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

Hosted by www.Geocities.ws

1