS PER

PRIV A CYA CTST A T EM EN T A U T H O RIT Y: PRIN CIPA LPU RPO SE: RO U T IN EU SES: D ISCLO SU RE: 1 0U .S .C .S ec tio n3 0 13 ,S ecreta ry o f theA rm y:A rm yR e g u latio n6 0 0 -2 0,A rm yC o m m an dPo licyandE .O .9 3 9 7(S S N ). G u a rd ian 'sag reem en t toc arefo r a so ld ier'sch ild(ren)inh is o rh e ra b sen ce. N o n e. V o lu n tary ;H o w ev er, failuretop ro vid eall therequ estedin fo rm atio nco u ldlea dtorejectio no f asold ier'sF am ily C are Plan .

w as p rovid edan o rig in al D AFo rm5 8 4 1-R

(Po w er o fA tto rn ey) o ro th er leg ally su fficien t au th o rityn am in gm e as g uard ian/esco rt fo r:

N A M E (s) /AG E (s) O FF A M IL YM E M B E RS

fam ilym em b ers o f:

N A M E (s) S S N (s)

I ag ree to accep t resp o n sib ility fo r th ese fam ily m em b ers. I h av e received all n ecessary do cu m ents requ ired to p rovid e fin an cial, m ed ical, ed u catio n al, q u arters, and su b sisten ce su p po rt for th ese fam ily m em b ers. I h ave b een b riefed o np ro cedu res fo r accessin gm ilitary/civilian facilities, services, b en efits, an d en titlem en ts o nb eh alf o f th ese fam ily m em b ers.
T Y PE DO RPR IN T E DN A M EO FG U A R D IA N A D D R E S S (In clud e ZIP C od e )

S IG N A T U R E

D A T E (Y Y Y Y /M M /D D )

T E L E PHO N EN UM B E R (In c lu deA re aCo d e)

E -M A IL A D D R E S S

N O T A RY:

S T A T EO F C O U N T YO F A ckn o w led g edb efo re m e th is d ayo f ,

(N otaryPublic)

M yco m m issio nex p ires: D AFO RM 5 8 4 0 -R, A PR 1 9 9 9

D AFO RM5 8 4 0 -R, MA R9 2ISO BS O LET E

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C ERTIFIC A TE O FA C CEPTA NCE A SG U A RD IA NO R ESC O RT

For use of th isform , se eA R6 0 0 -2 0 ; the propo nent agencyisO D CS PER

PRIV A CYA CTST A T EM EN T A U T H O RIT Y: PRIN CIPA LPU RPO SE: RO U T IN EU SES: D ISCLO SU RE: 1 0U .S .C .S ec tio n3 0 13 ,S ecreta ry o f theA rm y:A rm yR e g u latio n6 0 0 -2 0,A rm yC o m m an dPo licyandE .O .9 3 9 7(S S N ). G u a rd ian 'sag reem en t toc arefo r a so ld ier'sch ild(ren)inh is o rh e ra b sen ce. N o n e. V o lu n tary ;H o w ev er, failuretop ro vid eall therequ estedin fo rm atio nco u ldlea dtorejectio no f asold ier'sF am ily C are Plan .

w as p rovid edan o rig in al D AFo rm5 8 4 1-R

(Po w er o fA tto rn ey) o ro th er leg ally su fficien t au th o rityn am in gm e as g uard ian/esco rt fo r:

N A M E (s) /AG E (s) O FF A M IL YM E M B E RS

fam ilym em b ers o f:

N A M E (s) S S N (s)

I ag ree to accep t resp o n sib ility fo r th ese fam ily m em b ers. I h av e received all n ecessary do cu m ents requ ired to p rovid e fin an cial, m ed ical, ed u catio n al, q u arters, and su b sisten ce su p po rt for th ese fam ily m em b ers. I h ave b een b riefed o np ro cedu res fo r accessin gm ilitary/civilian facilities, services, b en efits, an d en titlem en ts o nb eh alf o f th ese fam ily m em b ers.
T Y PE DO RPR IN T E DN A M EO FG U A R D IA N A D D R E S S (In clud e ZIP C od e )

S IG N A T U R E

D A T E (Y Y Y Y /M M /D D )

T E L E PHO N EN UM B E R (In c lu deA re aCo d e)

E -M A IL A D D R E S S

N O T A RY:

S T A T EO F C O U N T YO F A ckn o w led g edb efo re m e th is d ayo f ,

(N otaryPublic)

M yco m m issio nex p ires: D AFO RM 5 8 4 0 -R, A PR 1 9 9 9

D AFO RM5 8 4 0 -R, MA R9 2ISO BS O LET E

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89

90

FA MILY CA RE PLA N CO UNSELINGCHECKLIST

For use of th is form , se e AR 600-20 ; the propo nent agencyis O DCS PER

AUTHO RITY:

PRIVACY A CTSTA TEMENT 10U.S .C.Sectio n3013,Secretaryo f th eA rmy:A rmyReg ulatio n 600-20,A rmyC o m man dPolicyan dE .O 9397 (SSN). Toem ph asize tosold iers th esig n ifican ce o f th eir resp o n sibilities toth em ilitary serv icean d th eir fam ily m em b ers w h ileperfo rm in greq uiredm ilitary d u ties.

PRINCIPA LPURPO SE: RO UTINE USES: DISCLO SURE: No n e.

M an d ato ry;Failu reto m aintain aFam ilyC arePlan co u ldsub ject thesold ier to separatio n , ad min istrativ e UC MJ.

actio n ,o r discip linary actio nun d er th e

C arefu lp lan n in g is req uired to en sure ad eq u ate care of fam ily m emb ers wh ile perfo rmin g req u ired m ilitary d uties. Preg nan t so ld iers, sing le p aren ts, an d du al-m ilitary co u p les w ith fam ily m em b ers will b e co u n seled in acco rd ance w ith A R600-20. Th e sold ier an dth e co m m an din go fficer (o rd esig nated represen tativ e) w ill initial eachitemo n th echecklist. PA RTI -A CTIVE ARMYANDRESERVE CO MPO NENT
A. I amreceivingFam ily Care Pla n cou nseling bym yc om m an der (or de signa ted repres entative) because m ycurren t fam ily statu s is: 1. Apregnan t soldie rw ho: a. Has nospouse;is divorc ed; w idow ed, or se parated;or is res iding w ithout her spouse. b. Is m a rriedto a nothe r servicem em be r of AC or RC o f anyserv ice (Arm y, Air Force,Navy, M arines,Coast Guard). 2. Asoldie rw ho has no spous e; is divorc ed, w idow ed, or se parate d or is residing a part from his/her spouse ;w ho has jo int or full legal and ph ysical custodyof on e or m ore fa m ily m em bersunder age 1 8or w ho hasadult fam ily m em bers incapab le of self-c are re gardle ss of age. 3. A soldier w h o is divorced (not rem arried) and w ho has liberal or extendedvisita tion rightsby cou rt dec ree w h ich w o uld allowfa m ily m em bersto be solely in the so ldier'scare inexcess o f 30 con secutivedays. 4. A soldier w ho se sp ouse is in capab le of self-care or is oth erw is e phy sically, m entally, o r em o tiona lly d isabled so as to req uire special ca re or assistance. 5. A soldier catego rizedas half of adualm ilita ry cou ple of the A C or R C of a ny service (Arm y, Air Force,Navy,M arines , Coast Guard) w ho hasjoint or full legal custody of one o rm ore fam ily m em bers und er ag e 18or w h o hasadult fam ily m em bers inc apable of selfcareregardlessof a ge. B. I understa nd th at I m ust arran ge fo r thecareof m y fam ily m em ber (s) so as to be: (1) Available for duty w hen and w here the nee ds of the Arm y dic tate; (2) Ab le to perform m ya ssigne dm ilitary d uties w ithou t inte rfe ren ce of fam ily responsibilities. C. I ha ve bee n coun seledon theim portanceof: 1. S electing qua lified, reliable , an d stable gua rdia ns (tem pora ry andlongterm ), w homI w ouldhave no reservatio ns about entrustin g the sole care of m y fam ily m em b ers,and w ho are both cap ableand w illin g tocarefor themin m yabsen ce. 2. Providing m ax im um inform a tion to guardians on the full extent of th eir re sponsibilities and on procedures for gaining acc ess to m ilitary/civilian facilities,services,entitlem en ts an d ben efitson b ehalf of m y fam ily m em ber(s). 3. Providing all neces sary d ocum en tationand financial sup port s o that the d esigna ted gu ardian s haveevery thingnecess ary toact in that capac ity. D. I understand that des igna ted guardian sm u st b e ab le to as sum e res pons ibility for m y fam ily m e m ber(s) during any p eriods of ab sen ce to inc lud e: during duty hours, alerts, fieldduty, roster du ty, TDY ,deploym ents, AT ,M UTAs,ADT, or in theevent of hospita lization , or oth er perio ds of ab sence fo rm ilita ry duty, em ergen ciesor unex pected c ircu m sta nces . E. I understand tha t I am fully res pons ible for m ak ing all nece ssary arrang em en ts (housing, e ducational, leg al, transp ortation, finan cial, religious , spe cial, etc.) to ensure a sm ooth,rapid turnover of fam ilym em b er ca re re spons ibilitiesin ca se th e pla n isim ple m ente d.

S O LDIE R

C O M M A NDE R

F. I understan d that I m ust initia te legal d ocum entation such asthe pow er of attorn ey for gua rdianship(DAForm5841-R) w hichw ill authorize gu ardian (s) to act in loco parentis; to p erformany and all ac ts as fully toall in tents a nd purp oses asI m igh t or co uld if persona lly pre sent; to autho rize fo r the c are and treatm ent of m y fam ily m e m ber(s) regardless of w hether on an e m ergenc y basis , or fo r routine care , inclu ding all m ajor surgery deem e d neces sary bya duly licensed staff physicia na ta ny m ilita ry or civ ilian hos pital; to re gis ter m y ch ild (ren) in school, and to grant or tow ithh old pe rm issions asm y attorneyshall deemap prop riate.

G. I un dersta nd tha t designatedguard ians m ust su bm it n otariz ed certifica tes of accep tance(DAForm5840-R) agreeing to ac cept full re sponsibilityfor m y fam ily m em ber ( s); attesting that they hav e received all necess ary andessential doc um ents;and attestingto the fact that they have been provided in form ation on ho w to g ain ac ces s to m ilitary/c ivilia n facilities ,s erv ice s, entitlem e nts an db ene fits o nb eha lf of m y fam ily m em ber(s).

DAFO RM 5304-R, APR 1999

DA FO RM5304-R, MAR 92 ISO BS O LETE

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PA RTI -A CT IV EA RM YA N DRESERV ECO M PO N EN T (C o n tin ued )

H . I understand that I m ust m ain tain in m yF am ily Ca re P lan, a D D Fo rm 1 1 7 2for each fam ily m em b er to en sure the iss ue/renew al o fU n iform ed S erv ices IdentificationCardsin m yabsen ce. I. I understand that m y Fam ily C are Plan m us t be upd ated and rec ertifiedbym yc om m a nder at leas t an nually (m oreoftenif req uiredby m ycom m an der or m ission of m y unit) , or in the even t of an y chang e in m yfam ilystatus , guard ians, legal cu stody,duty station,etc. J. I u ndersta nd that it isstrongly encou raged (though not m anda tory) that I en sure that I hav e an updated w ill w h ich s pecifies m y des iresconce rning custodyof m y fam ily m e m ber (s) in theevent of m y dea th. K. I understand that there are voluntary a nd inv olu nta ry pro ced ure s for m y sep ara tio n fromm ilitary se rvice w he nm yp are nta l resp ons ibilitiesin terfere w ith the pe rform anceof m ym ilitarydutie s. L. I understand that I w ill receive n o sp ecia l co nsid eration in d uty assignm e ntsor d uty stationsbas ed o nm y res pons ibility for m y fam ily m e m ber(s) unless enrolled intheExcep tiona l Fam ily M em ber Prog ram(EFM P) in accordance w ith A R6 0 8 -7 5 . M . I understand that I amfully res ponsible for all tra nsportatio n arrangem entsand c ostsperta ining to transp ortation o f fam ily m em ber (s) to g uardian or guardian todepe ndent fam ily m e m ber (s). N . If I amassignedO CO N U S , I understa nd that I m ust ide ntify anescort fo rm y fam ily m em ber (s) in the even t that N oncom b atant E vacuation O perations (N EO ) areput in to effect. O . If N EO p rocedu res are not initia ted at the tim e I am req uired to im p lem ent m y Fa m ily C are Plan, I unders tand that I m ay re quest the op portun ity to personally escort m y fam ily m em be r(s) b ack to CO N U S if tim e and the nature of the m ilita ry situ ation p erm its, and m y com m an der app roves. I also understand that I m ay req uest app rova l fo r th e de sign ated gua rdia n to res ide in m y go vern m ent qua rters inm yabse nce. Ifurther unde rsta nd that theA rm y w ill not be resp onsible for reim burs em en t of any tra vel costs in curred b y th e gu ardian o r es cort unlessthey are oth erw ise e ligible unde r th eir ow nm ilitary fam ilym em be r status.

S O LD IE R

C O M M A N D E R

P. I understand that m e m bersof a dual-m ilitary couple m ay subm it th e sam e bas ic Fa m ily Care Plan to bo th co m m and ers, provided that n eithe rm ilitary m em ber is identified as the long-te rmgua rdian in the plan. T he origin al Fam ily Ca re Pla nw ill be m a intain ed by the co m m a nde ro f the m ilita rym em ber le ast likely to deploy,w ith acopy o f the D AForm5 3 0 5 -Rforw ard ed to the spou se'sco m m ander. If b oth m ilitary m em bersare equ ally likely todeploy , the o riginal w ill be filed w ith the A rm ym em ber'sco m m and er an da c opy w ith the co m m and er of theother serv ice. If b oth a re A rm ym e m bersandequally likelyto de ploy, it isinconse quential w hich com m ander hasthe original,so lo ng asboth c om m and ersha ve cop iesinthe u nit files.

Q . I understand that I s hould p rovidelettersof ins tructio n outlining all special arra ngem entsand instructionsth e guard iansor escort shouldbe aw a re of (S ee Figure 5 -4 ,A R6 0 0 -2 0 ). R. I have received cop iesof all therequired form sand d ocum entation,and kno ww homto contact inthe eve nt I ha ve additional questio nsor n eed add itional assistance in prep aringthe Fa m ily C are Plan. S . I understand that I m ust subm it the c om plete Fam ily C are Plan w ith all attend ant docu m ents to m y com m ande rw ithin the tim e lim itsspe cified b ym y com m a nde r (or de signa ted repres entative): A A3 0daysfromdate of thiscounseling session. RC 6 0daysfro mdate of th iscounselin g session. T . I unde rstand that it ism y res ponsibility to n otify m ycom m and er in ad vance if I amaw are of a ny circu m stancesbeyondm y control that m ight prevent m e fromm eeting the sub m issio n dead lines. T hecom m an der isautho rizedto gra nt a o ne-tim e exte nsionof 3 0daysb ased o n exte nuatin g circ um stan ces.

PA RTII -A CT IV EA RM YA N DRCSERV IN GO NA CT IV ED U T Y
Policies, Provision s, Entitlem ents, Bene fits, a nd S erv ices: A . Policiesg overningdeletionor deferm ent fromassignm en t instruc tionsbec ause of p ersonal reasons. S ee Chapter 3 ,A R6 1 4 -2 0 0 (A Aenlisted) or C hapter 6 ,A R6 14 -1 0 0 (A Aofficers) or A R1 3 5 -9 1 (RC). B. Policiesgov erning reass ignm ent elig ibility. A ll so ldie rs a re e xpec ted to s erve CO N U Sa nd O CO N U S to urs(includ ing unac com p anie d to urs) . T h e nee ds of the S ervice providethe basisfor selecting a sold ier for re assignm ent in accord ance w ithA R6 1 4 -3 0 ,A R6 1 4 -2 0 0 , and A R6 1 4 -1 0 0 . C. Entitle m entstoassignm ent of g overnm en t or payof basic allow a ncesfor quarters. S eeChapter 1 0 ,A R2 1 0 -5 0 . D . Policiesgoverning entitlem en t to basic allo w ance for subsistenc e, ap plica tion proce dures , and paym ent. T hes e are contained in C hapte r1 , part 3 ,A R 3 7 -1 0 4 -3 ; and Ch apter 2 0 ,D oDM ilitary Payand A llow anc esEntitlem en tsM anual. E. Provisionsfor applyin g for conc urren t tra vel o f fam ily m em bersw he n ale rtedfor o verse asm o vem en tA pp rovedjoin t dom icileassignm en tsdonot constitute authority to m ove fam ily m em b ersto the o vers eascom m and at g overnm en t ex pens e. A pplicationfor fam ily m em be r travel m us t bem ad e inacc orda ncew ith A R5 5 -4 6 .

PA G E2 ,D AFO RM5 3 0 4 -R, A PR1 9 9 9

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FA M ILYC A RE PLA N
For use of thisform ,s ee A R6 0 0 -2 0 ; the prop onent agenc y isD CS PER A U TH O RITY: PRIN CIPA L PU RPO SE: RO U TIN EU SES: D ISCLO SU RE: 1 0U .S .C. S ection 3 0 1 3 ,S ec retary of theA rm y: A rm yR egulation 6 0 0 -2 0 ,A rm y Com m and Policy a nd E.O .9 3 9 7(S S N ) T o em phasize to soldiersthesignifican ce of their res ponsibilitiesto them ilitaryservice an d the ir fa m ilym em be rsw h ile p erform ingrequired m ilita ry du ties. N one M andatory; Failure to m aintain aFam ily C a re Plan co uld s ubjec t thesold ier to sep aration, a dm inistrative a ction , or disciplina ry ac tionunder theU CM J.

PRIV A C YA CTST A T EM EN T

PA RT I - SO LDIER'S FA M ILYC A RE
A . Iw ascoun seled on (date) , and fu lly u nderstand the po licy on fa m ily m em ber care responsibilities . I und erstand that I m ust arra nge for care of m y fam ily m e m bers, rem ain av aila ble for deploym e nt a nd train ing, and rep ort for duty asrequ ired w ithout interference of responsibilityfor fam ilym em bers. Iassum erespo nsibility fo r all obliga tionsfor su ch thingsaschildcare,food,adequ ate ho using,trans portation, a nd em e rgency needsof m y fam ily m em bersreg ardle ssof age. I have m adeand w ill m ainta in arrange m entsfor the c are o fm yfam ily m em bersdurin g all thefollo w ing: D uty 1 . 6 . T em poraryD uty Exerc ises/ fieldduty 2 . 7 . U nit T ra ining A ssem bly Perm ane nt Ch angeof S tation 3 . 8 . A ctiv eD uty T ra ining A lerts 4 . 9 . U naccom paniedT ours A nnual T raining 5 . 1 0 . M obilization IN IT IA LS

B.

1 1 . 1 2 . 1 3 . 1 4 .

D eploym ent O ther M ilitaryD uty Em erg enc ies Leave/n on-d utyT im e

C.

I unde rstand the im porta nce of ensuring th e prop er care for m y fam ily m e m bers,and e nsurin gm yo w n rea dinessand d eploya bilityasw e ll. Ifurth er und erstan d that in light of the critica l na tureof boththe se requirem e nts: 1 . 2 . 3 . 4 . 5 . 6 . Failure tom akeand m ainta in ad equate fam ily m em ber carearra ngem e ntsin acc ordan ce w ith th eA rm y'sp olicyisg round sfor disc iplin ary a ctionor s epara tion. N onavailability for w orldw ideassignm en t and /or u nit d eploy m ent m ay lead to m yseparationfromtheA rm y. If arrangem entsfor th e care of m y fa m ilym em be rsfa il tow ork ,I a mnot auto m atic allyexcus ed fromprescribed d uties , unit dep loym e nt, o r rea ssign m ent. If I fail tom aintain aFam ilyC arePlan o r prov ide fa lse in form ation re gardin gm yp lan, Iamsu bject to sep aratio n, adm inistrativeaction , or d isciplinaryactionunder U CM J. Im ust m aintain an u p-to-d ate Fa m ily C are Plan and revis em yP lan w h en circum sta ncesc hange. I un dersta nd tha t Fam ily Care Plan sm aybe tes ted at the d iscretion of the c om m and er. Iw ill receive no spe cial co nsideration in duty a ssignm en tsor d uty sta tions b ased on m y res ponsibilities for m y fam ily m e m bersun lessenrolled inthe Exc eptional Fam ily M em ber Prog ram (EFM P) in accord ance w ithA R6 0 0 -7 5 .

D . E.

I have m ad ea ll nec ess ary arran gem ents (legal, educa tion al, fina ncia l, relig ious , sp ecia l, e tc.) to ensurea sm o oth, rapid turnove r of fam ilym em ber carerespon sibilitiesin case thisplan isim plem ented. I have arrange d fo r ne cess ary trav el required to trans fer m y fam ily m e m bers to a d esig nate d pe rson . If m y princip al d esig nee is n ot in th e lo cal area , I have arrange dw ith a nonm ilitary pe rson in thelocal area to assu m e tem poraryguard ianship of m y fam ily m em bersu ntil they are tran sferre d to m y prin cipal care d esigne e, or that d esigne e arrivesto assum erespon sibility for their care. A copy of D A Form 5 8 4 1 -R (Pow er of A ttorney) or equivalent docum ents and a copy of D A Form 5 8 4 0 -R (Certificate of A cceptance a sG ua rdian) for each escort or gu ardian w hether tem pora ry or longtermisatta ched to thisplan. T he follow ing additional required do cum en tsare com plete d, in clude d inthisplan,andw ill be pu t into effect a spart of m y Fa m ilyCarePlan. 1 .D DForm1 1 7 2 (A pplicatio n for U niform edS erv icesIdentifica tionCard) for each fam ily m e m ber w he ther the y ha ve acurrently v alidIDcardor not. 2 . D D Form 2 5 5 8 (A uth oriza tion to S tart, S top or Ch ange an A llotm e nt fo rA ctive D uty o r Retired Perso nnel) or other pro of o f financ ial supp ort for expe nsesinc urre d by guardianandfam ily m em bers. 3 . Copiesof Lette rsof Instruction (w hich have bee n forw ardedto des ignate d esco rtsor guard iansa long w ith po w erso f atto rney a nd oth er pertinent docum ents), outlin ing all special instru ction scon cerning th e care of m y fa m ilym em be rsha ve also be en in clude d inm y Fa m ilyCarePlan.

F.

G .

H . I.

I have thoroughly briefed escortsa nd gu ardia nsonthefull exten t of their resp onsib ilitiesan d onproce duresfor gaining ac cessto m ilitary/civ ilianfacilitie s, se rvice s, en title m ents and benefitso n beh alf o fm yfam ily m em bers. I amcon fident that m y Fam ily Ca re Pla n isw orkable, andto th e best of m yknow ledge,the gu ardian designated w ill b e both w illingand a ble to carry ou t theresp onsib ilitiesof caring fo rm yfam ily m em bers. (s) and e scort (s) I have

PART II - DESIGNAT IO NO FG UA RDIA NS /ESC O RTS

A . 1 . I (W e) have designated the follow ingtem p oraryguardianto ca re fo rm y(our)fam ily m e m ber (s)until resp onsib ilityistransferredto e scort or p rincipal ( longterm )guardian. T Y PEDO R PRIN T EDN A M E 2 a. CO M PLET EA D D RES S (Includ ing S treet, A pa rtm en tN um ber, P.O . BoxN um ber,Rural Route N um ber,City, S tate, a nd ZIP+4w he re applicable)

3 .

T ELEPH O N EN U M BER (Includ eA rea C ode) 2 b. E- M A IL A D D RES S

D AFO RM 5 30 5 -R, A PR 1 9 9 9

D AFO RM5 3 0 5 -R, M AR 1 9 9 2ISO BS O LET E

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B. 1 .

I (W e) have designated th e follow in g ind ividu al(s) as p rincipal long-term g uardian(s) for m y(ou r) fa m ily m em be r(s). The designate d gua rdian (s) residein the co ntine ntal Unite dS ta tes o r United S tates territories. T Y PEDO R PRINTEDNA M E 2a. CO M PLET EA DDRES S (Includ ing S treet, A pa rtm en t Num ber, P.O . Box Num b er, Rura l RouteNum ber,City, S tate, andZIP +4 w hereapp lica ble)

3 .

T ELEPHO NE NUM BER (Includ eA rea C ode) 2b. E-M A IL A DDRES S

C. 1 .

I (W e) have des ignatedthe fo llow ingindividual(s)as esc ort for m y(our) fam ily m em be r(s) if evacua tion fromO CO N USbeco m es nec essary(applie s onlyto pers ons ass igned O CO NUS ): T Y PEDO R PRINTEDNA M E 2a. CO M PLET EA DDRES S (Includ ing S treet, A pa rtm en t Num ber, P.O . Box Num b er, Rura l RouteNum ber,City, S tate, andZIP +4 w hereapp lica ble)

3 .

T ELEPHO NE NUM BER (Includ eA rea C ode) 2b. E-M A IL A DDRES S

PART III - DUAL MIL ITARY C OU PLES O NLY MILITARY SPOUSE ANDC O MMAND ER C ERTIFIC ATION
A . 1 . Spouse: W e havem adearran gem en ts an dw ill m aintainarra ngem e nts for th e care of our fam ilym em b er(s)in a ll circum s tance s req uiredby o ur co m m itm ent to them ilitaryand o ur fa m ily. S IG NA T URE O FS PO US E 2. DA TE (Y Y Y Y /M M /DD)

3 .

T Y PEDO R PRINTED NA M EO FS PO US E
a. IN IT. b . IN IT. c. IN IT.

4 .

S S N
d . IN IT. e. IN IT.

D A TE

D A TE

D A TE

D A TE

D A TE

5 . B. 1 .

Recertification Com m ander: I have counseled the m ilitaryspou se as signe d tom y un it, review ed th e Fam ily C are P lan,and I ams atisfied that the m e m bershavem adeadeq uatefam ily care arrangem ents. S IG NA T URE O F CO M M A NDER 2 . DA T E 3. UNITA DDRES S

4 .

T Y PEDO R PRINTEDNA M EO F CO M M A NDER

a. IN IT. b . IN IT. c. IN IT. d . IN IT. e. IN IT.

D A TE

D A TE

D A TE

D A TE

D A TE

5 .

Recertification

PART IV- SOLDIERAND C OMMA NDER C ERT IFIC ATIO N

A . 1 . Soldier: I (W e) ha ve m ade arra ngem ents and w ill m a inta in a rran gem e nts for the care of m y(o ur) fam ily m em be r(s) in all circ um stance s re quired b ym y (our) co m m itm ent to the m ilitary and m y( our) fam ily. S IG NA T URE O FS O LDIER 2. DA TE (Y Y Y Y /M M /DD)

3 .

T Y PEDO R PRINTEDNA M EO FS O LDIER

a. IN IT. b . IN IT. c. IN IT.

4 .

S S N
d . IN IT. e. IN IT.

D A TE

D A TE

D A TE

D A TE

D A TE

5 . B. 1 .

Recertification Com m ander: I have review ed the Fam ily Ca re P lan, and I a m sa tisfied that the m em bers hav em a de a dequ ate fam ily c are arra ngem entstha tw ill a llowfor a full rang e of m ilitary du ties and for w orldw ide a vailabilityas d efin ed h ere. S IG NA T URE O F CO M M A NDER 2 . DA T E 3. UNITA DDRES S

4 .

T Y PEDO R PRINTEDNA M EO F CO M M A NDER

a. IN IT. b . IN IT. c. IN IT. d . IN IT. e. IN IT.

D A TE

D A TE

D A TE

D A TE

D A TE

5 .

Recertification

REVERSE O F DAFO RM5305-R,A PR 1999

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C ERTIFIC A TE O FA C CEPTA NCE A SG U A RD IA NO R ESC O RT

For use of th isform , se eA R6 0 0 -2 0 ; the propo nent agencyisO D CS PER

PRIV A CYA CTST A T EM EN T A U T H O RIT Y: PRIN CIPA LPU RPO SE: RO U T IN EU SES: D ISCLO SU RE: 1 0U .S .C .S ec tio n3 0 13 ,S ecreta ry o f theA rm y:A rm yR e g u latio n6 0 0 -2 0,A rm yC o m m an dPo licyandE .O .9 3 9 7(S S N ). G u a rd ian 'sag reem en t toc arefo r a so ld ier'sch ild(ren)inh is o rh e ra b sen ce. N o n e. V o lu n tary ;H o w ev er, failuretop ro vid eall therequ estedin fo rm atio nco u ldlea dtorejectio no f asold ier'sF am ily C are Plan .

w as p rovid edan o rig in al D AFo rm5 8 4 1-R

(Po w er o fA tto rn ey) o ro th er leg ally su fficien t au th o rityn am in gm e as g uard ian/esco rt fo r:

N A M E (s) /AG E (s) O FF A M IL YM E M B E RS

fam ilym em b ers o f:

N A M E (s) S S N (s)

I ag ree to accep t resp o n sib ility fo r th ese fam ily m em b ers. I h av e received all n ecessary do cu m ents requ ired to p rovid e fin an cial, m ed ical, ed u catio n al, q u arters, and su b sisten ce su p po rt for th ese fam ily m em b ers. I h ave b een b riefed o np ro cedu res fo r accessin gm ilitary/civilian facilities, services, b en efits, an d en titlem en ts o nb eh alf o f th ese fam ily m em b ers.
T Y PE DO RPR IN T E DN A M EO FG U A R D IA N A D D R E S S (In clud e ZIP C od e )

S IG N A T U R E

D A T E (Y Y Y Y /M M /D D )

T E L E PHO N EN UM B E R (In c lu deA re aCo d e)

E -M A IL A D D R E S S

N O T A RY:

S T A T EO F C O U N T YO F A ckn o w led g edb efo re m e th is d ayo f ,

(N otaryPublic)

M yco m m issio nex p ires: D AFO RM 5 8 4 0 -R, A PR 1 9 9 9

D AFO RM5 8 4 0 -R, MA R9 2ISO BS O LET E

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96

97

Please read Privacy Act Statement and Agency Disclosure Notice prior to completing this form.
MARK HERE FOR GUARD OR RESERVE PREELIGIB ILITY 1. NAME (Last, First, Middle)

APPLICATION FOR UNIFORMED SERVICES IDENTIFICATION CARD DEERS ENROLLMENT

2. SEX 3. SSN (or SN) 4. STATUS

Form Approved OMB No. 0704-0020 Expires Jul 31, 2002 5. BR OF SERVICE

6. PAY GRADE

7. RANK

8. GEN. CAT

9. TYPE OF CARD ISSUED

10. ID NO.

11. LAST UPDATE (YYYYMMMDD)

12. V/I

SECTION I SPONSOR INFORMATION

13. CURRENT RESIDENCE ADDRESS

14. SUPPLEMENTAL ADDRESS INFORMATION

15. CITY

16. STATE

17. ZIP CODE

18. COUNTRY

19. UIC

20. HOME TELEPHONE NO. (Include Area Code) 27. MEDICARE 28. MARITAL STATUS

21. DATE OF BIRTH (YYYYMMMDD) 29. ELIG ST/MC EFF DATE (YYYYMMMDD) 33. NAME (Last, First, Middle)

22. BLOOD TYPE

23. COLOR EYES

24. COLOR HAIR

25. HEIGHT

26. WEIGHT

30. CARD EX/ELIG END DATE (YYYYMMMDD)

31. PRIVILEGES AUTHORIZED (Enter correct abbreviation AFTER privilege)

32. END ELIG REASON

MC

MS

MWR

EU
36. SSN

EL
37. ID NO.

34. SEX 35. RELATIONSHIP

38. LAST UPDATE (YYYYMMMDD) 42. CITY

39. V/I

40. CURRENT RESIDENCE ADDRESS

41. SUPPLEMENTAL ADDRESS INFORMATION

43. STATE

44. ZIP CODE

45. COUNTRY

46. HOME TELEPHONE NO. (Include Area Code) 55. WEIGHT

47. DATE OF BIRTH (YYYYMMMDD) 56. MARITAL STATUS DATE (YYYYMMMDD) 60. END ELIG REASON

48. MBI

49. STU

50. INCAP

51. MEDICARE

52. COLOR EYES

53. COLOR HAIR

54. HEIGHT

SECTION II DEPENDENT INFORMATION

57. ELIG ST/MC EFF DATE (YYYYMMMDD) 61. NAME (Last, First, Middle)

58. CARD EX/ELIG END DATE (YYYYMMMDD)

59. PRIVILEGES AUTHORIZED (Enter correct abbreviation AFTER privilege)

MC

MS

MWR

EU
64. SSN

EL
65. ID NO.

62. SEX 63. RELATIONSHIP

66. LAST UPDATE (YYYYMMMDD) 70. CITY

67. V/I

68. CURRENT RESIDENCE ADDRESS

69. SUPPLEMENTAL ADDRESS INFORMATION

71. STATE

72. ZIP CODE

73. COUNTRY

74. HOME TELEPHONE NO. (Include Area Code) 83. WEIGHT

75. DATE OF BIRTH (YYYYMMMDD) 84. MARITAL STATUS DATE (YYYYMMMDD) 88. END ELIG REASON

76. MBI

77. STU

78. INCAP

79. MEDICARE

80. COLOR EYES

81. COLOR HAIR

82. HEIGHT

85. ELIG ST/MC EFF DATE (YYYYMMMDD)

86. CARD EX/ELIG END DATE (YYYYMMMDD)

87. PRIVILEGES AUTHORIZED (Enter correct abbreviation AFTER privilege)

MC

MS

MWR

EU

EL
NOTARY SIGNATURE AND SEAL

89. REMARKS (Cite legal documentation, as applicable.)

SECTION III SPONSOR DECLARATION AND REMARKS

I have read and understand the "Conditions Applicable to Sponsor or Applicant" printed in Section VIII. I certify the information provided in connection with the eligibility requirements of this form is true and accurate to the best of my knowledge. (If not signed in the presence of the verifying official, the signature must be notarized.)
90. SIGNATURE 91. DATE SIGNED (YYYYMMMDD) 93. PAY GRADE 94. UNIT/COMMAND NAME

92. TYPED NAME (Last, First, Middle)

SECTION IV VERIFIED BY

95. TITLE

96. UIC

97. DUTY PHONE NO.

98. UNIT/COMMAND ADDRESS (Street, City, State, ZIP Code)

99. SIGNATURE

100. DATE VERIFIED (YYYYMMMDD) 102. PAY GRADE 103. UNIT/COMMAND NAME

101. TYPED NAME (Last, First, Middle)

SECTION V ISSUED BY

104. TITLE

105. UIC

106. DUTY PHONE NO.

107. UNIT/COMMAND ADDRESS (Street, City, State, ZIP Code)

108. SIGNATURE

109. DATE ISSUED (YYYYMMMDD)

SECTION VI RECEIPT

RECEIPT OF NEW CARD IS ACKNOWLEDGED

110. SIGNATURE 111. DATE ISSUED (YYYYMMMDD)

DD FORM 1172, JUL 1999

PREVIOUS EDITION MAY BE USED. This form valid for issue of ID card 90 days from date of verification.

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The public reporting burden for this collection of information is estimated to average 10 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0704-0020), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number.

PLEASE DO NOT RETURN YOUR COMPLETED FORM TO THIS ADDRESS. RETURN COMPLETED FORM TO THE UNIFORMED SERVICE ID CARD ISSUING FACILITY.

SECTION VII - PRIVACY ACT STATEMENT AUTHORITY: 10 U.S.C. sections 1061 - 1065, 1072 - 1074, 1074a - 1074c, 1076, 1076a, 1077, 1095(k)(2), E.O. 9397. PRINCIPAL PURPOSE(S): To apply for the Uniformed Services Identification Card and/or DEERS Enrollment. ROUTINE USE(S): To appropriate business entities, individual providers of care, and others, on matters relating to claims adjudication, program abuse, utilization review, professional quality assurance, medical peer review, program integrity, third party liability, coordination of benefits, and civil and criminal litigation. To the Department of Health and Human Services, the Department of Veterans Affairs, the Social Security Administration, and to other Federal, state, and local government agencies to identify individuals having benefit eligibility in another plan or program. Applicant information is subject to computer matching within the Department of Defense or with other Federal or non-Federal agencies. Matching programs are conducted to assure that an individual eligible under a Federal program is not improperly receiving duplicate benefits from another program. A beneficiary or former beneficiary who has applied for privileges of a Federal Benefit Program and has received concurrent assistance under another plan will be subject to adjustment or recovery of any improper payments made or delinquent debts owed. DISCLOSURE: Voluntary; however, failure to provide information may result in denial of a Uniformed Services Identification Card and/or non-enrollment in the Defense Enrollment Eligibility Reporting System. Failure to provide a beneficiary's Social Security Number renders that beneficiary ineligible for health care services in Military Treatment Facilities. However, emergency health care services will be provided to the extent furnished members of the general public. SECTION VIII - CONDITIONS APPLICABLE TO SPONSOR OR APPLICANT I understand that the actions of the recipient(s) of the "Uniformed Services Identification Card" issued as a result of this application are my responsibility insofar as proper use of the card for benefits and privileges authorized; i.e., medical and dental care, exchange, commissary, and morale, welfare, and recreation programs. I will cause the recipient to surrender the card immediately upon call to do so or when appropriate under applicable regulations, and will notify an agency designated to grant authorization for privileges and facilities in event of any change in status affecting a recipient's eligibility therefor. I am aware that medical care furnished in uniformed services facilities is subject to availability of space, facilities, and the capabilities of the medical staff to provide such care. Determinations made by the medical officer or contract surgeon, or his/her designee, as to availability of space, facilities, and the capabilities of the medical staff shall be conclusive. Reimbursement shall be required for any unauthorized medical and dental care furnished at government expense. Copies of regulations concerning eligibility requirements are available in the Service Personnel Offices. By signing this document, the sponsor or applicant certifies that he/she is aware that eligibility for benefits under the Civilian Health and Medical Program of the Uniformed Services (CHAMPUS) terminates for all beneficiaries, except spouses and children of active duty members, and certain disabled beneficiaries under 65, when the beneficiary becomes eligible for Medicare Part A, Hospital Insurance, through the Social Security Administration.

PENALTY FOR PRESENTING FALSE CLAIMS OR MAKING FALSE STATEMENTS IN CONNECTION WITH CLAIMS: FINE OF UP TO $10,000 OR IMPRISONMENT FOR UP TO FIVE YEARS OR BOTH.
(ACT June 25, 1948, 18 U.S. Code 287, 1001)

DD FORM 1172 (BACK), JUL 1999

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A U TH O RIZA TIO N TOSTA RT, STO PO R CH A NG EA NA LLO TMENT

PRIV A CYA CTSTA T EM EN T AUTHORITY: 37 U.S.C., E.O. 9397. PRINCIPAL PURPOSE: To permit starts, changes, or stops to allotments. To maintain a record of allotments and ensure starts, changes, and stops are in keeping with member's desires. ROUTINE USES: Information may be released to computer service centers and other accounting services when such centers and services act as authorized agents of organizations specified by the member to receive allotments. Disclosure may be made to the Federal Reserve System when payment of allotment is made through the electronic fund transfer system to financial organizations. Records may also be disclosed to Congress; allottees, Secret Service; General Accounting Office, Federal, State and local courts; U.S. Treasury; and to the Department of Justice, in some cases for prosecution, civil litigation, or for investigative purposes. DISCLOSURE: Voluntary; however, failure to provide the requested information as well as the SSN may result in the member not being able to start, change, or stop allotments. TOBE CO M PLETEDBYA LLO TTER 2. N A M EO FA LLO T TER (Last,F irst, M idd le In itial) (Print o r ty p e) 6. DA YT IM E TELEPH O N E N UM BER (In clu d eA rea C o d e) 10.A LLO TMENTA CTIO N (Xon e)
STA RT STO P CHA NG E

1. BRA N CHO F SERV ICE (Xon e)

A IR FO RCE A RMY MA RINE CO RPS NA VY

3 . SSN

4. PA YG RA DE

5. A D DRESS OF A LLO TTER (S treet o r Bo xN u m b er,C ity ,State, ZIPCo d e)

7 . EFFECTIV E DA TE (Y Y Y Y M M )

8 .M O NTH LYA MO U NT O FA LLO TM EN T

$
1 1. T ERMINM O N TH S

9. N A ME O FA LLO TT EE (F irst,M id d leInitial,Last)

12.CREDITLIN E (If ap p licab le)

13.A LLO TM ENTCLA SS A UT HO RIZED (Xon e)

C - CHA RITY/CFC D- DISCRETIO NA RY A LLO TMENTS (Inclu desde penden t supp ort, p aym ent to financia l institutio n, ins urance , repa ym ent of hom e loan , rent, etc. (Notes1and 2 )) F - CHA RITY - EMERG ENCY/A SSISTA NCE FUND CO NTRIBUTIO N L - REPA YMENT O F LO A NTOSERVICE O RG A NIZA TIO N (Red C ross,Relief S ociety , etc. -Navy andM arine Co rps only)

14.A LLO T TEE'S M A ILING A D D RESS (S treet o r Bo xN um b er, C ity ,State, ZIP C od e)

15.IF FO REIG NA DD RESS CO M PLETE A S FO LLO W S (Pro vin ce, C o u ntry ) 16.REM A RKS

N- NSLI O R USG LI INSURANCE PREMIUM T - PA YMENT O F DEBTS TOU.S., DELINQ UENT STA TE O R LO CA L INCO ME/ EMPLO YMENT TA XES -O THER (S pecify)

17.CO M PA NYCO D E/FINA N CIA LIN STITU TIO N/RO U TING TRA N SITNU M BER

18.A CCO UN TNU M BER/PO LICYN U M BER 19.T O T ALCLA SS LA M O UN T 20 .TO TALCLA SS TA M O UN T

STA TEM ENTO F UN DERSTA ND ING Iu n d erstandthat th is allotm ent is legal an dth at b y voluntarily co m p letin gthisform ,I amresp o nsib le fo r: -Ensuring th at thein fo rm atio nisco rrect; -Reviewing m yLeav ean dE arn in g sS tatem en t toensu re th e allo tm en t sto p s,starts,o r ch an g es as d irected in clu d in gam o u nt andp ay ee; -Collecting o v erp ay m en tsfro mth e receiv er (pay ee)o f th e allo tm en t, if I d on o t ch ang eor sto pth eallo tm en t after a lo anis repaid ; -Contacting th ereceiv er (p ay ee)o f th e allo tm en t, at myexp en se,too btain m o nth ly statem en ts fo rm yperson al record s. I alsou n d erstan dth at anyp ro b lem son ce th e allotm ent is d eliv eredtothereceiver (p ay ee)arebey o ndthecon trol o f th e Defen se F inan ce an dA cco un tin gS ervice(DF A S ) an d th at D F A S iso nlyresp o n sib le fo r en su rin gp ro p er d eliveryof an yv o lun tary allotm en t fo r th eperio d d irected . I fu rth er u n d erstan dth at p u rsu an t to co n dition slistedin th e Do D 7000.14-R ,V o lum e7A ,ch an gescanbem ad ebyD FA Stoan allo ttee'snam e, ad dress,o r acco u n tn u mb er. 21.SIG N A T URE O FA LLO T TER 22 .DA TE (Y Y Y Y M M D D)

NO TE 1. M u st b ed ifferen t ad d ress th anallo tter. E achd ep en den t allotm ent m ust hav e ad ifferen t credit lin e. O nlyon esu p p ort allo tm en tp er d ep en den t isallo w ed . NO TE 2. Th isisa v o lu n taryallo tm en t an d can b e toan ypay ee y o ud esire.

D DFO RM 2558, NO V1996

PR E V IO US E DITIONISO BS O LE TE .

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The following letter is a sample letter of instruction for guardians and escorts. It is formatted as a standard, fill-in-theblank type of letter. However, each letter of instruction is unique to each family situation and may contain additional important information distinctive to a particular family's situation. This letter is only provided as a sample of the type of information that each letter must contain.

SAMPLE LETTER OF INSTRUCTION FOR GUARDIANS AND ESCORTS I/We [Name of parent (s) ], parent (s) of [Name of child (ren) ], have made the following arrangements for the care of my/our dependent family members in the event I am/we are not available to provide the proper care due to absence for military service or emergency which would require me/us to be away from them for an extended period of time: 1. [Name of daily CDs child care provider or temporary guardian] has been given legal authority to care for my/our child (ren) until [the designated OCONUS escort can transport the child (ren) or] the long-term guardian (s) can arrive to care for them in this location or can arrive to transport them to the guardians residence where they will remain until my/our return. 2. I/We have established a special account in [name and location of financial institution] or made other appropriate arrangements to cover the expenses of the escort/guardian (s). [Name, address and phone number of person] had access to that account and will ensure that funds are available. 3. Should it be necessary to contact any of the persons involved in the transportation, support, or care for my/our child (ren), the following information is provided: [Name, address, phone number], Designated escort (OCUNUS only) [Name, address, phone no., relationship to sponsor or child(ren)], Designated local, short-term child care provider or child development center [Name, address, phone no., relationship to sponsor or child(ren)], Designated long-term guardian (s) 4. [Child (ren)s name (s) ] is/are cared for by the local child care provider listed above during the week between the hours of [insert time] and [insert time].

5. Funds required to provide financial support for my/our dependent family member (s) will be provided by allotment to be initiated immediately upon my/our departure, or by financial arrangements outlined in the attached documents.

101

6. Special documents pertaining to my/our child (ren) such as ID cards, medical records, school records, passports, as well as special instructions on medical prescriptions, allergies, or other pertinent information will accompany my/our child (ren), if they are not already in the possession of the escort/guardian (s). 7. Those persons acting in my/our behalf for care of my/our child (ren), and who have sufficient legal authority, copies of certificates of acceptance, and either ID cards or applications for same, should apply to the commander of the nearest military installation for an agents letter allowing them to access military facilities and services in behalf of my/our child (ren).

8. If, for any reason, the persons designated as escorts or guardians are unable to exercise their responsibilities after my/our departure, please ensure that a Red Cross message is immediately transmitted to my/our unit commander, so that the situation can be rectified as soon as possible. Additional assistance may be obtained from my/our unit rear detachment commander or the Family Assistance Center, which services my/our unit. Those addresses are listed below: Rear Detachment Commander: [Complete unit address, phone numbers, etc.] Family Assistance Center [Complete installation address, phone numbers, etc.] 9. [Optional] Should it be necessary to settle my/our estate, my/our will (s) and other important documents are located with [name and location of will (s) and other documents]. 10. Finally, a complete copy of my/our Family Care Plan with all required attachments is on file in my/our unit headquarters which is located at the same address as shown above for the Rear Detachment Commander.

(Signature block)

NAME
RANK, BRANCH/MOS SSAN: Unit:

102

EQUAL OPPORUNITY COMPLAINT PROCEDURES All Army Military members can file a formal or informal EO complaint. Step 1: Confront person(s) to resolve issue Step 2: Have trusted unit member, unit EOR, or other official confront individual(s) to resolve issue Step 3: Inform chain of command of issue (US Army military member-can file formal or informal complaint) INFORMAL COMPLAINT: a. Not required to be filed in writing. b. Resolution at the lowest level possible. c. No requirement for chain of command intervention. d. May use assistance of other unit members, EORs, or other officials. e. Confidentiality possible (but not guaranteed). f. Not subject to timeline suspense. g. Informal process has good chance for success. h. Severity of complaint does not warrant formal complaint. FORMAL COMPLAINT: (must be processed by EOA on DA Form 7279-R) a. Inability to resolve the complaint informally. b. Soldier uncomfortable with the informal process. c. Issue may warrant an official investigation. d. Soldier wants an official record kept of the complaint (DA Form 7279 R - EO Complaint Form). e. The complaint is against a member of the Soldiers chain command or another superior officer. f. Desire of the Soldier to use an outside agency or higher echelon commander. Step 4: COC is part of problem or can't resolve issue - inform alternate agency ALTERNATIVE AGENCIES: A Higher Echelon Command; Command Equal Opportunity Advisor (EOA); Chaplain (CH); Staff Judge Advocates (SJA); Provost Marshal (PM); Inspector General (IG); Community Housing Referral and Relocation Services Office (CHRRSO); Medical Agency Personnel COMMANDER/ALTERNATIVE AGENCY (AA) RESPONSIBILITIES: a. Ensure information is complete b. Ensure individual is sworn to complaint (DA Form 7279 R) c. Clarify basis of complaint (sexual harassment or unfair treatment or discrimination based on gender, race, nationality, origin, color, or religion) 103

d. Identify additional information e. Tell what will happen next f. Refer to appropriate agency/ commander (within 3 Calendar Days) g. Cdr acknowledges receipt of complaint h. Cdr must initiate inquiry/investigation (AR 15-6) and resolve issue (within 14 calendar days) i. Cdr may request an extension of 30 days from next higher echelon commander (only the first general courts martial convening authority (GCMCA) can grant an additional 30 day extension) j. Cdr must inform first GCMCA in chain of command k. Cdr must write reprisal plan l. Cdr must provide written feedback to complainant REPRISAL: Taking or threatening to take an unfavorable personnel action or withholding or threatening to withhold a favorable personnel action, or any other act of retaliation, against a military member for making or preparing a protected communication. Person(s) conducting reprisals against the complainant, witnesses, and/or the alleged offender will be punished under the UCMJ or equivalent for DA and DOD civilians. ELEMENTS OF INQUIRY / INVESTIGATION: Clarify Nature of Complaint; Interview as Appropriate; Gather Information; Consult Advisors (EOA); Assess Information; Render Decision on Findings APPEALS PROCESS: Submit On Separate Paper Within 7 Calendar Days; Specify Issues You Disagree With; Submit To Immediate Or Next Higher Commander; May Request Appointment With Appeal Authority; Final Decision Authority - First General Court Marshal Convening Authority In Chain Of Command; No Further Appeal Available Within EO Complaint System; EOA Completes Follow-up assessment REFERENCE AR 600-20

104

FAMILY ADVOCACY PROGRAM Report suspected spouse and child abuse. The designated point of contact is the Military Police. AR 608-18 directs that each unit/company commander will (1) Attend spouse and child abuse commander education programs designed for unit commanders within 45 days of assuming command. (2) Schedule time for Soldiers to attend troop awareness briefings presented by FAP personnel. (3) Be familiar with rehabilitative, administrative, and disciplinary procedures relating to spouse and child abuse. (4) Report suspected spouse and child abuse to the designated RPOC on the installation and provide all relevant information to those investigating the report, including law enforcement agencies and CPS. (5) Direct the Soldier to participate in assessment by FAP staff. (6) Attend CRC case presentations pertaining to Soldiers in their command. (7) Ensure that Soldiers involved in allegations of child and/or spouse abuse, after properly being advised of their Article 31(b), Uniform Code of Military Justice ( UCMJ , Art. 31) rights with the use of DA Form 3881 (Rights Warning Procedure/Waiver Certificate) against self-incrimination, are encouraged to cooperate with FAP personnel to the maximum extent possible from initial report to case closure, to include participation in individual and family interviews or examinations by appropriate social services, medical, and law enforcement personnel. (8) Provide written military no-contact orders, as appropriate; counsel Soldiers; and take other actions, as appropriate, regarding compliance with civilian orders of protection for victims of spouse abuse. (9) Support and comply with CRC treatment recommendations to the maximum extent possible. Provide nonoccurrence with CRC treatment recommendations in writing through the chain of command to the MTF commander. (10) Consider CRC recommendations (a) Before requiring Soldiers to receive counseling and referral assistance in mandatory counseling programs established under the FAP. (b) When taking or recommending disciplinary and administrative actions in spouse and child abuse cases. However, such actions will not be delayed pending CRC recommendations. 105

(c) Before recommending deferment or deletion from reassignment of Soldiers who themselves or whose family members are receiving professional counseling for spouse or child abuse. (See para 3-29 .) (d) Before recommending reassignment (or early termination of a duty assignment in a foreign country) when required treatment is unavailable and reassignment is the only available means of providing treatment to the abuser or protecting family members from further abuse. A Soldier who is under investigation, is under restraint, has been charged with an offense, or is undergoing punishment (for example, resulting from a court-martial or nonjudicial punishment) must be flagged in accordance with AR 600-8-2 and therefore cannot normally be reassigned until the punishment is completed. (e) Before initiating personnel actions to separate Soldiers for spouse or child abuse. Guidance for officer separations is found in AR 600-8-24, chapter 4 ; guidance for enlisted separations is in AR 635-200, chapter 14 . (11) Notify the CRC chairperson when reassigning Soldiers or moving family members who are involved in treatment for spouse or child abuse; provide notification when reassignment notification is made to the command. (12) Encourage the participation of civilian family members in treatment programs. (13) Provide a unit escort in accordance with the Joint Travel Regulations when a child is OCONUS, when the authorized transportation is to/from a medical facility for required medical attention that is not available locally, when the child cannot travel alone, and when a CRC representative is unavailable to perform this function. (14) The Lautenberg Amendment addresses domestic violence and firearms. As such, this amendment may or may not apply to certain cases under this regulation. In appropriate cases, commanders and law enforcement authorities should consult AR 190-45 , along with other DOD guidance and the servicing judge advocate or legal advisor.

106

APPENDIX B
(REFERENCES FOR ISSUES FREQUENTLY ADDRESSED) The most current version of regulations can be found at www.uspa.army.mil ISSUE AAFES Absentee and Deserter Apprehension Program Access to Off-Post Businesses Administrative Absence Administrative Use Vehicle (AUV) AGR Program Alcohol and Drug Abuse Program Army Community Service Program Army Emergency Relief (AER) Article 15 Article 15 Investigations ARIMS (Army Records Information Management System (Filing formerly MARKS) Assignments/Transfers (Enlisted) Assignments/Transfers (Officer) Awards AWOL Bar to Reenlistment Branch Transfer (Officer) Casualty Assistance Change of Name, SSN, etc. Check Cashing Policies/Procedures Child Care Center Claims Command Policy Command Sponsorship Common DEROS Compassionate Reassignment (Enlisted) Compassionate Reassignment (Officer) Complaint Against Commander (Art 138, UCMJ) Confinement Facility Conscientious Objector Correspondence (Mil/Civ Preparing and Managing) Correction of Military Records Curtailment of Tour Dining Facility Discharge (Enlisted Ranks Personnel Update) 107 REFERENCE AR 60-10 AR 190-9 AR 190-24 AR 600-8-10 AR 58-1 AR 140-30 AR 600-85 AR 608-1 AR 930-4 AR 27-10 AR15-6 AR 25-400-2

AR 614-200 AR 614-100 AR 600-8-22 AR 630-10 AR 601-280 AR 614-100 AR 600-8-1 AR 600-8-104 AR 60-20 AR 608-10 AR 27-20 AR 600-20 AR 55-46 AR 614-30 AR 614-200 AR 614-100 AR 27-10 AR 190-47 AR 600-43 AR 25-50 AR 15-185 AR 614-30 AR 30-5 AR 635-200

Discharge (Officer) Disciplinary Control Boards Drivers License (Military) Dropped from Rolls (DFR) Drug and Alcohol Program Duty Roster Early Return of Family Members Emergency Leave Enlisted Assignments Enlisted Military Occupational Specialties Equal Employment Opportunity/Affirmative Action Equal Opportunity Evaluation Report (Enlisted) Evaluation Report (Officer) Exceptional Family Member Program Exchange/Reassignment Expeditious Discharge Extension/Reenlistment Extremist Organizations Family Advocacy Program Family Care Plans Family Housing Family Member Support, Child Custody, Paternity Family Member Travel Flagging Actions Food Service Program Foreign Service Tour Extension Fraternization/Prohibited Relationship Freedom of Information Act Furniture (Housing) Hometown News Release Program Housing Referral Homosexual Conduct Policy ID Card and Privileges Informal Funds Inspector General Investigations Issue and Sale of Personal Clothing Joint Domicile (Officer) Joint Domicile (Enlisted) Leadership Leave and Passes Legal Assistance Letter of Reprimand Line of Duty Investigation 108

AR 600-8-24 AR 190-24 AR 600-55 AR 630-10 AR 600-85 AR 220-45 AR 55-46 AR 600-8-10 AR 614-200 DA Pam 611-21 AR 690-12 AR 600-20 AR 623-3 AR 623-3 AR 608-75 AR 614-200 AR 635-200 AR 601-280 AR 600-20 AR 608-18 AR 600-20 AR 210-50 AR 608-99 AR 55-46 AR 600-8-2 AR 30-22 AR 614-30 AR 600-20 AR 25-55 AR 210-50 DA Pam 360-3 AR 210-50 AR 600-20 AR 600-8-14 AR 600-20 AR 20-1 AR 15-6 AR 700-84 AR 614-100 AR 614-200 AR 600-100 AR 600-8-10 AR 27-3 AR 600-37 AR 600-8-4

Mail (official) MARKS (Filing) see ARIMS Meal Card Medical, Dental, and Veterinary Care Military Justice Military Whistleblower Protection Act MOS Description, and Inventory (Enlisted) NCO Development Program NCO Evaluation Reporting System OCS Application Officer Evaluation Reporting System OJT Orders Overseas Service Overseas Service Paternity PCS Policy Personal Clothing Physical Security Political Activities Privacy Act Private Organizations Red Cross Service Program Reenlistment/Reenlistment Codes Regular Army Appointment Remission or Cancellation of Indebtedness Report of Survey Safety Program Separations (Enlisted) Separations (Officer) Serious Incident Report (SIR) Service Obligations (Officer) Sexual Harassment Sick Slip Smoking in Government Buildings Sole Surviving Son or Daughter Standards of Conduct SURE-PAY Suspension of Favorable Personnel Action Unfavorable Information Uniform, Wear and Appearance Weight Control Program

AR 25-51 AR 25-400-2 AR 600-38 AR 40-3 AR 27-10 AR 600-20 DA Pam 611-21 AR 350-17 AR 623-205 AR 351-17 AR 623-105 AR 350-1 AR 600-8-105 AR 614-30 AR 600-8-104 AR 608-99 AR 614-6 AR 700-84 AR 190-11 AR 600-20 AR 340-21 AR 210-22 AR 930-5 AR 601-280 AR 601-100 AR 600-4 AR 735-5 AR 385-10 AR 635-200 AR 600-8-24 AR 190-40 AR 350-100 AR 600-20 AR 40-66 AR 600-63 AR 614-200 DoD 5500.7R AR 37-104-4 AR 600-8-2 AR 600-37 AR 670-l AR 600-9

109

APPENDIX C - (WEBSITES FREQUENTLY USED)

1. Department, Command, Agency, Organization Home Pages: Army: http://www.army.mil Army Forces Command (FORSCOM): http://www.forscom.army.mil Army National Guard (ARNG): http://arng.army.mil Defense Finance and Accounting Service (DFAS) Indianapolis: http://www.dod.mil/dfas Department of the Army (DA): http://www.hqda.army.mil Department of Defense (DOD): http://www.defenselink.mil General Services Administration (GSA): http://www.gsa.gov Human Resource Command (HRC) (formerly PERSCOM): http://www.hrc.army.mil Occupational Safety and Health Administration (OSHA): http://www.osha.gov Office of Personnel Management (OPM): http://www.opm.gov Training and Doctrine Command (TRADOC): http://www.tradoc.army.mil/pubs/pams/p525-73.htm U.S. Army Publications Agency (USAPA): http://www.usapa.army.mil U.S. Army Reserve (USAR): http://www.armyreserve.army.mil 2. Forms, Publications, Magazines: Army Doctrine and Training Digital Library: http://www.adtdl.army.mil DOD Electronic Forms: http://www.usapa.army.mil FORSCOM electronic pubs and forms: http://www.forscom.army.mil/pubs IRS forms and publications: http://www.irs.ustreas.gov Soldiers Online- The Official Army Magazine: http://www.army.mil/publications TRADOC pubs: http://www-tradoc.monroe.army.mil/publica.htm U.S. Army Publications Agency (USAPA): http://www.usapa.army.mil (ARs, PAMs, Cirs, OFs, SFs, DD, and DA Forms; Pubs Ordering System) 3. Pay and Finance:

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Army Financial Operations: http://www.asafm.army.mil (Pay rates. drill pay. travel voucher information.) DFAS: http://dfas4dod.dfas.mil (Defense Finance and Accounting Service Indianapolis) - Per diem rates: http://www.dtic.mil/perdiem/pdrates.html 4. Family Support: Army Family Liaison home page: http://www.hqda.army.mil DEERS E-mail: http://tricare.mil/DEERS/update-info.cfm (E-mail changes to Defense Enrollment Eligibility Reporting System (DEERS) Military Assistance Program "MAPsite": http://dod.mil/mapsite (Helpful information on family services, finances, and more.) TAPS (Tragedy Assistance Program for Survivors, Inc.): http://taps.org (Grief support and services for survivors of military line-of-duty deaths.) U.S. Army Community and Family Support Center Morale, Welfare, and Recreation (MWR): http://www.armymwr.com (Helpful links to Soldier and family issues, recreation, and more.) 5. Medical (Information, benefits etc.) Army Medical Department (AMEDD): http://www.armymedicine.army.mil (Surgeon General. MEDCOM. TRICARE, other medical information) TRICARE Info Source: http://www.tricare.mil/ 6. Uniforms: Army Ribbons Order of Precedence: http://www.tioh.hqda.pentagon.mil/awards/ribbon/OrderofPrecedence.htm Clothing and Individual Equipment (CIE): http://www.forscom.army.mil/ocie (Organizational CIE (OCIE), civilian clothing allowances, and more) 7. Miscellaneous Websites: http://www.trol.redstone.army.mil/mwr/lodging/maps/index.htmI (Lodging success, standards, and world wide facilities) Federal Voting Assistance Program: http://www.fvap.gov Veterans Affairs (VA): http://www.va.gov (Information on VA benefits, programs, facilities, and more) 111