PDF
Word
DA Form 4475 Data Required by the Privacy Act of 1974 Personal Information From the NOK of a Deceased Service Member
What Is DA Form 4475?
This is a military form that was released by the U.S. Department of the Army (DA) on April 1, 2016. The form, often mistakenly referred to as the DD Form 4475, is a military form used by and within the U.S. Army. As of today, no separate instructions for the form are provided by the DA.
FAQ
Q: What is DA Form 4475?
A: DA Form 4475 is a document that collects personal information from the Next of Kin (NOK) of a deceased service member.
Q: What is the purpose of DA Form 4475?
A: The purpose of DA Form 4475 is to gather personal information required by the Privacy Act of 1974 from the Next of Kin (NOK) of a deceased service member.
Q: What information is required on DA Form 4475?
A: DA Form 4475 requires personal information such as the NOK's name, address, phone number, and relationship to the deceased service member.
Q: Why is the Privacy Act of 1974 relevant to DA Form 4475?
A: The Privacy Act of 1974 mandates the protection of personal information collected by federal agencies, including information gathered on DA Form 4475.
Q: Who needs to fill out DA Form 4475?
A: The Next of Kin (NOK) of a deceased service member is responsible for filling out DA Form 4475.
Form Details:
- A 1-page document available for download in PDF;
- The latest version available from the Army Publishing Directorate;
- Editable, free, and easy to use;
- Fill out the form in our online filing application.
Download an up-to-date fillable DA Form 4475 down below in PDF format or browse hundreds of other DA Forms stored in our online database.
