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by order of the commander cannon air force - Air Force E-Publishing

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CANNONAFBI34-242 30 OCTOBER 2012 31<br />

Attachment 3<br />

SUPPLEMENTAL DEATH MESSAGE FORMAT<br />

Do follow-up supplemental report(s) and include information not obtained in <strong>the</strong> initial report.<br />

UNCLASSIFIED<br />

CANNON AIR FORCE BASE AND 27 SOFSS/FSOXU<br />

AFMAO/MA<br />

INFO HQ DFAS CENTER DENVER CO//OCP//<br />

AFSOC/A1S<br />

UNCLASS<br />

SUBJ: SUPPLEMENTAL DEATH REPORT<br />

1. THE DECEDENT’S FULL NAME, RANK AND SSN, THIS INSTRUCTION REQUIRES<br />

COLLECTING AND MAINTAINING INFORMATION PROTECTED BY THE PRIVACY<br />

ACT OF 1974 AUTHORIZED BY (5 U.S.C. 552A)<br />

2. THE NAME AND LOCATION OF THE RECEIVING FUNERAL HOME<br />

3. THE NAME OF THE CEMETERY<br />

4. THE BASE PROVIDING FUNERAL HONORS, SPECIFIC HONORS REQUESTED AND<br />

FLAG RECIPIENTS<br />

5. THE NAMES AND TRAVEL ARRANGEMENTS OF PERSONS AUTHORIZED<br />

FUNERAL TRAVEL<br />

6. THE DATE AND PLACE OF BIRTH<br />

7. AWARDS, DECORATIONS AND BADGES<br />

8. TOTAL ACTIVE FEDERAL MILITARY SERVICE DATE (TAFMSD)<br />

9. STATUS OF REMAINS<br />

10. TRANSPORTATION OF REMAINS<br />

11. ESCORT SCHEDULE

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