DAF Form 4405: FAP Client Information Form (Download PDF) – DAF Form 4405: Family Advocacy Program (FAP) Client Information Form for Maltreatment Intervention Services is an official Department of the Air Force document used to inform clients about the Family Advocacy Program (FAP) and document their understanding of services, rights, and the limits of confidentiality when engaging in maltreatment intervention.
The current version (dated 20250131) is prescribed by DAFI 40-301 and available as a downloadable PDF from official Air Force e-Publishing sources.
What Is the Family Advocacy Program (FAP)?
The Department of the Air Force Family Advocacy Program (FAP) builds healthy communities by preventing and treating:
- Domestic abuse (including intimate partner violence)
- Child abuse and neglect
- Problematic sexual behavior in children and youth (PSB-CY)
FAP provides a continuum of services, including prevention education, clinical assessments, safety planning, victim advocacy, treatment, and intervention for families of active duty Air Force and Space Force members (and other eligible beneficiaries treated at military treatment facilities). Services support mission readiness, victim safety, abuser accountability, and family resilience.
FAP operates through multidisciplinary teams involving medical, legal, security forces, and command personnel. It aligns with DoD Instructions (such as DoDI 6400.01, 6400.06) and DAFI 40-301.
Purpose of DAF Form 4405 (FAP Client Information Form)
DAF Form 4405, officially titled “Client Information and Limits of Confidentiality,” serves as the informed consent and information document for individuals or families entering maltreatment intervention services under FAP.
Key functions include:
- Explaining the mission and processes of FAP, including how allegations of maltreatment are assessed.
- Detailing the Incident Determination Committee (IDC) or Central Registry Board (CRB) process, which reviews cases with input from OSI, Security Forces, Legal, Medical, and command.
- Outlining limits of confidentiality so clients understand when information may need to be shared.
- Informing clients of their rights and the voluntary nature of many services (while noting mandatory reporting requirements for safety).
- Collecting a signed Statement of Understanding from the client (patient/caregiver) and the provider.
The form emphasizes trust while clearly communicating exceptions to confidentiality required by law, policy, and safety needs.
Key Sections Typically Covered on DAF Form 4405
- Introduction to FAP Services — Assessment, referral, therapy, safety planning, and coordination for families involved in alleged or confirmed maltreatment.
- Limits of Confidentiality — The form lists specific situations where information may be disclosed, such as:
- Imminent safety threats to the client or others
- Mandatory reporting of child abuse/neglect or domestic abuse
- Coordination with command for risk notifications or fitness-for-duty evaluations
- Legal proceedings, quality reviews, research (de-identified), or transfers (PCS)
- Care coordination with other providers or multidisciplinary teams (MDT) for PSB-CY cases
There are typically around 13 defined exceptions to protect victims, ensure compliance with DoD policy, and support community safety.
- Privacy Act Statement — Details the legal authority (e.g., 10 U.S.C. § 9013), purpose of data collection, routine uses, and applicable Systems of Records Notices (SORNs) such as F044 AF SG Q. Disclosure is generally voluntary, but certain information may be required for services or background checks.
- Statement of Understanding and Signatures — Client acknowledgment and provider confirmation.
The form is marked CUI (Controlled Unclassified Information) and supports records management under Air Force policy.
Who Uses DAF Form 4405?
- Active duty Air Force and Space Force members
- Their spouses, partners, and dependent family members eligible for care at military treatment facilities (MTFs)
- FAP providers, clinicians, and Family Advocacy Officers (FAOs) at installations
- Individuals referred for maltreatment intervention following a report of suspected domestic abuse, child abuse/neglect, or related concerns
Similar FAP services exist across the Department of Defense (Army, Navy, Marine Corps, Coast Guard), but DAF Form 4405 is specific to the Air Force and Space Force.
How to Access and Download DAF Form 4405?
You can download the official fillable PDF directly from the Air Force e-Publishing website:
→ Download DAF Form 4405 PDF: https://static.e-publishing.af.mil/production/1/af_sg/form/daf4405/daf4405.pdf
For the governing instruction, see DAFI 40-301 (Family Advocacy Program) on e-Publishing.af.mil. Always use the most current version from official sources.
Note: This form is typically completed during an initial FAP intake or assessment appointment at your installation’s Medical Treatment Facility or FAP office. Do not submit it unsolicited.
Finding FAP Support on Your Installation
- Contact your local Family Advocacy Program office or Medical Treatment Facility (MTF).
- Use the Military OneSource installation locator or Domestic Abuse Victim Advocate resources for 24/7 support.
- Air Force-specific hotlines and victim advocacy services are available through FAP.
- For immediate safety concerns: Contact local Security Forces, law enforcement, or the National Domestic Violence Hotline (1-800-799-7233).
Additional resources:
- Military OneSource FAP overview: militaryonesource.mil
- MyAirForceBenefits FAP pages for eligibility and contacts
Why FAP and Informed Consent Matter?
Military life brings unique stressors that can impact family dynamics. FAP exists to strengthen families proactively through education and reactively through professional intervention when maltreatment occurs. Completing DAF Form 4405 ensures clients enter services with clear expectations, protecting both privacy (where possible) and safety.
If you or someone in your family is facing challenges related to domestic abuse, child maltreatment, or family stress, reaching out to FAP is a sign of strength and a step toward healthier outcomes for your family and career readiness.
Important: This article provides general information based on official public sources. It is not a substitute for professional advice or official guidance. For personalized assistance, contact your installation FAP office or a qualified military medical provider directly. Policies and forms can be updated; always verify the latest version on e-publishing.af.mil.