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DD Form 397, Claim for six months Death Gratuity
Date Received: ________________________
Date Submitted: _______________________   To:  Commandant of the Marine Corps
                                               Fieadquarters Marine Corps
                                               (Code MHP-10)
                                               Washington, DC  20380-0001

Name and Address of Person Assisting: __________________________________________


Standard Form 1174, Claim Eor Unpaid Pay and Allowances (Arrears of Pay)
Date Received: _______________________
Date Submitted: _______________________  To: Commandant of the Marine Corps
                                             ~eadquarters Marine Corps
                                             (Code ?*IP-10)
                                             ~ashington, DC  20380-0001
Name and Address of Person Assisting: __________________________________________


DD Form 1172, Application ~or Uniformed Services Identification and Privilege
Card (furnished widows, certain dependent children and dependent parents of the
deceased)
Date Received ________________________
Date Presented for issuance of t.D. Card: ______________________________________


VA Form 29-4125, Claim for one sum payment (National Service and United States
Government Life Insurances)  (Persons eligible or designated as beneficiary(ies)
Date Received: _________________________
Date Submitted: ________________________
Name and Address of Person Assisting: __________________________________________


VA Form 29-4125A, Claim for monthly payments (National Service Life Insurance~
(Per~ons eligible or designated as beneficiary(ies))
Date Received: ________________________
Date Submitted: _______________________ TO   Veterans Administration Regional
                                             Office and Insurance Center,
                                             P.O. Box 8079
                                             ~hi1ad~lphia, PA  19101


                                                              or


                                             Veterans Administration Regional
                                             Office and Insurance Center
                                             Bishop Henry Whipple Federal Building
                                             Fort Snelling
                                             St. ?aul, MN 55111
Name and Address of Person Assisting: __________________________________________


Other Items of Information


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