1
2CHAIN OF CUSTODY FOR TRANSPORTATION OF REMAINS
AND PERSONAL EFFECTS OF DECEASED PERSONNEL
3. DATE PREPARED
1. FROM/SHIPPING ACTIVITY
2. TO/RECEIVING ACTIVITY
4. PAGE
(YYYYMMDD)
OF
PAGES
SECTION I - REMAINS TRANSPORTED
7. BELIEVED TO BE (BTB) IDENTIFIED DECEDENT
(If unidentified, so state)
5. VEHICLE/AIRCRAFT
6. EVACUATION
ID NUMBER
NUMBER
a. NAME (Last, First, Middle Initial)
b. GRADE
c. RFID NO.
d. ORGANIZATION
DD FORM 1075, AUG 2015
PREVIOUS EDITION IS OBSOLETE.
Adobe Designer 9.0
CHAIN OF CUSTODY FOR TRANSPORTATION OF REMAINS
AND PERSONAL EFFECTS OF DECEASED PERSONNEL
3. DATE PREPARED
1. FROM/SHIPPING ACTIVITY
2. TO/RECEIVING ACTIVITY
4. PAGE
(YYYYMMDD)
OF
PAGES
SECTION I - REMAINS TRANSPORTED
7. BELIEVED TO BE (BTB) IDENTIFIED DECEDENT
(If unidentified, so state)
5. VEHICLE/AIRCRAFT
6. EVACUATION
ID NUMBER
NUMBER
a. NAME (Last, First, Middle Initial)
b. GRADE
c. RFID NO.
d. ORGANIZATION
DD FORM 1075, AUG 2015
PREVIOUS EDITION IS OBSOLETE.
Adobe Designer 9.0
SECTION II - CUSTODY
b. DATE
f. ACTION/PURPOSE OF CHANGE
1.
a. VEHICLE/
d. RELEASED BY
e. RECEIVED BY
(YYYYMMDD)
OF CUSTODY
AIRCRAFT
ID NUMBER
(1) SIGNATURE
(1) SIGNATURE
c. MILITARY
(2) NAME (Last, First, Middle Initial)
(2) NAME (Last, First, Middle Initial)
TIME
(3) GRADE (4) ORGANIZATION
(3) GRADE
(4) ORGANIZATION
b. DATE
f. ACTION/PURPOSE OF CHANGE
2.
a. VEHICLE/
d. RELEASED BY
e. RECEIVED BY
(YYYYMMDD)
OF CUSTODY
AIRCRAFT
ID NUMBER
(1) SIGNATURE
(1) SIGNATURE
c. MILITARY
(2) NAME (Last, First, Middle Initial)
(2) NAME (Last, First, Middle Initial)
TIME
(3) GRADE (4) ORGANIZATION
(3) GRADE
(4) ORGANIZATION
b. DATE
f. ACTION/PURPOSE OF CHANGE
3.
a. VEHICLE/
d. RELEASED BY
e. RECEIVED BY
(YYYYMMDD)
OF CUSTODY
AIRCRAFT
ID NUMBER
(1) SIGNATURE
(1) SIGNATURE
c. MILITARY
(2) NAME (Last, First, Middle Initial)
(2) NAME (Last, First, Middle Initial)
TIME
(3) GRADE (4) ORGANIZATION
(3) GRADE
(4) ORGANIZATION
b. DATE
f. ACTION/PURPOSE OF CHANGE
4.
a. VEHICLE/
d. RELEASED BY
e. RECEIVED BY
(YYYYMMDD)
OF CUSTODY
AIRCRAFT
ID NUMBER
(1) SIGNATURE
(1) SIGNATURE
c. MILITARY
(2) NAME (Last, First, Middle Initial)
(2) NAME (Last, First, Middle Initial)
TIME
(3) GRADE (4) ORGANIZATION
(3) GRADE
(4) ORGANIZATION
b. DATE
f. ACTION/PURPOSE OF CHANGE
5.
a. VEHICLE/
d. RELEASED BY
e. RECEIVED BY
(YYYYMMDD)
OF CUSTODY
AIRCRAFT
ID NUMBER
(1) SIGNATURE
(1) SIGNATURE
c. MILITARY
(2) NAME (Last, First, Middle Initial)
(2) NAME (Last, First, Middle Initial)
TIME
(3) GRADE (4) ORGANIZATION
(3) GRADE
(4) ORGANIZATION
b. DATE
f. ACTION/PURPOSE OF CHANGE
6.
a. VEHICLE/
d. RELEASED BY
e. RECEIVED BY
(YYYYMMDD)
OF CUSTODY
AIRCRAFT
ID NUMBER
(1) SIGNATURE
(1) SIGNATURE
c. MILITARY
(2) NAME (Last, First, Middle Initial)
(2) NAME (Last, First, Middle Initial)
TIME
(3) GRADE (4) ORGANIZATION
(3) GRADE
(4) ORGANIZATION
b. DATE
f. ACTION/PURPOSE OF CHANGE
7.
a. VEHICLE/
d. RELEASED BY
e. RECEIVED BY
(YYYYMMDD)
OF CUSTODY
AIRCRAFT
ID NUMBER
(1) SIGNATURE
(1) SIGNATURE
c. MILITARY
(2) NAME (Last, First, Middle Initial)
(2) NAME (Last, First, Middle Initial)
TIME
(3) GRADE (4) ORGANIZATION
(3) GRADE
(4) ORGANIZATION
DD FORM 1075, AUG 2015
PAGE
OF
PAGES
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