Surviving Family Member Inquiry Form

This form is for survivors of active-duty deaths to submit their questions and/or concerns. By filling out this form, the Department of Defense can better serve you and provide a response. A DOD Casualty Assistance program manager will contact you within five business days confirming your information was received.


While Department of Defense serves the surviving family members of active-duty deaths, know that the Department of Veterans Affairs Office of Survivor Assistance is available to provide information and assistance with survivor benefits to the family members of all that have served. For more information please contact (800) 827-1000 or click hereto connect.

By completing all the fields below, you will give our representatives enough information to provide the answers you need. Fields with an asterisk are required.

Preferred method of contact

Fill in four digits for the year (ex. 1900).

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