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DA Form 7667 is a DA series document issued for use across the Department of the Army. Official title: FAMILY CARE PLAN PRELIMINARY SCREENING. Purpose: family care plan preliminary screening. The current edition carries the date 07/01/2020 and is listed with a publication status of ACTIVE. The form runs to 1 page(s) and contains approximately 104 entry fields.
Responsibility for content and revision lies with G-1. The prescribing directive is AR 600-20, which sets both the trigger for use and the disposition of the completed document. Entry is made by the named party or by the records clerk holding the file, with review and signature applied in the prescribed order. This edition has been superseded by a newer one. It is kept accessible for reference and for records already completed under it.
Distributed formats: PDF. The layout is common to all of them; what varies is the method of entry. The pdf is the reference version. In the fillable pdf the entry areas are live objects that accept typing; in the printable version the same areas are inert and are filled by hand after printing.
A pdf opens in any current browser or in a dedicated reader. Fillable behaviour is more reliable in a full reader than in a browser viewer, where some field types render but do not save.
All formats are free to download and no registration is involved. The files are the published documents, distributed unmodified.
What the form asks for
- A_N
- A_Y
- B_N
- B_Y
- C_N
- C_Y
- ContentArea1
- D_N
- D_Y
- E_N
- E_Y
- FIELD1
- FIELD2
- FIELD3
- F_N
- F_Y
- INITIALS_B
- INITIALS_C
- INITIAL_A
- Page1
- R31
- R32
- R33
- R34
Entry proceeds block by block in the order printed on the page. Identifying particulars occupy the head of the form: name, identification number, unit or organisation, and date of preparation. These fields govern how the record is later retrieved from the file, so they are completed before any substantive block.
Typed entry is made straight into the interactive fields. The tab key moves through them in the order set at build time, generally matching the reading order of the page. Boxes and buttons respond to a click; in an exclusive group, one selection cancels the others. Single-line fields do not wrap, and anything longer than the field width prints cut off although it may still display in full on screen. Extended text goes to remarks or a continuation sheet rather than into a narrow box.
Signature comes at the end, applied in ink or by an accepted electronic method. Until it is applied the document is a draft. Additional signatures — reviewer, approver, witness — are taken in printed block order, each dated when signed rather than when the form was drafted. The commonest error is a mandatory field left blank; where nothing applies, the entry is marked accordingly instead of being skipped. Transposed identification digits, day and month reversed in dates, and carried-over data from a reused working copy account for most of the remainder.
A Privacy Act statement appears on the form where personal information is collected. It sets out the authority for collection, the purpose, the routine uses, and whether disclosure is mandatory or voluntary. The statement is read before entry, not after. Completed copies carry personal data and are handled and stored under the safeguards applicable to that data.
The completed form is routed as the governing authority prescribes: to the office named in the directive, through the unit administrative channel, or into the individual's file, depending on the case. A copy is retained by the preparer. Filing and retention follow the records schedule applicable to the series rather than local practice.
Companion forms are traced by series and number. Within the DA series, documents sharing a proponent or a governing directive are frequently required together, and a form cited on the face of another is generally submitted alongside it. Continuation sheets, covers, and transmittal forms are part of that set and are assembled in advance of submission.
Editions are replaced when the proponent revises the content. The edition date printed on the form is the means of telling one version from another, and the date on a downloaded copy is checked against the edition in force before use. Records already executed on a prior edition are not reworked on that account.
The files here are reproductions of published Department of the Army documents, provided for download. This site is not part of the Department of the Army and issues no forms of its own. Nothing on this page is legal advice, and no representation is made as to acceptance of a document by any office. Where an entry, a requirement, or a question of eligibility is in doubt, the proponent or the servicing administrative office answers it.
Questions and answers
- What is DA Form 7667?
- FAMILY CARE PLAN PRELIMINARY SCREENING
- Which edition is current?
- 07/01/2020
- Who is responsible for this form?
- G-1
- In which formats can it be downloaded?
- PDF, PDF
Publisher notes
- 14-REQUIRES PRIVACY ACT STATEMENT (AR 340-21),