CNATRAINST 1500.4F
18 May 1999
CASUALTY REPORT FORMAT
(PRIORITY MESSAGE)
FROM:
//CODE//
TO:
SECNAV WASHINGTON DC//CODE//
INFO: BUMED WASHINGTON DC//CODE//
COMNAVPERSCOM MILLINGTON TN//PERS-621//
SAO//CODE//
CHINFO WASHINGTON DC//CODE//
NAVY IPO WASHINGTON DC//CODE//
NETSAFA PENSACOLA FL//CODE//
NETSAFA DET PENSACOLA FL//CODE//
CNATRA CORPUS CHRISTI TX//N32//
NAVAVSCOLSCOM//CODE//
* NAVAL ATTACHE (COUNTRY INVOLVED)//CODE//
UNCLAS//N04950//
SUBJ: IMS CASUALTY REPORT
MSGID/GENADMIN/ORIGINATOR//
RMKS/1. A. (NAME IN FULL; RANK OR RATING; FILE OR SSN; BRANCH
OF SERVICE; COUNTRY; ITO #; WCN #)
B. (TYPE OF CASUALTY)
C. (DATE, TIME, PLACE, CIRCUMSTANCES AND CAUSE. USE LOCAL TIME,
PLACE OF OCCURRENCE. IF AT SEA, LAT/LONG UNLESS SECURITY
PRECLUDES. GIVE CONCISE BUT AMPLE EXPLANATION OF OCCURRENCE FOR
IMMEDIATE EXPLANATION TO NAVAL ATTACHES AND MILITARY ASSISTANCE
ADVISORY GROUPS (MAAGS). IF DEATH OR SERIOUS INJURY, FOR
EXAMPLE, STATE WHETHER SUSTAINED IN AUTOMOBILE ACCIDENT, AIRCRAFT
ACCI-DENT, OR OTHER CAUSE. IF DEATH RESULTED FROM FLIGHT IN A
NAVAL AIRCRAFT, INCLUDE THE FOLLOWING ITEMS: STATUS OF THE
INDIVIDUAL (PILOT, CREW MEMBER, PASSENGER, ETC.); MODEL OF
AIRCRAFT; FLIGHT PURPOSE (INCLUDE WHETHER OPERATIONAL OR NOT
OPERATIONAL). WHENEVER A CAUSE OF DEATH IS DELAYED PENDING
AUTOPSY OR TOXICOLOGICAL EXAMINATION, THE FINDINGS SHALL BE
FURNISHED BY SUPPLEMENTAL MESSAGE AS SOON AS POSSIBLE.)
D. (IF FATALITY INVOLVED, GIVE LOCATION AND DISPOSITION OF
REMAINS. GIVE COMPLETE NAME AND ADDRESS OF MORGUE OR FUNERAL
ESTABLISHMENT WHERE REMAINS ARE LOCATED. IF REMAINS ARE TO BE
TRANSFERRED TO ANOTHER ESTABLISHMENT, GIVE NAME AND ADDRESS OF
SUCH ESTABLISHMENT AND WHEN TRANSFER WILL BE MADE. IF REMAINS
NOT RECOVERED, SO STATE AND ADVISE AS TO STATUS OF SEARCH.)//
* See next page for list of frequently needed Naval Attache
address.
Example 10
B-11