Navy EFM Respite Care Eligibility Certification Form
This form is essential for active-duty sailors and reservists enrolling their children into the Navy Exceptional Family Member Respite Care program. It ensures eligibility based on the family's status and the child’s needs. Submit the completed form to receive assistance and benefits for EFM care.
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How do I fill this out?
To fill out this form, start by entering your personal details as an active-duty sailor or reservist. Ensure your child's information and EFM category are accurately provided. Lastly, review and submit the form to the designated email address.

How to fill out the Navy EFM Respite Care Eligibility Certification Form?
1
Gather necessary personal and child information.
2
Complete all required fields accurately.
3
Verify that all EFM categories are current.
4
Review the form for errors or omissions.
5
Submit the form to the specified email address.
Who needs the Navy EFM Respite Care Eligibility Certification Form?
1
Active duty sailors applying for EFM respite care.
2
Reservists seeking support for their eligible children.
3
Spouses of active-duty members needing assistance.
4
Families relocating to a new duty station in need of respite care.
5
Families with children assigned to EFM categories 4 or 5.
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What are the instructions for submitting this form?
To submit the completed Navy EFM Respite Care Certification of Eligibility Form, email it to NavyEFMPrespite@usa.childcareaware.org. Ensure that all required fields are properly filled out, including the sailor's information and children's details. It is advisable to keep a copy of the submitted form for your records.
What are the important dates for this form in 2024 and 2025?
Key dates for this form include the annual submission deadlines for eligibility updates and changes in EFM status. Ensure to submit all required documentation timely to maintain eligibility for respite care services. Review your local Navy Family Support Center for specific deadlines relevant to your location.

What is the purpose of this form?
The Navy EFM Respite Care Certification of Eligibility Form is designed to help active duty sailors and reservists navigate the process of securing respite care for their eligible children. It ensures that families who qualify under the Navy Exceptional Family Member Program can access vital childcare support services. By filling out this form, families affirm that they meet the necessary criteria for utilizing EFM respite care.

Tell me about this form and its components and fields line-by-line.

- 1. Sailor's Name: The full name of the active duty sailor or reservist.
- 2. Spouse's Name: Full name of the sailor's spouse or guardian.
- 3. Children's Names: Names of the eligible children.
- 4. Date of Birth: Date of birth for each EFM child.
- 5. EFM Category: Category assigned to the special needs child.
- 6. Contact Information: Primary contact information for the sailor.
What happens if I fail to submit this form?
Failure to submit this form may result in your family not receiving the necessary respite care services. It is crucial to ensure that all required fields are filled and accurate for eligibility verification. Incomplete submissions will delay access to much-needed childcare support.
- Delayed Service: Inability to receive respite care due to incomplete applications.
- Incorrect Information: Providing inaccurate details may lead to denial of services.
- Lack of Benefits: Missing out on necessary childcare options for exceptional family members.
How do I know when to use this form?

- 1. Initial Enrollment: Use this form for first-time applications for respite care.
- 2. Updates on Family Status: Submit when family circumstances change, affecting eligibility.
- 3. EFM Category Adjustments: Provide updated information if a child's EFM category changes.
Frequently Asked Questions
What is the purpose of this form?
This form certifies eligibility for Navy EFM Respite Care.
Who needs to fill out the form?
Active duty sailors and reservists with eligible children must complete it.
How do I submit the form?
Email the completed form to NavyEFMPrespite@usa.childcareaware.org.
Can I edit the form after downloading it?
Yes, you can edit the PDF using PrintFriendly's editing tools.
What if my child's EFM status changes?
You must update the form and your information in MCC.
How long does it take to process the application?
Processing time can vary depending on current demand.
Is there an age limit for eligible children?
Yes, children aged birth through 18 years can be eligible.
What happens if I submit an incomplete form?
Your application may be delayed or rejected if not fully completed.
Can I submit the form online?
Currently, submissions are made via email.
How often do I need to update my information?
You should update your EFM status every three years.
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