Download:
pdf |
pdfOMB Approved No. 2900-0036
Respondent Burden: 2 hours 45 minutes
STATEMENT OF DISAPPEARANCE
INSTRUCTIONS -All questions should be answered in detail and as fully as possible. If you do not know the answer to any question, state "unknown".
If you need more space to answer any questions, attach a blank sheet of paper, numbering the answers to correspond with any questions appearing in the
statement. You can call VA for free information and help in completing this form toll-free at 1-800-827-1000, (TDD) 1-800-829-4833.
FIRST NAME - MIDDLE NAME - LAST NAME OF VETERAN (Print or Type)
FILE NO.
XCFIRST NAME - MIDDLE NAME - LAST NAME OF CLAIMANT (Print or Type)
RELATIONSHIP TO MISSING PERSON (Spouse, Mother, Child, etc.)
FIRST NAME - MIDDLE NAME - LAST NAME OF PERSON WHO DISAPPEARED (REFERRED TO AS "MISSING PERSON") (Print or Type)
PRIVACY ACT NOTICE: VA will not disclose information collected on this form to any source other than what has been authorized under the Privacy Act of 1974 or
Title 5, Code of Federal Regulations 1.576 for routine uses (i.e., civil or criminal law enforcement, congressional communications, epidemiological or research studies,
the collection of money owed to the United States, litigation in which the United States is a party or has an interest, the administration of VA programs and delivery of VA
benefits, verification of identity and status, and personnel administration) as identified in the VA system of records, 58VA21/22/28, Compensation, Pension, Education,
and Vocational Rehabilitation and Employment Records - VA, and published in the Federal Register. Your obligation to respond is required to obtain or retain benefits.
Information that you furnish may be utilized in computer matching programs with other Federal or state agencies for the purpose of determining your eligibility to receive
VA benefits, as well as to collect any amount owed to the United States by virtue of your participation in any benefit program administered by the Department of Veterans
Affairs.
RESPONDENT BURDEN: We need this information to determine presumption of death for a missing veteran (38 U.S.C. 108). Title 38, United States Code, allows us to
ask for this information. We estimate that you will need an average of 2 hours and 45 minutes to review the instructions, find the information and complete this form. VA
cannot conduct or sponsor a collection of information unless a valid OMB control number is displayed. You are not required to respond to a collection of information if
this number is not displayed. Valid OMB control numbers can be located on the OMB Internet Page at http:www.reginfo.gov/public/do/PRAMain . If desired, you can
call 1-800-827-1000 to get information on where to send comments or suggestions about this form.
I - INFORMATION REGARDING PERSON COMPLETING FORM
1. FIRST NAME - MIDDLE NAME - LAST NAME (Print or Type)
2. LENGTH OF TIME MISSING PERSON KNOWN
3. RELATIONSHIP TO CLAIMANT (Mother, close friend, casual friend, etc.)
4. RELATIONSHIP TO MISSING PERSON (Spouse, mother, close friend, casual friend, etc.)
II - INFORMATION REGARDING MISSING PERSON
5. DATE OF BIRTH
6. BIRTHPLACE
7. FATHER'S FULL NAME
8. MOTHER'S FULL MAIDEN NAME
9. NICKNAMES OR ASSUMED NAMES OF THE MISSING PERSON
10. HEIGHT
11. WEIGHT
12. COLOR AND LENGTH OF HAIR
14. DID THE MISSING PERSON WEAR A BEARD OR MUSTACHE? (Check)
BEARD
13. COLOR OF EYES
15. RACE
CLEAN SHAVEN
MUSTACHE
16. DESCRIBE IN DETAIL ANY TATTOO MARKS, ANY PHYSICAL DEFECTS, OR ANY IDENTIFYING MARKS
17. AT WHAT ADDRESS DID THE MISSING PERSON LIVE AT TIME OF DISAPPEARANCE?
19. MARITAL STATUS (Check one)
MARRIED
SINGLE
WIDOWED
DIVORCED
18. WITH WHOM DID HE/SHE LIVE AT TIME OF DISAPPEARANCE?
20. WAS THE MISSING PERSON ON GOOD TERMS WITH HIS OR HER FAMILY AND ACQUAINTANCES?
YES
NO
(If "NO", explain fully)
21. IF THE MISSING PERSON WAS DIVORCED, INDICATE THE REASONS FOR DIVORCE AND THE DATE AND PLACE WHERE DIVORCE WAS GRANTED
22. IF THE MISSING PERSON WAS MARRIED, INDICATE THE NAME AND ADDRESS OF SPOUSE AND COMPLETE ITEMS 23 AND 24
VA FORM
DEC 2010
21-1775
EXISTING STOCKS OF VA FORM 21-1775, AUG 2007,
WILL BE USED
PAGE 1 OF 6 PAGES
23. DID THE MISSING PERSON LIVE CONTINUOUSLY WITH SPOUSE FROM DATE OF MARRIAGE TO DATE OF DISAPPEARANCE?
YES
NO
(If "NO", give dates of all separations and the reasons therefore)
24. WAS THE MISSING PERSON OR HIS/HER SPOUSE ENAMORED WITH OR INTERESTED IN ANOTHER PERSON?
YES
NO
(If "YES", give details)
25. INFORMATION ABOUT FAMILY OF MISSING PERSON
(List all children, brothers, sisters, mother and father)
NAME
AGE
RELATIONSHIP
ADDRESS
DATE OF DEATH
26. RELATIVES AND FRIENDS WHOM THE MISSING PERSON VISITED FROM TIME TO TIME, OR WITH WHOM HE CORRESPONDED, ETC.
NAME
RELATIONSHIP
ADDRESS
27. WAS THE MISSING PERSON IN GOOD HEALTH AT THE TIME OF HIS/HER DISAPPEARANCE?
YES
NO
(If "NO", explain fully)
28. DID THE MISSING PERSON APPEAR NORMAL WHEN LAST SEEN BY YOU?
YES
NO
(If "NO", explain fully)
29. STATE NAMES AND ADDRESSES OF ANY DOCTORS WHO ATTENDED THE MISSING PERSON AND DATES OF TREATMENT
30. HAD THE MISSING PERSON EVER BEEN TREATED FOR MENTAL ILLNESS?
YES
NO
(If "YES", state where and by whom, or in what institution, and whether an inmate of the institution)
VA FORM 21-1775, DEC 2010
PAGE 2 OF 6 PAGES
III - BUSINESS, LEGAL AND SOCIAL AFFAIRS
31. MISSING PERSON'S SOCIAL SECURITY NUMBER
32. IF SOCIAL SECURITY NUMBER IS NOT KNOWN, DID MISSING PERSON EVER HAVE A
SOCIAL SECURITY NUMBER?
YES
NO
33. TRADE OR OCCUPATION
34. EMPLOYMENT HISTORY OF MISSING PERSON FOR LAST TEN-YEAR
VAPERIOD
FORM 21-1775, DEC 2010
EMPLOYMENT DATES
NAME AND ADDRESS OF EMPLOYER
35. WAS THE MISSING PERSON BONDED?
YES
BEGINNING
ENDING
TYPE OF WORK
PERFORMED
36. NAME AND ADDRESS OF BONDING COMPANY
NO (If "YES", complete Items 36 and 37)
37. CONDITION OF ACCOUNTS AT TIME OF DISAPPEARANCE
38. DID THE MISSING PERSON HAVE ANY LIFE INSURANCE POLICIES?
YES
NO (If "YES", state name and address of the life insurance company, type of insurance, and policy number)
39. WHAT SETTLEMENT HAS BEEN MADE OF THE INSURANCE?
40. DID THE MISSING PERSON HAVE A BANK ACCOUNT
AT TIME OF DISAPPEARANCE?
YES
41. NAME AND ADDRESS OF BANK
NO (If "YES", complete Items 41, 42 and 43)
42. AMOUNT OF FUNDS ON DEPOSIT IN BANK
43. WHAT HAS BEEN DONE WITH FUNDS ON DEPOSIT IN BANK?
$
44. DID THE MISSING PERSON HAVE A SAFETY DEPOSIT BOX?
YES
NO (If "YES", what has been done with the contents of the box?)
45. DID THE MISSING PERSON HAVE ANY OF THE FOLLOWING? (Check where applicable and explain below what has been done with the item(s) checked)
REAL ESTATE
VA FORM 21-1775, DEC 2010
SECURITIES
BUILDING AND LOAN SHARES
OTHER PROPERTY
PAGE 3 OF 6 PAGES
46. DID THE MISSING PERSON BELONG TO ANY UNIONS, LODGES, OR SOCIETIES?
YES
NO (If "YES", give the names and addresses of the organizations)
47. HAVE ANY BENEFITS BEEN PAID BY ANY UNIONS, LODGES, OR SOCIETIES OF WHICH THE MISSING PERSON WAS A MEMBER, BASED ON HIS
UNEXPLAINED ABSENCE?
YES
NO (If "YES", explain the kind of benefits, amounts, and to whom paid)
48. HAS A CLAIM FOR BENEFITS BEEN FILED WITH THE SOCIAL SECURITY ADMINISTRATION BASED ON THE INDIVIDUAL'S UNEXPLAINED ABSENCE?
YES
NO (If "YES", complete columns (A), (B), and (C) below)
(A)
NAME AND ADDRESS OF EACH PERSON CLAIMING BENEFITS
(B)
WHERE EACH CLAIM WAS FILED
(C)
ACTION TAKEN ON EACH CLAIM
49. HAS A CLAIM FOR BENEFITS BEEN FILED WITH ANY OTHER AGENCY OF THE U.S. GOVERNMENT (Other than the Department of Veterans Affairs) OR ANY
STATE OR POLITICAL SUBDIVISION THEREOF, BASED ON THE MISSING PERSON'S UNEXPLAINED ABSENCE?
YES
NO (If "YES", explain fully and give name of agency, name and address of each person claiming benefits, and the action taken on each claim)
50. DID YOU KNOW WHETHER ANY OF THE FOLLOWING CONDITIONS EXISTED AT THE TIME THE MISSING PERSON WAS LAST SEEN?
(Answer Items 50A, 50B, 50C, 50D and 50E below)
50A. WERE ANY COURT PROCEEDINGS PENDING? (Civil or Criminal - such as divorce action, indictment, court order or decree requiring support of wife
or children, etc.)
YES
NO (If "YES", explain)
50B. HAD A WARRANT FOR ARREST BEEN ISSUED?
YES
NO (If "YES", explain)
50C. WAS THE MISSING PERSON SERIOUSLY IN DEBT?
YES
NO
(If "YES", explain)
50D. WAS ANY DISSATISFACTION EXPRESSED BY THE MISSING PERSON WITH SURROUNDINGS, WORK, HOME CONDITIONS, ETC?
YES
NO (If "YES", explain)
50E. HAD THE MISSING PERSON SUFFERED A SERIOUS DISAPPOINTMENT OR BEREAVEMENT?
YES
NO (If "YES", explain)
51. WHAT KIND OF REPUTATION DID THE MISSING PERSON HAVE IN THE COMMUNITY FOR BEING STEADY, SOBER, AND HARDWORKING?
VA FORM 21-1775, DEC 2010
PAGE 4 OF 6 PAGES
52. WHAT WERE THE MISSING PERSON'S HOBBIES, HABITS, AND INTERESTS?
53. DID THE MISSING PERSON TAKE ANY LONG TRIPS OR VACATIONS?
YES
NO (If "YES", with whom and where did the missing person usually travel?)
54. DID THE MISSING PERSON USUALLY KEEP SOMEONE INFORMED OF HIS/HER WHEREABOUTS?
YES
NO (If "YES", who usually knew?)
55. INDICATE WHETHER THE MISSING PERSON TALKED ABOUT ANY PARTICULAR LOCATIONS, STATES OR COUNTRIES (Explain fully)
56. DID THE MISSING PERSON EVER GO AWAY BEFORE FROM HIS HOME OR FAMILY WITHOUT EXPLANATION?
YES
NO (If "YES", explain fully)
IV - INFORMATION REGARDING MISSING PERSON'S DISAPPEARANCE
INSTRUCTIONS: Give exact dates if possible. Attach copy of reports of police or other agencies, newspaper items, letters and notes or other evidence relating to the
disappearance. Also attach a copy of any court proceedings declaring the missing person to be dead. THIS EVIDENCE WILL BE RETURNED TO YOU.
57. DATE DISAPPEARED
58. DATE LAST REPORTED SEEN BY ANYONE
59. PLACE LAST SEEN BY ANYONE
60. STATE CIRCUMSTANCES OF THE OCCASION WHEN THE MISSING PERSON WAS LAST SEEN AND THE NAME AND ADDRESS OF THE PERSON WHO LAST
SAW HIM/HER
61. DID THE MISSING PERSON ADVISE ANYONE OF AN INTENTION TO TRAVEL?
YES
NO (If "YES", what was the planned destination?)
62. GIVE NAMES AND ADDRESSES OF ANY PERSONS WHO WERE FAMILIAR WITH THE MISSING PERSON'S PLANS
63. WERE YOU TOLD THE REASON FOR LEAVING OR DO YOU HAVE ANY KNOWLEDGE OR OPINION AS TO THE MISSING PERSON'S REASON FOR
LEAVING?
YES
NO (If "YES", explain)
64. WHAT PERSONAL BELONGINGS DID THE MISSING PERSON TAKE WITH HIM/HER? (Include clothing, traveling bag, trunk, money, etc.)
VA FORM 21-1775, DEC 2010
PAGE 5 OF 6 PAGES
65. DID THE MISSING PERSON OWN A
MOTOR VEHICLE?
YES
NO (If "YES", complete Item 66)
66. DID HE/SHE TAKE THE VEHICLE ALONG?
YES
NO
(If "YES", give make, model, etc. and complete Item 67)
67. INDICATE WHETHER THE VEHICLE WAS RECOVERED AFTER THE DISAPPEARANCE OF THE MISSING PERSON (Explain fully)
68. IF ANY EFFORTS WERE MADE TO LOCATE THE MISSING PERSON, FILL IN COLUMNS (A), (B) AND (C) BELOW
(A)
NAMES AND ADDRESSES OF AGENCIES AIDING
IN SEARCH (Including Police)
(B)
DATE
NOTIFIED
(C)
DESCRIPTION OF EFFORTS
69. IF POLICE WERE NOT NOTIFIED, EXPLAIN THE REASON
70. HAVE YOU HEARD FROM MISSING PERSON, IN ANY WAY SINCE DISAPPEARANCE?
72. POSTMARK DATE
71. NAME AND ADDRESS OF THE PERSON RECEIVING
COMMUNICATION
73. ADDRESS SHOWN ON POSTMARK
74. DO YOU KNOW ANY REASON WHY THE MISSING PERSON SHOULD NOT REVEAL HIS/HER WHEREABOUTS?
75. WHAT IN YOUR OPINION, IS THE REASON FOR HIS/HER SILENCE?
76. HAS ANY COURT EVER BEEN ASKED TO DECLARE THE MISSING PERSON DEAD?
YES
NO
77. NAME OF COURT
(If "YES", complete Items 77, 78 and 79)
78. DATE
79. RESULT OF COURT'S DECISION
PENALTY - The law provides severe penalties which include fine or imprisonment, or both, for the willful submission of any statement or evidence of a material fact,
knowing it to be false.
CERTIFICATION - I certify that the foregoing statements made by me on this form are true and correct to the best of my knowledge and belief, and are made with full
knowledge of the fact that severe penalties involving fines and imprisonment are prescribed by various statutes of the United States for making a false statement.
DATE
SIGNATURE
ADDRESS (Number and Street or P.O. Box or Rural Route Number, City, State and ZIP Code)
WITNESSES TO SIGNATURE IF MADE BY (X) MARK
NOTE: Signatures made by mark must be witnessed by two persons to whom the person signing this form is personally known, and the signatures
and addresses of such witnesses must be shown below.
SIGNATURE OF WITNESS
ADDRESS OF WITNESS
SIGNATURE OF WITNESS
ADDRESS OF WITNESS
VA FORM 21-1775, DEC 2010
PAGE 6 OF 6 PAGES
| File Type | application/pdf |
| File Modified | 2010-12-30 |
| File Created | 2008-09-12 |