Isolated Personnel Report (Isoprep) Instructions Page 2
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3CONFIDENTIAL (When Blocks 50 - 54 filled in)
ISOLATED PERSONNEL REPORT (ISOPREP)
PRIVACY ACT STATEMENT
AUTHORITY: 10 U.S.C. Sections 133, 3012, 3051 and 8012; E.O. 9397.
PRINCIPAL PURPOSE(S): To protect recovery forces from enemy entrapment and facilitate the recovery of isolated persons.
ROUTINE USE(S): To be completed by designated personnel subject to isolation due to hostile activity. Contains personal information that may be used to ensure positive identification. The form will be
unclassified/official use only. Blocks 50, 51, 52, 53, 54, 55 and 56 are optional blocks and are only utilized when directed by unit SOP or Service doctrine. When blocks 50, 51, 52, 53, 54, 55, and 56 are
completed this form becomes classified CONFIDENTIAL and must be handled appropriately. This form may only be transmitted via .mil to .mil email accounts.
DISCLOSURE IS MANDATORY. The information is necessary since it affects the entire personnel recovery process. Exceptions on disclosure are made for government contractors.
SECTION 1 - PERSONAL INFORMATION
*
*
1.c. M.I. 2. GO BY NAME
*
*
*
6. COALITION ID
*
1.a. LAST NAME
1.b. FIRST NAME
3. GENDER
4. GRADE
5. SSN
7. DOB (YYYYMMDD)
*
*
*
*
12. WEIGHT (lbs.)
*
*
15. ETHNIC GROUP
8. BRANCH OF SERVICE/AGENCY/DEPT
9. CURRENT UNIT
10. BLOOD TYPE
11. HEIGHT (in.)
13. HAIR COLOR
14. EYE COLOR
*
b. IF OTHER, SPECIFY:
17. ACCENT
18. RELIGIOUS PREFERENCE
19. BLOOD CHIT NUMBER
16.a. CITIZENSHIP
21. KNOWN MEDICAL CONDITIONS AND PRESCRIPTIONS
*
20. IDENTIFYING SCARS/MARKS/TATTOOS
SECTION 2 - UNIFORM DATA
22. SHIRT SIZE:
23. PANT SIZE:
24. HAT SIZE:
25. BOOT TYPE:
26. BOOT SIZE:
27. BOOT WIDTH:
SECTION 3 - TRAINING/CAPABILITY DATA
SERE TRAINING
a. TYPE
b. YEAR
c. MONTH
d. LOCATION
/OTHER (Specify)
e. COMMENTS
(YYYY)
28. TRAINING 1
/
29. TRAINING 2
/
30. TRAINING 3
/
a. LANGUAGE
(If Other, specify)
b. READING
c. WRITING
d. SPEAKING
e. COMMENTS
31. PRIMARY
LANGUAGE
CAPABILITY
32. OTHER LANGUAGE CAPABILITIES:
SECTION 4 - REINTEGRATION INFORMATION
33. PRIMARY NEXT OF KIN
34. PARENT NO. 1 (Contractors Optional)
35. PARENT NO. 2 (Contractors Optional)
a. NAME:
a. NAME:
a. NAME:
b. ADDRESS:
b. ADDRESS:
b. ADDRESS:
c. CITY:
c. CITY:
c. CITY:
d. STATE
d. STATE
d. STATE
e. ZIP CODE:
e. ZIP CODE:
e. ZIP CODE:
f. TELEPHONE:
f. TELEPHONE:
f. TELEPHONE:
g. SAME AS:
PARENT NO. 1
PARENT NO. 2
37. HOME OF RECORD (Contractors Optional)
36. CHILDREN AT HOME (Contractors Optional)
a. ADDRESS:
a. NAME(S)
b. DOB(S)
a. NAME(S)
b. DOB(S)
b. CITY:
c. STATE
d. ZIP CODE:
38. SPECIAL FAMILY SITUATIONS:
SECTION 5 - JPRC/PRCC USE ONLY
39. DATE MISSING (YYYYMMDD)
40. DATE RECOVERED (YYYYMMDD)
41. DATE ENTERED REINTEGRATION (YYYYMMDD)
42. DATE RELEASED TO UNIT CONTROL (YYYYMMDD)
43. NOTES
CONFIDENTIAL (When Blocks 50 - 54 filled in)
PREVIOUS EDITION IS OBSOLETE.
DD FORM 1833 TEST (V2), MAY 2008
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