Get Dd Form 565

U.S. DOD Form dod-dd-565 STATEMENT OF RECOGNITION OF DECEASED PRIVACY ACT STATEMENT AUTHORITY 10 USC Sections 1481 through 1488 EO 9397 Nov. 1943 SSN. PURPOSE AND USE This form is used to establish initial identification of deceased personnel* DISCLOSURE Personal information provided on this form is given on a voluntary basis. Failure to provide this information however may result in improper identification of the deceased person and person making visual identification* 1. TENTATIVELY IDENTIFIED DECEDENT a* NAME Last First Middle Initial or Unidentified b. RANK d. ORGANIZATION e. SERVICE c* SSN 2. I HAVE PERSONALLY VIEWED THE REMAINS TENTATIVELY IDENTIFIED ABOVE* RECOGNITION IS BASED ON THE FOLLOWING* a* SEX b. APPROXIMATE AGE Years e. HAIR COLOR If brown indicate light or dark as applicable c* APPROXIMATE HEIGHT d. RACE f* BUILD/MUSCULARITY Slender medium heavy or obese g. IDENTIFYING MARKS Fully describe by type and location ALL known scars tattoos birthmarks amputations or other body markings to support the identification* h. REMARKS 3. DETAILS OF VIEWING a* DATE YYYYMMDD b. TIME c* PLACE 4. PERSON MAKING VISUAL IDENTIFICATION e. SIGNATURE g. RELATIONSHIP TO DECEASED CDR ISG Friend Relative etc* h. LENGTH OF TIME YOU KNEW DECEASED Number of months or years f* DATE SIGNED YYYYMMDD 5. WITNESS I certify that the individual identified in Item 4 has viewed the remains in my presence and that to the best of my knowledge and belief the above statements are true. DD FORM 565 JUL 1998 EG PREVIOUS EDITION MAY BE USED. c* TITLE Designed using Perform Pro WHS/DIOR Jun 98 Reset. PURPOSE AND USE This form is used to establish initial identification of deceased personnel* DISCLOSURE Personal information provided on this form is given on a voluntary basis. Failure to provide this information however may result in improper identification of the deceased person and person making visual identification* 1. Failure to provide this information however may result in improper identification of the deceased person and person making visual identification* 1. TENTATIVELY IDENTIFIED DECEDENT a* NAME Last First Middle Initial or Unidentified b. RANK d. ORGANIZATION e. TENTATIVELY IDENTIFIED DECEDENT a* NAME Last First Middle Initial or Unidentified b. RANK d. ORGANIZATION e. SERVICE c* SSN 2. I HAVE PERSONALLY VIEWED THE REMAINS TENTATIVELY IDENTIFIED ABOVE* RECOGNITION IS BASED ON THE FOLLOWING* a* SEX b. SERVICE c* SSN 2. I HAVE PERSONALLY VIEWED THE REMAINS TENTATIVELY IDENTIFIED ABOVE* RECOGNITION IS BASED ON THE FOLLOWING* a* SEX b. APPROXIMATE AGE Years e. HAIR COLOR If brown indicate light or dark as applicable c* APPROXIMATE HEIGHT d. APPROXIMATE AGE Years e. HAIR COLOR If brown indicate light or dark as applicable c* APPROXIMATE HEIGHT d. RACE f* BUILD/MUSCULARITY Slender medium heavy or obese g. IDENTIFYING MARKS Fully describe by type and location ALL known scars tattoos birthmarks amputations or other body markings to support the identification* h. RACE f* BUILD/MUSCULARITY Slender medium heavy or obese g. IDENTIFYING MARKS Fully describe by type and location ALL known scars tattoos birthmarks amputations or other body markings to support the identification* h. REMARKS 3. DETAILS OF VIEWING a* DATE YYYYMMDD b. TIME c* PLACE 4. PERSON MAKING VISUAL IDENTIFICATION e.