Transcription of *CASUALTY TYPE CASUALTY FEEDER CARD *PERSONNEL …
1 ATTACHMENTSREPLACES DA FORM 1156, MAR 2006. WHICH IS OBSOLETE. *INFLICTING FORCE (hostile)EYE PROTECTION*CIRCUMSTANCES HELMETCASUALTY FEEDER CARDFor use of this form, see AR 600-8-1; the proponent agency is DCS, G-1.* CASUALTY TYPE *PERSONNEL TYPE *CASUALTY STATUSDUSTWUN/MISSINGLAST SEEN (DATE/TIME/PLACE)HOR (if known)HOSTILENON-HOSTILEPENDINGNSISIVSID ECEASEDDUSTWUNPENDING*SSN*RANK*NAME*SERV ICE*UNITINTERCEPTOR BODY ARMOR (IBA)PASGTSAPITHROATGROINDAPOTVPASGTMICH ACHCVCSHELLYOKE/COLLARNONENO SHELLSWDBLPSSPECSOTHERNONEIDENTIFYING MARKS (tatoos, scars)MILITARYCIVILIANCONTRACTOROTHERTRA INING DUTY RELATEDYESNOINVESTIGATION INITIATEDYESNOPENDINGDA FORM 1156, MAR 2007 VEHICLE GROUP/TYPEHMMWVSTRYKERAPCTRACKLAVENGARTI LLERYMTVHELICOPTEROTHERUP-ARMOREDYESNOPO SITION (aboard)*INCIDENT DATE/TIME*PLACE OF INCIDENTGRIDWEAPONSHOSPITALENEMYUS (buddy)
2 ALLYUNKIEDVBIEDMORTARRPGSAFGRENADEOTHERP LACE OF DEATHREMAINS: VISUAL IDID BY:MEANS USED:YESNOAPPROVED BY COMMANDER (Field Grade Officer-Required all Deaths/DUSTWUN/Missing)DATE (YYYYMMDD)SIGNATURE OF PREPARERDA FORM 1156, MAR 2007 UIC* Indicates required DATE/TIMEPRONOUNCED BYSVBIEDDATE (YYYYMMDD)DIED INDIED OUTSIDEDUTYSTATUSLEVELOAKLEYWILEYESSOTHE RNONEVISOROTHERBACK OF CARDPLSAPD