Who may certify military service on this form?

An authorized certifying official such as a commanding officer, adjutant, or military personnel records custodian may sign to confirm service dates and status. The certifier should include rank, official title, unit, contact information, and a date to validate the certification for administrative purposes.

Is notarization required for the CR-184 Mil 184 Form?

Not all agencies require notarization; requirements depend on the requesting authority. Some counties or benefits programs may ask for notarized certification or an accompanying official military record. Confirm with the recipient whether a notarized signature, witness, or a commanding officer’s seal is necessary before obtaining notarial services.

Can the form be submitted electronically?

Many agencies accept scanned or electronically signed copies, but acceptance varies by recipient. When submitting electronically, ensure ESIGN and UETA criteria are met: demonstrate signer intent, consent to electronic records, attribution, and retention capability. Confirm the recipient’s eSubmission policy to avoid rejection.

What supporting documents are typically required?

Common attachments include orders, deployment papers, DD-214 or equivalent separation documents, leave and earnings statements, and an official records printout. Redact sensitive personal identifiers when unnecessary and include certified copies if the agency specifically requires original or certified documentation for verification.

What should I do if information on the form is incorrect?

Do not sign or submit a form with incorrect service dates or mismatched names. Correct errors before submitting by amending the form with accurate information and obtaining a re-certification from the issuing official. Incorrect data can delay benefits, trigger rejections, or require additional verification steps.

Where to get help or clarification on submission?

Contact the requesting agency's benefits or personnel office for specific instructions, or consult the commanding officer or base records office for certified documents. For complex eligibility questions, legal counsel or a veterans’ service organization can provide authoritative guidance on entitlement and submission requirements.

Electronic Signature
Templates
Other
California CR-184 Mil 184 Form

California CR-184 Mil 184 Form

This template is fully customizable. Edit the text, fill out the fields, and send it for signature. Give it a try!

FINDINGS AND ORDERS AFTER POSTPERMANENCY HEARING—PERMANENT PLAN OTHER THAN ADOPTION

Superior Court of California, County of

Branch Name:

Street Address:

Mailing Address:

City and ZIP Code:

Child's Name:

Case Number:

1. Postpermanency hearing

Date: Department: Judicial officer: Court clerk: Court reporter: Bailiff: Interpreter:

Parties present

Present

Attorney

Appointed today

Child

Mother

Father - presumed

Father - biological

Father - alleged

Legal guardian

Indian custodian

De facto parent

County agency social worker

Tribal representative

Other

2. Evidence reviewed

Report of social worker (dated: )

Report of CASA volunteer (dated: )

Case plan (dated: )

Other:

3. Notice and child attendance

Notice of the date, time, and location of the hearing was given as required by law.

For child 10 years of age or older who is not present: child was properly notified of the right to attend and there is no good cause for continuance.

4. Indian child / ancestry

The child is an Indian child and notice was provided as required by law.

There is reason to believe the child may be of Indian ancestry and notice was provided to the Bureau of Indian Affairs.

5. CASA appointment A Court Appointed Special Advocate is appointed for the child.

6. Parentage

The court inquired as to the identity and addresses of all presumed or alleged parents.

Alleged parents present were provided with and ordered to complete form JV-505.

Notice required by Welf. & Inst. Code, § 316.2 to:

Mother Presumed father Biological father Alleged father Legal guardian Indian custodian Child Other:

7. Advisements

8. Waiver

9-12. Placement

Continued out-of-home placement is in the best interest of the child.

The child's out-of-home placement is necessary.

The child's current placement is appropriate.

The child's current placement is not appropriate.

Matter continued for written report.

Matter continued for oral report.

Other:

13. Out-of-state placement

Child is placed outside California.

Continues to be the most appropriate placement and in the best interest of the child.

Does not continue to be the most appropriate placement.

Returning the child to California and locating an appropriate placement within California.

Locating an out-of-state placement most appropriate for the child.

Other:

14. Relative placement diligence County agency exercised due diligence to locate an appropriate relative.

15. Case plan development

Child was actively involved in the case plan development.

Child was not actively involved.

Agency ordered to actively involve the child and submit updated case plan within 30 days.

Child was unable, unavailable, or unwilling to participate.

16. Child 12 years of age or older

Child was given the opportunity to review, sign, and receive a copy of the case plan.

Child was not given the opportunity.

Agency ordered to provide opportunity and submit written confirmation within 30 days.

17. Child 14 years of age or older

Services include those needed to assist transition to successful adulthood.

Services do not include those needed.

Add services stated on the record.

Add services as follows:

18. Efforts

County agency has complied with the case plan by making reasonable efforts.

County agency has not complied with the case plan.

19. Child 16 years of age or older Agency made ongoing and intensive efforts to return the child to a safe home or finalize the permanent plan.

20. Services provided

Adequate.

Not adequate.

21. Child in out-of-home placement for six months or longer

Important individuals identified by the child:

County agency made efforts to identify individuals important to the child.

County agency made efforts to maintain relationships with important individuals.

County agency made efforts to identify a prospective adoptive parent or legal guardian.

Agency must provide services to identify/maintain relationships.

Agency must provide services to identify a prospective adoptive parent or legal guardian.

22-24. Siblings

Child does not have siblings under the court's jurisdiction.

Child has siblings under the court's jurisdiction.

Postadoption sibling contact agreement has been developed.

Court inquired into the status of development of a voluntary postadoption sibling contact agreement.

25. Education / physical / mental health / developmental needs

Educational needs are being met.

Physical needs are being met.

Mental health needs are being met.

Developmental needs are being met.

26. Additional services / assessments / evaluations

Stated in the social worker's report.

Specified here:

27. Persons ordered to take steps

Social worker Parent: Surrogate parent: Educational representative: Other:

28. Education placement changed since the last review hearing.

Educational records were requested and provided within two business days.

Child is enrolled in school.

Child is attending school.

29. Psychotropic medication order

Child does have an order authorizing psychotropic medication.

Child does not have an order authorizing psychotropic medication.

Next hearing date:

30. Medical decision-maker

Mother Presumed father Biological father Legal guardian Indian custodian Other:

Unable

Unwilling

Unavailable

31. Permanent plan

Legal guardianship. Likely date:

Placement with a fit and willing relative. Likely date:

Child remains in foster care with a permanent plan of:

Return home

Adoption

Tribal customary adoption

Legal guardianship

Another planned permanent living arrangement

Other:

Likely date:

32. For children 16 years of age or older placed in another planned permanent living arrangement

33. Compelling reason no § 366.26 hearing By clear and convincing evidence, there is a compelling reason...

34. Permanent plan appropriate The child's permanent plan identified in item 31 is appropriate and continues as the permanent plan.

35. Hearing under § 366.26

The child's permanent plan may not be appropriate and the matter is ordered set for a hearing under § 366.26.

County agency will prepare and serve an assessment report.

Court advised parties regarding writ petition rights and deadlines.

Court advised each parent present of the hearing date, rights, and requirements.

No notice of the hearing set under § 366.26 be provided to the person named below:

36. Contact with the child

Visitation Attachment: Parent, Legal Guardian, Indian Custodian, Other Important Person (JV-400)

Visitation Attachment: Sibling (JV-401)

Visitation Attachment: Grandparent (JV-402)

37. Prior orders All prior orders not in conflict remain in full force and effect.

38. Other findings and orders

See attached.

Specify:

39. Next hearing

Hearing date: Time: Dept: Room:

Selection and implementation hearing (§ 366.26)

Postpermanency hearing (§ 366.3)

Other:

40. Number of pages attached:

Date:

Judge Judge Pro Tempore Commissioner Referee

Signature / Name

What the California CR-184 (Mil 184) Form Is

California CR-184 (Mil 184) Form is a state-focused military verification form used to document service status and related facts for administrative, legal, or benefits processes. Agencies, employers, courts, and benefits offices use it to confirm active duty, reserve, or National Guard service, deployment dates, and unit affiliation. The form typically requests official service dates, branch and unit information, the service member’s identifying number, and a certifying signature from a commanding officer or authorized records custodian to validate the claim.

Why the Form Matters for Military Members and Agencies

Use the California CR-184 Mil 184 Form to establish military status for statutory protections, fee exemptions, housing or employment accommodations, and legal deadline relief. A properly completed form reduces administrative delays and creates a documented record accepted by many state agencies and courts.

Who Requests or Completes This Form

Organizations and individuals who interface with military-related administrative processes commonly use this form to verify service and secure related benefits.

State agencies and courts that process military protections and deadline extensions.
Employers verifying leave, reemployment rights, or accommodation requests for service members.
Service members, family members, and military records offices supplying certified proof.

Core Sections Found on the California CR-184 Mil 184 Form

Key parts of the California CR-184 Mil 184 Form ensure clear verification, responsible certification, and consistent recordkeeping across agencies and employers.

Header

Identifies form name, form number, and version. Confirms recipient and processing department. Verify the form header matches the agency request to avoid using an outdated template.

Service Details

Contains branch, rank, service number, and precise service dates. Accurate, standardized date formats and complete identifiers support automated lookups and reduce manual follow-up by records offices.

Certifier Block

Space for the certifying official’s name, rank, title, contact details, and official stamp or seal. The certifier attests to the authenticity of records and must be authorized by the command structure.

Attachments

A designated section lists required supporting documents; attach certified copies where required. Properly labeled attachments speed verification and may be required for benefits or legal deadline relief.

Privacy Notice

Explains how personal data will be used, shared, and retained. Agencies should follow applicable privacy rules and limit publicly visible identifiers on submitted copies.

Signature

Includes date and signature fields. Electronic signatures may be accepted when permitted; confirm the recipient’s acceptance of e-signed or scanned certified copies.

Step-by-Step: Completing the California CR-184 Mil 184 Form

Follow this sequential guide to complete the California CR-184 Mil 184 Form correctly and avoid common processing delays.

01

Preparation: Gather military ID, orders, and unit contact information before you begin.
02

Enter Service Data: Provide dates, branch, rank, and assignment with MM/DD/YYYY format for dates.
03

Certification: Obtain signature and title of certifying officer or records custodian.
04

Review & Submit: Verify all fields, scan supporting documents, and send to the requesting agency.

How the Verification and Submission Process Typically Works

This process overview shows typical steps from form completion to agency verification and record retention.

Prepare: Collect ID and supporting military documents.
Complete: Fill fields carefully; use MM/DD/YYYY dates.
Certify: Obtain certifier signature and title.
Submit: Send to requesting office and retain copies.

Setting Up an Electronic Workflow for CR-184 Submissions

Configure an electronic workflow to collect, certify, and archive completed CR-184 forms securely and notify relevant departments.

Field	Configuration
Authentication	Email link with optional SMS code for added verification
Certifier Field	Require name, rank, title, and contact details
Attachments	Allow PDF uploads; set max size and required types
Archival	Automated storage with retention tagging and export

Technical Considerations for Digital Completion and Submission

Ensure your platform supports secure eSubmission, PDF handling, and certified storage for the California CR-184 Mil 184 Form.

File Formats: PDF and DOCX supported.
Integrations: Connects to HR, records, and cloud storage.
Authentication: Supports SSO and multi-factor options.

Timelines and Typical Processing Expectations

Key deadlines and processing expectations for CR-184 submissions vary by recipient agency and urgency level.

Standard Agency Review Time:

2–4 weeks typical for routine verifications.

Expedited Requests:

Some agencies process within 3–5 business days.

Notary or Certified Copies:

Allow extra 3–10 business days for notarization and shipping.

Appeals or Corrections:

Corrections may extend processing by 30–60 days.

Record Retention Notification:

Agencies may request originals; keep copies indefinitely.

eSignature Vendor Pricing and Feature Comparison for CR-184 eSubmission

Compare common eSignature vendor pricing and fundamental feature availability relevant when eSigning and submitting the California CR-184 Mil 184 Form.

	signNow	DocuSign	Adobe Sign	PandaDoc	HelloSign
Starting Price	$8/user/mo	$15/user/mo	$14/user/mo	$19/user/mo	$15/user/mo
Free Trial	Yes, 7-day trial	No	No	Yes, limited	Yes, limited
Bulk Send	Yes	Yes	Yes	Yes	No
Audit Trail	Yes	Yes	Yes	Yes	Yes
HIPAA Compliant	Yes	Yes	Yes	No	No

Practical Examples of How the CR-184 Supports Claims and Protections

Real-world examples show how the California CR-184 Mil 184 Form supports benefits, deadlines, and housing protections.

Housing Protection Example

A National Guard member deployed overseas submitted a completed CR-184 to the county housing office to request a temporary stay of eviction.

Request approved pending records verification.
The county accepted the certified documentation, paused action, coordinated temporary assistance while the member provided supporting orders; timely certification avoided homelessness and expedited follow-up with housing services.

Employment Reinstatement Example

A reservist used the CR-184 to document active duty dates when seeking reemployment under state protections after returning from deployment.

Employer processed the reinstatement promptly.
Certified service records together with the CR-184 allowed HR to restore position and benefits without litigation; the accurate form reduced paperwork and shortened the reinstatement timeline.

Practical Tips to Complete and Submit the CR-184 Efficiently

Practical tips for accurate completion and timely submission of the California CR-184 Mil 184 Form.

Confirm and use the current official form version

Download or obtain the version specified by the requesting agency. Using an outdated template causes rejections. Check the form number and revision date, and when in doubt contact the agency for the required version to prevent processing delays and extra documentation requests.

Attach certified copies of supporting documents

Include certified or signed copies of orders, DD-214, and relevant personnel records when requested. Redact social security numbers where permissible. Certified copies are often necessary for legal relief or benefits determination; failure to include them is a common reason for denial.

Confirm recipient acceptance of e-signatures

Before transmitting an electronically signed CR-184, confirm the recipient accepts e-signatures and scanned certified copies. Ensure ESIGN/UETA criteria are met: signer intent, consent, attribution, and reproducible record. Some agencies still require originals or notarized certified copies.

Retain complete records and audit trails

Keep copies of the completed form, supporting documents, and any transmission receipts or audit trails. Retain records for the period advised by the recipient and applicable laws so you can respond to future verification requests or audits without delay.

Security and Compliance Considerations When Handling CR-184 Records

Encryption: TLS 1.2/1.3 in transit; AES-256 at rest.

Access Controls: Role-based access and SSO options.

Audit Trail: Timestamps, IP addresses, and activity logs.

HIPAA Compliance: BAA available for covered entities.

Certifications: SOC 2 Type II, ISO 27001, PCI DSS.

Data Export: PDF, DOCX, and XML export formats.

Risks and Potential Consequences of Incorrect or Incomplete Forms

Processing Delays: Incomplete forms cause multi-week delays.

Benefit Denial: Claims may be rejected without proof.

Legal Risks: Incorrect affidavit may require correction.

Privacy Exposure: Unredacted SSNs risk identity issues.

Administrative Fees: Additional verification may incur fees.

Record Rejection: Mismatched names invalidate submissions.

Common Preparation Errors to Avoid

Using an outdated form version or omitting the form number leads to return and re-submission requests that delay processing by weeks.
Providing incomplete certifier contact information prevents verification; agencies often require phone or official email and rank to accept the certification.
Entering informal abbreviations for branch or unit can mismatch records; use full official names to enable automated lookups.
Failing to attach requested supporting documents such as deployment orders or DD-214 is a frequent cause of rejection and additional documentation requests.

Frequently Asked Questions About the California CR-184 Mil 184 Form

Common questions about completing, verifying, and submitting the California CR-184 Mil 184 Form are answered below.

Need help? Contact support

Explore Templates

Employment Contract for Self-Employed Independent Contractor Masonry Services Contract Fire Protection Service Contract Fence Contractor Agreement Delivery Driver Services Contract Cabinet and Countertop Contractor Agreement

be ready to get more

Join over 28 million airSlate SignNow users

Sign Now