DA Form 2669. Certificate of Death

The DA Form 2669 is used to officially document the death of military personnel. It serves as a certificate of death and provides essential information regarding the deceased individual and the circumstances surrounding their death.

The form consists of several sections that capture important information:

• Deceased person information: Name, rank, social security number, date of birth, and other identifying details of the deceased.
• Death details: Date, time, and location of death, as well as a description of the circumstances surrounding the death.
• Witness information: Names and contact details of witnesses who can provide additional information about the death.
• Medical examiner's findings: If applicable, the form may include a section for the medical examiner to document their findings regarding the cause of death.
• Certification and signature: The form includes spaces for certifying officials to sign and validate the certificate of death.

When filling out the DA Form 2669, it is crucial to provide accurate and detailed information about the deceased person and the circumstances of their death. The form should be completed by authorized personnel, such as medical professionals or military officials responsible for handling death-related matters.

Application examples and use cases for this form include officially documenting the death of military personnel, facilitating the processing of survivor benefits and entitlements, and maintaining accurate records for and legal purposes.