Month. Yes (specify): 1. Yes by: 2. Yes by: 2. Not Possible 2. Yes by: 3 Yes by: Not Possible Yes by: Not Possible. Images (specify): Yes 2 Yes 2
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1 PM : Administrative Data 00's ADMINISTRATIVE DATA (checklist of operations in the mortuary) Date 0 Body part Yes (specify): Photographs taken Yes by: 0 Exhibits Yes by: Prints taken from 0 Finger(s) 0 0 Palm(s) t Possible t Possible Yes by: Yes by: t Possible Yes by: 0 Foot/feet Examination 0 External examination 0 Partial autopsy 0 Full autopsy 0 Pathologist name Street /. Postcode / Town State / Country Phone / Yes Yes Images (specify): Images (specify): Yes - See separate report Dental examination 0 Completed Yes Images (specify in field ) 0 Odontologist name Street /. Postcode / Town State / Country Phone / 0 Samples taken 0 By pathologist Reference to 0 By odontologist Reference to 0 Yes Yes DNA DNA Tox (if required) CHECKLIST OF CONTENTS Administrative Data (fields xx) Enclosed complete t available Remarks Effects (fields xx) Body description (fields xx) Pathology (fields xx) Odontology (fields xx) Supporting information (fields xx) Appendix (fields xx) (optional) [(EN) Version 0] of
2 PM : Effects 00's EFFECTS 00 Clothing Items : Type Head and neck 0 Headcover 0 Scarf 0 Tie 99 Other Colour Label Material Upper part of the body and arms 0 Blouse 0 Braces 0 Brassiere 0 Cardigan 0 Coat 0 Gloves 0 Overcoat 0 Pullover 09 Shirt 0 T-shirt Undershirt Waistcoat 99 Other Lower part of the body and legs 0 Belt 0 Shorts 0 Skirt 0 Socks 0 Stockings 0 Swimming attire 0 Tights 0 Trousers 09 Underpants 99 Other The whole of the body 0 Body suit 0 Dress 0 Religious/Cultural/ Traditional 0 Uniform 99 Other In case of using "x99 Other" describe the kind of item in column " Type". 0 Footwear : Type Colour Label Material 0 Boots 0 Open footwear 0 Shoes 99 Other Describe the kind of footwear in column " Type", e.g. sports shoes, sandals Only use these colours: Black, Blue, Brown, Green, Grey, Orange, Pink, Purple, Red, White, Yellow,. [(EN) Version 0] of
3 PM : Effects 00's EFFECTS 0 Watch : Make Model 0 Digital wristwatch 0 Analog wristwatch 0 Digital/analog w. 0 If wristwatch, worn on 0 Watch strap/chain 0 Watch, other type Left Leather Where worn: Right Metal Outside Rubber Colour Inside Material Inscription Glasses Make Model Colour Material Inscription 0 Frame 0 Lenses (glass) Self tinting Tinted Yes (specify): 0 Shape of lenses Round Oval Square Half Rimless Full rim 0 Lenses material/type 0 Where found Glass Specify: Polycarbonate Bi-focal Progressive 0 Contact lenses Yes (if coloured specify): Hearing aids 0 Left Yes (specify): Serial : 0 Right Yes (specify): Serial : 0 External prostheses Yes (specify): Serial : Jewellery : Type Colour 0 Anklet 0 Bracelets 0 Earclips 0 Earrings 0 Neck chains 0 Necklace 0 se ring 0 Pendant on chain 09 Wedding ring 0 Other rings 99 Other Material Inscription Where worn In case of using "99 Other" describe the kind of item in column " Type". Only use these colours: Black, Blue, Brown, Green, Grey, Orange, Pink, Purple, Red, White, Yellow,. [(EN) Version 0] of
4 PM : Effects 00's EFFECTS 0 Identity documents : Nationality Number Details Biometrics Chip 0 Bank cards 0 Driving licence 0 Identity card 0 Passport 99 Other In case of using "99 Other" describe the kind of item in column " Details". Effects : Make Model Colour Material Serial. Markings 0 Badges/keys 0 Bum bag 0 Currency 0 Diary/agenda 0 Purse 0 Ticket 0 Wallet 99 Other In case of using "99 Other" describe the kind of item in column " Model". 0 Electronic devices : Make Model Colour Material Serial. Markings 0 Camera 0 Mobile phone 0 Music player 0 SIM 0 Tablet/handheld 0 Video 99 Other In case of using "99 Other" describe the kind of item in column " Model". Only use these colours: Black, Blue, Brown, Green, Grey, Orange, Pink, Purple, Red, White, Yellow,. [(EN) Version 0] of
5 PM : Body Description 00's BODY DESCRIPTION (external) 0 State of the body Complete 0 Specific details Head and neck 0 Head 0 Neck Torso 0 Torso front 0 Torso back 0 Genitalia 0 Buttocks Upper limbs 0 Right upper arm 0 Left upper arm 09 Right forearm 0 Left forearm Right hand Left hand Lower limbs Right thigh Left thigh Right knee Left knee Right lower leg Left lower leg 9 Right foot 0 Left foot : Incomplete Scars Piercings Tattoos : Skin marks Malformations Amputations a b c 0 Height Min cm cm ft in / ft Weight Min Max Min Max kg / kg lb / Build Slight Medium Large 0 Hair of the head / Max Natural Extensions Hairpiece 0 Type 0 Length 0 Dyed colour 0 Natural colour Short < cm /. in Shaved ne/unknown Streaked Blond Grey Blond Grey Brown White Brown White Partial Total 0 Baldness 0 Distinctive feature(s) Mixed grey Min Medium < cm /. in Black Mixed grey 9 Black Forehead Wig Red 0 Red Describe (and use page Sup. Info. (00's) for details): Sides Implanted Max Long > cm /. in Tonsure lb in [(EN) Version 0] of
6 PM : Body Description 00's BODY DESCRIPTION (external) Eyebrows 0 Distinctive feature(s) Eyes 0 Colour (Left and Right) Blue Black Cross-eyed 0 Distinctive feature(s) L L R R Grey L Hazel R Squint-eyed Green L R Maroon Artificial eye L R L R L R Brown L Pink L R L R L R R se 0 Distinctive feature(s) 0 Facial hair Shaved Moustache Goatee Whiskers 0 Type Blond 0 Colour Grey Brown White Black Mixed grey Red Full beard Ears Attached Pierced - specify number of piercings 0 Ear lobes/pierced Yes Left Right 0 Distinctive feature(s) Other (specify on page 00's) Mouth/teeth 0 Distinctive feature(s) Lips 0 Distinctive feature(s) Chin 0 Distinctive feature(s) Neck 0 Distinctive feature(s) 0 Hands/nails 0 Distinctive feature(s) Feet/nails 0 Distinctive feature(s) Body/pubic hair 0 Distinctive feature(s) Circumcision Yes Ancestry European White African Black Asian Other Mixed (specify): [(EN) Version 0] of
7 PM : Body Description 00's BODY DESCRIPTION (fingerprint information) Skin type prints Epidermis retrieved from Dermis Print development technique Washed and printed Epidermal glove Boiling water technique Silicon based casting agent 9 Prints recorded using Black powder & adhesive label Photograph Ink 9 Prints retrieved from Interdigital Interdigital Hypothenar Thenar Thenar Hypothenar LEFT RIGHT SHADE AREAS PRINTS RETRIEVED FROM [(EN) Version 0] of
8 PM : Pathology 00's PATHOLOGY 0 Internal examination : Specify Head 0 Brain 0 Neck 0 Skull 0 Other Chest 0 Heart/vessels Lungs Thorax/ribs/sternum Other Abdomen 0 Appendix Intestines Stomach Other Other internal organs 0 Adrenals/pancreas/ Spleen Genitalia Kidneys/ureters/ Bladder Liver/gall bladder Skeleton/soft tissue 0 Left lower limb Left upper limb Pelvis Right lower limb Right upper limb Other bones Soft tissue, other locations Vertebral column Various 0 Demonstrable pathological condition (e.g. heart disease, cancer etc.) Healed fractures Operations In women 0 Births Hysterectomy Intrauterine contraceptive devices Pregnancy Implants : Specify Serial. 0 Breast 0 Pacemaker 0 Insulin pump 0 Other surgical implants [(EN) Version 0] of
9 PM : Pathology 00's PATHOLOGY 0 Prostheses Other artificial aids Yes (specify): Yes (specify): Sex Undetermined Reason: 0 Estimated age Min Max Min Max 0 Age month (Fill either year or month) 0 Method used DNA specimens taken Specimen. State Specify: year / Bone Teeth Muscle Type Swab-card spotted with: Fresh year / Buccal cells Slight Moderate Advanced decomp. decomp. decomp. Tissue Skeletonized Burnt month Specimen. Bone Teeth Muscle Type State Swab-card spotted with: Fresh Buccal cells Slight Moderate Advanced decomp. decomp. decomp. Tissue Skeletonized Burnt Specimen. Bone Teeth Muscle Type State Swab-card spotted with: Fresh Buccal cells Slight Moderate Advanced decomp. decomp. decomp. Tissue Skeletonized Burnt Specimen. Bone Teeth Muscle Type State 0 Further ID information Swab-card spotted with: Fresh Buccal cells Slight Moderate Advanced decomp. decomp. decomp. Tissue Skeletonized Burnt [(EN) Version 0] 9 of
10 PM : Odontology 00's ODONTOLOGY 0 Material present for examination 0 Jaws with teeth Check Upper Lower Specimen taken 0 Jaws without teeth 0 Teeth only 0 Fragments Upper FDI 's: Lower 0 Other Dental images available 0 PA Digital State number of n digital State number of 0 BW 0 OPG 0 CT 0 Other radiographs 0 Photographs Supplementary details 0 Condition of the body 0 Other details [(EN) Version 0] 0 of
11 PM : Odontology 00's ODONTOLOGY 0 Dental findings (for primary teeth change specific FDI code) RIGHT LEFT Specific data Crowns Pontics Implants 0 0 Specify 0 Specify Dentures Other Other findings Occlusion Tooth wear Periodontal status Type of dentition Supernumeraries Stains Other 0 Dentition Primary dentition Mixed dentition Permanent dentition 0 Estimated age 0 Age (Fill either year or month) Min Max Min year / year month / Quality check Date: Signature: FOd FOd Name: Max month FOd (If available) Date: FOd Name: Signature: [(EN) Version 0] of
12 PM : Supporting information 00's SUPPORTING INFORMATION (if referring to data given on a previous page, please indicate field number) 00 Field. Description 0 Additional Supporting Information page (00's) Yes [(EN) Version 0] of
13 PM : Appendix 00's 0 APPENDIX DNA 0 Typing Laboratory Name: Address: City: Date of sample: Laboratory Standards Accredited according to: 0 STR kit(s) used Name(s) of kit(s) used: t accredited DNA VWA TH0 DS FGA DS9 DS DS Amelogenin TPOX CSFPO DS DS0 DS DS9 DS D9S Penta D Penta E DS DS D0S DS0 DS9 SE DS0 Human Remains Human Remains Add any information not represented of the markers above, using c-column/page 00's Supporting information. 0 Additional DNA profile page (0-) Yes [(EN) Version 0] Appendix
14 PM : Appendix 00's APPENDIX BODY SKETCH (for optional use) RIGHT LEFT [(EN) Version 0] Appendix
15 PM : Appendix 00's 0 APPENDIX SKELETON SKETCH (for optional use) [(EN) Version 0] Appendix
INTERPOL DVI Form - Missing Person. Month. See also 480 Specify elimination print sources on page Sup. Info. (700's) Not available
AM : Administrative Data 00's Nature of disaster: Place of disaster: Date of disaster: ADMINISTRATIVE DATA 00 Responsible agency INTERPOL NCB: a b c Street /. Postcode / Town State / Country Police file
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