Whether death gratuity will be paid by the
members command or by the disbursing officer
at home port or permanent duty station.
Name, relationship, and address (if different
from address listed in FOXTROT) of designated
beneficiary for unpaid pay and allowances.
KILOCasualty assistance calls.
coordinator responsible for
designating the activity to carry out the CACP. (Refer to
LIMARace, religion, and date of birth.
MIKEInsurance. Insurance policies in force
other than Servicemens Group Life Insurance (SGLI).
Paygrade (if member is frocked, report paygrade at
which member receives pay).
Monthly rate of basic pay and any special, incentive
proficiency pay. If entitled to hostile fire pay, report
separately and include date commenced.
Total service (days, months, years) for pay
Number of days unused accrued leave on date of
Amount of basic allowance for quarters (BAQ),
variable housing allowance (VHA), or overseas
housing allowance (OHA) authorized to member at
time of death.
Location of pay record and action taken to send
record to the DFAS - Cleveland Center.
Total amount of contributions to the Veterans
Educational Assistance Program (VEAP).
Estimated date service record will be closed out and
sent to CHNAVPERS (PERS 663), The notation
DECEASED or MISSING as appropriate must be
printed in large letters diagonally across the bottom
left side of the service and medical records cover
before mailing. Indicate the words DO NOT OPEN
IN MAILROOM on the bottom left side of the
mailing envelope. If available, place a copy of the
civil death certificate in the medical record.
Medical/Dental Records disposition: Missing
member: Mail records to CHNAVPERS (PERS
663) in same manner as service record. Deceased
Print the word DECEASED in large
letters diagonally across the record covers. Affix an
adhesive-backed label on which you have typed the
annotation Upon completion of positive
identification, mail this record to Chief of Naval
Personnel (PERS 663) Navy Department
Washington, DC 20370-5663. A preaddressed
envelope should be provided for sending up
completion of the identification process.
The previous miscellaneous items under
NOVEMBER are required items. Include any
additional information you feel (with the
concurrence of your command) will be helpful to
OSCARServicemens Group Life Insurance.
Advise if member had SGLI coverage and if a written
beneficiary(ies) designation is on file in service record.
If so, state the name of beneficiary and the date of SGLI
PAPAAssignment of JAG Manual investigative
QUEBECPersonal effects. Name, address, and
relationship of person(s) to whom the personal effects
will be shipped.
TYPES OF CASUALTY REPORTS
A variety of personnel casualty reports are required
to be submitted by a command as the situation warrants
and are listed as follows.
Personnel Casualty Report (Death) (BUPERS
Report Symbol 1770-4)
Send the initial personnel casualty report on the
death of a member by priority message to same
addressees, in the same format, using all the 17 subject
categories previously discussed.
Personnel Casualty Report (DUSTWUN)
(BUPERS Report Symbol 1770-4)
Report as DUSTWUN members who are not
present and whose status initially is so uncertain that the
command must first gather the facts to make a proper
status determination. While the search is ongoing, the
member will not be placed in a missing status. The
maximum amount of time that a person can remain in a
DUSTWUN status is 10 days from the date of
disappearance. Send the personnel casualty report
(DUSTWJN) by high precedence message to same
addressees, in the same format, and using all or some of
the 17 subject categories previously discussed.