DD Form 3047 Disposition of Remains Election Statement: Notification

CUI (when filled in)
OMB No. 0704-0581
OMB approval expires
20250331

DISPOSITION OF REMAINS ELECTION STATEMENT
NOTIFICATION OF SUBSEQUENTLY IDENTIFIED PARTIAL REMAINS

The public reporting burden for this collection of information is estimated to average 15 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering
and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information,
including suggestions for reducing the burden, to the Department of Defense, Washington Headquarters Services, at [email protected]. Respondents
should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid
OMB control number.

PLEASE RETURN THIS FORM TO ODASD MC&FP; ATTN: CASUALTY; 4000 DEFENSE PENTAGON; WASHINGTON, DC 20301-4000.

PRIVACY ADVISORY
With this form the Department of Defense asks you to document your decisions about the remains of your Service Member. This process includes
providing your name and contact information as well as your relationship to the service member. This collection is authorized by 10 U.S.C. 1481
through 1488, and this form will be filed in the Defense Casualty Information Processing System (DCIPS) as part of the service members Individual
Deceased Personnel File (IDPF), covered by following Department of the Army System of Record Notice:
(https://dpcld.defense.gov/Privacy/SORNsIndex/DOD-wide-SORN-Article-View/Article/570058/a0600-8-1c-ahrc-dod/).
Completing this form is voluntary. However, without completing the form, your choices regarding your service member may not be documented or
complied with.
1. NAME OF DECEASED (Last, First, Middle Initial)

2. SERVICE/GRADE OF DECEASED

3. DCIPS CASE NUMBER

4. PERSON AUTHORIZED TO DIRECT DISPOSITION (PADD) OR PRIMARY NEXT OF KIN (PNOK) AS APPROPRIATE
b. RELATIONSHIP TO DECEASED

a. NAME (Last, First, Middle Initial)

c. TELEPHONE NUMBER (Include
Area Code)

d. CURRENT RESIDENCE ADDRESS (Street, Apartment Number, City, State and ZIP Code)

5. SELECTION OF DISPOSITION OPTIONS

DRAFT

I, the undersigned, understand that partial additional remains have been recovered and individually identified for the decedent listed above.
I hereby direct and authorize that the additional remains be: (Select one option below)
ELECTION FOR CURRENTLY RECOVERED REMAINS
OPTION 1

(Initials)
OPTION 2

(Initials)
OPTION 3

(Initials)

Transferred for interment in a suitable container, includes an urn of choice or appropriate size casket, above the original casket to:
Funeral Home Name and
Address:
Transferred to the funeral home below for subsequent cremation at Government expense, arranged by the person with legal authority at the final
destination. Place in the urn of choice marked below.
Funeral Home Name and Address:
Cremated by a DoD operated or contracted facility, placed in urn of choice and delivered to:
Name and
Address:

OPTION 4
In the event that additional remains are individually identified, I authorize the Army, Marine Corps, Navy, Air Force, Space Force, or Coast Guard
to make appropriate disposition.
(Initials)
Urn Selection:

Solid Bronze

Solid Walnut

6. IN THE EVENT THAT FURTHER SUBSEQUENT REMAINS ARE IDENTIFIED BEYOND TODAY (Select Notify or Do Not Notify)
NOTIFY
DO NOT
NOTIFY

(Initials)
(Initials)

I would like to be notified and given the choice of accepting individual portions for disposition.
I DO NOT want to be notified. I authorize the parent Service to make appropriate disposition.

AUTHORIZATION AND SIGNATURES
b. DATE (YYYYMMDD)

7.a. SIGNATURE OF PADD/
PNOK

8.a. TYPED OR PRINTED NAME OF WITNESS

DD FORM 3047, JAN 2019

b. SIGNATURE OF WITNESS

CUI (when filled in)

c. DATE (YYYYMMDD)

Controlled by: OUSD(P&R)
Page 1 of
CUI Category: PRVCY
LDC: FEDCON
POC: [email protected]

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