EMERGENCY NOTIFICATION
INFORMATION
Soldier’s
Correct Full Name:_______________________________________________
Soldier’s
Rank and Pay Grade: ____________________________________________
Soldier’s Social
Security Number:_________________________________________
Soldier’s
Unit: _____________________________________________________________________
Soldier’s
Unit Address:
______________________________________________________________________
Name of
exercise soldier is
on:_____________________________________________
Full name
of ill, injured, or deceased person: __________________________________
What
hospital or funeral home is person in: ____________________________________
Who is the
doctor treating the person: _________________________________________
Family
member who can provide additional information:__________________________
Telephone
number: _____________________________
Family/Doctor
wants soldier to: Be notified only:
_________Come home: __________
Leave
address soldier should go to:
Name:
__________________________________________
Address:
________________________________________
City/State/Zip:
___________________________________
Phone number: ___________________________________
The soldier
will need about _________________ days to resolve the problem.
THE ABOVE INFORMTION MAY HELP SPEED THE SOLDIER’S RETURN
AS YOU CONTACT THE RED CROSS OFFICE. BE
SPECIFIC!
1-877-272-7337