DA Form 5191. Information on Individual With Disability

DA Form 5191 is employed to gather information about individuals with disabilities, aiding in the documentation and understanding of their unique needs. This form supports the Department of the Army's commitment to inclusivity and provision of appropriate accommodations.

The form consists of sections where individuals or their caregivers provide personal details, specific disability information, and required accommodations or support. It may also include sections for medical history, treatment plans, and contact information.

Important fields in this form include the individual's name, disability details, required accommodations, and contact information. Accurate completion of this form is crucial for ensuring that appropriate accommodations are provided to individuals with disabilities and that their needs are effectively addressed.

Application Example: A soldier with a newly diagnosed visual impairment completes DA Form 5191 to inform the military medical system about their condition and to request necessary accommodations, such as accessible materials and assistive technology.

No additional documents are typically required to complete this form, as it captures all necessary information related to an individual's disability and accommodations.

Alternative forms related to disability accommodation might exist, but DA Form 5191 is tailored for the Army's specific purposes, focusing on understanding and addressing the needs of individuals with disabilities.