DA Form 5328. Bona Fide Dependent Declaration (Civilian)

DA Form 5328, the Bona Fide Dependent Declaration (Civilian), is used to declare and verify the eligibility of civilian employees' dependents for certain benefits and entitlements offered by the Department of the Army. This form ensures that only eligible dependents receive the appropriate benefits.

The form consists of sections where civilian employees provide information about their declared dependents, including names, relationships, and documentation of eligibility. It may also include sections for affidavits and verification by responsible personnel.

Important fields in this form include dependent details, relationships, and supporting documentation. Accurate completion of this form is crucial for administering benefits and entitlements correctly and preventing fraudulent claims.

Application Example: A civilian employee applies for health insurance coverage for their spouse and children. They complete DA Form 5328, providing the required documentation and verifying the eligibility of their dependents for the benefits.

No additional documents are typically required to complete this form, as it captures all necessary information related to dependent declaration and eligibility verification for civilian employees.

No direct alternatives or analogues to DA Form 5328 are mentioned, as its purpose is specific to declaring and verifying civilian employees' bona fide dependents for benefits and entitlements.