Do I need a Family Care Plan?

1. Do I need a Family Care Plan? Is SM Spouse present and capable of caring for dependents? SM has child under the age of 19/is pregnant or adult special needs dependent^ Is SM Single*? Is SM Dual Military? No No Yes Yes Yes FCP for Adult Dependant^, otherwise not Required Custody or Visitation >29 Days? Are children from prior Marriage only? No No Yes FCP Not Required Yes No See next battle drill if FCP is required FCP Required FCP Required ^Adult Dependent that cannot function on own *Single= Not married or separated.

2. FCP Battle Drill FCP Required Fill out DA 5304 and DA 7667 and bring to Commander Designate a Short Term, Long Term, and Secondary* caregiver Complete LOI, COA, POA and Allotment for Each Caregiver Fill out DA 5305 bring to Commander Is other biological parent the primary caregiver Are kids from prior marriage Copy of DD Form 1172 For every Dependent on file Yes Yes No No FCP Complete, Review every Birthday Month Fill out DA 7666 and bring to Commander Fill out DA 5305 bring to Commander *Per AR 600-20, only one caregiver is necessary. However, it is generally inadvisable not to have a secondary. SM Must be counseled if they do not have a secondary FCP Complete, Review every Birthday Month

3. X Co FCP Checklist Soldier: _________________________ Spouse Unit (If Dual): ______________ Date Last Review:_________________ FCP Documents Caregiver Documents Power Of Attorney DA 5840 Certificate of Acceptance DD 2558 Start/Stop Allotment (Signed w/amount if deployed) Letter of Instruction • DA 7667 FCP Screening • DA 5304 FCP Counseling Checklist • DA 1172 Application for ID Card (With all dependents annotated) • DA 5305 Family Care Plan Checklist • DA 7666 Parental Consent (If Applicable) S L 2