FAMILY CARE PLAN COUNSELING CHECKLIST
For use of this form, see AR 600-20; the proponent agency is DCSPER
Careful planning is required to ensure adequate care of dependent family members while performing required military duties.
Pregnant soldiers, single parents, and dual-military couples with dependent family members will be counseled in accordance with
AR 600-20. The soldier and the commanding officer (or designated representative) will initial each item on the checklist.
PART I - ACTIVE AND RESERVE COMPONENT
A. I am receiving Family Care Plan counseling by my commander (or designated representative) because my current family status is:
1. A pregnant soldier who:
a. Has no spouse; is divorced; widowed, or separated; or is residing without her spouse.
Is married to another service member of AC or RC of any service (Army, Air Force, Navy, Marines, Coast Guard).
2. A soldier who has no spouse; is divorced, widowed, or separated or is residing apart from his/her spouse; who has j