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DISASTER VICTIM IDENTIFICATION (DVI)
HOW TO USE THE PINK POST-MORTEM (PM) FORM
Please write legibly.
I. RULES TO BE OBSERVED ON THE DISASTER SITE
No body should be moved before its location has been recorded. All personal effect that undoubtedly belonged to a deceased individual should be collected and kept with the body or parts of the body of that individual. Any other effects should be recorded as unidentified and kept separately in the first instance. A moisture resistant number card should be attached to each body or unidentified part of a body to ensure that it cannot get lost.
II. GENERAL INSTRUCTIONS
The PM form is designed for listing all obtainable data about a dead body that may assist in its identification in order to compare that data with the information obtained at the place of residence of the possible victim or missing person and recorded on the yellow ante-mortem form.
IMPORTANT: Record all data that can be obtained, since it is impossible to know what information will be supplied at the victim's place of residence for comparison purposes.
EXAMPLE: Section C1: Fill in the figures "0203" in the "No." column at item 24 to designate a pullover and describe the material, etc. in the space provided for this information.
The layout of the form is intended to correspond to the actual sequence of events, and allows a simultaneous examination of effects, body, and teeth. Where provided, use the appropriate figures for description.
Whereever 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 Interpol Member States all use the same forms). For this reason, the layout is the same for the AM and PM forms.
[(GB) Version 2008]
III. SPECIFIC INSTRUCTIONS
Section B Recovery of body from site: Fill in this form during recovery from the site of the disaster and add the number from the number-board attached to the body or part of the body.
If an identification is made, complete a "Victim Identification Report" in accordance with the instructions.
Sections C1 to C3 Photograph the body first, then remove any clothing and jewellery from the body. C1 - clothing and shoes C2 - personal effects C3 - jewellery
Sections D1 to D5 While the effects are examined and described.
D1 to D3 -
D4 -
physical description of the dead body.
record any distinguishing marks (tattoos, etc.)
Sections E1 to F2 a medical examination is performed
E1 to E3 -
F1 & F2 -
list all data obtained by an internal examination that may assist in identification.
dental data (cf. instructions on the back of Section F1)
Sections G Record any further information that may assist in identification, and/or continue with your description from a previous section ( C to F ) if there is not enough space.
[(GB) Version 2008]
D5 - record any fingerprint information.
E4 - DNA profiles
B0
CHECKLIST OF OPERATIONS IN THE MORTUARYPhotographs
Autopsy
Fingerprints
Dental examination
Samples
Full size - front, back
Head
Date Remarks
Finger
Palm of the hand
With clothes
Front
Without clothes
From left From right
No
No Not Yes
Yes
Possible
NotPossible
No
No X-rays
Yes
Yes Photo
Medicolegal examin.
Full autopsy
Pathologist name
Address/Phone
Completed
Jaws removed
Odontologist name
Address/Phone
No
No X-rays
Yes
Yes Photo
X-rays Photo
(cf. E2 item 73)
Taken Sent foranalysis
Resultenclosed
DNA profilesordered
Internal examinationE1
Dental findingsF1
CHECK LIST OF CONTENTS RemarksDateReturned
DateIssued to
NameEnclosed complete
Enclosed in part
B
C1
C2
C3
D1
D2
D3
D4
E2
F2
G
Recovery from scene
Clothing and Foot wear
Personal Effects
Jewellery
Physical description
Physical desc. cont.
Physical desc. cont.
Body sketch
Medical conclusions
Dental findings cont.
Further information
D5 Fingerprint information
E3 Skeleton sketch
E4 DNA
VICTIM IDENTIFICATION FORM(pink)P ost ortemM
BarcodeNature of disaster
Place of disaster
Date of disaster
:
:
DEAD BODY
: Day Month YearMale Female
No:
Sex unknown
[(GB) Version 2008]
B
a cbRECOVERY OF BODY FROM SCENEApparent age20
Date -
and place where the body was found
State of the body
21
22
23
Min Max Txt:
Day Month Year
Coordinates:
1 No 2 Yes
/Map reference/GPS01
Photographs02
1 2Complete Incomplete
3 4Presentable
5Body part(describe)
YesNo
Damaged1 Burnt2 Decomp.3 Skelet.4 Missing5 Loose6Head01
Neck / Throat1A
Right arm02
Left arm03
Right hand04
Left hand05
Body front06
Body back07
Right leg08
Left leg09
Right foot10
Left foot11
Person -finding the body
If an ID-team is involved - name officer in charge
Any other person -
Name
Address
Phone/E-mail
Occupation
/
22 A
Important ID information
3 4 5Digital Film Other /Specify:
VICTIM IDENTIFICATION FORM
a = Data not available
BarcodeNature of disaster
Place of disaster
Date of disaster
:
:
DEAD BODY
: Day Month YearMale Female
No:
Sex unknown
b = Photo c = Further information on page G
(pink)P ost ortemM
[(GB) Version 2008]
Signature / DateRegistered by Duty Title
Name
Address
Phone/E-mail
:
:
:
:
a = Data not available b = Photo c = Further information on page G
(pink)P ost ortemM
a cbCLOTHING AND FOOT WEARClothing Items24
0101 Hat
No: Material1 Type3Colour2 Label4 Size5
01 Head and neck
0102 Scarf0103 Tie0199 Other
02 Upper part of thebody and arms0201 Overcoat0202 Coat0203 Pullover0204 Shirt0205 Waistcoat0206 Vest0207 Dress0208 Cardigan0209 Blouse0210 Petticoat0211 Chemise0212 Brassiere0213 Braces0214 Gloves
0299 Other
03 Lower part of thebody and legs0301 Trousers (men)0302 Underpants0303 Trousers (women)0304 Skirt0305 Panties0306 Girdle0307 Corset0308 Stockings0309 Tights0310 Socks0311 Belt0312 Belt buckle0313 Shorts
body0401 Flying suit0402 Boiler suit0403 Trouser suit0499 Other
Material1 Type3Colour2 Label4 Size5Foot wear No:
011A0399
Describe the kind of Foot wear in column "3 Type", eg Sport shoes Sandals
In case of using "xx99 Other" describe the kind of item in column "3 Type".
25
0215 Jacket
0314 Swimming attire0399 Other
Shoes
BootsOpen footwear
Other
04 The whole of the
VICTIM IDENTIFICATION FORM C1
BarcodeNature of disaster
Place of disaster
Date of disaster
:
:
DEAD BODY
: Day Month YearMale Female
No:
Sex unknown
Signature / DateRegistered by Duty Title
Name
Address
Phone/E-mail
:
:
:
:
[(GB) Version 2008]
a = Data not available b = Photo c = Further information on page G
(pink)P ost ortemM VICTIM IDENTIFICATION FORM C2
Signature / DateRegistered by Duty Title
Name
Address
Phone/E-mail
:
:
:
:
[(GB) Version 2008]
a cbPERSONAL EFFECTSWatch26
No: Material1 Design3Colour2 Brand4 Inscription5
1Left
1
1Leather
No 2 Yes
2Right
2Metal
3Outside
3Other (specify):
4Inside
27 Glasses
Material1 Design3Colour2 Brand4 Inscription5
1 No 2 Yes
1Tinted
1Round
2
2Oval
3Square / Half
No yes (specify):
4 5Rimless
3Strength - Left/Right
L 4 R
1 2No yes (colour?): 3Strength - Left/Right
L 4 R
28 Identity Papers 1 No 2 Yes
No:
Carrying ID-papers00
01020304050607
99
29
No:
010203040506
1 No 2 YesEffectsCarrying effects00
Where worn:
1Glass
2Polycarbonate
3Bi-focal
Type1 Photograph2 Fingerprint3 Blood type4
0708
10
08
09 Ticket
Material1 Design3Colour2 Brand4 Markings5
PassportDriving licenceCredit cardsIdentity cardDonor cardTravellers chequesPersonal chequesHealth cardOther
WalletPurseMoney beltBadges/keys
Mobile phone
Sim card
Camera/Video
Currency
PDA
00
010203
04
05
00
01
02
03
04
06
3A
Wearing watch
Wearing glasses
Lenses (glass)
Lenses/Shape
Contact lenses
Watch, other type
Lens type
If wrist watch worn on
Watch strap/chain
DigitalAnalogDigital/Analog
Frame
99 Other
BarcodeNature of disaster
Place of disaster
Date of disaster
:
:
DEAD BODY
: Day Month YearMale Female
No:
Sex unknown
C3
a = Data not available b = Photo c = Further information on page G
(pink)P ost ortemM
01020304050607080910111299
a cbJEWELLERYRings, chains etc.30 No: Material1 Design3Colour2 Inscription4 Where worn5
Wedding ringOther finger ringsEarringsEarclipsNeck chainsNecklaceBraceletsOther chainsPendant on chainPiercing trinketsNose ringAnkletOther
In case of using "99 Other" describe the kind of item in column "3 Design".
VICTIM IDENTIFICATION FORM
BarcodeNature of disaster
Place of disaster
Date of disaster
:
:
DEAD BODY
: Day Month YearMale Female
No:
Sex unknown
Signature / DateRegistered by Duty Title
Name
Address
Phone/E-mail
:
:
:
:
[(GB) Version 2008]
a cbPHYSICAL DESCRIPTION (at mortuary)31 State of the body
1 2Complete Incomplete
3 4Presentable
5Body part(describe)
YesNo
Damaged1 Burnt2 Decomp.3 Skelet.4 Missing5 Loose6
Head01
Neck / Throat1A
Right arm02
Left arm03
Right hand04
Left hand05
Body front06
Body back07
Right leg08
Left leg09
Right foot10
Left foot11
Indicate specific details on body sketch, page D4.
Estimated age Method used ?
3
3
3
3
3
Height
Bodily constitution01
Head form, front02
Head form, profile03
31
32
33
34
Weight
Build
Method used ?
Method used ?
1
1Oval
2
2Pointheaded
1 2
Light Medium
Shallow Medium
Pyramidal
Heavy
Deep
4Circular
5Rectangular
6Quadrangular
35 RaceGroup01
Complexion02
1Caucasoid
2Mongoloid Negroid
1Light
2Medium Dark
Type:
36 Hair of the head1Natural
2Artificial
3Hair-piece
4Wig
5Braided
1Short<6cm
2Medium<12cm
3Long>12cm
4Shaved
1Blond
2Brown
3Black
4Red
5Grey
6White
1Light
2Medium
3Dark
4Turning grey
5Dyed
6Streaked
1Thin
2Medium
3Thick
1Straight
2Wavy
3Curly
4Parted
5 6
1Beginning
2Advanced
3Total
4Forehead
5Sides
6Tonsure
/
/
Left Right Middle
(specify):
Type01
Length02
Colour03
Shade of colour04
Thickness05
Style06
Baldness07
Other08
Min/cm Max/cm/
Min/kg Max/kg/
(02-03 see Silhouette sketch)
6Implanted
Min Max/
VICTIM IDENTIFICATION FORM
a = Data not available b = Photo c = Further information on page G
(pink)P ost ortemM
[(GB) Version 2008]
D1
BarcodeNature of disaster
Place of disaster
Date of disaster
:
:
DEAD BODY
: Day Month YearMale Female
No:
Sex unknown
Signature / DateRegistered by Duty Title
Name
Address
Phone/E-mail
:
:
:
:
VICTIM IDENTIFICATION FORM
a = Data not available b = Photo c = Further information on page G
(pink)P ost ortemM D2
BarcodeNature of disaster
Place of disaster
Date of disaster
:
:
DEAD BODY
: Day Month YearMale Female
No:
Sex unknown
[(GB) Version 2008]
DarkMediumLight
BlackBrownGreenGreyBlue
TattooedPlucked
a cbPHYSICAL DESCRIPTION (cont.)37 Forehead
01
02
38
39
40 Nose
41 Facial hair
01
02
42 Ears
1Low
2Medium
3High
4Narrow
5Medium
6Wide
1Protruding
2Vertical
3Receding/slightly or clearly
4 CS
/
Eyebrows01 1
Straight2Arched
3Joining
4Thin
5Medium
6Thick
/
Eyes01
02
03
04
1 2 3 4 5
1 2 3 4Mixed
1Small
2Medium
3Large
1Cross-eyed
2Squint-eyed
3Artificial eye
4Left Right
01
02
03
1Small
2Medium
3Large
4Pointed
1Marks of spectacles
2 3Misshapen
1Concave
2Straight
3Convex
4Turned down
5Horizontal
6Turned up
01
02
1No beard
2Moustache
3Goatee
4Whiskers
5Full beard
1Blond
2Brown
3Black
4Red
5Grey
6White
1Small
2Medium
3Large
4Close-set
5Medium
1Attached
2 3Pierced - specify number of piercings
5
6Protruding
Left RightYes /No
Mouth431Small
2Medium
3Large
4Other (specify):
01 /
Lips01
441Thin
2Medium
3Thick
4Made up
5Other (specify):
/
Teeth01
02
03
45 (cf.page F1/F2)1Natural
2Untreated
3Treated
4Crowns
5Bridges
1Gaps between front teeth
2 3Missing teeth
4 5Toothless
6
1Part.upper
2Part.lower
3Full upper
4Full lower
5ID-number(specify):
Upper Lower Upper Lower Upper Lower
6Implants
/
46 Smoking habits01 1
No2Teeth
3Lips
4Moustache
5Finger / Hands
6/
5Roman
6Alcoholics
YesNo 4Other(specify):
02 1 2
Height / Width
Inclination
Size / Angle
Ear lobes / Pierced
Shape / Thickness
Colour
Shade
Distance
Peculiarities
between eyes
Size / Shape
Peculiarities
Curve / Angle
Type
Colour
Size / Other
Shape / Other
Conditions
Gaps / Missing teeth
Dentures
Stains found
Peculiarities
Left Right
(03 see Silhouette sketch)
(02 see Silhouette sketch)
(01-02 see Silhouette sketch)
/
/
/
Signature / DateRegistered by Duty Title
Name
Address
Phone/E-mail
:
:
:
:
D3VICTIM IDENTIFICATION FORM
a = Data not available b = Photo c = Further information on page G
(pink)P ost ortemM
BarcodeNature of disaster
Place of disaster
Date of disaster
:
:
DEAD BODY
: Day Month YearMale Female
No:
Sex unknown
[(GB) Version 2008]
a cbPHYSICAL DESCRIPTION (cont.)47 Chin
01
02
48
49
50 Feet
51 Body hair
01
02
52 Pubic hair
1Small
2Medium
3Large
4Receding
5Medium
6Protruding
1Pointed
2Round
3Angular
4
/
Neck
01
02
03
1Slender
2Medium
3Broad
4Flatfooted
5Arched
1Bunion
2Corn
3Painted
4Defective
01
02
1None
2Slight
3Medium
4Pronounced
1Blond
2Brown
3Black
4Red
5Grey
6White
1None
2Slight
3Medium
4Pronounced
5Shaved
Specific details5301
54 Circumcision
Cleft chin5Groove
01
02
1Short
2Medium
3Long
4Thin
5Medium
6Thick
1Goitre
2Prominent Adams apple
4
/Collar / Shirt No
6Circumference
in cm
Hands01
02
03
1Slender
2Medium
3Broad
4Small
5Medium
6Large
1Short
2Medium
3Long
1Bitten short
2Manicured
3Painted
4Artificial
5Nicotine
6 RightLeft
/
(Specify):/
1Blond
2Brown
3Black
4Red
5Grey
6White
55 Other peculiarities
1 2No Yes
1A02030405060708091011
Scars/Piercing1 Skin marks2 Tattoo marks3 Malformations4 Amputations5
Indicate specific details on body sketch, page D4.
No:
Shape
Extent
Colour
Shape / Size
Condition / Nail
Peculiarities
Extent
Colour
Length / Shape
Peculiarities
Shape / Size
Nail length
Peculiarities
Size / Inclination
HeadNeck / ThroatRight armLeft armRight handLeft handBody - frontBody - backRight legLeft legRight footLeft foot
6Length in cm
/
Signature / DateRegistered by Duty Title
Name
Address
Phone/E-mail
:
:
:
:
D4
BODY SKETCH (described in item 22 and/or 31, 53)
LEFT
RIGHT
Scars/Piercing
Skin marks
Tattoo marks
Malformations
Amputations
Damaged
Burnt
Decomposed
Skeletonized
Missing
Loose
Mark on charts
Please draw
Please draw
Please draw
Please draw
Please draw
VICTIM IDENTIFICATION FORM(pink)P ost ortemM
BarcodeNature of disaster
Place of disaster
Date of disaster
:
:
DEAD BODY
: Day Month YearMale Female
No:
Sex unknown
[(GB) Version 2008]
c = Further information on page Gb = Photoa = Data not available
D5
Skin type fingerprints retrieved from
SHADE AREAS PRINTS RETRIEVED FROM
FINGERPRINT INFORMATION
04
a b c
Prints retrieved from
LEFT RIGHT
Interdigital
Hypothenar Thenar
Interdigital
HypothenarThenar
4
3
2
1Fingerprint development technique
3
1Fingerprints recorded using
Boiling water technique
2 InkBlack powder
4 Other:Photograph
Other:
Epidermal glove
Casting agent, eg Microsil, Aquasil
02
03
1 2 DERMISEPIDERMIS01
VICTIM IDENTIFICATION FORM(pink)P ost ortemM
BarcodeNature of disaster
Place of disaster
Date of disaster
:
:
DEAD BODY
: Day Month YearMale Female
No:
Sex unknown
[(GB) Version 2008]
Signature / DateRegistered by Duty Title
Name
Address
Phone/E-mail
:
:
:
:
[(GB) Version 2008]
d = X-rays
E1
INTERNAL EXAMINATION - Full autopsy
60 Head
61 Chest
01
0203040506
010203040506
Continued item no 71 (Item 66 - 70 in form AM only)
No:
011A1B02
010203
62 Abdomen010203
63 Other internal organs
64 Skeleton/Soft tissue
0708
65 Various01020304
a cb d
1Metal
2Plastic
IMPLANT:
Describe:
05
06 Other implants
Intrauterine contra-ceptive devices
Metal1 2
Plastic Describe:
No Yes - autopsy No:
HeadSkullBrainNeck
Thorax/Ribs/SternumLungsHeart/Vessels
StomachIntestinesAppendix
Adrenals/pancreas
Kidneys/Ureters/BladderGenitalia-maleGenitalia-femaleHysterectomy
/Spleen
PelvisLimbs-right armLimbs-left armLimbs-right legLimbs-left legOther BonesSoft tissue, otherlocations
Liver/Gall bladder
Healed fracturesOperations
Vertebral column
Demonstrable pathological condition (e.g. heart disease, cancer etc.)
Pregnancies
VICTIM IDENTIFICATION FORM
a = Data not available / Indefinable b = Photo c = Injuries and further information on page G
(pink)P ost ortemM
BarcodeNature of disaster
Place of disaster
Date of disaster
:
:
DEAD BODY
: Day Month YearMale Female
No:
Sex unknown
Signature / DateRegistered by Duty Title
Name
Address
Phone/E-mail
:
:
:
:
E2
MEDICAL CONCLUSIONS
71 Sex
73 Samples taken
Stomach contents01
Blood-heart03
Blood-elsewhere05
Continued item no 83 (Item 76 - 82 in form AM only)
74
1Male
2Female
3Undetermined Reason of decision
72 Estimated age
1
11
111
1
1
11
111
1
No
NoNo
NoNo
No
No
No
No
No
NoNo
No
No
2
22
222
22
2
2
22
2
2
Purpose Place of storage Result
Yes
YesYes
YesYes
Yes
Yes
Yes
Yes
Yes
YesYes
Yes
Yes
Other clues for identification
1 2 Yes (describe)No
75 Other medical findings
Urine02
Blood-peripheral04
Bile06
Vitreous humour L07
Vitreous humour R08
Other fluids09
Symphysis pubis10
Hair11
Tissue dry12
Tissue in formalin13
DNA-specimens14
Min Max Method used/
Where were the DNA samples taken from
Number of DNA samples taken
Specify:
Specify:
VICTIM IDENTIFICATION FORM(pink)P ost ortemM
BarcodeNature of disaster
Place of disaster
Date of disaster
:
:
DEAD BODY
: Day Month YearMale Female
No:
Sex unknown
[(GB) Version 2008]
Signature / DateRegistered by Duty Title
Name
Address
Phone/E-mail
:
:
:
:
E3
RIB 1
RIB 2
RIB 3
RIB 4
RIB 5
RIB 6
RIB 7
RIB 8
RIB 9
RIB 10
RIB 11
RIB 12
C1
T12
L5
C2
C3
C4
C5
C6
C7
T1
T2
T3
T4
T5
T6
T7
T8
T9
T10
T11
L1
L2
L3
L4
VICTIM IDENTIFICATION FORM(pink)P ost ortemM
BarcodeNature of disaster
Place of disaster
Date of disaster
:
:
DEAD BODY
: Day Month YearMale Female
No:
Sex unknown
[(GB) Version 2008]
94
DNA
93
95 Checked by
Label:
Received (date):
Type:
Condition:
Date: Signature:
c
DNA profilesD3S1358
VWA
D16S539
D2S1338
Amelogenin
D8S1179
D21S11
D18S51
D19S433
TH01
FGA
TPOX
CSF1PO
D13S317
D7S820
D5S818
Penta D
Penta E
FES
F13A1
F13B
SE33
CD4
GABA
1. Sample 2. Sample 3. Sample 4. Sample
4. Sample
Label:
Received (date):
Type:
Condition:
3. Sample
Label:
Received (date):
Type:
Condition:
2. Sample
Label:
Received (date):
Type:
Condition:
1. Sample
c = Further information on page G
E4VICTIM IDENTIFICATION FORM(pink)P ost ortemM
BarcodeNature of disaster
Place of disaster
Date of disaster
:
:
DEAD BODY
: Day Month YearMale Female
No:
Sex unknown
Signature / DateRegistered by Duty Title
Name
Address
Phone/E-mail
:
:
:
:
[(GB) Version 2008]
F1
02
DENTAL FINDINGS
83 In single cases
85 Supplementary details
Recovery No.Site of recovery
Date
Police AgencyAddress
Phone/E-mail
DENTAL EXAMINATIONRequested by (date)Performed at (date)
84 Material01
03
04
05
Specimen taken?
Specimen taken?
Specimen taken?
Specimen taken?
Condition ofthe body
Condition ofthe jaws
Injuries to- oral soft tissue- jaws- teeth
Possible cause(s)of injuries
Other cause(s)
1Upper
2Lower
1Upper
2Lower
Jaws present
Location of specimen
Fragmentary remains
Other
Single teeth
Signature / DateRegistered by Duty Title
Name
Address
Phone/E-mail
:
:
:
:
VICTIM IDENTIFICATION FORM(pink)P ost ortemM
BarcodeNature of disaster
Place of disaster
Date of disaster
:
:
DEAD BODY
: Day Month YearMale Female
No:
Sex unknown
[(GB) Version 2008]
The INTERPOL Victim Identification Form, Sections F1 and F2
GENERAL INFORMATION
The INTERPOL Victim Identification Form consists of several sections - divided into two groups: 1) YELLOW FORMS for listing latest known data concerning a mission person; 2) PINK FORMS for listing all findings concerning a dead body. Identification of a dead body may become possible if data listed on the pink forms concerning this body can be compared with, and shown to match, data listed on the yellow forms concerning one particular missing person. If an identification is made, the experts involved will complete an Identification-Report - as a prerequisite to issuing a death certificate and releasing the body for burial. The identification of a dead body may be accomplished in several ways, depending upon the type of data used. The INTERPOL Victim Identification Form has been set up in such a way, that sections listing the same type of data are marked with the same capital letter in the upper right-hand corner. For dental identification, the forms to use areSections F1 and F2 (yellow), and Sections F1 and F2 (pink); because of the specialised vocabulary, they must be filled in by a forensically trained dentist.
INSTRUCTIONS FOR USE - SECTION F1 AND F2 PM (pink)
These forms are designed for listing all dental information collected during the dental examination of an unknown dead body (or remains therof). In Section F1, make sure that the reference number is clearly shown - and that the sex is clearly indicated (boxes at the top). Fill in all the details requested further down. Under "Supplementary Details", list any information at hand that may serve to explain the results obtained from the dental investigation, eg. where and when the body was found (co-ordinates), its condition (drowned, burned, skeleton), your own working conditions, presumed identity. In Section F2, all dental findings related to the dead body must be listed. After having etablished full access to both jaws and cleaned all remaining teeth, describe in the spaces provided - tooth by tooth, at the right upper jaw with tooth 18, ending in the right lower jaw with tooth 48 - all treatment and other conditions found. Indicate surfaces by using Capital-Letter System: M = mesial, O = occlusal, D = distal, V = vestibular, L = lingual; if other abbreviations are used, please explain them in one of the boxes further down. (NOTE: there must be a notation for every tooth (or corresponding jaw area) recovered as part of the body!)- Next, sketch on the dental chart the location and extent of all fillings and other conditions found. For colour distinction, use black for amalgam, red for gold, and green for tooth-coloured material. For teeth missing antemortem, put large cross (X) over the appropriate tooth square; for teeth missing postmortem (open socket), encircle the tooth number over/under the corresponding tooth square; for jaws sections not recovered, leave unmarked. Make sure that sketch and text tally. All X-rays taken in connection with the oral autopsy must be listed (type, date of exposure, teeth concerned). Supplementary examination may include photographic, microscopic, scanning electron microscopic (SEM), or metallographic examination of teeth and/or restoration removed from the body. Finally, and evaluation of age should always be given, either your own clinical estimate or, if teeth have been removed for this purpose, the method used and the result. Once Section F2 has been completed, type your name, address and telephone number (or use your professional stamp) in the box at the bottom of Section F1. Finally, enter the date of completion above your personal signature. Remember - this is a legal document, so keep a full copy for your own file.
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F2VICTIM IDENTIFICATION FORM(pink)P ost ortemM
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Signature:Date:96 Checked by
81-41
82-42
83-43
84-44
85-45
46
47
48
18
17
16
55-15
54-14
53-13
52-12
51-11
25-65
24-64
23-63
22-62
21-61
31-71
33-73
35-75
34-74
32-72
Min
86 DENTAL FINDINGS in permanent teeth (Notify temporary teeth specifically)
Specific description of
Crowns, bridges, dentures and implants
87
Further findings
Occlusion, attrition, anomalies, smoker, periodontal status, etc.
88
89 X-rays taken ofType and region
90 Supplementary examination
91 Estimated age Method used ?Max/
26
27
28
38
37
36
Signature / DateRegistered by Duty Title
Name
Address
Phone/E-mail
:
:
:
:
BarcodeNature of disaster
Place of disaster
Date of disaster
:
:
DEAD BODY
: Day Month YearMale Female
No:
Sex unknown
G
FURTHER INFORMATION (if referring to data given on a previous page, please indicate item number)
92
VICTIM IDENTIFICATION FORM(pink)P ost ortemM
BarcodeNature of disaster
Place of disaster
Date of disaster
:
:
DEAD BODY
: Day Month YearMale Female
No:
Sex unknown
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|<->| |<--->| |<----->|
CircularPyramidalPointheadedOval
DeepMediumShallow
Turned upHorizontalTurned downConvexStraightConcave
AttachedNot attached
34 02 Head form, front (Shape of head from front)
03 Head form, profile (Shape of head from side)
03 Nose - Curve/Angle
02 Ear lobes
1 2 3 4 5 Rectangular 6 Quadrangular
1 2 3
40
1 2 3 4 5 6
1 2
01 Forehead - Height/Width
02 Forehead - Inclination
37
NarrowHighMediumLow1 2 3 4 5 Medium 6 Wide
Receding clearlyRecedingVertical1 2 3 4Protruding
42
VICTIM IDENTIFICATION FORMSILHOUETTE SKETCH
Please choose the appropriate sketches and mark items on D1 and D2
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