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Subjects
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Section 1 – Identity
Last Name
*
First Name
*
Middle Name
Date of Birth
SSN (Last 4)
Training only – do not enter real SSN
DoD ID Number
Section 2 – Physical Description
Sex
Male
Female
Unknown
Race
White
Black or African American
Asian
American Indian or Alaska Native
Native Hawaiian or Other Pacific Islander
Multi-racial
Unknown
Height (inches)
Weight (lbs)
Hair Color
-- Select --
Black
Brown
Blonde
Red
Gray
White
Bald
Unknown
Eye Color
-- Select --
Brown
Blue
Green
Hazel
Gray
Black
Unknown
Distinguishing Marks / Scars / Tattoos
Section 3 – Military / Affiliation
Military Status
Active Duty
Reserve
National Guard
Retired
Dependent
DA Civilian
Contractor
Visitor
Unknown
Rank/Grade
-- N/A --
PVT
PV2
PFC
SPC
CPL
SGT
SSG
SFC
MSG
1SG
SGM
CSM
SMA
WO1
CW2
CW3
CW4
CW5
2LT
1LT
CPT
MAJ
LTC
COL
BG
MG
LTG
GEN
GA
CIV
CTR
Unit / Organization
Duty Phone
Section 4 – Address & Contact
Address
City
State
--
AL
AK
AZ
AR
CA
CO
CT
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
DC
ZIP
Phone
Driver's License #
DL State
--
AL
AK
AZ
AR
CA
CO
CT
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
DC
Section 5 – Link to Incident (Optional)
Incident Report
-- No Incident --
Role in Incident
-- Select Role --
Suspect
Victim
Witness
Reporting Person
Arrestee
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