Exceptional Family Member Program Querying Sheet
This form assists in identifying soldiers with family members that require special medical care. It is essential for enrollment in the Exceptional Family Member Program (EFMP). Completing this form ensures families receive necessary support and services.
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How do I fill this out?
To fill out the EFMP Querying Sheet, gather all required information about the soldier and family member. Ensure the information is accurate to avoid any issues with enrollment. Follow the outlined steps provided later on this webpage for detailed instructions.
How to fill out the Exceptional Family Member Program Querying Sheet?
1
Collect personal information of the soldier including name, rank, and unit.
2
Provide the home and duty addresses along with contact details.
3
Indicate whether a family member requires special medical care.
4
Confirm enrollment in the EFMP if applicable.
5
Sign and date the form to verify accuracy.
Who needs the Exceptional Family Member Program Querying Sheet?
1
Military families with special needs members require this form for EFMP enrollment.
2
Soldiers seeking medical treatment for dependents need to report their situations.
3
Case managers in military healthcare must have accurate family details for proper support.
4
Educational coordinators require this information to ensure access to necessary services.
5
Medical professionals need this data for facilitating special care for military dependents.
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What are the instructions for submitting this form?
Submit the EFMP Querying Sheet via email to your unit's administrative office or designated personnel. It can also be faxed to the relevant military health services department. Ensure that all required fields are completed before submission to avoid delays.
What are the important dates for this form in 2024 and 2025?
The EFMP Querying Sheet is subject to periodic updates. Ensure you have the most current version whenever you are filling it out. Important deadlines for submission may vary by military assignment.
What is the purpose of this form?
The purpose of the EFMP Querying Sheet is to facilitate the enrollment of soldiers' family members who require special medical care. This form ensures accurate information is collected for the Exceptional Family Member Program. By understanding specific family needs, the military can better provide essential support services.
Tell me about this form and its components and fields line-by-line.
- 1. Name of Soldier: The full name of the soldier applying.
- 2. Rank: The military rank of the soldier.
- 3. Unit: Unit designation of the soldier.
- 4. Home Address: Current home address of the soldier.
- 5. Home Phone Number: Contact number for the home.
- 6. Duty Address: Current address where the soldier is assigned.
- 7. Duty Phone Number: Contact number for the duty station.
- 8. Fax Number: Fax number for the soldier.
- 9. Email Address: Email contact of the soldier.
- 10. Family Member Needs: Indication if the family member has special medical needs.
- 11. EFMP Enrollment: Confirmation of whether the family member is enrolled in EFMP.
What happens if I fail to submit this form?
Failure to submit the EFMP Querying Sheet can lead to difficulties in accessing necessary medical care and support services. It is crucial for soldiers to accurately provide their family’s special requirements to prevent any delay in assistance.
- Disciplinary Action: Incomplete submissions may result in disciplinary measures against the soldier.
- Medical Treatment Delays: Failure to enroll can cause delays in receiving required medical treatment for family members.
- Lack of Support Services: Without this form, families may not receive the essential support needed for their special needs.
How do I know when to use this form?
- 1. Medical Enrollment: To enroll family members in the EFMP for access to special medical care.
- 2. Military Assignments: To facilitate consideration of family medical needs during military assignments.
- 3. Support Services Access: To ensure families receive appropriate support services depending on their health requirements.
Frequently Asked Question
How do I fill out the EFMP Querying Sheet?
Locate the required fields and input the relevant information about the soldier and family member.
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