Da Form 1156, Mar 2007

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CASUALTY FEEDER CARD
*CASUALTY TYPE
* Indicates required fields.
For use of this form, see AR 600-8-1; the proponent agency is DCS, G-1.
HOSTILE
PENDING
*PERSONNEL TYPE
NON-HOSTILE
*SSN
*RANK
MILITARY
CIVILIAN
*CASUALTY STATUS
CONTRACTOR
OTHER
NSI
DECEASED
*NAME
*INCIDENT DATE/TIME
SI
DUSTWUN
VSI
PENDING
*SERVICE
UIC
*PLACE OF INCIDENT
DUSTWUN/MISSING
*UNIT
GRID
LAST SEEN (DATE/TIME/PLACE)
*INFLICTING FORCE (hostile)
DEATH DATE/TIME
UNK
ENEMY
ALLY
US (buddy)
IDENTIFYING MARKS
REMAINS: VISUAL ID
YES
NO
PLACE OF DEATH
(tatoos, scars)
ID BY:
PRONOUNCED BY
MEANS USED:
*CIRCUMSTANCES
REPLACES DA FORM 1156, MAR 2006. WHICH IS OBSOLETE.
DA FORM 1156, MAR 2007
APD V1.00
INTERCEPTOR BODY ARMOR (IBA)
BACK OF CARD
HOSPITAL
VEHICLE GROUP/TYPE
PASGT
OTV
HMMWV
STRYKER
NONE
OTHER
DIED IN
APC
TRACK
DIED OUTSIDE
ENG
LAV
ATTACHMENTS
INVESTIGATION INITIATED
MTV
PLS
THROAT
GROIN
YES
NO
PENDING
ARTILLERY
YOKE/COLLAR
DAP
HELICOPTER
SAPI
TRAINING DUTY RELATED
OTHER
YES
NO
HELMET
ACH
MICH
OTHER
UP-ARMORED
PASGT
CVC
NONE
DUTY
STATUS
YES
NO
SHELL
NO SHELL
VISOR
LEVEL
EYE PROTECTION
WEAPONS
POSITION
SWD
BLPS
SPECS
IED
VBIED
(aboard)
OAKLEY
WILEY
ESS
SVBIED
RPG
MORTAR
HOR (if known)
OTHER
SAF
GRENADE
NONE
OTHER
SIGNATURE OF PREPARER
DATE (YYYYMMDD)
APPROVED BY COMMANDER
DATE (YYYYMMDD)
(Field Grade Officer-Required all Deaths/DUSTWUN/Missing)
APD V1.00
DA FORM 1156, MAR 2007

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