post mortem form
Transcript of post mortem form
-
7/23/2019 post mortem form
1/13
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DTSASTER
VtCTtM
tDENTIF|CATION
(DVt)
HOW
TO
USE THE YELLOW
ANTE-MORTEM
(AM)
FORM
Please
write
legibly.
I.
GENERAL INSTRUCTIONS
The
AM
Form
is
designed
for
listing
any information
that may
be
obtained from
relatives,
friends
andlor
physicians
of
the
possible
victim
or
missing
person
and that may
assist
in
an
identification,
in
order to
compare that information
with
the
data obtained
from the
dead
bodies on the
disaster
site.
IMPORTANT:
Record
all
information
obtainable
on the
form,
since
it
is impossible
to
know
what
data
will be
obtained from
disaster
site.
NOTE: It
is important
to
obtain
and
forward
detailed
information
as
rapidly
as
possible.
Where
provided,
use the
appropriate figures
for
description.
E)GMPLE:
Section
C1: Fill in
the figures
"0203'
in
the
"No."
column
at
item
24
to designate
a
pullover
and
describe
the material,
etc.
ln the
space
provided
for this information.
Wherever
appropriate,
boxes that
can
simply
be
marked
with
a cross
are
provided.
Please
use as
many
of them
as
possible,
This
will
facilitate
electronic
processing
of the information
and
also make
it
possible
to
handle
reports
compiled in
a
foreign
language
without
translation
(the
lnterpol Member
States
all
use the
same
forms).
For
this
reason,
the
layout
is
the same for
the AM
and
PM
Forms.
Because
of
this identical layout,
some
numbered
spaces
are
left
blank
(e.g.
item
31
in
section D1: This is
the
space
provided
for
the
description
of the
state of the body on the
pink
PM Forms).
II.
SPECIFIC
INSTRUCTIONS
Section A1 & A2
Section
B
Sections C1 to
C3
Personal
data
of the
possible
victim
or
missing
person.
Not applicable here (section
B
of the
pink
form
is the
report
on the
recovery
of the
body
from
the
site).
Description
of
effects
(clothing,
jeweltery,
etc.
).
l(Ga)
Vers,,,:,)r8l
-
7/23/2019 post mortem form
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Section
D1
to
D3
Physical description.
Section
D4
Record
any
distinguishing
marks
(tattoos,
etc.).
Section
D5
Record
any
fingerprint
information.
Section E1
to E4
List any
medical
information
that
may assist
in
identification.
Section F1 &
F2
Dental
information
(cf.
instructions
on the
back of Section
Fl
).
Section
G
Record
any
further information that may assist
in
identification,
and/or continue
your
description
from
a
previous
section
(C
to
F) if
there was not
enough space.
It should be born
in mind
that
photographs
of the
clothing,
jewellery,
etc.
described in various
sections may
be of
valuable
help
for comparison with items found
on
the
disaster site. Please attach
such
photographs,
if available.
l{CB)
Versron
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7/23/2019 post mortem form
3/13
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VICTIM IDENTIFICATION
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ate
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Police
force handling identification:
NCB
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Pr:lice file No
Reasons
for
assuming
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victim
of disaster:
Police offlcers evaluation
ls
above
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unaouoteau
DNA
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CHECK
LIST OF CONTENTS
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completo
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n
Dad
/ssued
lo
Name
Dale
Retumed
Date
Remarks
A1
lnfo.
rolaUng to
H.P.
A2
lnfo.rolr.to r{.P,cont.
cl
Clothlng
and Foot wcar
c2
Psruonal
cffccls
c3
Jewellery
D1
Physical description
I
D2
,hylsical
desc. cont.
I
I
D3
Phltlcal
dGtc. cont.
D4
Body skatch
D5
Flngcrprlnt
lnformatlon
E1
IilcdlcEl lnformatlon
I
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E2
Medlcal
lnform.
cont.
E4
DNA
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Relationship
Family name at birth
Birlltplaco
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Dual/Mullryle nationalily
National
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Country code
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Code
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b
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General
practitioner
N;rrne
Aririrrrss
Plrorrc/E
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General dentist
Name
Address
Phone/E-mail
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Distinguishing
features
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Photographs
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fffroro
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Record dalc
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Documents
01
Offrcial
records
02 Polrce
rccords
03 Practrtioners
records
04
Hospital
records
05 HosJrtal
X+ays
06
Dental records
07 Dental
X{ays
08
Dental
plate
lD-rtumbers
09
Other
records
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trom
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flncktsotl
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tront
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rrom
1
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2
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item
no
24
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2O-23 in form
PM
only)
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Date
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vs3.
PERSONAL
EFFECTS
Watch
00 Always
wearing
01 Digital
02 Analog
03
Digital/Analog
(X
lf wrist
watch worn
on
05 Watr;h
strap/dlain
06 Watch.
0urer type
Lefl Rtcthl
r$
z[
Laathil Metdl
rfl
z[
Where
worn.
" a'
'
Glasses
00
Always
wearing
01
Frame
02 Lenses
(glass)
03
Lenses/Shape
3A
Lens lypc
M
Conlar;t lerrses
05
Optornetnst
1 Material
t2
Colour
t3
Doslon
|
4 Brand
r
Yes
(specify)
sf
Strength -
LetURight
r[-*lr
4l-_-lR
Dolatls
paga
G.
ldentity
Papers
00 Alw:rys
canytnq
0'l Passporl
02
Dnving licenge
03
Credit
cards
04
ldentity
card
05
Donor card
06 Travellers
cheques
07
Personal
cheques
08
Health
card
99
Other
1 Typo tZ
Pholograpll
t3
Ftngerprint
r1
Bloodtypo
Effects
00 Always
carrying
01
Wallet
02
Purse
03
Money
belt
04
Eladges/keys
05
Cunency
06
Mobile
phone
07
PDA
08
Sim carrl
09
Ticket
10
Cameraly'ideo
99
Other
1 Malerial
12
ColoLtr
t3
Design
rl
Brand
rS
Ma*ings
inrormatjon
ofl
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by
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Name
Address
Phone/Eflatl
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name
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:
Dateof
birth
:
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fn"-"
f;Tl"*.
tr
fr'"
JEWELLERY
Rings,
chains
etc.
01 Wedding ring
02 Other |inger rings
03
Earrings
(X
Earclips
05
Neck
chains
06
Necklace
07 Bracelets
08 Other
chains
09
Pendant
on chain
10
Piercrng
trinkets
11 Nose ring
12 Anklet
99
Other
ln
case of using
'99
Other'
describe the kind
o{
itern
in
column'3
Design'.
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PHYSICAL
DESCRIPTION
Min/cm
t ffin
Max/cm
I
Source ?
Min/kg
frl.r
Max/kg
I
Source ?
t--)
I
Bulld
0l
Bodily
constitution
02 Hend form, front
(02-03
*
Silhilte
sletdr)
03 Head form,
profile
i'h
yu
Oval
-
Pointheaded
,W
,fJ
Shallow
Medium
irul
Pvnmldal
Circular
'o'fJ
r
Yff'*
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rYPe:
M^dium
Da*
Halr
of the head
0l
Type
02 Length
03 Colour
04 Shade of colour
05 Thic*ness
06 Style
07
Baldness
08
Olher
Natural
-
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Short
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7/23/2019 post mortem form
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MISSING PERSON
No:
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name
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PHYSICAL
DESCRIPTION
(cont.)
a
b c
37
Forehead
01
Height
/ Width
(01{2
w Srh@ette sketdr)
02 lnclination
ibytryhwywYfr
Ptplg@ing
V
ilj
z
R
c
cegli
n
g/
sl
i
g
ht ly
2rc
e a
d
y
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oll"
38
Eyebrows
01
Shape
/ Thic*ness
02
Peculiaritres
i'fl" ;:tr
i"tr
,"b
yw"
Ifr
Plucked Tatlooad/
,[ ,f,
39 Eyes
01 Colour
02 Shade
03 Distance
between eyes
(M
Peculianties
i'fr ?'fr
t'fl
":fr
?w
i'h
yw
?h rf,
iffi
yw
i'fr
i'fl*^'
:ffi**
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40
Nose
01
Size
/
Shape
02
Peculianties
'o'*b3'Bf.[?Yt*5,"
iffi
yw
iffi
"ffi'
;ffi
3'ffi'*
yw{,:*"Th,,"
y',fl""',
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:'fl'
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,
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41 Facial
hair
01
Type
02 Colour
iff"
YWe" 3ff"
1ffi""
=ff*
?fr
',;u
7W
ih
f'fr
yu
42
Ears
01
Size
/
Angle
0?
see
Slhouene
skelci)
02 Ear lobes / Prerced
iffi
YW
?fr, i'fl"'
Ytr
'"ff*
iffif,"
znvesr
l'froi"Y*'*'"ffi*n,
13
Mouth
01 Size /
Other
iffi
yw
t'fr
,
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44
Lips
0l
Slrape / Other
Ih
yw
Iffi
,
yfr",
?fio*",,,,'
45
Teeth rcI.page
F1tF2t
01
Conditions
02
Gaps/Missing
teeth
03 Dentures
lw
".ffi"'
ifr'
:'f,"
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e, a
v
Lo w
e
r
iu*'
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iff"'
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46
Smoking habits
O1 Iype
lvo
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Cioars
pipe
chcung tiimo
,[
,g
,
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ffi
our
tI
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ffTTlvear
PHYSICAL DESCRIPTION
(cont.
Lame
sI
Anoular
,fl
Small
Medium
rfl
z@
Pointod
Round
r[
,w
Recedino
Medium
,
.E-
sf]
Clefr
chin
Gtuove
4n
sfl
Shor,
Medium
, Lono
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"W
3n
Goitre Prominent
Adams
apple
r[
z@
Thin
Medium
,uE
s[
Collar
/
Shirt No
r
l-l
Thick
ef
Circurnference
5l-lrn
L-)cm
Hands
01 Shape /
Size
02
Nail length
03
Peorliarities
Slender
Medium
,
Broad
r[
zB'
rf
Shorl Madium.
Lono
rf, zf|
3n
Bitten
shott
Manicured
Painted
r
,E
a[
5fl
Nicotine
snrcn
Feet
01
Shape
02 Condition / Nail
03 Peculiarities
Slender
r
Bunion
rn
(Specity):
Mediunt,
Broad Flatfooted
Arched
,V
s[
r[
sf]
Com Painted
Defective
,I
,rE
lf]
None
Srrght
Mediun
Pronounced
t[
zf
3Er
1E
Blond
Brown
Black
Red
1x 'n 3EI
1E
Grev
Whila
5E
6E
None
Srrghl
Medlum
Pronounced
Shaved
,t[
,f]
31
ln
5I
Blond
Brown
Black
Red
iE
'zfJ
31
1fl
Grev
While
5n
o[
Speclfic detalls
01 Head
lANeck / Throat
02 Right arm
03 Left arm
04 Right hand
05
Left hand
06 Body-ftont
07
Body
-
back
0t
Right
leg
09 Left
leg
l0 Right foot
{l Laftfoot
1
ScardPiercing
12
Skin mai
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BODY
SKETCH (described
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53)
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marks
Malformations
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FINGERPRINT INFORMATION
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sI
lf
no(
are
llngerprints
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rosldence/workplace/
other
0,
Address
02
Attending
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