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The DA 7666 form is an essential document used by the United States Army, primarily for the purpose of reporting and documenting the status of military personnel. This form plays a crucial role in maintaining accurate records of soldiers' assignments, deployments, and various administrative actions. It serves as a vital tool for ensuring that the Army can efficiently manage its personnel and resources. Understanding the DA 7666 form is important for service members and their families, as it can impact everything from career progression to benefits eligibility. Completing this form accurately is necessary to avoid potential complications in military records. Additionally, it is important to know the procedures for submitting the form and the implications of the information it contains. As we delve deeper into the specifics of the DA 7666 form, we will explore its purpose, the information required, and how it fits into the broader context of military administration.

Document Specifics

Fact Name Description
Purpose The DA 7666 form is used to document and report the results of a military member's physical examination.
Governing Law This form is governed by the Department of Defense regulations and military medical standards.
Eligibility Active duty service members and certain reserve components are eligible to complete this form.
Submission Process Completed forms must be submitted to the appropriate military medical facility for processing.
Privacy Considerations Information on the DA 7666 is protected under the Privacy Act, ensuring confidentiality of medical records.
Updates The form may be updated periodically to reflect changes in medical examination standards.
Related Forms It is often used in conjunction with other military medical forms, such as the DD 2807 and DD 2808.

Similar forms

  • DA Form 2-1: This form serves as a personnel record for soldiers, documenting their assignments and qualifications. Similar to the DA 7666, it provides a comprehensive overview of an individual's military career, helping with administrative processes.
  • DD Form 214: This document is issued upon a service member's retirement, separation, or discharge from active duty. Like the DA 7666, it summarizes the individual's military service, including dates of service and discharge status.
  • SF 86: The Standard Form 86 is used for background investigations. It gathers personal information, much like the DA 7666, to assess eligibility for security clearances, ensuring that sensitive information is safeguarded.
  • DD Form 4: This is the enlistment or reenlistment document for military personnel. It outlines the terms of service, akin to the DA 7666, which also details service-related commitments and agreements.
  • DA Form 1059: This form records a soldier's completion of a military school or course. Both it and the DA 7666 track educational achievements and qualifications, contributing to a soldier's professional development record.
  • DA Form 31: This is the Request and Authority for Leave. It details leave requests and approvals, similar to the DA 7666, which may also include information on a soldier's status during periods of leave.
  • DA Form 2823: Known as the Sworn Statement form, it collects personal accounts or testimonies. Like the DA 7666, it is used in various administrative and legal processes within the military.
  • New York Certificate form: This legal document is essential for incorporating in New York State, outlining vital information about the corporation. For more details, you can visit https://nytemplates.com/blank-new-york-certificate-template/.
  • DA Form 7500: This form is used for reporting incidents and accidents. Similar to the DA 7666, it documents events that may impact a soldier's record or status within the military framework.
Free DA 7666 File

DA 7666 Example

PARENTAL CONSENT

For use of this form, see AR 600-20; the proponent agency is DCS, G-1.

AUTHORITY: PRINCIPAL PURPOSE:

ROUTINE USES:

DISCLOSURE:

PRIVACY ACT STATEMENT

10 U.S.C. Section 3013, Secretary of the Army: Army Regulation 600-20, Army Command Policy.

To record the agreement of both parents with their child's custodial arrangement as documented in the Family Care Plan.

None.

Mandatory; failure to maintain a Family Care Plan could subject you to separation, administrative action, or disciplinary action under the UCMJ.

In accordance with this agreement the parties confirm the following stipulations of fact and terms of agreement:

 

 

,

a member of the United States Army, (hereinafter "the Soldier"), and

 

 

 

 

 

are the parents of

 

(hereinafter "the child"), date of birth

, born in

.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

The child currently resides primarily with

 

 

 

at

 

 

.

 

a.As a function of performing military duties, the Soldier may have to perform temporary duty, be deployed, or otherwise not be available to care for the minor child.

b.The Soldier has been notified that he or she is to be temporarily deployed. The time period of deployment has been estimated to be

in length. As a matter of military necessity, the minor child will not be able to reside with, or exercise access to the Soldier during this time. (Initial appropriate paragraph)

The parties agree that each has reviewed the attached Family Care Plan as set forth in Form DA 5305, which indicates that for the time period that the

Soldier is absent,

 

is to serve as the minor child's temporary physical guardian.

 

The parties agree that during this period the minor child will reside at

 

.

The parties agree that each will cooperate with the execution of any additional documentation as may be necessary to facilitate the designation of physical custody to the temporary guardian and effectuate this consent.

By the signatures below, each party indicates their consent to the arrangements outlined in the attached Family Care Plan and this agreement.

 

(SOLDIER'S SIGNATURE)

 

 

 

 

 

STATE OF

 

 

 

 

 

 

COUNTY OF

 

 

 

 

 

 

 

 

 

 

Acknowledged before me this

 

day of

,

.

 

 

 

 

 

 

 

 

 

 

 

(NOTARY PUBLIC)

My commission expires:

(OTHER PARENT'S SIGNATURE)

 

 

 

 

 

STATE OF

 

 

 

 

 

 

COUNTY OF

 

 

 

 

 

 

 

 

 

 

Acknowledged before me this

 

day of

,

.

 

 

 

 

 

 

 

 

 

 

 

(NOTARY PUBLIC)

My commission expires:

DA FORM 7666, SEP 2009

APD LC v1.01

Understanding DA 7666

What is the DA 7666 form?

The DA 7666 form, also known as the "Department of the Army (DA) Form 7666," is primarily used within the U.S. Army for specific administrative purposes. This form is designed to document various aspects of personnel management, including evaluations and assessments. It plays a crucial role in maintaining accurate records and ensuring that personnel information is up to date.

Who needs to complete the DA 7666 form?

Typically, the DA 7666 form is required to be completed by Army personnel involved in evaluations, such as supervisors or commanders. It may also be necessary for individuals who are being evaluated. The form helps facilitate communication about performance and development within the Army structure.

How do I fill out the DA 7666 form?

Filling out the DA 7666 form involves providing specific information relevant to the evaluation or assessment being conducted. This usually includes personal details of the individual being evaluated, the evaluator's information, and specific performance metrics. Clear instructions are typically provided on the form itself to guide users through the completion process.

Where can I obtain the DA 7666 form?

The DA 7666 form can usually be obtained from the official U.S. Army website or through Army administrative offices. It is important to ensure that you are using the most current version of the form, as updates may occur. Checking with your unit’s administrative personnel can also help in locating the correct form.

What should I do if I have questions about the DA 7666 form?

If you have questions regarding the DA 7666 form, it is advisable to reach out to your unit's administrative office or a supervisor. They can provide guidance and clarification on how to properly complete the form and address any specific concerns you may have. Additionally, the official Army resources may offer further information and support.

Dos and Don'ts

When filling out the DA 7666 form, it is crucial to follow specific guidelines to ensure accuracy and compliance. Here are nine things you should and shouldn't do:

  • Do read the instructions carefully before starting.
  • Do use black or blue ink to fill out the form.
  • Do ensure all information is accurate and complete.
  • Do sign and date the form where required.
  • Do keep a copy of the completed form for your records.
  • Don't leave any sections blank; fill in all applicable fields.
  • Don't use correction fluid or tape to make changes.
  • Don't submit the form without double-checking for errors.
  • Don't forget to submit the form by the deadline.

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