1. Adjutant General School Captains Career Course
Casualty Feeder Card
DA Form 1156
Practical Exercise #1
INSTRUCTOR VERSION

2. DA Form 1156 Practical Exercise
11/28/2018
This Practical Exercise consists of six unique DA Form 1156 reports, iPERMS reports and iPERMS verification.
Review and comment on the suitability of each as an initial report.
As applicable, note what is done well, what could be improved, what is missing, and what is incorrect. Be ready to explain why you have made these judgments, and why they matter.
Rank the six forms from what you consider to be the best to what you see as the worst. There is not necessarily a right answer for this question, but you should be prepared to explain your rankings and defend them against other students who may disagree. The key to this discussion will be to examine what you believe to be important in both the reports and the form itself, and why.
This is the instructor copy of the PE. The student version does not include the sidebar text beside the form on each slide, and does not include the consolidated slide at the end. 2

3. DA Form 1156 – #1
Although the basic required info is “filled out”, we only know the SM is dead because the Casualty Status entry is "deceased." 
The circumstances do not tell us anything about what the type of vehicle, his position in the vehicle, who found and IDed him, who pronounced him, whether CPR or other life-saving attempts were made, etc.
The form is also not approved by the correct authority. 3

4. DA Form 1156 – #2
Although some info is missing, such as what PPI the Soldier was wearing, it gives enough info that the CNO now has something to relay to the family about what happened to the SM And what emergency actions were taken after the incident and before his death. 4

5. DA Form 1156 – #3
This is a good report with one big exception – the circumstances do not explain what happened that caused the Soldier’s
death.
From the back of the form, we see small arms fire indicated, but where was the Soldier shot, and what actions were performed to aid or provide him care? 5

6. DA Form 1156 – #4
We only know the SM is dead from the casualty status marked “deceased”.
The circumstances provide no useful information. There is no info on the mission, if the SM was in a vehicle, what happened, where he was shot, and what if any life saving measures were taken.
Unfortunately, these types of narratives are too common. 6

7. DA Form 1156 – #5
The circumstances provide a generally good description of what happened and what actions were taken once the Soldier collapsed.
Most of the fields are not be filled out here because of the non-hostile nature of the casualty.
Field grade signature not required due to the casualty type. 7

8. DA Form 1156 – #6
This overall a good report. The content will be useful for the purpose of NOK notification, and for analyzing data for Soldier survivability issues. 8

9. SCENARIO # 1
Situation 1:
Working within the Battalion S-1 for the 1-4 IN (WK8701) (Mech), 4th Infantry Division, you are required to provide Human Resource support to subordinate units during this deployment. While on patrol of Route Delta in the Hannah Province, a scout platoon vehicle was struck by a RPG. During the attack, SFC LeClerc was wounded and died as a result of his wounds. The Commander wants the Soldier’s DD93/SGLV for verification of his Next of Kin. Using iPERMS, pull SFC LeClerc, Bryan 9CL(87)-14-35SN(01) DD93/SGLV to determine the Next of Kin.
(SCENARIO # 1)
NOTE: The Next of Kim for SFC LeClerc, Bryan., 9CL-14-35SN, is (Brittany Jiles Garlich) (Spouse).
Answer: The Next of Kim for SFC LeClerc, Bryan., 9CL-14-35SN, is (Brittany Jiles Garlich) (Spouse).

10. SCENARIO # 2 Answer: Situation 2:
Situation 2:
The Battalion Commander tasked all companies to provide him with a personnel deployment status update. Pull a Unit Summary Report for “K8701” to determine the DD93 and SGLV status. Additionally, pull a Unit Detail Report for “K8751” to determine the most recent effective date for DD 93 and SGLV 8286.
Answer:
“K8701”
DD93- 6 Missing
SGLV- 18 Missing
Total Missing-24
(SCENARIO) Unit Summary Report/Unit Detail Report
Situation 1: “K8701
DD93- 6 Missing
SGLV- 18 Missing
Total Missing-24

11. Consolidated Notes
1. Although the basic required info is “filled out”, we only know the SM is dead because the Casualty Status entry is "deceased."  The circumstances do not tell us anything about what the type of vehicle, his position in the vehicle, who found and IDed him, who pronounced him, whether CPR or other life-saving attempts were made, etc. The form is also not approved by the correct authority.
2. Although some info is missing, such as what PPI the Soldier was wearing, it gives enough info that the CNO now has something to relay to the family about what happened to the SM was and what emergency actions were taken after the incident and before his death.
3. This is a good report with one big exception – the circumstances do not explain what happened that caused the Soldier’s death. From the back of the form, we see small arms fire indicated, but where was the Soldier shot, and what actions were performed to aid or provide him care?
4. We only know the SM is dead from the casualty status marked “deceased”. The circumstances provide no useful information. There is no info on the mission, if the SM was in a vehicle, what happened, where he was shot, and what if any life saving measures were taken. Unfortunately, these types of narratives are too common.
5. The circumstances provide a generally good description of what happened and what actions were taken once the Soldier collapsed. Most of the fields are not be filled out here because of the non-hostile nature of the casualty. Field grade signature not required due to the casualty type.
6. This overall a good report. The content will be useful for the purpose of NOK notification, and for analyzing data for Soldier survivability issues. 11