Fill a Valid DA 7666 Template Open Editor Here

Fill a Valid DA 7666 Template

The DA 7666 form is a document used by the U.S. Army to request information regarding the status of a soldier's physical examination. This form helps ensure that all necessary medical evaluations are completed in a timely manner, supporting the health and readiness of military personnel. If you need to fill out this form, click the button below to get started.

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Form Overview

Fact Name Description
Purpose The DA Form 7666 is used for the transfer of military personnel records.
Governing Law This form is governed by the Department of Defense regulations regarding personnel management.
Submission Process Individuals must submit the form to their respective personnel office for processing.
Who Uses It This form is utilized by active duty, reserve, and National Guard members.
Importance Accurate completion of this form is crucial for maintaining proper military records and benefits.

Common Questions

  1. What is the DA 7666 form?

    The DA 7666 form, also known as the "Request for Army Reserve Component Assignment," is a document used by individuals seeking to transfer or assign to a different unit within the Army Reserve. This form helps facilitate the administrative process for personnel changes within the Reserve components.

  2. Who needs to fill out the DA 7666 form?

    Any member of the Army Reserve who wishes to change their assignment or unit must complete the DA 7666 form. This includes soldiers looking to relocate for personal reasons, career advancement, or other valid purposes.

  3. Where can I obtain the DA 7666 form?

    The DA 7666 form can be obtained from various sources. You can find it on the official Army Publishing Directorate website or request a copy from your unit's administrative office. Ensure you have the most current version to avoid any delays in processing.

  4. What information is required on the DA 7666 form?

    When filling out the DA 7666 form, you will need to provide personal information such as your name, rank, social security number, and current unit. Additionally, details about your desired assignment and the reason for the request must be included. Accurate and complete information is crucial for a smooth processing experience.

  5. How long does it take to process the DA 7666 form?

    The processing time for the DA 7666 form can vary based on several factors, including the current workload of the administrative offices and the complexity of the request. Generally, it may take several weeks to receive a response. It is advisable to submit your form as early as possible to account for any potential delays.

  6. What happens after I submit the DA 7666 form?

    Once the DA 7666 form is submitted, it will be reviewed by the appropriate personnel within your unit. They will assess your request and determine whether it can be approved based on the needs of the Army and your qualifications. You will be notified of the decision, and if approved, further instructions will be provided.

  7. Can I appeal if my DA 7666 request is denied?

    If your request is denied, you have the right to appeal the decision. The appeal process typically involves submitting a written request for reconsideration, along with any additional supporting documentation that may strengthen your case. It’s important to follow the guidelines provided in the denial notice for a successful appeal.

  8. Is there a fee associated with submitting the DA 7666 form?

    No, there is no fee for submitting the DA 7666 form. It is a standard administrative procedure within the Army Reserve, and soldiers should not incur any costs related to the submission of this form.

  9. Who can I contact for assistance with the DA 7666 form?

    If you have questions or need assistance while completing the DA 7666 form, you can reach out to your unit's administrative office. They are equipped to provide guidance and support throughout the process. Additionally, your chain of command can also be a valuable resource for any concerns you may have.

Documents used along the form

The DA 7666 form, also known as the "Application for the Army's Reserve Component Survivor Benefit Plan," is an essential document for service members and their families. However, it is often accompanied by several other forms and documents that help streamline the application process and ensure that all necessary information is provided. Below is a list of commonly used documents alongside the DA 7666 form.

  • DD Form 214: This document serves as a certificate of release or discharge from active duty. It provides vital information about the service member's military history, including dates of service, awards, and character of discharge.
  • DA Form 3685: Known as the "Army Reserve Component Survivor Benefit Plan Election," this form allows service members to formally elect to participate in the Survivor Benefit Plan, detailing the coverage options they wish to select.
  • SF 2809: This is the "Health Benefits Election Form." It is used to enroll in or change health benefits under the Federal Employees Health Benefits Program, which can be crucial for service members and their dependents.
  • DD Form 2656: This form, titled "Data for Payment of Retired Personnel," is necessary for retired service members to provide information regarding their retirement pay and beneficiaries, ensuring that payments are directed appropriately.
  • Wisconsin Articles of Incorporation: To legally establish your corporation in Wisconsin, it's essential to complete the Articles of Incorporation form, which you can find among the necessary resources, including PDF Templates.
  • SF 1152: The "Claim for Unpaid Compensation of Deceased Member of the Uniformed Services" form is important for beneficiaries to claim any unpaid compensation due to a deceased service member, facilitating the financial transition for the family.

Each of these documents plays a crucial role in the overall process of managing benefits and entitlements for service members and their families. Ensuring that you have all necessary forms completed accurately can help avoid delays and complications in accessing important benefits.

Preview - DA 7666 Form

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

Common mistakes

Filling out the DA 7666 form can be a daunting task for many individuals. It is essential to approach this form with attention to detail to avoid common pitfalls that could delay processing or lead to complications. One frequent mistake is failing to provide accurate personal information. When applicants do not double-check their name, Social Security number, or contact information, it can create significant issues down the line. Errors in this section can lead to confusion and delays in the processing of the application.

Another common error involves overlooking the required signatures. The DA 7666 form requires signatures from the applicant and, in some cases, a witness or legal representative. Neglecting to sign the form, or having an illegible signature, can render the application invalid. It is crucial to ensure that all necessary signatures are present and clearly written.

Additionally, many individuals fail to read the instructions thoroughly. Each section of the form has specific requirements, and misunderstanding these can lead to incomplete submissions. When people skip the instructions, they may miss important details about what information is required, resulting in delays or the need to resubmit the form.

Inaccurate dates are another frequent mistake. When applicants do not provide the correct dates for events such as service periods or when the application is being submitted, it can create inconsistencies in the records. These discrepancies may lead to further inquiries or complications in processing.

Some individuals also neglect to include supporting documentation. The DA 7666 form often requires additional paperwork to verify claims made within the application. Failing to attach necessary documents can lead to immediate rejection of the application or requests for further information, which can prolong the process.

Moreover, applicants sometimes misinterpret the terminology used in the form. Confusion over specific terms or sections can lead to incorrect information being provided. It is essential to clarify any uncertainties before submitting the form to ensure accuracy.

Another mistake is submitting the form without making a copy for personal records. Retaining a copy of the submitted form can be invaluable for tracking the application’s progress or addressing any issues that may arise later. Without a record, individuals may find themselves at a disadvantage if they need to reference their submission.

Lastly, procrastination can be a significant hurdle. Many people wait until the last minute to fill out the DA 7666 form, which can lead to rushed submissions filled with errors. Taking the time to complete the form thoughtfully and carefully can make a substantial difference in the outcome.

Similar forms

The DA 7666 form, often used in military and veteran contexts, serves specific purposes related to documentation and verification. Several other forms share similarities with the DA 7666, either in function or in the type of information they collect. Here are six documents that are similar to the DA 7666 form:

  • DD Form 214: This form is commonly known as the Certificate of Release or Discharge from Active Duty. Like the DA 7666, it provides essential information about a service member's time in the military, including discharge status and service dates.
  • SF 180: The Standard Form 180 is used to request military records. Similar to the DA 7666, it facilitates the retrieval of important documentation for veterans, ensuring they have access to their service history.
  • VA Form 21-526EZ: This is an application for disability compensation and related compensation benefits. Like the DA 7666, it requires detailed personal information and service history to process claims for benefits.
  • VA Form 21-534EZ: This form is used for applying for Dependency and Indemnity Compensation (DIC) benefits. Similar to the DA 7666, it collects information about the veteran and their service to determine eligibility for benefits.
  • Florida Durable Power of Attorney form: This essential legal document allows individuals to appoint someone to manage their financial decisions if they become incapacitated. For more information, visit https://floridaformspdf.com/printable-durable-power-of-attorney-form.
  • VA Form 10-10EZ: The Application for Health Benefits is another important document. It collects personal and service-related information to determine eligibility for VA health care, much like the DA 7666 does for other services.
  • DD Form 149: This form is used to apply for a correction of military records. It shares similarities with the DA 7666 by allowing individuals to provide information necessary for reviewing and amending their military records.

Each of these forms plays a vital role in the lives of service members and veterans, ensuring that they receive the benefits and recognition they deserve. Understanding their similarities can help in navigating the often complex landscape of military documentation.

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