Navpers Form 5350 3 PDF Details

The NAVPERS 5350/3 form, known as the Drug and Alcohol Program Advisor (DAPA) Administrative Screening Form, plays a crucial role in the administrative screening process within the Navy. It serves as a comprehensive checklist and information recording tool aimed at identifying service members who may require intervention or treatment for substance use. The form covers a wide array of data points, including personal details about the servicemember, such as name, rank, and command, alongside information on how their potential substance use issue came to attention—be it through self-referral, command referral, or an incident. It also asks about the specifics of any substance involved, including alcohol or illicit drugs, DUI/DWI arrests, urinalysis tests, and any history of drug or alcohol treatment. The form further delves into the servicemember's duty status, marital status, educational background, disciplinary history, and performance evaluations, providing a holistic view for DAPAs, commanding officers, and medical treatment facility (MTF) staff. This detailed approach ensures that all necessary information is gathered to assist in determining the need for, and type of, intervention or treatment, crucial for the servicemember’s health and career. Moreover, it highlights the Navy's dedication to the wellness of its personnel, addressing substance use concerns with thoroughness and care.

QuestionAnswer
Form NameNavpers Form 5350 3
Form Length10 pages
Fillable?No
Fillable fields0
Avg. time to fill out2 min 30 sec
Other namesIRT, DAAR, paygrade, MTF