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close this bookManagement of Dead Bodies after Disasters: A Field Manual for First Responders (IFRC, PAHO, WHO; 2006; 58 pages) [ES] View the PDF document
View the documentForeword
View the documentContributors
View the document1. Introduction
View the document2. Coordination
View the document3. Infectious Disease Risks
View the document4. Body Recovery
View the document5. Storage of Dead Bodies
View the document6. Identification of Dead Bodies
View the document7. Information Management
View the document8. Long-Term Storage and Disposal of Dead Bodies
View the document9. Communications and the Media
View the document10. Support to Families and Relatives
View the document11. Frequently Asked Questions
close this folderAnnexes
View the documentAnnex 1. Dead Bodies Identification Form
View the documentAnnex 2. Missing Persons Form
View the documentAnnex 3. Sequential Numbers for Unique Referencing
View the documentAnnex 4. Body Inventory Sheet
View the documentAnnex 5. Supporting Publications
View the documentAnnex 6. International Organizations involved in the development of this document
 

Annex 2. Missing Persons Form

Missing Person Number/Code:
(Use unique numbering and include it on associated
files, photographs or stored objects.)

Interviewer name:

Interviewer contact details:

Interviewee(s) name(s):

Relationship with missing person:

Contact details
Address:____________________________________________________________________________
Telephone:__________________________________ E-mail:___________________________________

Contact person for missing person, if different from above: (who to contact in case of news: name/contact details)

MP N°./Code: ____________________________________________ Missing Persons Data

A. PERSONAL DETAILS

A.1

Missing person’s name

Include surname, father’s and/or mother name, nicknames, aliases:

A.2

Address/Place of residence

Last address & usual address if different from the former:

A.3

Marital status

Single

Married

Divorced

Widowed

Partnership

A.4

Sex

Male

Female

     

A.5

If female

Unmarried name:

   

Pregnant

Children

How many?

A.6

Age

Date of birth:

Age:

A.7

Place of birth, nationality, principal language

 

A.8

Identity document(Main details, N°, etc.)

If available, enclose photocopy of ID

A.9

Fingerprints available?

Yes

No

Where:

A.10

Occupation

 

A.11

Religion

 

B. EVENT

B.1

Circumstances leading to disappearance:(use additional sheet if necessary)

Missing Person alive (incl. name and address):

 

Has this case been registered/denounced elsewhere?

Yes

No

With whom/Where:

B.2

Are other family members missing, and if so, have they been registered/identified?

List name, relationship, status:

MP N°/Code:

Missing Persons Data

C. PHYSICAL DESCRIPTION

C.1

General description (indicate exact measure, or approximate AND circle the corresponding group)

Height (exact/estimated?):

Short

Average

Tall

   

Weight:

Slim

Average

Fat

C.2

Ethnic group/Skin color

 

C.3

Eye color

 

C.4

a) Head hair

Color:

Length:

Shape:

Baldness:

Other:

 

b) Facial hair

None

Moustache

Beard

Color:

Length:

 

c) Body hair

Describe

       

C.5

Distinguishing features Physical e.g. shape of ears, eyebrows, nose, chin, hands, feet, nails; deformities

Continue on additional sheets if needed. Use drawings and/or mark the main findings on the body chart.

 

Skin marks scars, tattoos, piercings, birth-marks, moles, circumcision, etc.

 
 

Past injuries/amputations include location, side, fractured bone, joint (e.g., knee), and if person limped

 
 

Other major medical conditions operations, diseases, etc.

 
 

Implants pacemaker, artificial hip, IUD, metal plates or screws from operation, prosthesis, etc.

 
 

Types of medications used at time of disappearance

C.6

Dental condition

Please describe general characteristic, especially taking into account the following:

• Missing teeth

• Broken teeth

• Decayed teeth

• Discolorations, such as stains from disease, smoking or other

• Gaps between teeth

• Crowded or crooked (overlapping) teeth

• Jaw inflammation (abscess)

• adornments (inlays, filed teeth etc)

• any other special feature


Dental treatment

Has the Missing Person received any dental treatment such as

• Crowns, such as gold capped teeth

• Color: gold, silver, white

• Fillings (incl. color if known)

• False teeth (dentures) upper, lower

• Bridge or other special dental treatment

• Extraction


Also indicate wherever there is uncertainty (for example, the family member may know that an upper left front tooth is missing, but is unsure which one).

 
   

If possible, use a drawing, and/or indicate the described features in the chart below

If the missing person is a child, please indicate which baby teeth have erupted, which have fallen out and which permanent teeth have erupted and use the chart below


BABY/PRIMARY TEETH


ADULT/PERMANENT TEETH

MP N°/Code:_______________________________________Missing Persons Data

D. PERSONAL EFFECTS

D.1

Clothing (worn when last seen/at time of disaster)

Type of clothes, colors, fabrics, brand names, repairs: describe in as much detail as possible.

D.2

Footwear (worn when last seen/at time of disaster)

Type (boot, shoes, sandals), color, brand, size: describe in as much detail as possible.

D.3

Eyewear

Glasses (color, shape), contact lenses: describe in as much detail as possible.

D.4

Personal items

Watch, jewelry, wallet, keys, photographs, mobile phone (incl. number), medication, cigarettes, etc: describe in as much detail as possible.

D.5

Identity documents (which the person was/might have been carrying when last seen/at time of disaster)

Identity card, driving license, credit card, video club card, etc. Take photocopy if possible. Describe the information contained.

D.6

Habits

Smoker (cigarettes, cigars, pipes), chewing tobacco, betel nut, alcohol, etc. Please describe, incl. quantity.

D.7

Doctors, medical records, X-rays

Give details of doctor, dentist, optometrist, or other.

D.8

Photographs of missing person

If available, enclose photos or copies of photos as recent and clear as possible, (with teeth visible). Also, photos of clothing worn when disappeared.

Note: The information collected in this form will be used for the search and identification of the missing person. Its content is confidential and any use outside of the intended context will need explicit consent by the interviewee.

Place and date of interview:______________________________________________________________

Interviewer signature: ________________________Interviewee signature: ________________________

If requested, a copy of this form with contact details of interviewer should be made available to the interviewee.

Note: Those interested in adapting or copying this form, please download it, in MS Word or PDF format, at www.paho.org/disasters (click on Publications Catalog, and see the special page about Dead Bodies in Disaster Situations).

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