Da Form 5960 Template: Download And Instructions

As a military personnel or a family member, navigating the complex world of military forms and paperwork can be a daunting task. One such form that may require attention is the DA Form 5960, also known as the "Authorization to Apply for a Family Member's Medical and Dental Care." In this article, we will delve into the world of DA Form 5960, exploring its purpose, benefits, and instructions for download and completion.

What is DA Form 5960?

The DA Form 5960 is a document used by the U.S. Department of the Army to authorize family members to receive medical and dental care. This form is typically required for family members of active-duty, retired, or deceased military personnel who are eligible for medical benefits. The form serves as a way for the military to verify the family member's eligibility and ensure that they receive the necessary medical attention.

Benefits of DA Form 5960

The DA Form 5960 provides several benefits to family members of military personnel. Some of these benefits include:

• Access to medical and dental care at military treatment facilities (MTFs)
• Eligibility for TRICARE, the military's health insurance program
• Reduced or waived copays for medical services
• Priority scheduling for medical appointments

How to Download DA Form 5960

To download the DA Form 5960, you can follow these steps:

1. Visit the official U.S. Army website at www.army.mil.
2. Click on the "Resources" tab and select "Forms" from the drop-down menu.
3. Search for "DA Form 5960" in the search bar.
4. Click on the "DA Form 5960" link to download the form.

Alternatively, you can also download the form from other reputable sources, such as the Defense Health Agency (DHA) website or the Military OneSource website.

Instructions for Completing DA Form 5960

To complete the DA Form 5960, follow these steps:

1. Section I: Sponsor Information
   • Enter the sponsor's name, Social Security number, and military service branch.
   • Provide the sponsor's current duty station and mailing address.
2. Section II: Family Member Information
   • Enter the family member's name, Social Security number, and relationship to the sponsor.
   • Provide the family member's date of birth and contact information.
3. Section III: Medical and Dental Care Authorization
   • Check the boxes to authorize medical and dental care for the family member.
   • Sign and date the form.
4. Section IV: Certification
   • The sponsor or authorized representative must sign and date the form.
   • The form must be witnessed by a notary public or a military officer.

Tips and Reminders

• Ensure that all information is accurate and complete.
• Use black ink to sign the form.
• Keep a copy of the completed form for your records.
• Submit the form to the nearest MTF or TRICARE office.

Gallery of DA Form 5960 Templates

DA Form 5960 Templates

Frequently Asked Questions

Q: Who is eligible to complete DA Form 5960? A: Family members of active-duty, retired, or deceased military personnel are eligible to complete DA Form 5960.

Q: What is the purpose of DA Form 5960? A: The purpose of DA Form 5960 is to authorize family members to receive medical and dental care at military treatment facilities (MTFs).

Q: How do I download DA Form 5960? A: You can download DA Form 5960 from the official U.S. Army website or other reputable sources.

Conclusion

In conclusion, DA Form 5960 is an essential document for family members of military personnel who require medical and dental care. By following the instructions outlined in this article, you can ensure that your family member receives the necessary medical attention. Remember to keep a copy of the completed form for your records and submit it to the nearest MTF or TRICARE office.

We hope this article has been informative and helpful. If you have any further questions or concerns, please feel free to comment below.