Navpers Family Care Plan Arrangements

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FAMILY CARE PLAN ARRANGEMENTS
NAVPERS 1740/7 (Rev. 02-2011)
Supporting Directive OPNAVINST 1740.4
PRIVACY ACT
AUTHORITY: 10 U.S.C. Section 5013, Secretary of the Navy; OPNAVINST 1740.4D.
PRINCIPAL PURPOSE: To identify and ensure that single military members and military couples with dependents have made adequate dependent
care arrangements. To ensure the member is world-wide assignable. To ensure combat readiness and document a plan for the care of family
members in the event of a medium or long term absence. To evaluate compliance with DOD and Navy programs requiring Family Care Plans. To
ensure family members are cared for during deployments, reserve mobilizations, temporary duty, etc. and that arrangements are in place for the
financial well being of family members covered by the Family Care Plan during separations.
ROUTINE USES: Used by the Commanding Officer or his/her representative to ensure Family Dependent Care Program is in place.
DISCLOSURE: Individuals who fail to maintain a current Family Care Plan may be subject to separation from the Navy (OPNAVINST 1740.4D
paragraph 7.d.(6)).
CHECK THE ITEMS THAT YOU HAVE COMPLETED FOR YOUR FAMILY CARE PLAN. PLEASE PROVIDE THE PERSONAL CONTACTS AND
LOCATION OF INFORMATION.
1. FINANCIAL ARRANGEMENTS:
ALLOTMENTS TO CAREGIVER
IDENTIFICATION OF ACCOUNTS WITH ACCESS FOR CAREGIVER
ACCESS TO FUNDS WITH ACCOUNTABILITY
AUTO-PAYMENT OF OBLIGATIONS
MODIFICATION OF SUPPORT AGREEMENTS/ORDERS
ADDITIONAL COMMENTS:
2. LOGISTICAL ARRANGEMENTS:
MOVEMENT OF FAMILY MEMBERS AND/OR CAREGIVER(S)
EXISTING CUSTODY/VISITATION ORDERS
MODIFICATIONS OF EXISTING CUSTODY/VISITATIONS ORDERS
NOTIFICATION TO OTHER NATURAL OR ADOPTIVE PARENT
COURT ORDER GRANTING PERMISSION TO RELOCATE
WRITTEN CONSENT TO RELOCATE FROM OTHER NATURAL OR ADOPTIVE PARENT
METHOD OF RELOCATION
AIRLINES:
DATE DEPARTURE:
AIR
VEHICLE:
GROUND
ITINERARY AND MAPS PROVIDED
FINANCIAL SUPPORT AT THE NEW LOCATION
CARE OR MAINTENANCE OF HOME/QUARTERS
LANGUAGE TRANSLATOR
(IF REQUIRED)
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FOR OFFICIAL USE ONLY- PRIVACY SENSITIVE
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