AE Form 55-46A at a glance
What it is: AE Form 55-46A is the Commander's Checklist for Soldier and Family Assistance (AE Reg 55-46).
Who signs: Each section is signed under the line: I verify that the Soldier has completed this section. The Soldier does not sign there.
A filled-in AE Form 55-46A example: a Soldier's checklist with all four sections counseled
How to fill out AE Form 55-46A, box by box
Name, grade, unit and DEROS
Enter 1. Name (last, first, MI), 2. Grade, 3. Unit and 4. DEROS (YYYYMMDD).
Section I - Army Community Service (ACS)
In Section I - Army Community Service (ACS), enter the Date counseled (YYYYMMDD) for each service. Financial Readiness. Classes on money, debt and checkbook management, savings, investing, and spending plan for recurring monthly bills. Budget Counseling Classes. Classes on leave and earnings statement (LES), budget, and credit card statements. Army Emergency Relief Commander's Referral Program. Limited emergency financial assistance and food vouchers.
Employment Readiness. Job preparation workshops, job development and contact with potential employers, and job-skill development and assessment.
Debt Liquidation. Classes on debt liquidation. ACS financial counselors help members contact creditors to establish a payment plan.
Family Advocacy Program (FAP). Stress management, interpersonal communication, anger and conflict resolution, couples relationship, positive discipline for children, transitional compensation, and parenting teenagers.
Consumer Finance Affairs. Automobiles and property issues, privacy of personal financial information, and financial planning.
Section II - Chaplain Services
In Section II - Chaplain Services, enter the Date counseled (YYYYMMDD) for each service. Pastoral Counseling. Supported counseling for the person's belief and values system, and facilitation of spiritual growth. Crisis Intervention. Intervention provided when a crisis threatens the individual or a Family from functioning.
Marriage Counseling. Counseling on marital problems and disagreements.
Family Counseling. Counseling for a Family unit on Family problems and disagreements.
Section III - Medical Services
In Section III - Medical Services, enter the Date counseled (YYYYMMDD) for each service. Family Advocacy Clinic. Marriage and Family counseling, services for couples experiencing marriage difficulties, and help with other Family-related issues. Mental Health Department (if commanders deem necessary). Adult and child psychiatric or psychological clinical assessment and treatment in the form of medication management and individual and group psychotherapy.
Section IV - Legal Assistance
In Section IV - Legal Assistance, enter the Date counseled (YYYYMMDD) for Family Law. Family-support guidelines, child custody, separation agreements, Family care plan, power of attorney, and wills.
Name (last, first, MI), Telephone (military) and Date (YYYYMMDD)
In each section, the one who signs enters Name (last, first, MI), Telephone (military), Date (YYYYMMDD) and Signature.
More rules for AE Form 55-46A
Purpose: To provide unit commanders a ready source of information for day-to-day operations and administrative determinations pertaining to assigned and attached personnel and to enable them to recommend appropriate resources to assist Families facing separation or hardships (for example, financial problems, marital difficulties, medical issues, other Family member support issues).
Disclosure: Voluntary. However, if you do not provide the requested information, commanders may not be able to recommend appropriate services.
Sources
[1] AE Form 55-46A (JUN 15), Commander's Checklist for Soldier and Family Assistance, U.S. Army (the Official source link on this page).