UNIDENTIFIED PERSON (DECEASED / CATASTROPHE VICTIM)
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10 JOHNSTON COUNTY E - 911 COMMUNICATION NCIC ENTRY FORM Unidentified Person Deceased Catastrophe Victim Mandatory Fields AGENCY CASE DATA Deceased or Catastrophe Victim ________________________ ______________ Originating Agency Name ______________________________________ Originating Agency Code ORI ______________________________________ Agency Case Number ________________________ Notify Originating Agency ________________________ Date Body Was Found __ __________________ Linkage Agency Identifier ________________________ Linkage Case Number __ __________________ _ BODY PART STATUS All info in this section is mandatory Complete Body or Skeleton __ __________________________ Cranium ________ __________ Mandible _ _________________ T orso __________________ Right Upper Arm __________________ Right Forearm __________________ Right Hand _ _________________ Left Upper Arm _ _________________ L eft Forearm _ _________________ Left Hand __________________ Right Upper Leg __________________ Right Lower Leg __ __ _ _____________ Right Foot __________________ Left Upper Leg _ _________________ Left L ower Leg _ _________________ Left Foot _ _________________ Agency Case Number PERSON DATA Sex _ ________________ Race __ _______________ Height _ ________________ Weight _ ________________ Hair Color _ ________________ Eye Color _ __ ______________ Estimated Year of Birth _ ________________ Manner and Cause of Death _ ________________________________________________________________________ Estimated Date of Death __________________ Scars Marks and Tat toos ________________________________ Finger Print Classification __________________ Foot Print Available _ ________________ Blood Type _ _____________ X - Rays Available __ _________ ______ Circumcision __ _______________ Vision Prescription _ __________________________ Hair Color Jewelry Type ________________ Jewelry Description __ ______________ Miscellaneous Linkage Agency Identifier MEDICAL EXAMINER CORONER DATA Case Number ___________________________________ Location ___________________________________ Telephone ___________________________________ __________________ Information Date ___________________________ NIC # _____________________________ Officer _ __________________________ Operator __________ __ _________________Page