DA Form 5017. Civilian Employee Consent Statement

Form DA 5017 is a Civilian Employee Consent Statement. This form is used by the Department of the Army to obtain the consent of civilian employees for certain actions or requirements related to their employment. The purpose of this form is to ensure that the employees are aware of and agree to specific terms or conditions as part of their employment with the Army.

The form consists of sections where the civilian employee provides their consent for certain actions, such as background checks, drug testing, or participation in specific programs. The form may also include sections for explaining the details and implications of the actions requiring consent.

Important fields in this form include accurate and clear documentation of the employee's consent to specific requirements or conditions. Obtaining informed consent is essential to ensure that employees are aware of and agree to the terms and expectations set by the Department of the Army.

Application Example: A civilian employee is required to undergo a background check as part of their position with the Department of the Army. The employer uses Form DA 5017 to obtain the employee's consent for the background check and to provide information about the purpose and use of the background check.

Related Forms: There may be other forms used for obtaining employee consent for various employment-related actions and programs.