John Company

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

DOW-UAP-D104 · page 452 of 585

Page 452 of 585 of DOW-UAP-D104

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INSTRUCTIONS
( lttms for which 110 imlru(liom art pri11Jtd btlow art s,/f-,xpla11a1ory)
IF NECESSARY, CONTINUE ANY lTEM IN "REMARKS" BUT
SPECIFY THE PARTICULAR ITEM BEING CoNTINUED.
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All items of this form MusT be ,completed and MAINTAINED
CURRENT by all O officers and enlisted personnel in accordance
with the following: NAVY- Bu Pers Manual, Art. B2312;
MARINE CORPS.:..Par. 40 19, PRAM; U.S. COAST 1GUARD- •
Personnel Manual. Par. 13-B-14.
In the event you, the designator, should die, the persons or
agencies named in items I0, 11, 12, 13, I 4, 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
in items 10, 11, 12, 13, and 14 will be notified unless' item 15
shall indicate a person or persons NoT t;; b.e notified~
Payment of any benefits and dispositioQJ of remains in case of
death shall be in accordance with applicabl<; law.
Item J0.-Enter full name and address of wift, or husband. For
wife, use given names, for example, "Marion Elizabeth Dawson."
If the designator is single, divorced. or widowed, so state.
Items 12 and 13.-The term "Father" and/or "Mother" shall
be interpreted to include "natural," "step," "adoptive" and per­
son who stood in "loco parentis" to the designator for a period
of not less than I year at any time prior to designator's entry
upon active service.
Item 14.-In the event that there is no other adult next of kin
other than those named in items 10, 12 and 14, you may name
a friend here. However, if a friend is named, he or she must be
so identified.
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Item 14a.- 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 other determinations of depend­
ency· under existing or future laws.
Item /6.- Enter the name, address, and relationship of bene­
ficiary (or beneficiaries) whom you desire to receive the· 6
months' death gratuiry in the event you are not survived by a
spouse or.,eligible child ( ren ). The succession of eligible sur­
vivor's as set forth in the "Servicemen's and Veterans" Survivor
Benefits Act," P. L. 88 I-84th Congress, is as follows: ( l)
Spouse; (2) Children (without regard to thei r age or marital
.status) in equal shares; >(3) .Par.ents or brothers or sisters (in­
cluding those of halfblood and those by aHoption), when so
designated; (4) Parents in equal shares; or (5) Brothers and sis­
ters ( including those of halfblood or those by •adoption) in
equal shares.
NOTE:
The payment to either category (4) or ( 5) is in the event
that a designation is not made under category (3).
The term "parents" includes "natural parents," "stepparents,"
"adoptive parencs" and persons who stood in "loco parentis" to
the designator for a period of not less than I year at any time
prior to the designator's entry upon active service.
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Item 17. - Enter name and address of the beneficiary or bene­
ficiaries whom, you d~sire ~o / eceiv,e any unpaid pay an1•¥19w•
ances (Arrears of Pay) due~you at the rime of death. There are
no restrictions on who may be designated as a beneficiary or
beneficiaries to, receiJe unpaid _payl and allowances:and1 once-a
designation• has beeh mJide it is binding until superseded by the
completion of a. later DD Poem 9'3- 1.
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Item 18.-The• "Mi~sing Persons Act" provides that pay and
allowances continue to accrue to the pay account of any service
member for the period he is missing or captured and may be
paid to the dependents for support. This item reflects your de­
sires and is used as a guide in the disposition of your pay. Al­
lotments to dependents and insurance companies iniriated prior
to entering a missing status are continued m effect unless
unusual circumstances indicate changes.
_It,em /':~The p_erson . a~s!gned, by t~e commanding _o(Ec~r, Jhe
respo..9s1b1hty fonmtervtew!_,ng the de31gnator will, upon comple­
tion of the form, witness the designator's signature and sign in
block 21.
DISPOSITION INSTRUCTIONS
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U.S. NAVY: Original to BuPers, Washington 25, D. C.
Duplicate-File in Service Record at dury station.
•See Bu Pers Instruction l 08 5 .2 5 of 27
May 1953.
, U. S.-MARlNE CO~S: See Par. 4019, PRAM.
U. S. COAST GUARD: See Personnel Manual, Par. 13-B-14.
Entry of other useful information in connection with emergency ·data such as location
of will, safety deposit boxes, etc., if a pplicable,, ~houl~ be made under "Remarks.".
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REMARKS,
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U. S, GOVERNMENT PRI NTING OHICE: 1957 O·P'-
41 IZ.67
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