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When military families receive orders for a new duty station, one of their top priorities is often securing suitable housing. The Cg 5267 form plays a vital role in this process, acting as the application for assignment to military housing. This document assists the U.S. Coast Guard in determining each applicant's eligibility for housing accommodations and is overseen by the housing office. The form requires applicants to provide essential personal information, such as their name, rank, and current duty station. It also delves into important details regarding the applicants' dependents, marital status, and any special requirements they might have. Additionally, prospective residents need to indicate whether they have any pets and if they are enrolled in special needs programs. While completion of the Cg 5267 is voluntary, failure to supply required information may delay or hinder the housing assignment process. Therefore, understanding how to navigate this form is crucial for those transitioning to new assignments. With proper preparation and the necessary documents, including military orders, applicants can expedite their housing search and ensure a smoother relocation experience for their families.

Cg 5267 Example

 

U.S. DEPARTMENT OF

 

 

 

APPLICATION FOR ASSIGNMENT TO MILITARY HOUSING

 

HOMELAND SECURITY

 

 

 

 

U.S. COAST GUARD

 

 

 

 

 

(Instructions for preparation of this form are contained on page 2)

 

CG-5267 (01-09)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PRIVACY ACT STATEMENT

 

 

 

 

 

 

 

 

 

 

 

IN ACCORDANCE WITH 5 USC 552(E)(3), THE FOLLOWING INFORMATION IS PROVIDED TO YOU WHEN SUPPLYING PERSONAL INFORMATION TO THE U.S. COAST

 

GUARD.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1. AUTHORITY:

 

SECTION 515 P.L. 84-161, AS AMENDED (10 USC 2674) AUTHORIZED SOLICITATION OF THE INFORMATION.

 

2. PRINCIPAL

 

TO DETERMINE EACH APPLICANT'S ELIGIBILITY FOR ASSIGNMENT TO SUITABLE MILITARY HOUSING ACCOMMODATIONS.

 

 

PURPOSE(S):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

3. ROUTINE

 

THE INFORMATION IS USED BY CG HOUSING OFFICE TO EVALUATE THE ASSIGNMENT OF HOUSING ACCOMMODATIONS.

 

 

USES:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

4. DISCLOSURE:

DISCLOSURE OF THE INFORMATION IS VOLUNTARY, BUT FAILURE TO PROVIDE THE INFORMATION MAY RESULT IN THE INABILITY

 

 

 

 

OF THE CG HOUSING OFFICE TO PROVIDE SUITABLE HOUSING TO THE APPLICANT AND AT THE MOST EXPEDITIOUS TIME.

 

 

 

 

DISCLOSURE OF THE INFORMATION HEREIN CONTAINED TO OTHER THAN THE AGENCY IS IN ACCORDANCE WITH THE FREEDOM

 

 

 

 

OF INFORMATION ACT.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SECTION A - APPLICATION (To be completed by applicant)

 

 

 

 

 

 

 

1. APPLICANT'S NAME ( Last, first, middle initial)

 

 

2. EMPLOYEE IDENTIFICATION NUMBER

3. APPLICANT'S RANK/RATE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

4. CURRENT DUTY STATION AND PHONE NUMBER

 

 

5. NEW DUTY STATION AND PHONE NUMBER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

6a. EST. DATE OF DEPARTURE

 

6b. EST. DATE OF ARRIVAL

 

7. ADDRESS AND PHONE NUMBER WHILE ON LEAVE ENROUTE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

8. ENLISTMENT EXPIRES (Date)

 

9. ON LIST FOR PROMOTION

 

10a. ON CLASS "A" SCHOOL LIST

 

10b. IF SO, WHICH LIST

 

 

 

 

 

 

 

 

 

YES

NO

 

 

YES

NO

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SPONSOR INFORMATION

 

 

 

 

 

 

 

 

 

 

 

11a. NAME OF SPONSOR

 

 

 

11b. RANK/RATE

 

11c. SPONSOR'S DUTY STATION AND PHONE NUMBER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DEPENDENCY INFORMATION (Check appropriate box)

 

 

 

 

 

 

 

12. MARITAL STATUS

 

 

 

 

 

 

 

13. I AM SEPARATED FROM MY DEPENDENTS

 

 

MARRIED

 

 

SINGLE (CG-4170A not

applicable)

 

 

N/A

 

VOLUNTARILY

 

INVOLUNTARILY

 

 

 

 

 

 

 

 

DEPENDENTS RESIDING WITH ME (If more space is needed, continue on plain paper)

 

 

 

 

 

14a.

 

 

 

 

 

 

 

14b. DATE OF BIRTH

14c.

14d.

 

 

14e.

 

 

 

 

 

 

 

NAME (Last, First, Middle Initial)

 

 

 

(YYYY/MM/DD)

SEX

RELATIONSHIP

 

 

REMARKS, (handicap, health problems, expected

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

additions to family, etc.)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

YOU MUST ATTACH COPY OF CG-4170A WHICH INDICATES DATES OF APPROVAL OF THOSE DEPENDENTS WHO WILL RESIDE WITH YOU.

 

 

 

 

 

 

 

 

 

 

 

ADDITIONAL DEPENDENT INFORMATION

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

15a. SPOUSE IN SERVICE

15b. IF SO, WHICH SERVICE

15c. CURRENT DUTY STATION AND PHONE NUMBER

 

15d. EXPECTED DATE HE/SHE WILL JOIN YOU

 

 

YES

 

NO

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

16a. ARE YOU ENROLLED IN THE CG SPECIAL NEEDS

16b. IF SO, LIST DEPENDENTS WITH SPECIAL NEEDS.

 

 

 

 

 

 

 

 

PROGRAM

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

YES

 

NO

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

17a. DO YOU HAVE PETS

 

17b. IF SO, WHAT KIND

 

 

 

 

 

17c. AGE

 

17d. WEIGHT

 

 

YES

NO

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

GENERAL

UPON ARRIVAL AT YOUR NEW DUTY STATION, IT IS MANDATORY THAT YOU REPORT TO THE HOUSING AUTHORITY SERVING THE AREA PRIOR TO MAKING ARRANGEMENTS FOR ANY TYPE HOUSING. YOU SHOULD HAVE DD-1747 (previously issued) READY FOR PRESENTATION.

IN THE EVENT ASSIGNMENT TO MILITARY HOUSING BECOMES MANDATORY, THIS IS TO CERTIFY THAT:

I DO

I DO NOT DESIRE A WAIVER TO RESIDE IN CIVILIAN HOUSING

I CERTIFY THAT THE INFORMATION ABOVE IS CORRECT. I HAVE ATTACHED A COPY OF MY ORDERS AND APPROVED CG-4170A HERETO. CG-4170A N/A FOR SINGLE MEMBERS.

DATE SUBMITTED

APPLICANT'S SIGNATURE

 

 

PREVIOUS EDITION IS OBSOLETE

PAGE 2 OF CG-5267 (01-09)

SECTION B - HOUSING AUTHORITY ACTION

1.

APPLICATION EFFECTIVE DATE

2.

DATE APPLICATION RECEIVED

3.

DATE DD-1747 SENT TO APPLICANT

 

 

 

 

 

 

4.

WAITING LIST PLACED ON

5.

EFFECTIVE DATE

6.

APPLICANT NOT PLACED ON WAITING LIST (Reason)

 

 

 

 

 

 

7.

APPLICANT ASSIGNED TO (Housing unit )

8.

DATE OF ASSIGNMENT

9.

BAH TERMINATION EMAIL COMPLETED ON (Date)

 

 

 

 

 

 

 

 

 

INSTRUCTIONS

 

 

 

 

 

SECTION A - APPLICATION

 

ALL BLOCKS ARE SELF EXPLANATORY.

THE APPLICATION MUST BE DATED AND SIGNED BY MEMBER.

SECTION B - HOUSING AUTHORITY ACTION

TO BE COMPLETED BY HOUSING AUTHORITY WHO WILL ACKNOWLEDGE RECEIPT OF APPLICATION, MAIL DD-1747, AND PLACE MEMBER ON WAITING LIST (if applicable)

OR ADVISE REASONS MEMBER NOT PLACED ON WAITING LIST.

Form Characteristics

Fact Description
Governing Authority The CG-5267 form is governed by Section 515 P.L. 84-161, as amended, which falls under 10 USC 2674.
Purpose This form is primarily used to determine an applicant's eligibility for military housing accommodations.
Information Disclosure Providing information on this form is voluntary, but withholding information may prevent housing assignment.
Privacy Act Statement As required by the Privacy Act, personal information collected is protected and disclosed as per 5 USC 552(E)(3).
Application Sections The form consists of two sections: the applicant's information and housing authority actions.
Submission Requirements Applicants must submit a copy of CG-4170A with information about any dependents residing with them.

Guidelines on Utilizing Cg 5267

To complete the CG 5267 form, a precise and methodical approach ensures accurate submission. This form is essential for applying for military housing and requires various personal details along with additional documentation. Ensuring all information is correctly filled out will help facilitate the housing assignment process. Below are step-by-step instructions for filling out the form.

  1. Begin with Section A - Application.
  2. In the first field, write your name in the format of last name, first name, and middle initial.
  3. Next, enter your employee identification number.
  4. Fill in your rank or rate.
  5. Provide your current duty station along with the phone number.
  6. Indicate your new duty station and its phone number.
  7. Estimate your date of departure and record it in the respective fields.
  8. Next, estimate your date of arrival and document it as well.
  9. Write your address and phone number while on leave, en route to your new duty station.
  10. Enter the date of your enlistment expiration.
  11. Indicate if you are on the list for promotion.
  12. Fill out questions regarding being on the Class "A" School List with appropriate answers and details, if applicable.
  13. Then, complete the sponsor information section by providing the name, rank/rate, and duty station along with the phone number of your sponsor.
  14. In the dependency information section, check your marital status and indicate if you are separated from your dependents.
  15. Document the details of your dependents, including their names, dates of birth, sex, relationship, and any remarks related to health or expected additions to your family.
  16. Attach a copy of CG-4170A, which shows the dates of approval for those dependents residing with you.
  17. Indicate if your spouse is in service and provide further information if necessary.
  18. Next, fill in information regarding enrollment in the CG Special Needs Program, if applicable.
  19. Complete the section about pets, detailing the number and type you have.
  20. Sign and date the form, confirming that the information is correct and that copies of your orders and the approved CG-4170A have been attached.
  21. Proceed to Section B - Housing Authority Action, which is to be completed by the housing authority.

What You Should Know About This Form

What is the purpose of the CG 5267 form?

The CG 5267 form is an application for assignment to military housing. It is used by the U.S. Coast Guard to determine a member's eligibility for suitable housing accommodations. The information collected helps the CG Housing Office evaluate and allocate housing based on individual needs and circumstances.

Who needs to fill out the CG 5267 form?

Active-duty U.S. Coast Guard members who require housing due to a change in their duty station should complete the CG 5267 form. This includes those who are relocating and need to secure accommodations for themselves and their dependents.

What information must be provided on the CG 5267 form?

The form requires personal details such as the applicant's name, rank, employee identification number, current and new duty stations, estimated dates of departure and arrival, and marital status. Additionally, information about dependents, such as their names, dates of birth, and any special needs, must be included. It’s also important to attach any necessary documentation, like the approved CG 4170A form.

Is completing the CG 5267 form mandatory?

While the completion of the CG 5267 form is voluntary, not providing the required information may hinder the Coast Guard's ability to assign suitable housing promptly. In essence, filling it out accurately and completely improves the chances of obtaining housing in a timely manner.

What happens after submitting the CG 5267 form?

Once the CG 5267 form is submitted, the Housing Authority will acknowledge receipt of the application, issue a DD-1747 if the application is accepted, and may place the applicant on a waiting list if applicable. The applicant will be notified of any updates or changes regarding their application status.

How should the CG 5267 form be submitted?

The completed CG 5267 form must be submitted to the appropriate housing authority serving the area of the new duty station. It's essential to ensure all sections are filled out and that required documents are attached before submission. This helps avoid delays in processing.

Can I apply for civilian housing using the CG 5267 form?

The CG 5267 form primarily facilitates military housing assignments. However, members may express a desire for a waiver to reside in civilian housing if applicable. It is important to note this preference directly on the form to ensure your needs are considered during the assignment process.

Common mistakes

When completing the CG-5267 form, many people make common mistakes that can delay their application for military housing. One frequent error is neglecting to provide complete names in the applicant's name section. It may seem minor, but leaving out middle initials or using nicknames can cause confusion. Always use your full legal name as it appears on official documents.

An additional oversight occurs when applicants fail to include their Employee Identification Number. This number is crucial for processing your application efficiently. Without it, the housing office might struggle to verify your identity or employment status, leading to unnecessary delays.

Another mistake often seen is inaccurately reporting duty stations and phone numbers. Double-check the current and new duty stations for spelling and accuracy. Providing the wrong information can lead to communication issues and delays in your housing assignment.

Many applicants overlook the requirement to report dates. Specifically, errors can happen when estimating departure and arrival dates. It’s vital to provide precise dates for these events. Inaccuracies can complicate housing arrangements and could result in missed opportunities.

Failing to attach necessary documentation is also a prevalent issue. For example, individuals sometimes forget to include a copy of the CG-4170A form, which indicates the approval of dependents. This documentation is essential for establishing eligibility for housing with dependents.

Lastly, neglecting to sign and date the application is a frequent oversight. An unsigned application will be considered incomplete and cannot be processed. Review your application carefully before submitting it to ensure that all sections are complete, signed, and dated.

Documents used along the form

When applying for military housing, the CG-5267 form is often accompanied by several other important documents. Each of these forms serves a unique purpose in the application process, ensuring that applicants meet eligibility requirements, provide necessary information, and facilitate a smoother transition to their new duty station. Below are seven commonly used forms that would typically accompany the CG-5267.

  • CG-4170A: This form is essential for showing the approval of dependents who will reside with the applicant in military housing. It specifies dates and details about dependents' eligibility, ensuring housing can accommodate them.
  • DD-1747: Previously issued to relocating service members, this document serves as updated verification of a member's housing status. It is crucial for the housing authority to understand the specifics of the service member's current living arrangements.
  • Orders Document: This official set of orders outlines the service member's relocation details, including the new duty station and effective dates. Housing authorities require this to confirm that the application aligns with the service member's move.
  • Special Needs Program Documentation: If applicable, this paperwork details dependents with special needs, thus allowing the housing authority to consider appropriate accommodations for those individuals.
  • Pet Policy Form: If the applicant has pets, this document is necessary to comply with the housing regulations regarding animals. It demonstrates the applicant's acknowledgment of the policies in place and provides details about any pets.
  • Military ID: A valid military identification card verifies the applicant's status as an active-duty service member. It is an essential document for the overall housing application process.
  • Spouse Employment Verification: If the service member’s spouse is also in the military or employed elsewhere, this document can help clarify living arrangements and provide additional context regarding the family's needs.

Each of these documents plays a critical role in the housing application process. Collectively, they help facilitate the effective management of military housing assignments, ensuring that each service member and their dependents find suitable accommodations during their transition. Properly completing and submitting these forms can significantly expedite the process and ease the moving experience.

Similar forms

  • DD Form 1747 (Application for Deviation from Assignment to Military Housing): This form is used when an applicant seeks permission to live off-base despite being eligible for military housing. Like the CG-5267, both documents require detailed personal information and ultimately assist in determining housing eligibility.
  • CG Form 4170A (Dependency Application/Record): Similar to the CG-5267, this form collects information about an applicant's dependents and their living arrangements. Both forms play a crucial role in establishing eligibility for housing based on family size and composition.
  • Army Housing Application (DA Form 4187): This application serves the same purpose as the CG-5267 but is specifically for Army personnel. It also gathers information on duty stations and household members, ensuring that service members are provided appropriate housing options.
  • Navy Housing Application (NAVPERS 1336/3): The NAVPERS form is utilized by Navy personnel seeking housing. Similar to the CG-5267, it collects personal details and assesses eligibility, aiding in prompt housing assignment.
  • Marine Corps Housing Application (MCO 1752.2): This document is comparable to the CG-5267 as it collects information on Marines and their families to evaluate their housing needs. Both forms focus on the careful matching of service members to suitable housing.
  • Air Force Form 442 (Application for Housing): This form is required for Air Force personnel to apply for military housing. Like the CG-5267, it seeks information regarding the applicant's current duty location and family situation, playing an integral part in the housing process.

Dos and Don'ts

When filling out the CG-5267 form for assignment to military housing, there are several important dos and don’ts to keep in mind. Following these guidelines will help ensure that your application is processed smoothly.

  • Do read the instructions carefully.
  • Do provide accurate and complete information.
  • Do include all required attachments, such as the CG-4170A.
  • Do sign and date the application before submission.
  • Don't leave any sections blank unless instructed to do so.
  • Don't rush through the application; mistakes can delay processing.

Filling out forms accurately can make a significant difference in your experience. Adhering to these guidelines not only helps you but also aids the housing authority in serving all applicants more efficiently.

Misconceptions

Misconceptions about the CG-5267 form can lead to confusion regarding the military housing application process. Below is a list outlining common misunderstandings and clarifications for each.

  • Misconception 1: It is necessary to submit the CG-5267 form immediately after receiving new orders.
  • In reality, while the form needs to be submitted as part of your transition, it's important to first gather all required information and documentation to ensure a complete application.

  • Misconception 2: The CG-5267 form is only for those with dependents.
  • This form is applicable to all service members, regardless of their marital or dependent status. Single members must also complete it to secure housing.

  • Misconception 3: Completing the CG-5267 guarantees immediate housing.
  • The form is an application, not a guarantee. Housing assignments depend on availability and the individual's specific situation.

  • Misconception 4: You do not have to report to the housing authority upon arriving at a new location.
  • Reporting to the housing authority is mandatory before making any housing arrangements. This step ensures that you are in compliance with regulations.

  • Misconception 5: All personal information provided on the form is automatically kept private.
  • While there are protections in place, the information can be disclosed in accordance with the Freedom of Information Act in certain circumstances.

  • Misconception 6: You can submit the CG-5267 form without attaching the CG-4170A.
  • Attachment of the CG-4170A is essential when you have dependents who will reside with you. Failure to include it may delay your housing application.

  • Misconception 7: There is no need for supporting documentation when submitting the form.
  • In addition to the CG-4170A, other documentation may be required depending on individual circumstances. It's crucial to verify what's needed for a smooth process.

  • Misconception 8: The CG-5267 form only needs to be filled out once.
  • You may need to reapply with a new CG-5267 if circumstances change, such as a new duty station or changes in your family situation.

Understanding these misconceptions can lead to a more efficient experience with military housing applications. Being well-informed is key to navigating the process successfully.

Key takeaways

1. Complete All Sections: Ensure that all sections of the CG-5267 form are filled out completely. Missing information can delay your housing assignment process.

2. Attach Required Documents: Remember to attach a copy of the CG-4170A, which verifies your dependents’ eligibility. This is mandatory for applicants with dependents.

3. Report Upon Arrival: Upon your arrival at the new duty station, it’s required to report to the housing authority before making any housing arrangements. Have your DD-1747 ready to present.

4. Timely Submission: Submit the completed form as soon as possible to avoid any delays in your housing assignment. Timely action can help ensure a smooth transition to your new location.