DA Form 7405 "Authorized Interment Expenses Worksheet"

What Is DA Form 7405?

This is a military form that was released by the U.S. Department of the Army (DA) on April 1, 2010. The form, often mistakenly referred to as the DD Form 7405, 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.

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Download DA Form 7405 "Authorized Interment Expenses Worksheet"

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AUTHORIZED INTERMENT EXPENSES WORKSHEET
For use of this form, see DA PAM 638-2; the proponent agency is DCS, G-1.
1. NAME
2. RANK
3. DCIPS CASE NO.
4. DATE OF DEATH (YYYYMMDD)
5. CEMETERY TYPE
6. CREMATION
7a. CONTRACT IN EFFECT
YES
NO
PRIVATE
NATIONAL
POST/FORT
YES
NO
7b. IF NO, PRIMARY (Preparation) EXPENSES.
9. MEMORIAL/FUNERAL EXPENSES
a. MAXIMUM AUTHORIZED MEMORIAL/FUNERAL EXPENSES
ACTUAL
AUTHORIZED
EXPENSES
EXPENSES
b. PROFESSIONAL SERVICES (Funeral Director and Staff)
RECEIVING REMAINS SERVICE PACKAGE
VISITATION/VIEWING
GRAVESIDE SERVICE
OTHER
c. USE OF FACILITIES
FUNERAL HOME
CHURCH
CREMATORY
OTHER
d. EQUIPMENT
LIMOUSINE FOR PNOK
FLOWER CAR
LEAD CAR
OTHER
e. SERVICES
ORGANIST
SOLOIST
CLERGY HONORARIUM
PERMITS/FEES
OBITUARY, DEATH NOTICE, OR ANNOUNCEMENTS
PALL BEARERS (When military honors are not performed)
f. SUPPLIES
GUEST REGISTER BOOK
PRAYER CARDS
SERVICE ORDERS
FLOWERS
MEMORIAL FOLDERS
RELIGIOUS ITEMS
ACKNOWLEDGMENT CARDS
g. CEMETERY
BURIAL RECEPTACLE
GRAVESITE (Single)
TEMPORARY MARKER
EQUIPMENT
OPENING/CLOSING GRAVE OR NICHE
h. MISCELLANEOUS
STOP-OVER EXPENSE
SALES TAX
CERTIFIED DEATH CERTIFICATES (See preparation)
i. OTHER INTERMENT RELATED EXPENSES
TOTAL MEMORIAL/FUNERAL EXPENSES
j. TRANSPORTATION EXPENSES
HEARSE
TO COMMON CARRIER
TO FUNERAL SITE
FROM COMMON CARRIER
TO CEMETERY
TOTAL MEMORIAL/FUNERAL AND TRANSPORTATION EXPENSES
10a. PREPARED BY
10b. DATE PREPARED (YYYYMMDD)
PREVIOUS EDITION IS OBSOLETE.
DA FORM 7405, APR 2010
APD LC v1.00ES
AUTHORIZED INTERMENT EXPENSES WORKSHEET
For use of this form, see DA PAM 638-2; the proponent agency is DCS, G-1.
1. NAME
2. RANK
3. DCIPS CASE NO.
4. DATE OF DEATH (YYYYMMDD)
5. CEMETERY TYPE
6. CREMATION
7a. CONTRACT IN EFFECT
YES
NO
PRIVATE
NATIONAL
POST/FORT
YES
NO
7b. IF NO, PRIMARY (Preparation) EXPENSES.
9. MEMORIAL/FUNERAL EXPENSES
a. MAXIMUM AUTHORIZED MEMORIAL/FUNERAL EXPENSES
ACTUAL
AUTHORIZED
EXPENSES
EXPENSES
b. PROFESSIONAL SERVICES (Funeral Director and Staff)
RECEIVING REMAINS SERVICE PACKAGE
VISITATION/VIEWING
GRAVESIDE SERVICE
OTHER
c. USE OF FACILITIES
FUNERAL HOME
CHURCH
CREMATORY
OTHER
d. EQUIPMENT
LIMOUSINE FOR PNOK
FLOWER CAR
LEAD CAR
OTHER
e. SERVICES
ORGANIST
SOLOIST
CLERGY HONORARIUM
PERMITS/FEES
OBITUARY, DEATH NOTICE, OR ANNOUNCEMENTS
PALL BEARERS (When military honors are not performed)
f. SUPPLIES
GUEST REGISTER BOOK
PRAYER CARDS
SERVICE ORDERS
FLOWERS
MEMORIAL FOLDERS
RELIGIOUS ITEMS
ACKNOWLEDGMENT CARDS
g. CEMETERY
BURIAL RECEPTACLE
GRAVESITE (Single)
TEMPORARY MARKER
EQUIPMENT
OPENING/CLOSING GRAVE OR NICHE
h. MISCELLANEOUS
STOP-OVER EXPENSE
SALES TAX
CERTIFIED DEATH CERTIFICATES (See preparation)
i. OTHER INTERMENT RELATED EXPENSES
TOTAL MEMORIAL/FUNERAL EXPENSES
j. TRANSPORTATION EXPENSES
HEARSE
TO COMMON CARRIER
TO FUNERAL SITE
FROM COMMON CARRIER
TO CEMETERY
TOTAL MEMORIAL/FUNERAL AND TRANSPORTATION EXPENSES
10a. PREPARED BY
10b. DATE PREPARED (YYYYMMDD)
PREVIOUS EDITION IS OBSOLETE.
DA FORM 7405, APR 2010
APD LC v1.00ES