How to Fill Out DA Form 5434

DA Form 5434 at a glance

What it is: DA Form 5434 is the Sponsorship Program Counseling and Information Sheet.

A filled-in DA Form 5434 example: a Soldier completes the unit and family pages

DA Form 5434 example filled out, example: a Soldier completes the unit and family pages
A Soldier leaving a unit completes the unit and family information on DA Form 5434. The family chooses off-post housing and answers Yes to every question. The picture shows the form filled in, and every value in it is made up. On-post housing is left blank because the family chooses off-post housing. Single-accompanied, Married-unaccompanied and Single-unaccompanied stay empty because the Soldier is married and the family goes along, so Married-accompanied is the one Status box checked. Every No box stays empty because the family answers Yes to each question in 5. FAMILY CONSIDERATIONS.

How to fill out DA Form 5434, box by box

1. NOTE

Soldiers/Family members may retrieve information regarding their new assignment at Army Knowledge Online.

Check "I have been counseled on the Total Army Sponsorship Program", then enter the Typed or Printed Name, Rank, Signature and Date.

2. ARRIVAL INFORMATION TO ASSIST GAINING UNIT

Enter your Rank/Name, the Gaining Installation you are on assignment to and the Month and Year you expect to arrive on/about.

Enter the Soldier's contact information: Current Unit/Address, DSN Phone number, Cell Phone number (personal), Email address (personal), Other (i.e., Social Media), and Leave Address and Phone number until.

Under Status (check one), check Married-unaccompanied, Single-unaccompanied, Married-accompanied or Single-accompanied.

Under Accompanied by Family members, enter NAME, AGE, RELATIONSHIP and SEX for each, and check Yes or No under Exceptional Family Member Program (EFMP).

3. GAINING UNIT/ACTIVITY INFORMATION

Enter the Gaining Unit/Activity.

Enter the Unit CDR/Supervisor, with the Phone number and Email address.

Enter the Unit sponsor, with the Phone number and Email address.

Enter the Unit 1SG/Supervisor, with the Phone number and Email address.

Enter the TASP Unit Coordinator, with the Phone number and Email address.

Enter the Date of initial contact.

4. LOSING UNIT/ACTIVITY INFORMATION

Enter the Losing Unit/Activity.

Enter the Unit CDR/Supervisor, the Unit 1SG/Supervisor and the TASP Unit Coordinator, and for each the Phone number and Email address.

5. FAMILY CONSIDERATIONS

Under Housing requirements (check one), check Off-post housing or On-post housing.

Under Pets, check Yes or No and enter the QTY; if yes, List pet(s) and Type(s).

Under Child care requirements, check Yes or No.

Under Spousal Employment info, check Yes or No; if yes, list type of work.

Under List of local schools, check Yes or No.

Enter Additional comments.

Under Contact by Unit Family Readiness Group (FRG), check Yes or No; if yes, list Email address.

More rules for DA Form 5434

The principal purpose is personnel service support: to counsel Soldiers about the sponsorship program and entitlements and provide contact information to gaining battalion or activity of new members and their dependents.

Before you go

For use of this form, see AR 600-8-8; the proponent agency is Assistant Chief of Staff for Installation Management.

If additional space is necessary, please attach your documentation to the form.

Sources

[1] DA Form 5434, JUN 2019, Sponsorship Program Counseling and Information Sheet (the Official source link on this page).

DA Form 5434 PDF Details

Soldiers/Family members may retrieve information regarding their new assignment at Army Knowledge Online.

Where to send: please do not submit your form to the above address.

Additional space: if additional space is necessary, please attach your documentation to the form.

Time: the public reporting burden is estimated to average 10 minutes per response.

Disclosure: disclosure of personally identifiable information is voluntary; failure to provide identifying information may prevent ability to assign a Sponsor.

Authority: 10 U.S.C. 3013, Secretary of the Army, 10 U.S.C. 1056, Relocation assistance programs, AR 600-8-8, The Total Army Sponsorship Program.

QuestionAnswer
Form NameDA Form 5434
Form Length2 pages
Fillable?Yes
Fillable fields99
Avg. time to fill out17 min
EditionJUN 2019
Proponent agencyAssistant Chief of Staff for Installation Management (AR 600-8-8)
Where to sendElectronically via the Army Career Tracker website
Previous editionsObsolete
Other namesDA 5434, DA Form 5434, DA5434, Army 5434, Sponsorship Program Counseling and Information Sheet
Official sourceDA Form 5434 (Rev JUN 2019), U.S. Army