Your Name *

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Your Loved One’s Case Unsolved Homocicide (including Hit & Run)Missing Person Presumed MurderedSuspicious DeathOther (Explain Below)

Your Loved One’s Name *

Date of Death *

Relationship (Victim was your…) *

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Gender * MaleFemale

Age *

Location of Homocide *

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Reward (If there is a reward being offered how much is it and are there any special conditions)

Facebook Memorial or Justice Webpage (if any)

By Checking This Box You Acknowledge the Following: *The information provided is accurate and true to the best of my knowledge. I have permission to submit this victim‘s information. I give PROJECT: Cold Case permission to publish the information I have provided and to research my loved one’s case, including contacting family members and law enforcement.

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