Appendix D Death Notification Memorandum Example State Letterhead MEMORANDUM FOR Commander, U.S. Army Human Resources Command, ATTN: 1600 Spearhead Division Avenue Dept. 482, Fort Knox, KY 40122 SUBJECT: Information on a Deceased Guardsman 1. The following information is provided pertaining to a Deceased Soldier of the (State) Army National Guard: SOLIDER'S NAME: Brown, Joseph SOLDIER'S SSN: XXX-XX-XXXX SOLDIER'S DOB: 20 March 1956 DATE OF DEATH: 5 December 2007 CAUSE OF DEATH: Auto Accident SPOUSE’S NAME: Elaine B. SPOUSE’S SSN: XXX-XX-XXXX SPOUSE’S ADDRESS: 123 Ave. Brownville, MD SPOUSE’S TELEPHONE NUMBER: XXX-XXX-XXXX SPOUSE’S DOB: 18 May 1958 2. Enclosed are the 20 Year Notification of Eligibility (NOE), DD Form 1883 or DD Form and the NGB Form 23. The original death certificate will be mailed upon receipt from the spouse. 3. The death was reported by (spouse's name). 4. If you have any questions, please call XXX-XXX-XXXX. 3 Encls MPMO/G-1Signaure Block as
Appendix D Death Notification Memorandum Example State Letterhead MEMORANDUM FOR Commander, U.S. Army Human Resources Command, ATTN: 1600 Spearhead Division Avenue Dept. 482, Fort Knox, KY 40122 SUBJECT: Information on a Deceased Guardsman 1. The following information is provided pertaining to a Deceased Soldier of the (State) Army National Guard: SOLIDER'S NAME: Brown, Joseph SOLDIER'S SSN: XXX-XX-XXXX SOLDIER'S DOB: 20 March 1956 DATE OF DEATH: 5 December 2007 CAUSE OF DEATH: Auto Accident SPOUSE’S NAME: Elaine B. SPOUSE’S SSN: XXX-XX-XXXX SPOUSE’S ADDRESS: 123 Ave. Brownville, MD SPOUSE’S TELEPHONE NUMBER: XXX-XXX-XXXX SPOUSE’S DOB: 18 May 1958 2. Enclosed are the 20 Year Notification of Eligibility (NOE), DD Form 1883 or DD Form and the NGB Form 23. The original death certificate will be mailed upon receipt from the spouse. 3. The death was reported by (spouse's name). 4. If you have any questions, please call XXX-XXX-XXXX. 3 Encls MPMO/G-1Signaure Block as
ARNG_Information_Guide-30-April-2015.docx