DA Form 4475. Data Required by the Privacy Act of 1974 Personal Information From the Nok of a Deceased Service Member

Form DA 4475 used to collect personal information from the Next of Kin (NOK) of a deceased service member in accordance with the Privacy Act of 1974. This form is designed to gather essential data about the deceased service member and their NOK for official record-keeping and administrative purposes.

The form includes sections where the NOK can provide details such as the deceased service member's full name, social security number, date of birth, rank, branch of service, and other identifying information. Additionally, the form may request information about the NOK, including their relationship to the deceased service member, contact information, and any relevant documentation supporting their claim as the NOK.

It is important to accurately complete all required fields on the form to ensure the proper identification and verification of the NOK and to comply with the provisions of the Privacy Act of 1974. The information collected on this form is treated as confidential and used solely for authorized purposes related to the deceased service member's records and benefits.

Application Example: When a service member passes away, the NOK can use Form DA 4475 to provide the necessary personal information required by the Privacy Act of 1974. This form helps establish the NOK's eligibility for certain benefits and facilitates the processing of administrative tasks related the deceased service member's records and affairs.

Related Forms: There may not direct alternatives to Form DA 4475, as it specifically addresses the collection of personal information from the NOK a deceased service member. However, other forms related to military personnel records, survivor benefits, or claims processing may exist, depending on the specific circumstances and requirements.