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DEATH, INJURY and TERMINAL ILLNESS reporting guidance. 

IAW MILPERSMAN 1770-030 Casualty reporting shall be accomplished using the Personnel Casualty Report (PCR) and shall be submitted to Navy Personnel Command (NAVPERSCOM), Casualty Assistance Branch (PERS-13) as soon as practicable after learning of a casualty, preferably within 4 hours.

 

The following casualties shall be reported via Personal Casualty Report (PCR):
 

a.  Death of an Active-Duty or Reserve Sailor, to include U.S. Naval Academy midshipmen, or Active-Duty Dependent.

b.  Death of a Department of Defense (DoD) civilian employee or DoD contractor as a result of hostile or non-hostile action outside the continental United States (CONUS), or the result of hostile action within CONUS.

Note 1: Dependent Deaths, Seriously ill or Injured, Terminally Ill cases are also discussed in this MILPERSMAN.

Note 2: Duty Status Whereabouts Unknown (DUSTWUN) is also covered in this instruction to cover sailors who are unaccounted for.

Note 3: MILPERSMAN 1770-230 covers WOUNDED, ILL, AND INJURED SAILORS: It states in part: Once the medical condition of the Sailor has been reported to Navy Personnel Command Navy Casualty Assistance Office (PERS-00C) and certain criteria outlined in this article are met, up to three travelers may be eligible for travel to the bedside of the Sailor.

PCR USER Guide

Only a CAC ID Card is needed to create a Personal Casualty Report (PCR)

Follow up to make sure your Casualty Report was received!
Navy Casualty may be contacted directly 1-800-368-3202 or Duty Cell 901-634-9279
 


1.  For Single or Multiple casualties, download and follow the PCR User Guide.  You will need the casualties' DD93/PG2 and SGLI. Families often move, NFAAS is a good source for the latest NOK location for notification. Use the Comment section of the PCR to indicate relevant situational information for the notification team. 

The NDW CACO Instruction (link at the top of this page) has checklists for all aspects of a CACO situation including for Command Responsibilities and NOK assistance.  CNO directs Navy ACDU DEATH Notifications are to be made in person and by a qualified CACO, not via phone. 


2.  Dependent, Reservist and DOD Civilian deaths are discussed in the MILPERSMAN, and related checklists are provided in the NDW CACO Instruction. Death of a Retiree (120 Days) is covered in the MILPERSMAN as well.

3.  For after-hours emergencies in Region Naval District Washington, contact the NDW ROC: 202-433-5180


NOTIFICATION FORMS  (For Official Use Only)
1. Notification Forms Package  (Print & Go)

      All Forms 
2. Individual Fillable Forms (Need to be saved to your hard drive first)
      1770-1      1770-2      1770-3       For Officers
3. CACO Calling Card 
      PDF Form 

 

NOK BENEFIT FORMS (For Official Use Only)

1. DG DD Form 397 and EFT form
- SF 1174 Form (Unpaid Pay and BAH) will be emailed to the CACO.
- SBP DIC Application Forms for Dependents will be emailed to the CACO.
2. 
Mortuary Affairs (MAO Brief) 
3. Navy Gold Star, DEERS, DD FORM 1300
4. SGLI Claim Form 8283 and Guide for ACDU Death
5. SGLI Claim Form 8284 Accelerated (Terminal Illness)
6. Flag Case Request*
7. MGIB Refund Claim
8. Presidential Memorial Certificate*
9. Funeral Honors Request 
10. Online Survivor Benefit Report (OSBR) For Dependents 
11. CACO Report - CAR*
12. Taxable - Not Taxable
13. TSP*
14. VA Headstone
15. Survivor Support | TAPS.org
16. FOIA Link
 
 

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