Maryland State Anatomy Board
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Comments
AB:
Last Name:
First Name:
Date of Death:
Status:
Background
Date of Birth(0M/0D/Year):
Date of Death(0M/0D/Year):
Age:
Race:
White/Caucasian
Black/African American
Hispanic or Latinx
Asian
Native Hawaiian
Native American
Marital Status:
Surviving Spouse's Name:
Mother's Maiden Name
Father's Name:
U.S. Armed Forces?
Air Force
Army
Coast Guard
Navy
Marines
Education:
8th grade or less
9th-12th
HS or GED
Some College, but no degree
Associate degree (AA,AS)
Bachelors degree (BA, AB, BS)
Masters degree (MA, MS)
Doctorate Degree (PhD, EdD)
Unknown
Industry:
A list of common industrys
Army
Coast Guard
Navy
Marines
SSN#:
Informant's Name:
Informant's Relationship:
Informant Mailing Address:
Veteran SAB-DD-214 Received
Veteran SAB-DD-214 Upload
Primary NOK #:
NOK# Getting Ashes:
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 3
NOK3 Name:
NOK3 Address 3:
NOK3 Address 3:
NOK3 City:
NOK3 State:
NOK3 Zip:
NOK3 Phone:
NOK3 Relationship:
Next of Kin 2
NOK2 Name:
NOK2 Address 2:
NOK2 Address 2:
NOK2 City:
NOK2 State:
NOK2 Zip:
NOK2 Phone:
NOK2 Relationship:
Next of Kin 4
NOK4 Name:
NOK4 Address 4:
NOK4 Address 4:
NOK4 City:
NOK4 State:
NOK4 Zip:
NOK4 Phone:
NOK4 Relationship: