PRIVACY ACT STATEMENT
AUTHORITY: Title 10 USC, Section 3012
PRINCIPLE PURPOSE(S): This form is to provide Indiana Army National Guard Family Program personnel with service member and family contact information in order to assist during times of crisis, natural disasters, and deployment cycles.
ROUTINE USE(S): (1) To assist with specific problems and the needs of service members and their families. (2) To gather data that will assist in the development of appropriate INARNG programs and services. (3) To serve as a record of services provided.
MANDATORY OR VOLUNTARY DISCLOSURE AND EFFECT ON INDIVIDUALS NOT PROVIDING INFORMATION: Information is required to assist military members and their family members. Failure to provide the requested information listed herein may cause a delay in providing immediate assistance.