Family Care Plan Counseling Checklist (Page 2 of 3) in pdf

SOLDIER

COMMANDER

PART I - ACTIVE AND RESERVE COMPONENT (Continued)

I understand that I will receive no special consideration in duty assignments or duty stations based on my

responsibility for my dependent family member(s)

unless enrolled in the Exceptional Family Member Program

(EFMP) in accordance with AR 600-75.

M. I understand that I am fully responsible for all transportation arrangements and costs pertaining to transportation

of dependent family member(s) to guardian or guardian to dependent family member(s).

N. If I am assigned OCONUS, I understand that I must identify an escort for my dependent family member(s) in the

event that Noncombatant Evacuation Operations (NEO) are put into effect.

O. If NEO procedures are not initiated at the time I am required to implement my Family Care Plan, I understand that

I may request the opportunity to personally escort my dependent family member(s) back to CONUS if time and the

nature of the military situation permits, and my commander approves. I also understand that I may request approval

for the designated guardian to reside in my government quarters in my absence. I further understand that the Army

will not be responsible for reimbursement of any travel costs incurred by the guardian or escort unless they are

otherwise eligible under their own military dependent family member status.

I understand that members of a dual-military couple may submit the same basic Family Care Plan to both

commanders, provided that neither military member is identified as the long-term guardian in the plan. The original

Family Care Plan will be maintained by the commander of the military member least likely to deploy, with a copy of

the plan forwarded to the spouse's commander. If both military members are equally likely to deploy, the original

will be filed with the Army member's commander and a copy with the commander of the other service. If both are

Army members and equally likely to deploy, it is inconsequential which commander has the original, so long as both

commanders have copies in the unit files.

Q. I understand that I should provide letters of instruction outlining all special arrangements and instructions the

guardians or escort should be aware of (See Figure 5-4, AR 600-20).

R. I have received copies of all the required forms and documentation, and know whom to contact in the event I

have additional questions or need additional assistance in preparing the Family Care Plan.

S. I understand that I must submit the complete Family Care Plan with all attendant documents to my commander

within the time limits specified by my commander (or designated representative):

AC 30 days from date of this counseling session.

RC 60 days from date of this counseling session.

T. I understand that it is my responsibility to notify my commander in advance if I am aware of any circumstances

beyond my control that might prevent me from meeting the submission deadlines. The commander is authorized to

grant a one-time extension of 30 days based on extenuating circumstances.

PART II - ACTIVE AND RC SERVING ON ACTIVE DUTY

Policies, Provisions, Entitlements, Benefits, and Services:

A. Policies governing deletion or deferment from assignment instructions because of personal reasons. See Chapter

3, AR 614-200 (AC enlisted) or Chapter 6, AR 614-100 (AC officers) or AR 135-91 (RC).

Policies governing reassignment eligibility.

All soldiers are expected to serve CONUS and OCONUS tours

(including unaccompanied tours). The needs of the Service provide the basis for selecting a soldier for reassignment

in accordance with AR 614-30, AR 614-200, and AR 614-100.

C. Entitlements to assignment of government or pay of basic allowances for quarters. See Chapter 10, AR 210-50.

D. Policies governing entitlement to basic allowance for subsistence, application procedures, and payment. These

are contained in Chapter 1, part 3, AR 37-104-3; and Chapter 20, DoD Military Pay and Allowances Entitlements

Manual.

E. Provisions for applying for concurrent travel of dependent family members when alerted for overseas movement.

Approved joint domicile assignments do not constitute authority to move dependent family members to the overseas

command at government expense. Application for dependent family member travel must be made in accordance

with AR 55-46.

Eligibility requirements for shipment of household goods to the next permanent duty station at government

expense. See Chapter 4, AR 55-71 and Part D, Chapter 5, Volume 1, Joint Federal Travel Regulation (JFTR).

G. The entitlement to government paid transportation of dependent family members to the next permanent duty

station. See Chapter 9, AR 37-106 and Part C, JFTR. Transportation allowances for dependent family member

movement will be paid for under the following conditions:

If traveling in a PCS status between CONUS permanent duty stations.

However, dependent family

members are not authorized to move to or from TDY stations at government expense.

If traveling to, from, or between OCONUS duty stations in PCS status provided tour length requirements

have been satisfied. See Section III, Chapter 1, AR 55-46 regarding tour length requirements to qualify for

dependent family member movement to, from and between overseas areas.

PAGE 2, DA FORM 5304-R, MAR 92

USAPPC V1.00

Family Care Plan Counseling Checklist Page 2

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