DA Form 5863. Exceptional Family Member Program Information Sheet

DA Form 5863, titled Exceptional Family Member Program Information Sheet, is used within the Department of the Army to collect information about family members with special medical or educational needs for the Exceptional Family Member Program (EFMP).

The form includes sections where details about the exceptional family member's medical, educational, and special needs are recorded. It requires the signature of the military sponsor and may include sections for providing medical documentation and supporting information.

Important fields in this form encompass family member details, medical and educational needs, and the signature of the military sponsor. Accurate completion of the form is essential for ensuring that families with exceptional members receive appropriate support and services.

Application Example: A military service member has a child with special medical needs. The service member completes DA Form 5863 to provide information about the child's medical condition, educational requirements, and necessary support services. The form assists the military in making informed assignments and providing appropriate resources.

No additional documents are typically required when completing this form.

Related Form: DD Form 2792 - Family Member Medical Summary. This form is used to provide detailed medical information about family members with special needs to support the Exceptional Family Member Program.