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OMB No. 16250001 Exp. Date: mm/dd/yyyyDEPARTMENT OF HOMELAND SECURITY U.S.COASTGUARDPersonnel Casualty Addendum Note: This form shall be used to report data on persons who were injured, killed, or
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How to fill out personnel casualty addendum

01
Start by obtaining a personnel casualty addendum form from your employer or the relevant government agency.
02
Read the instructions on the form carefully to ensure that you provide all the required information.
03
Begin filling out the form by providing your personal details such as your name, address, contact information, and social security number.
04
Specify the date and time of the incident or accident that resulted in the personnel casualty.
05
Describe the nature of the personnel casualty and provide details of any injuries sustained.
06
If applicable, list the names and contact information of any witnesses to the incident.
07
Attach any supporting documents or evidence that may be required, such as medical records or photographs.
08
Review the completed form to ensure accuracy and completeness.
09
Sign and date the form before submitting it to the designated recipient or authority.
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Keep a copy of the filled-out form for your records.

Who needs personnel casualty addendum?

01
Personnel casualty addendums are typically required by individuals who have been involved in an incident or accident that has resulted in personal injury or harm. This can include employees who have suffered workplace injuries, individuals seeking compensation for medical expenses, or victims of accidents or crimes requiring legal documentation.
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The personnel casualty addendum is a document used to report and document any casualties affecting personnel, typically associated with military or government operations.
Personnel casualty addendums are required to be filed by military units and organizations that experience personnel casualties during operations.
To fill out a personnel casualty addendum, you need to include specific details about the casualty, such as the individual's name, identification number, nature of the casualty, and circumstances surrounding the incident.
The purpose of the personnel casualty addendum is to provide official documentation of personnel losses to ensure proper reporting, record-keeping, and support for affected individuals and their families.
The information that must be reported includes the individual's name, rank, unit, date of incident, type of casualty, and relevant details of the incident.
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