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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 Notification Forms in one file with Instructions, fill out after printing.

 
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 (fillable, save to desktop - then open) and EFT form
2. SF 1174 Form to claim Unpaid Pay and BAH will be emailed to the CACO by PERS.
3. Survivor Benefit Plan (SBP DIC) Forms for Dependents will be emailed to the CACO by PERS.
4. 
Mortuary Affairs (CACO conference call with PADD and MAO) 
5. SGLI Claim Form 8283 and Guide for ACDU Death
6. SGLI Claim Form 8284 Accelerated (Terminal Illness)
7. Navy Gold Star Brief, DD Form 1300, ID Card, SSA (Info for NOK)

8. Flag Case Request* (CACO request from MAO)
9. MGIB Refund Claim* (Fax)
10. Presidential Memorial Certificate* (Fax)
11. Funeral Honors Request (CACO discuss Full Honors with Funeral Home and Region FH Coordinator) 
12. Online Survivor Benefit Report (OSBR) For Dependents 
13. CACO Report - CAR* (Needed every 30 days with NOK Signature)
14. Taxable - Not Taxable (Information for NOK)
15. TSP* (Refund Request Brief)
16. VA Headstone
17. Survivor Support | TAPS.org
18. FOIA Link
 
 

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