DA Form 5187. Application for Respite Caregivers

DA Form 5187, Application for Respite Caregivers, is utilized by military families seeking respite care services for their family members with special needs. The form facilitates the application process and helps determine the eligibility and specific requirements for respite care assistance.

The form consists of sections where the applicant provides their family and contact information, details about the family member requiring care, the nature of the special needs, and the requested duration and type of respite care services needed.

Important fields in this form include applicant details, information about the family member with special needs, the specific care requirements, and the preferred respite care schedule. Accurate completion of this form is crucial for assessing the eligibility and tailoring the respite care services to meet the needs of the family and the individual requiring care.

Application Example: A military spouse with a child with autism completes DA Form 5187 to request respite care services during the upcoming deployment of their active-duty partner. The form captures essential information about the child's needs, allowing the military support system to arrange appropriate care services during the deployment period.

No additional documents are typically required to complete this form, as it is designed to capture all necessary information within its sections.

There may be similar forms for requesting respite care in different contexts, but DA Form 5187 is tailored for military families and their specific needs, distinguishing it from other respite care application forms.