DAFORMFILLABLE.COM | DA FORM 4475 Fillable – Army Pubs 4475 PDF – DA FORM 4475, titled “Data Required By The Privacy Act Of 1974 Personal Information From The Next of Kin (NOK) Of A Deceased Service Member,” is a crucial document used in military and administrative procedures. This form is essential for collecting and managing personal information from the next of kin (NOK) of deceased service members. Below is an in-depth exploration of the form, its purpose, and how it fits within the regulatory framework.
DA FORM 4475 – Data Required By The Privacy Act Of 1974 Personal Information From The Nok Of A Deceased Service Member
| Form Number | DA Form 4475 |
| Form Title | Data Required By The Privacy Act Of 1974 Personal Information From The Nok Of A Deceased Service Member |
| Form Date | 04/01/2016 |
| Form Proponent | G-1 |
Purpose and Importance of DA FORM 4475
What is DA FORM 4475?
DA FORM 4475 is designed to comply with the Privacy Act of 1974, which governs the collection, maintenance, and dissemination of personal information by federal agencies. The form gathers necessary personal information from the NOK of deceased service members to ensure proper handling and processing of their affairs.
Key Functions
- Personal Information Collection: The form ensures that personal details of the deceased’s NOK are accurately recorded.
- Privacy Compliance: It ensures compliance with the Privacy Act of 1974, protecting sensitive information.
- Administrative Processing: Facilitates administrative processes such as benefits distribution and notification procedures.
Regulatory Context and Compliance
Pub/Form Details
- Pub/Form Number: DA FORM 4475
- Pub/Form Date: 04/01/2016
- Pub/Form Status: ACTIVE
Proponent and Directive
The form’s proponent is G-1, and it is prescribed by AR 638-8, which outlines the Army’s casualty and mortuary affairs program. The form requires a privacy act statement as per AR 340-21.
Instructions for Completing DA FORM 4475
Step-by-Step Guidance
Section 1: Personal Information of Deceased Service Member
Provide accurate details such as the service member’s name, rank, and social security number.
Section 2: Next of Kin Information
Include the NOK’s full name, relationship to the deceased, contact information, and any additional relevant details.
Section 3: Privacy Act Statement
Read and acknowledge the privacy act statement, which explains the legal framework protecting the provided information.
Distribution and Security Classification
Accessibility and Distribution
The form is approved for public release with distribution being unlimited. This means it is widely accessible and can be distributed without restriction.
Security Classification
DA FORM 4475 is classified as UNCLASSIFIED, ensuring that the information is managed under standard security protocols without the need for higher classification measures.
Utilization and Practical Applications
Who Uses This Form?
- Military Personnel: Responsible for managing the affairs of deceased service members.
- Next of Kin (NOK): Providing the necessary personal information.
- Administrative Officials: Ensuring proper documentation and processing in compliance with regulatory requirements.
Practical Applications
- Benefit Claims: Assists NOK in claiming benefits and entitlements.
- Record Keeping: Ensures proper documentation of the deceased service member’s NOK.
- Legal and Administrative Processes: Facilitates necessary legal and administrative actions following a service member’s death.
Conclusion
DA FORM 4475 is a pivotal document in managing the affairs of deceased service members, ensuring that personal information from the next of kin is collected and processed in compliance with the Privacy Act of 1974. By understanding its purpose, regulatory context, and practical applications, individuals and officials can effectively utilize this form to ensure the proper handling of sensitive information and administrative processes.
For further details and to access DA FORM 4475, individuals can refer to the prescribing directive AR 638-8 and ensure they adhere to the required privacy act statements as mandated by AR 340-21. The form’s unrestricted distribution ensures it is readily available for those who need it, maintaining an efficient and compliant administrative process.
DA FORM 4475 Fillable – Army Pubs 4475 PDF DOWNLOAD
