Get documents about "DD FORM 1833 Isolated Personnel Report (ISOPREP)
Document Sample
DD FORM 1833
Isolated Personnel Report
(ISOPREP)
This Briefing is
UNCLASSIFIED - FOUO
Discussion and Completed
ISOPREPs are classified
CONFIDENTIAL
Purpose
• The purpose of this form is to allow rescue
or recovery forces to rapidly identify and
authenticate isolated military personnel
UNCLASSIFIED - FOUO 3
Isolated Personnel Report
1. Full name CONFIDENTIAL (WHEN FILLED IN)
ISOLATED PERSONNEL 1. NAME (Last, First, Middle Initial) 2. SSN
• Last, First, MI REPORT (ISOPREP)
(See Privac y Act Statement on rev erse before
complet ing this form)
Yeggar, Charles 385-24-6781`
• Smith, James, K CLASSIFIED BY: AFR 64-3
INSTRUCTIONS
Item 2 through 15 and 20 through 23 are to be completed by
3. RANK/GRADE
AR 525-90
• Doe, John, NMI NWP 19-2 Applicant. Items 26 through 19 and Item 24 are to be
completed by RCC Personnel. All items are to be filled in INK;
CPT/0-3
however, use a PENCIL for items 3, 13, 14, and 20 through
DECLASSIFY ON: OADR
24.
2. Service Number 4. BRANCH OF SERVICE 5. NATIONALITY 6. DATE OF BIRTH (YYMMDD) 7. OBVIOUS MARKS (Scar,
Birthm ark, Mole)
• With dashes USAF American 61/09/11 1” wide mole
on nose
3. Rank/Grade 8. BLOOD GROUP 9. HEIGHT 10. COLOR OF EYES 11. COLOR OF HAIR
• Type in rank A Positive 71” Blue Brown
• Use dropdown 12. DATE PREPARED (YYMMDD) 13. DATE REVIEWED (YYMMDD)
AND CURRENT ASSIGNMENT
14. AUTHENTICATOR NO.
4735
Chuck Ye
for grade 01/05/18 01/06/20 15. SIGNATURE
33 FW
16. DATE MISSING (YYMMDD) 17. LOSS POSITION 18. PRIORITY (Holds vital 19. SPARE
inform ation requiring
priority rescue)
YES NO
Fold here
FOUO
UNCLASSIFIED - PERSONAL AUTHENTICATION STATEMENTS 4
Isolated Personnel Report
4. Branch of CONFIDENTIAL (WHEN FILLED IN)
ISOLATED PERSONNEL 1. NAME (Last, First, Middle Initial) 2. SSN
service REPORT (ISOPREP)
(See Privac y Act Statement on rev erse before
complet ing this form)
Yeggar, Charles 385-24-6781`
• Spell completely CLASSIFIED BY: AFR 64-3
INSTRUCTIONS
Item 2 through 15 and 20 through 23 are to be completed by
3. RANK/GRADE
AR 525-90
NWP 19-2 Applicant. Items 26 through 19 and Item 24 are to be
5. Nationality DECLASSIFY ON: OADR
completed by RCC Personnel. All items are to be filled in INK;
however, use a PENCIL for items 3, 13, 14, and 20 through Capt/0-3
24.
• Self Explanatory 4. BRANCH OF SERVICE 5. NATIONALITY 6. DATE OF BIRTH (YYMMDD) 7. OBVIOUS MARKS (Scar,
Birthm ark, Mole)
6. D.O.B. US ARMY American 61/09/11 1” wide mole
on nose
• YY/MM/DD 8. BLOOD GROUP 9. HEIGHT 10. COLOR OF EYES 11. COLOR OF HAIR
7. Obvious Marks A Positive 71” Blue Brown
• Needed for 12. DATE PREPARED (YYMMDD) 13. DATE REVIEWED (YYMMDD) 14. AUTHENTICATOR NO.
4735
AND CURRENT ASSIGNMENT
identification
Chuck Ye
01/05/18 01/06/20 15. SIGNATURE
• Note tattoos as 33 FW
well 16. DATE MISSING (YYMMDD) 17. LOSS POSITION 18. PRIORITY (Holds vital
inform ation requiring
19. SPARE
•
priority rescue)
Use blk #24 if YES NO
additional room
is needed Fold here
FOUO
UNCLASSIFIED - PERSONAL AUTHENTICATION STATEMENTS 5
Isolated Personnel Report
8. Blood Type CONFIDENTIAL (WHEN FILLED IN)
ISOLATED PERSONNEL 1. NAME (Last, First, Middle Initial) 2. SSN
• Spell out REPORT (ISOPREP)
(See Privac y Act Statement on rev erse before
complet ing this form)
Yeggar, Charles 385-24-6781`
POS/NEG do CLASSIFIED BY: AFR 64-3
INSTRUCTIONS 3. RANK/GRADE
AR 525-90 Item 2 through 15 and 20 through 23 are to be completed by
not use +/- NWP 19-2 Applicant. Items 26 through 19 and Item 24 are to be
DECLASSIFY ON: OADR
completed by RCC Personnel. All items are to be filled in INK;
however, use a PENCIL for items 3, 13, 14, and 20 through Capt/0-3
9. Height 4. BRANCH OF SERVICE
24.
5. NATIONALITY 6. DATE OF BIRTH (YYMMDD) 7. OBVIOUS MARKS (Scar,
Birthm ark, Mole)
• Use only USAF American 61/09/11 1” wide mole
inches on nose
8. BLOOD GROUP 9. HEIGHT 10. COLOR OF EYES 11. COLOR OF HAIR
10. Eye Color A Positive 71” Blue Brown
• Self 12. DATE PREPARED (YYMMDD) 13. DATE REVIEWED (YYMMDD) 14. AUTHENTICATOR NO.
Explanitary AND CURRENT ASSIGNMENT 4735
Chuck Ye
01/05/18 01/06/20 15. SIGNATURE
11. Hair Color 33 FW
16. DATE MISSING (YYMMDD)
•
17. LOSS POSITION 18. PRIORITY (Holds vital 19. SPARE
Use Natural inform ation requiring
priority rescue)
Hair color YES NO
Fold here
FOUO
UNCLASSIFIED - PERSONAL AUTHENTICATION STATEMENTS 6
Isolated Personnel Report
12. Date prepared CONFIDENTIAL (WHEN FILLED IN)
ISOLATED PERSONNEL 1. NAME (Last, First, Middle Initial) 2. SSN
• YY/MM/DD REPORT (ISOPREP)
(See Privac y Act Statement on rev erse before
complet ing this form)
Yeggar, Charles 385-24-6781`
INSTRUCTIONS 3. RANK/GRADE
13. Date reviewed CLASSIFIED BY: AFR 64-3
AR 525-90 Item 2 through 15 and 20 through 23 are to be completed by
Applicant. Items 26 through 19 and Item 24 are to be
NWP 19-2
and current DECLASSIFY ON: OADR
completed by RCC Personnel. All items are to be filled in INK;
however, use a PENCIL for items 3, 13, 14, and 20 through
24.
Capt/0-3
assignment 4. BRANCH OF SERVICE 5. NATIONALITY 6. DATE OF BIRTH (YYMMDD) 7. OBVIOUS MARKS (Scar,
Birthm ark, Mole)
1” wide mole
• YY/MM/DD USAF American 61/09/11
on nose
• Unit currently 8. BLOOD GROUP 9. HEIGHT 10. COLOR OF EYES 11. COLOR OF HAIR
assigned to in A Positive Brown
71” Blue
theater 12. DATE PREPARED (YYMMDD) 14. AUTHENTICATOR NO.
13. DATE REVIEWED (YYMMDD)
4735
• Change this date AND CURRENT ASSIGNMENT
Chuck Ye
upon changes or 01/05/18 01/06/20 15. SIGNATURE
33 FW
upon review of 16. DATE MISSING (YYMMDD) 17. LOSS POSITION 18. PRIORITY (Holds vital
inform ation requiring
19. SPARE
ISOPREP priority rescue)
YES NO
Fold here
FOUO
UNCLASSIFIED - PERSONAL AUTHENTICATION STATEMENTS 7
Isolated Personnel Report
14. Authenticator CONFIDENTIAL (WHEN FILLED IN)
ISOLATED PERSONNEL 1. NAME (Last, First, Middle Initial) 2. SSN
Number REPORT (ISOPREP)
(See Privac y Act Statement on rev erse before
complet ing this form)
Yeggar, Charles 385-24-6781`
• Not in your CLASSIFIED BY: AFR 64-3
AR 525-90
INSTRUCTIONS
Item 2 through 15 and 20 through 23 are to be completed by
3. RANK/GRADE
Applicant. Items 26 through 19 and Item 24 are to be
records NWP 19-2
completed by RCC Personnel. All items are to be filled in INK;
Capt/0-3
however, use a PENCIL for items 3, 13, 14, and 20 through
DECLASSIFY ON:
•
OADR
Not Birth year 4. BRANCH OF SERVICE
24.
5. NATIONALITY 6. DATE OF BIRTH (YYMMDD) 7. OBVIOUS MARKS (Scar,
• Not SSN Birthm ark, Mole)
1” wide mole
USAF American 61/09/11
• Contains no on nose
Zeros 8. BLOOD GROUP 9. HEIGHT 10. COLOR OF EYES 11. COLOR OF HAIR
• No repeating or A Positive 71” Blue Brown
duplicate 12. DATE PREPARED (YYMMDD) 13. DATE REVIEWED (YYMMDD)
AND CURRENT ASSIGNMENT
14. AUTHENTICATOR NO.
4735
numbers
Chuck Ye
01/05/18 01/06/20 15. SIGNATURE
• No sequential 33 FW
16. DATE MISSING (YYMMDD) 17. LOSS POSITION 18. PRIORITY (Holds vital 19. SPARE
numbers inform ation requiring
priority rescue)
YES NO
Fold here
FOUO
UNCLASSIFIED - PERSONAL AUTHENTICATION STATEMENTS 8
Isolated Personnel Report
• Sign completed CONFIDENTIAL (WHEN FILLED IN)
ISOLATED PERSONNEL 1. NAME (Last, First, Middle Initial) 2. SSN
REPORT (ISOPREP)
hard copy after (See Privac y Act Statement on rev erse before
complet ing this form)
Yeggar, Charles 385-24-6781`
INSTRUCTIONS 3. RANK/GRADE
CLASSIFIED BY: AFR 64-3
printout AR 525-90
NWP 19-2
Item 2 through 15 and 20 through 23 are to be completed by
Applicant. Items 26 through 19 and Item 24 are to be
completed by RCC Personnel. All items are to be filled in INK;
Capt/0-3
• Do not fill
however, use a PENCIL for items 3, 13, 14, and 20 through
DECLASSIFY ON: OADR
24.
4. BRANCH OF SERVICE 5. NATIONALITY 6. DATE OF BIRTH (YYMMDD) 7. OBVIOUS MARKS (Scar,
Birthm ark, Mole)
blocks 16 - 19 USAF American 61/09/11 1” wide mole
on tip of
8. BLOOD GROUP 9. HEIGHT 10. COLOR OF EYES 11. noseHAIR
COLOR OF
A Positive 71” Blue Brown
12. DATE PREPARED (YYMMDD) 13. DATE REVIEWED (YYMMDD) 14. AUTHENTICATOR NO.
AND CURRENT ASSIGNMENT 4735
Chuck Ye
01/05/18 01/06/20 15. SIGNATURE
33 FW
16. DATE MISSING (YYMMDD) 17. LOSS POSITION 18. PRIORITY (Holds vital 19. SPARE
inform ation requiring
priority rescue)
YES NO
Fold here
FOUO
UNCLASSIFIED - PERSONAL AUTHENTICATION STATEMENTS 9
8 . BLOOD GROUP 9 . HEIGHT 1 0 . COLOR OF EYES 1 1 . COLOR OF HA IR
Isolated Personnel Report
1 2 . DA TE PREPA RED (YYMMDD) 1 3 . DA TE REV IEWED (YYMMDD)
A ND CURR ENT A SSIGNMENT
1 4 . A UTHENTICATOR NO.
1 5 . SIGNA TURE
1 6 . DA TE MISSING (YYMMDD) 1 7 . LOSS POSITION 1 8 . PRIORITY (Holds vital 1 9 . SPA RE
Personal Authentication Statements i nform ation requ iring
prior ity rescue)
YES NO
Blocks 20 - 23 Fold here
PERSONAL AUTHENTICATION STATEMENTS
20. 21.
My first girlfriend was Nicole from Bolling, My first cat was a 27 pound grey
New York, elevation 2250 feet, population tabby named Rocky who only had
225, known for a killer micro-brewery. three legs.
22. 23.
I spent my junior year at Maryvale high My first car was a 1965, white, Ford
school in Phoenix Arizona where I played Mustang, with red leather interior
football and worked at McDonalds. and a 289 cubic inch, V-8 engine.
2 4 . A DDITIONAL DA TA
Drug allergies: None
Boot size: 10EE
Flt Suit/BDU Size: 42R/Med Long
Level of SERE Training: S-V80-A, 3 Aug 92
Date attended AO HRC theater prep : xxxx
DD FORM 183 3, FEB 84 (EF-LRA-V 1) (PerFORM PRO) CONFIDENTIAL (WHEN FILLED IN)
UNCLASSIFIED - FOUO 10
Isolated Personnel Report
AUTHENTICATION STATEMENTS
• Each block should contain a statement
about you that you will be able to remember
under duress
• Each statement should have enough
identifying information that four questions
and answers may be derived from each
• Information put down in the statements
should not be in personal or military records
UNCLASSIFIED - FOUO 11
Isolated Personnel Report
• I proposed to my wife • Who witnessed your
at Six Flags, Atlanta, proposal?
in front of her sister • Where did you
Beth and my buddy propose?
Tony, we had just rode • What had you just
the roller coaster finished when you
“Batman”. We went proposed?
to visit her parents and
went out to eat • What did you do after
afterwards. you proposed?
UNCLASSIFIED - FOUO 12
Isolated Personnel Report
Good Statement Examples
• My first girlfriend was Nicole from Bolling,
New York, elevation 2250 feet, population
225, known for a killer micro-brewery.
• My first car was a 1965, white, Ford
Mustang, with red leather interior and a 289
cubic inch, V-8 engine.
• I learned to sail on a 16’ SunFish sailboat
that my friend John and I purchased for
$300.
UNCLASSIFIED - FOUO 13
Isolated Personnel Report
BAD STATEMENT EXAMPLES
• My favorite football player is Brett Favre,
his jersey number is 04.
• I joined the Army on 17 June 2001. I went
through basic and AIT at Ft. Benning, GA.
UNCLASSIFIED - FOUO 14
1 2 . DA TE PREPA RED (YYMMDD) 1 3 . DA TE REV IEWED (YYMMDD) 1 4 . A UTHENTICATOR NO.
A ND CURRENT A SSIGNMENT
1 5 . SIGNA TURE
Isolated Personnel Report
1 6 . DA TE MISSING (YYMMDD) 1 7 . LOSS POSITION 1 8 . PRIORITY (Holds vital
i nform ation requ iring
prior ity rescue)
1 9 . SPA RE
YES NO
24. Additional Fold here
PERSONAL AUTHENTICATION STATEMENTS
20. 21.
Data My first girlfriend was from Bolling, My first cat was a 27 pound
grey tabby named Rocky who
New York, elevation 2250 feet,
• Be as specific population 225, known for a killer only had three legs.
as possible micro-brewery.
•
22. 23.
Include any I spent my junior year at Maryvale My first car was a 1965, white,
carry over items high school in Phoenix Arizona Ford Mustang, with red leather
from block #7 where I played football and worked interior and a 289 cubic inch,
at McDonalds. V-8 engine.
• If a line doesn’t 2 4 . A DDITIONAL DA TA
apply mark
Flt Suit or BDU Size: 42R/Med Long
with “N/A” or Boot size: 10EE
“None”, do not Allergies: None
leave blank Current Medications: None
Glasses (note prescription): None
Known medical condition: None
HRC training : N/A
Level of SERE Training: S-V80-A, 3 Aug 92
Additional signaling items: IR Strobe
DD FORM 183 3, FEB 84 (EF-LRA-V1) (PerFORM PRO) CONFIDENTIAL (WHEN FILLED IN)
UNCLASSIFIED - FOUO 15
Isolated Personnel Report
• Reverse side will
CONFIDENTIAL (WHEN FILLED IN)
AUTHORITY: 10 U.S.C. Sections 133, 3012, 5031 and 8012; EO 9397..
PRINCIPAL PURPOSE(S): It is essential to the combat search and rescue effort for the protection of search and rescue forces from enemy
entrapment. The social security number is used to ensure positive identification.
ROUTINE USE(S): It will be completed by each aircrew member who may be subject to action in or over hostile territory. It contains
personal information that may be used to ensure positive identification. After the aircrew member has completed the form it will be
classified " CONFIDENTIAL."
DISCLOSURE IS VOLUNTARY: The information is necessary since it affects the entire search and rescue mission and effect on individual of
not providing information could be loss of crew status.
contain fingerprints LEFT HAND
1 . LITTLE FINGER
CODE
A rch
PRINT CODE
KK
CODE RIGHT HAND
1 0 . LITTLE FINGER
Tented A rch LL
and photos. Finger Loop
Thumb Loop
MM
NN
– Hardcopy only
Whorl OO
2 . RING Finger Missing PP 9 . RING
Finger Muti lated QQ
– Ensure clear usable
Question/ Uncertain YY
fingerprints 3 . MIDDLE
Fold here
PHOTOGRA PH (Front V iew ) 8 . MIDDLE
– Front and profile view
photos without hat or 4 . INDEX 7 . INDEX
helmet PHOTOGRA PH (Profil e V iew )
5 . THUMB 8 . THUMB
B
DD FORM 1833, FE 84 (REVERSE) (EF-LRA-V1) (PerFORM PRO) CONFIDENTIAL (WHEN FILLED IN)
UNCLASSIFIED - FOUO 16
Isolated Personnel Report
Storage and Handling
• All hardcopy forms will stored in
appropriate folder in security container
• Pictures will placed in K:/S2/ISOPREP/Unit
name
UNCLASSIFIED - FOUO 18
Completed ISOPREPs are classified
CONFIDENTIAL
Ensure originals and electronic copy
are safeguarded.
Properly destroy any duplicates or
partially completed forms.
Related docs
