Da 1156 Form PDF Details

In the realm of military operations and the unforgiving reality of conflict, the documentation and reporting of casualties play a pivotal role in both the administrative and human aspects of military engagements. Within this scope, the DA Form 1156, known as the "Casualty Feeder Card," emerges as a crucial tool designed to systematically record various key details about service members who have encountered hostile or non-hostile incidents. This form captures essential information ranging from the type of casualty, personal identification details such as name and social security number, to the specific circumstances surrounding the incident including the date, time, and location. It differentiates between personnel types, including military, civilian, contractor, and others, and specifies the casualty status from non-serious injuries to deceased, including a special category for missing personnel (DUSTWUN). Moreover, it delves into the details of the incident, noting the inflicting force, any identifying marks on the individual, and the equipment and protective gear they were equipped with at the time. Additionally, the DA Form 1156 touches on the aftermath of the incident, logging whether an investigation has been initiated and if any body armor or vehicles were involved. This form is not just a piece of paper; it is a critical record that ensures each casualty is accounted for, provides necessary information for follow-up actions, and ultimately respects the service and sacrifice of the individuals by meticulously noting the details of their ordeal.

QuestionAnswer
Form NameDa 1156 Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesda 1156, form 1156 fillable, army 1156 form, fillable casualty feeder card

Form Preview Example

*CASUALTY TYPE

 

 

 

 

 

 

 

 

 

 

CASUALTY FEEDER CARD

 

 

 

 

 

 

 

 

* Indicates required fields.

 

HOSTILE

PENDING

 

 

 

For use of this form, see AR 600-8-1; the proponent agency is DCS, G-1.

*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

 

 

 

 

 

 

 

 

 

 

 

 

ENEMY

 

 

 

ALLY

 

 

US (buddy)

 

UNK

 

 

 

 

 

 

 

 

IDENTIFYING MARKS (tatoos, scars)

REMAINS: VISUAL ID

 

 

 

 

 

 

 

 

 

YES

 

NO

PLACE OF DEATH

 

 

 

 

 

 

 

 

 

ID BY:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

MEANS USED:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PRONOUNCED BY

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

*CIRCUMSTANCES

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DA FORM 1156, MAR 2007

 

 

 

 

 

 

 

REPLACES DA FORM 1156, MAR 2006. WHICH IS OBSOLETE.

APD V1.00

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

BACK OF CARD

 

 

 

INTERCEPTOR BODY ARMOR (IBA)

 

 

 

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

 

 

 

 

 

HELMET

 

 

 

 

 

 

 

 

 

 

 

 

 

YES

 

 

 

 

NO

 

 

 

 

 

 

 

 

 

 

 

 

 

ACH

 

 

 

MICH

 

 

OTHER

 

 

 

 

 

 

 

 

 

 

 

 

 

UP-ARMORED

 

 

 

 

 

 

PASGT

 

 

 

CVC

 

 

NONE

DUTY

 

 

 

 

 

 

 

 

 

YES

 

NO

 

 

 

 

SHELL

 

 

 

NO SHELL

 

 

VISOR

STATUS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

LEVEL

 

 

 

 

 

EYE PROTECTION

 

 

 

 

 

 

 

 

 

 

 

 

WEAPONS

 

 

 

 

 

 

 

 

POSITION (aboard)

 

 

 

 

 

 

SWD

 

 

 

BLPS

 

 

SPECS

 

IED

 

 

 

 

VBIED

 

 

 

 

 

 

 

 

 

 

 

 

 

OAKLEY

 

 

 

WILEY

 

 

ESS

 

SVBIED

 

 

 

 

RPG

MORTAR

HOR (if known)

 

 

 

 

 

 

OTHER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SAF

 

 

 

 

GRENADE

 

 

 

 

 

 

 

 

 

 

 

 

 

NONE

 

 

 

 

 

 

 

 

 

 

 

 

 

OTHER

 

 

 

 

 

 

 

 

SIGNATURE OF PREPARER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DATE (YYYYMMDD)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

APPROVED BY COMMANDER (Field Grade Officer-Required all Deaths/DUSTWUN/Missing)

 

 

 

 

 

 

 

 

 

DATE (YYYYMMDD)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DA FORM 1156, MAR 2007

APD V1.00