Final Personnel Record for Newhouse, Delbert C., U.S. Navy, 1957

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INSTRUCTIONS
(Items for which 110 instructiom "" pri11ttd below art u lf-,xpla11atory)
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IP NECESSARY, CONTINUE ANY ITEM IN "REMARKS" BUT
SPECIFY THE PARTICULAR ITEM BEING CONTINUED.
All items of this form MusT be completed and MAINTAINED
CURRENT by all officers and enlisted personnel in accordance
with the following: NAVY-BuPers Manual, Arr. B2312;
-MARINE CORPS-Par. 4019, PRAM; U. S. COAST GUARD­
Personnel Manual. Par. 13-B-14.
In rhe event you. the designator, should die, the persons or
agencies named in items 10, 11 , 12, 13, 14, and 19 will be
notified unless item 15 shall indicate a person or persons NOT
to be notified.
Should you become critically or seriously ill, or incapacitated
to the extent that you cannot notify them, the persons named
j n items 10, 11, 12, 13, and 14 will be notified unless i~em 15
shall indicate a person or ·persons NOT to be notified.
Payment of any benefits and disposition of remains in case of
death shall be in accordance with applicable law.
/rem /0.-Encer full name and address of wife or husband. For
wife, use given names, for example, "Marion Elizabeth Dawson."
If the designator .is single, divorced. or widowed, so scare. -
Items 12 and /J.-The term "Father" and/ or " Mother" shall
be interpreted to include "natural," "step," "adoptive" and per­
son who stood in "loco parencis" to the designator for a period
of not less 1han 1 year ac any rime prior co designator's entry
upon active service.
Item 14.-ln the event that there is no other adult next of kin
ocher than chose named in icems I0, 12 and I4, you may name
a friend here. However, if a friend is named, he or she must be
so identified.
Item I4a.-Enter under this item, the names of those persons·
who are in fact actually receiving more than 50 percent of their
support from the designator. The information thus furnished
shall be used in connection with ocher determinations of depend­
ency under existing or fumre laws.
Item /6.-Enter the name, address, and relationship of b.ene•
ficiary (or beneficiaries) whom you desire to receive the 6
months' death gratuity in the event you are not survived by a.
spouse or eligible child ( ren ). The succession of eligible sur- '
vivor's as ser forth in che "Servicemen's and Veterans" Survivor
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Benefits Act," P. L. 881-84th Congress, is as follows: (I)
Spouse; ( 2) Children ( without regard to their age or marital
srar~s) in equal shares; (3) Pai:enss or brothers or sisters (m­
clud,ng chose of halfblood and chose by adoption), when so
designated: (4) Parents in equal shares; or (5) Brothers and sis­
ters (including those of halfblood or rhos<; by ,19opcion ) in
equal shares.
NOTE:
The payment to eich~r category (4) or ( 5) is in rhe event
that a designation is not made unde! category ( 3).
The term "parents" includes "natural parents." "stepparents,"
"adoptive parents" and persons who stood in '' loco parentis" co
the designator for a period of not less chan I year at any ti)Tle
prior to the designator's .entry upon acrive service.
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Item / 7.-Enter n·ame and address of the beneficiary ·or bene­
ficiaries whom you d.esire to receive any unpaid pay and allow­
ances (Arrears of; Pay) due you at the time of death. There are
no restrictions on who may be desig nated as a beneficiary or
beneficiaries to receive ~npaid pay and allowances and once a
designation_has been made it is binding ;until superseded by the
completion of a later DD1Form 93-1.
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Item 18.-The "Missing Persons Act~ provides chat pay and
allowances continue co accrue to the pay account of any service
member for the period he is missing or captured and may be
paid to che dependents for support. This irem reflects your de­
sires and is used as a guide in the disposition of your pay. Al­
locmencs co dependents and insurance companil!S initiated prior
to encering a missing scacus are continued in effect unless
unusual circumstances indicate changes.
Item 21.-The person assigned, by the commanding officer, t):ie
r~sponsibility for interviewing the designator will, upon comple­
'cion 'of che form, witness the designator's signature and sign in
block 2 1.
DISPOSJTiqN INSTRUCTIONS
U. S. NAVY: Original co ·BuPers, Washington 25, D. C.
Duplicac!!-File in Service Record at duty scacion.
See BuPers Instruction 1085.25 of 27
May 1953.
U. S. MARINE CORPS: See Par. 4019, PRAM.
U. S. COAST GUARD: See Personnel Manual, Par. 13-B-14.
Entry of ocher useful information in connection with emergency data such as locarion
of w ill, safety deposit boxes, ecc., if applicable, should be made- under "Remarks."
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REMARKS,
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U. S. GOVERNME NT P:llHTIHG OFFICE: 1951 O • F-4 11 267