FILLABLE FORM DAPA ADMIN SCREENING FORM Servicemember Name: Supporting Directive OPNAVINST 5350-4D ADMINISTRATIVE SCREENING CHECKLIST Action Member identified Notify C.O. (if required) Collect service.
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How to fill out the 5350 3 online
Filling out the 5350 3, also known as the DAPA Administrative Screening Form, is essential for the evaluation of servicemembers potentially needing intervention or treatment. This guide provides clear and supportive instructions on how to complete the form online, ensuring a smooth and efficient process.
Follow the steps to complete the 5350 3 online.
- Click ‘Get Form’ button to access the form and open it in the online editor.
- Begin by filling in the servicemember's name along with their rank, birth date, and command details. This information sets the foundation of the form.
- Provide details regarding how the Drug and Alcohol Program Advisor (DAPA) became aware of the servicemember's potential problem. You will note whether it was through self-referral, command referral, or incident referral.
- Indicate the involvement of substances such as alcohol or illicit drugs, and if applicable, provide details regarding any DUI/DWI incidents or urinalysis tests conducted.
- Continue by filling in the servicemember's duty information, including their active duty service date and any previous disciplinary actions that may be relevant.
- Document all enlisted evaluations, ensuring to highlight any drug or alcohol-related entries noted in the servicemember’s past reports.
- Review the training history related to drug and alcohol education and indicate any relevant courses taken by the servicemember.
- Complete the summary of review section by detailing any supporting comments from the commanding officer as necessary.
- After all sections are completed accurately, you will be able to save any changes made. You can also download the form for your own records or print it out for submission.
Complete your documents online today for a smoother process.
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