COMMANDER'S PRELIMINARY ASSESSMENT AND RECOMMENDATION
REGARDING MISSING PERSON
(For use of this form, see DODI 2310.5; the proponent agency is OSD/DPMO)
SECTION I - IDENTITY OF MISSING PERSON
(Use a separate report for each missing person.)
1. NAME (Last, First, Middle)
2. SOCIAL SECURITY NUMBER
3. RANK/GRADE/CIVILIAN
4. DATE INFORMATION RECEIVED REGARDING MISSING
5. THEATER IN WHICH SERVING AT TIME OF LOSS
PERSON'S LOSS (YYYYMMDD)
6. BRANCH OF ARMED SERVICE TO WHICH ASSIGNED, DETAILED,
7. UNIT, FACILITY, OR AREA TO OR IN WHICH THE PERSON IS
OR ATTACHED
ASSIGNED
SECTION II - ASSESSMENT OF CIRCUMSTANCES
8. ASSESS THE CIRCUMSTANCES OF THE LOSS AND DESCRIBE WHY YOU BELIEVE THE PERSON IS MISSING (Provide additional rationale
and any other information pertinent to this assessment as attachments.)
(See attachments
through
.)
SECTION III - RECOMMENDATION
That the person be placed in a missing status.
Within 10 days of receiving information regarding the missing person, this report must be transmitted to the Secretary
concerned of the missing person. In addition, safeguard and forward to the Secretary concerned for official use any
information relating to the whereabouts and status of the missing person that results from this preliminary assessment or from
actions taken to locate the person.
In addition, a copy of this report must be transmitted to the theater component commander having jurisdiction over the
missing person.
9. COMMANDER OF UNIT, FACILITY, OR AREA TO OR IN WHICH THE MISSING PERSON IS ASSIGNED
a. TYPED NAME (Last, First, Middle Initial)
b. GRADE
c. UNIT
d. SIGNATURE
e. DATE SIGNED (YYYYMMDD)
DD FORM 2812, NOV 1999
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