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Body Detail

AB:

Last Name:

First Name:

Date of Death:

Status:

Background

Date of Birth(0M/0D/Year):
Date of Death(0M/0D/Year):
Age:
Race:
Marital Status:
Surviving Spouse's Name:
Mother's Maiden Name
Father's Name:
U.S. Armed Forces?
Education:
Industry:
SSN#:
Informant's Name:
Informant's Relationship:
Informant Mailing Address:
Body Location:

Next of Kin 1

NOK1 Name:
NOK1 Address 1:
NOK1 Address 2:
NOK1 City:
NOK1 State:
NOK1 Zip:
NOK1 Phone:
NOK1 Relationship:

Next of Kin 2

NOK2 Name:
NOK2 Address 2:
NOK2 Address 2:
NOK2 City:
NOK2 State:
NOK2 Zip:
NOK2 Phone:
NOK2 Relationship: