DA Form 5305-R at a glance
What it is: DA Form 5305-R is the Family Care Plan, which documents for Army purposes the plan by which Soldiers provide for the care of their family when military duties prevent the Soldier from doing so.
Who signs: The soldier signs the signature of soldier line and the date (YYYY/MM/DD). The commander signs the signature of commander line. For dual military couples only, the spouse signs the signature of spouse line.
What to bring and attach to DA Form 5305-R
A copy of DA Form 5841 (Power of Attorney) or equivalent documents and a copy of DA Form 5840 (Certificate of Acceptance as Guardian or Escort) for each escort or guardian whether temporary or long-term is attached to this plan.
DD Form 1172 (Application for Uniformed Services Identification Card - DEERS Enrollment) for each family member whether they have a currently valid ID card or not.
DD Form 2558 (Authorization to Start, Stop or Change an Allotment) or other proof of financial support for expenses incurred by guardian and family members.
A filled-in DA Form 5305-R example: a soldier names guardians and signs
How to fill out DA Form 5305-R, box by box
Part I - Soldier's Family Care
In Part I, A, enter the date you were counseled, and that you fully understand the policy on family member care responsibilities. You must arrange for care of your family members, remain available for deployment and training, and report for duty as required without interference of responsibility for family members.
In Part I, B, you have made and will maintain arrangements for the care of your family members during duty exercises/field duty, Permanent Change of Station, alerts and annual training.
Part II - A. Temporary guardian
In Part II, A, designate the temporary guardian to care for your family member(s) until responsibility is transferred to escort or principal (long-term) guardian: enter the typed or printed name, the complete address (including Street, Apartment Number, P.O. Box Number, Rural Route Number, City, State, and ZIP + 4 where applicable), the telephone number (include area code) and the e-mail address.
Part II - B. Principal long-term guardian
In Part II, B, designate the principal long-term guardian(s) for your family member(s), who reside in the continental United States or United States territories: enter the typed or printed name, the complete address, the telephone number (include area code) and the e-mail address.
Part II - C. Escort if evacuation from OCONUS becomes necessary
In Part II, C, designate the individual(s) as escort for your family member(s) if evacuation from OCONUS becomes necessary (applies only to persons assigned OCONUS): enter the typed or printed name, the complete address, the telephone number (include area code) and the e-mail address.
Part III - Dual military couples only: military spouse and commander certification
Part III is for dual military couples only: military spouse and commander certification.
In Part III, the spouse signs the signature of spouse line, then the date (YYYY/MM/DD) and the typed or printed name of spouse.
In Part III, the commander: I have counseled the military spouse assigned to my unit, reviewed the Family Care Plan, and I am satisfied that the members have made adequate family care arrangements; the commander signs, enters the unit address and the date, and the typed or printed name of commander.
Part IV - Soldier and commander certification
Part IV, soldier: sign on the signature of soldier line, then the date (YYYY/MM/DD) and the typed or printed name of soldier.
In Part IV, the commander signs the signature of commander line. Commander: I have reviewed the Family Care Plan, and I am satisfied that the members have made adequate family care arrangements that will allow for a full range of military duties and for worldwide availability as defined here. The commander enters the unit address, the date and the typed or printed name of commander.
More rules for DA Form 5305-R
Failure to make and maintain adequate family member care arrangements in accordance with the Army's policy is grounds for disciplinary action or separation.
If I fail to maintain a Family Care Plan or provide false information regarding my plan, I am subject to separation, administrative action, or disciplinary action under UCMJ.
You must maintain an up-to-date Family Care Plan and revise your Plan when circumstances change.
You will receive no special consideration in duty assignments or duty stations based on your responsibilities for your family members unless enrolled in the Exceptional Family Member Program (EFMP) in accordance with AR 600-75.
Sources
[1] DA Form 5305-R (JUL 2020), Family Care Plan, U.S. Army (the Official source link on this page).