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Get Army Casualty Assistance Checklist

Retiree Casualty Assistance Checklist As-of date Retiree s Name SSN Military Grade/Rank Date of Retirement Branch of Service Years of Service Address City State ZIP DOB Place of Birth Spouse s Maiden Name Date of Marriage Place of Marriage Father s Name Mother s Maiden Name Documents needed to claim death benefits Check them off and note location of each Copies of report s of separation from active duty DD Form 214 etc. Copies of Retirement Order.

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