Form FD-676 ViCAP Case Submission Form

U.S. Department of Justice
Federal Bureau of Investigation
FD-676 (Rev. 11/25/2015)
OMB No. 1110-0011 (exp. 7/31/2019)

CASE SUBMISSION FORM

Federal Bureau of Investigation
Critical Incident Response Group
National Center for the Analysis of Violent Crime
Behavioral Analysis Unit 4
Violent Criminal Apprehension Program

Phone: (703) 632-4254 / Toll Free: (800) 634-4097 / Fax: (703) 632-4239
Email: [email protected]
Mailing Address: FBI Academy, CIRG/BAU-4/ViCAP, Quantico, VA 22135

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Paperwork Reduction Act Notice:
This notice is given under the Paperwork Reduction Act of 1995. The Paperwork Reduction Act requires that the Federal
Bureau of Investigation inform individuals and other entities of the following when asking for information. The information
on this form will assure identity history information is appropriately collected, retained, amended and thus disseminated in a
manner that ensures the accuracy of the record in an effort to protect individual privacy as required by 28 CFR 20.1. It will
ensure the FBI receives all of the necessary information needed to add and update identity data within the ViCAP Web
National Crime Database, streamline the flow of information, and ensure more timely transactions. The FD-676 will
promote timely processing by ViCAP staff, minimize delays, reduce rejections to the submitting agency, and provide for
efficient updating of identity histories within the ViCAP system.

Privacy Act Statement:
Pursuant to the Privacy Act of 1974, 5 U.S.C. 552a, we are providing the following information regarding this collection of
information. The authority under which this information is being collected is 28 U.S.C. 533. The principal purposes for
which the information will be used is to facilitate and coordinate investigative interactions within and between agencies
whose jurisdictions have been victimized by the same offender(s). The information collected may be shared with other
government agencies for authorized purposes and with certain other persons and entities for other purposes as provided
for in the most recently published routine uses for the National Center for the Analysis of Violent Crimes (Justice/
FBI-015). The form requests both mandatory and optional information. If you omit mandatory information, we may not
be able to process your request.

ViCAP Case Submission Form
Behavioral Analysis Units
The mission of the FBI’s Behavioral Analysis Units is to provide behaviorally-based investigative and operational support
to federal, state, local, tribal, and foreign law enforcement, intelligence and security agencies.

Violent Criminal Apprehension Program (ViCAP)
Established by the Department of Justice in 1985, ViCAP serves law enforcement agencies across the nation by providing
a free repository for behavioral and investigative information related to the following solved and unsolved violent crimes
(if questions arise regarding whether a case meets the listed criteria, please contact FBI ViCAP for guidance):
• Homicides (and attempts) that are known or suspected to be part of a series and/or are apparently random, motiveless, or
sexually oriented.
• Sexual Assaults that are known or suspected to be part of a series and/or are committed by a stranger.
• Missing Persons where the circumstances indicate a strong possibility of foul play and the victim is still missing.
• Unidentified Human Remains where the manner of death is known or suspected to be homicide.
ViCAP’s services include crime analysis; the creation of maps, timelines, and matrices; information dissemination; the
facilitation and coordination of communication between agencies; task force assistance; and the development and
maintenance of ViCAP Web. ViCAP’s services and ViCAP Web access are provided at no cost to law enforcement
agencies.

ViCAP Web: Electronic Submission
ViCAP’s National Crime Database (ViCAP Web) is a web-based application available to law enforcement agencies
nationwide through secure connectivity of the FBI’s Criminal Justice Information Services Division, Law Enforcement
Enterprise Portal (LEEP). ViCAP Web enables law enforcement agencies to enter and analyze their own violent crime
information on a local level, and facilitates the identification of similar cases on a regional, state, and national basis.
Cases received in hard copy form will be entered into the database by ViCAP personnel; however, law enforcement
agencies are encouraged to enter their cases directly, via LEEP.
For information on how to gain access to ViCAP Web, contact FBI ViCAP and request the analyst assigned to your state,
or visit the ViCAP SIG on LEEP.

Instructions
• Follow directions associated with each question, such as “check all that apply” and “describe below.”
• If in doubt about how to respond to a given item, be guided by your experience and good judgment. For additional
assistance, contact FBI ViCAP and request the analyst assigned to your state.
• If your incident has multiple victims, offenders, or vehicles, copy the appropriate sections of this form and provide
separate information for each.
• For sexual assault and attempted homicide victims' name(s), personally identifiable information will be masked in the
following locations: Q#7, (Name and Alias), Q#13a/b/c/d/e (SSN, FBI Number, State ID Number, City/County ID
Number, Driver's License Number), Q#16a (DOB), Q#43 (Offender-Victim Relationships), Q#86B (Victim License Plate
and VIN only), Q#86D (Victim’s name within the Victim dropdown list, and the Vehicle Summary box), Q#88
(Similar/Linked Cases – Victim’s Name only), Victim/Offender Summary box, and on all page headers in which the
victim name appears. Information is also masked in Custom Columns, Case Summary Report and Full Case Report.
• If your case includes details that you believe are important but have not been covered by the ViCAP Case Submission
Form, please include them in the narrative section (Q#9).
• If at any point you are unable to fit information into the form due to space restrictions, be sure to add it in the table for
supplemental information located at the end of this form.
• To provide supplemental or revised information for a case previously submitted to FBI ViCAP, contact the analyst
assigned to your state directly, via phone or email. You can also update/modify your own cases via ViCAP Web.
• If you are interested in obtaining interview, investigative, or media strategies, or a behavioral assessment/profile on this
case, please contact the nearest FBI Field Office and ask to speak to the BAU Coordinator. This individual will provide
information and guidance in this area.

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TABLE OF CONTENTS

Case Administration

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1

Victim/Offender Names

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2

Narrative

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3

Dates & Locations

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4

Victim Demographics

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6

Victim Background

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8

Offender Demographics

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10

Offender Background

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12

Offender Timeline

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15

Approach to Victim

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16

Trauma

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18

Weapon

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21

Sexual Activity

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22

Incident Details

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24

Victim Release/Recovery

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28

Vehicle

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30

Forensic/Physical Evidence

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32

Similar Cases

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33

Addendum

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34

Attachments

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35

Supplemental Information

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35

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CASE ADMINISTRATION
Date Form Completed _________________________
1. Case Sharing: In addition to your case being viewed by FBI ViCAP, do you authorize your case to be viewed by all
other ViCAP Web users (select one)?
Yes
No
2. Case Status: Investigating Agency’s Case Status (select one):
Open-Active
Open-Inactive/Suspended
Case Status Date_______________________

Closed-By Arrest
Closed-By Exceptional Circumstances
Closed-Other (specify) ________________________
Case Closure Date _____________________________

3. Investigating Agency
A. Primary Investigating Agency
Agency Name _______________________________________________________________________________
District/Region ______________________________________________________________________________
Street Address _______________________________________________________________________________
City _______________________________ County______________________
State/Province_______________________ Zip Code____________________ Country___________________
Telephone Number ___________________________________________________________________________
ORI Number ________________________________________________________________________________
B. Additional Investigating Agency (additional agencies can be entered in the Supplemental Table at the end of this form)
Agency Name _______________________________________________________________________________
City_______________________________ State/Province_________________ Country___________________
Telephone Number____________________________________________________________________________
Investigator Title/Name________________________________________________________________________
Investigator Telephone Number _________________________________________________________________
Investigator Email Address ____________________________________________________________________
4. Case Numbers
A. Investigating Agency's Case Number(s)____________________________________________________________
B. State Agency's Case Number(s), if applicable _______________________________________________________
5. Investigator (additional investigators from the primary investigating agency can be entered in the Supplemental Table at the end of this form)
Title/Rank and Full Name _________________________________________________________________________
Telephone Number__________________________ Email Address________________________________________
6. Person Completing Form
Title/Rank and Full Name _________________________________________________________________________
Telephone Number__________________________ Email Address________________________________________
Agency Name___________________________________________________________________________________
Street Address __________________________________________________________________________________
City__________________________________ County______________________
State/Province__________________________ Zip Code____________________ Country___________________

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VICTIM/OFFENDER NAMES
NOTE: If your incident has multiple victims and/or offenders, copy the appropriate sections of this form and provide separate information for each
victim and/or offender.

7. Case Type/Victim Name: This is victim #__________of__________total victim(s) in this incident.
Case Type (select one):
Homicide - Victim Identified: Known or suspected to be part of a series and/or apparently random, motiveless, or
sexually oriented.
Attempted Homicide: Known or suspected to be part of a series and/or apparently random, motiveless, or
sexually oriented.
Sexual Assault: Known or suspected to be part of a series and/or committed by a stranger.
Missing Person: Circumstances indicate a strong possibility of foul play and the victim is still missing.
Unidentified Human Remains: Manner of death is known or suspected to be homicide.
Victim Name NOTE: For cases with unidentified victims, please use Jane Doe, John Doe, or Unknown Doe as the victim's name. For
sexual assault and attempted homicide cases, please enter the victim's actual name(s). See ‘Instructions’ for a list of all the
places personally identifiable information is masked in ViCAP Web.

First_______________________

Middle__________________

Last______________________ Suffix______

First_______________________

Middle__________________

Last______________________ Suffix______

First_______________________

Middle__________________

Last______________________ Suffix______

Victim Alias Name(s)

8. Offender Status/Offender Name: This is offender #__________of__________total offender(s) in this incident.
The following information pertains to the Offender or Suspect (select one):
Offender: Individual determined to be responsible for this crime, whether identified and in custody or not.
Suspect: Individual considered possibly responsible for this crime.
NOTE: From this point forward, this individual will be referred to as offender regardless of whether he/she is an offender or a suspect.

Offender Current Status (select one):
Date Current Status Began ____________________________
Unknown - Not Seen
Unknown - Seen
Identified, Not in Custody
Identified, Status Unknown
In Custody - For This Offense
In Custody - For Another Offense (specify)_________________________________________________________
Deceased
Discharged/Paroled from Custody - For This Offense
Offender Name

NOTE: Offender Name is required if Offender Current Status is not "Unknown - Not Seen" or "Unknown - Seen."

First_______________________

Middle__________________

Last______________________ Suffix______

First_______________________

Middle__________________

Last______________________ Suffix______

First_______________________

Middle__________________

Last______________________ Suffix______

First_______________________

Middle__________________

Last______________________ Suffix______

First_______________________

Middle__________________

Last______________________ Suffix______

Offender Alias Name(s)

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NARRATIVE
9. Narrative: Provide a short, concise, comprehensive summary of this case. Include details important for case
comparison purposes, especially those pertaining to M.O. or unique aspects of the crime. Do not enter an entire, lengthy
police report into the Narrative; the report can be uploaded in ViCAP Web as an attachment.
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DATES & LOCATIONS
10. Dates & Locations: Enter as much information as possible regarding the dates, times, and locations of this incident.
At a minimum, each entry must include the Date, City or County, State, Event Site and at least one of the following types
of locations (based on case type):
• Homicide/Attempted Homicide/Sexual Assault: Murder/Assault or Release/Recovery
• Missing Person: Victim's Last Known
• Unidentified Human Remains: Release/Recovery
• Other: At least one location of any type
Victim’s Last Known
Location

Initial Contact
Location

Murder/Assault
Location

Release/Recovery
Location

Date (or range)
MM/DD/YYYY
Military Time (or range)
HH:MM
Location Name
(e.g., Pat’s Pub)
Street Address
City
County
State/Province
Zip Code
Country
District/Division/Beat
Latitude/Longitude
Event Site(s)
See next page for selections

Is there any indication that the offender was familiar with any of the above locations?
Yes (describe)________________________________________________________________________________
No
Unknown

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EVENT SITES
Select one or more event sites that describe each applicable location type (e.g., Victim’s Last Known) and enter the
selected number(s) into the table on the previous page. Additionally, enter a description if “Other” event sites are selected.
If the event site is not known, enter the word “Unknown” in the table.
Living Quarters
1.
2.
3.

Victim's Residence
Offender's Residence
Dormitory

4.
5.
6.

Multi-Family Dwelling (apt.)
Rest/Nursing Home
Single-Family Dwelling

7.
8.

Transient/Temporary Quarters
Other Living Quarters (specify)

15.
16.
17.
18.
19.
20.

Daycare Facility
Fast Food Restaurant
Gas Station
Grocery Store/Market
Hair/Nail/Tan Salon
Liquor Store

21.
22.
23.
24.
25.
26.

Motel/Hotel
Pawn Shop
Restaurant
Shopping Mall/Center/Retail Store
Video Store
Other Business (specify)

Businesses
9.
10.
11.
12.
13.
14.

Victim's Workplace
Offender's Workplace
Bank/ATM
Bar/Tavern/Nightclub
Casino
Convenience Store

Transportation
27.
28.
29.
30.

Victim's Vehicle
Offender's Vehicle
Aircraft/Airport
Boat/Ship

31. Bus/Bus Stop/Bus Station
32. Subway/Subway Station
33. Taxi

34. Train/Railroad Property
35. Truck/Truck Stop
36. Other Transportation (specify)

41.
42.
43.
44.

Hospital/Medical Facility
Military Installation
Office Building
Public Restroom

45.
46.
47.
48.

School/College Campus
Shed/Outbuilding/Barn
Vacant Building/House
Other Public Area/Building (specify)

62.
63.
64.
65.
66.
67.
68.
69.
70.
71.
72.
73.
74.

Dump/Landfill
Embankment
Field/Orchard/Farm
Lake/Pond
Marsh/Swamp/Bayou
Mountains/Hills
Ocean/Bay
Parking Lot/Garage
Playground/Park
Residential Area
Rest Stop/Area
River
Road-Gravel/Dirt

75.
76.
77.
78.
79.
80.
81.
82.
83.
84.
85.
86.

Road-Highway/Interstate
Road-Paved/Public
Sidewalk
Storm Drain/Sewer System
Stream/Creek
Swimming Pool
Trail/Jogging Path
Vacant Lot
Vice Area
Wooded Area/Forest
Other Outdoor Location (specify)
Other Water Location (specify)

Public Areas/Buildings
37.
38.
39.
40.

Athletic Field/Arena
Church
Circus/Fair/Carnival
Government Building

Outdoor/Water Locations
49.
50.
51.
52.
53.
54.
55.
56.
57.
58.
59.
60.
61.

Alley
Beach/Shoreline/Riverbank
Bridge/Overpass/Underpass
Camping Area
Canal/Inland Waterway
Cave/Mine/Quarry
Cemetery
Commercial Area
Construction Area
Desert
Ditch/Culvert
Dock/Boat Ramp
Driveway/Yard

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VICTIM DEMOGRAPHICS
11. Victim’s Residence
Street Address___________________________________________________________________________________
City___________________________________ County______________________
State/Province___________________________ Zip Code ____________________ Country ___________________
District/Division/Beat______________________________ Latitude/Longitude ______________________________
12. NCIC & NamUs Numbers
A. NCIC Number_____________________________

B. NamUs Number ________________________________

13. Identification Numbers
A. Social Security Number(s) ______________________________________________________________________
B. FBI Number _________________________________________________________________________________
C. State ID Number(s) ____________________________________________________________________________
D. City/County ID Number(s) ______________________________________________________________________
E. Driver’s License State(s)/Number(s) ______________________________________________________________
14. Sex (select one):
Male
Female
Other (specify)________________________________________________________________________________
Unknown
15. Race/Appearance (check all that apply):
American Indian or Alaska Native
Asian
Black or African American
Hispanic or Latino

Native Hawaiian or Other Pacific Islander
White
Other (describe)_________________________________
Unknown

16. Age, Height, Weight
A. Date(s) of Birth (mm/dd/yyyy) ___________________________________________________________________
B. Age (or best estimate) at time of incident_________________________ to_______________________________
C. Apparent Physical Age (if different from 16B)_____________________ to_______________________________
D. Height (or best estimate ______________________________________ to_______________________________
E. Weight (or best estimate ______________________________________ to_______________________________
17. Hair
A. Hair Color (check all that apply):
Black
Gray
Blonde
Green
Blue
Orange
Brown
Pink
B. Hair Length (check all that apply):
Bald/Shaved
Balding/Receding
Shorter than Collar Length
Collar Length

Purple
Red
Sandy
White

Other (describe)_______________________
Unknown

Shoulder Length
Longer than Shoulder Length
Other (describe)__________________________
Unknown

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18. Eye Color (check all that apply):
Black
Blue
Brown
Gray

Green
Hazel
Other (describe) _____________________________
Unknown

19. Facial Hair (check all that apply):
None
Beard
Goatee
Mustache

Unshaven/Stubble
Other (describe) _____________________________
Unknown

20. Characteristics of Teeth (check all that apply and indicate tooth number and additional information, if known):
Dental Records/X-Rays Available
Gaps ______________________________________
No Dental Work
Gold/Silver _________________________________
Braces_______________________________________
Missing (some or all) _________________________
Bridge_______________________________________
Overbite/Protrusion___________________________
Broken/Chipped_______________________________
Restorations (fillings, caps, etc.) ________________
Buck Teeth___________________________________
Stained ____________________________________
Crooked _____________________________________
Underbite __________________________________
Decayed _____________________________________
Other (describe) _____________________________
Dentures/Partial Plate___________________________
Unknown___________________________________
21. Scars/Marks/Tattoos/Piercings: Does the victim have any noticeable scars, marks (e.g., pockmarks), tattoos, or body
piercings?
Yes (describe in the table below)
No
Unknown
Location on Body
*see below for selections

Left/Center/Right

Type: S/M/T/P

Description

Location on Body
Abdomen, Ankle, Anus, Arm(s), Back, Breast(s), Buttock(s), Chest, Ear(s), Eye(s), Face, Finger(s), Foot/Feet, Genitalia, Groin, Hand(s), Head,
Leg(s), Lip(s), Neck/Throat, Nipple(s), Nose, Shoulder(s), Thigh(s), Tongue, Other, Unknown.

22. Outstanding Feature(s): Does the victim have any outstanding features not reported above (e.g., physical deformity,
medical condition and/or implant, speech impediment, accent, odor)?
Yes (describe)________________________________________________________________________________
No
Unknown

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23. Clothing, Jewelry, and Possessions: Description of clothing, jewelry, glasses, and other items worn by or in
possession of the victim (include size, color and brand of clothing for missing person and unidentified human remains
cases):
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________

VICTIM BACKGROUND
24. Victim Occupation(s): Victim's legal/illegal occupation(s) at time of incident (check all that apply):
Agriculture (farmer, rancher…)
Hotel/Motel
Animal Care (pet groomer, veterinarian...)
Insurance
Athletics (athlete, coach…)
Jeweler/Coin Dealer
Automotive (sales, mechanic, detailer...)
Landlord/Property Manager
Aviation (pilot, flight attendant, airline industry…)
Landscaper (groundskeeper, gardener…)
Banking/Finance (accountant, bank teller…)
Law Enforcement
Bar/Nightclub (bartender, bouncer…)
Legal Profession (lawyer, judge, paralegal…)
Business Administration (executive, manager…)
Liquor Sales
Child Care
Maintenance - Mechanical (appliance repair…)
Clergy (priest, minister, nun…)
Manufacturing (assembly plant worker…)
Computer/Information Technician
Migrant Worker
Construction/Laborer (painter, welder, roofer…)
Military
Consultant
News Media (anchor person, journalist, editor…)
Convenience Store
Office Worker (secretary, receptionist, admin asst.…)
Criminal (hit man, thief…)
Oil Field/Miner
Custodial Worker (janitor, bldg maintenance, maid…)
Pawn Shop
Driver - Bus (school, transit…)
Pimp
Driver - Delivery (food/merchandise delivery…)
Prostitution
Driver - Taxi
Protective Services (security, body guard…)
Driver - Truck
Public Utility (electric/water/gas/cable/telephone…)
Driver - Other (chauffeur…)
Radio/TV (on-air personality, producer…)
Drug Sales (illegal)
Railroad Worker
Educator (teacher, administrator, professor, tutor…)
Real Estate
Electronics (maintenance, repair…)
Restaurant/Food Service
Entertainment (actor, musician, clown…)
Retired
Escort Service
Sales - Retail (merchandise sales, cashier…)
Exotic Dancer/Stripper
Sales - Traveling (door-to-door salesman…)
Fair/Carnival
Sales - Other
Fast Food
Salon/Spa Worker (hairstylist, masseuse…)
Fisherman
Self-employed
Gambling (legal or illegal)
Service Industry (florist, dry cleaner, travel agent…)
Gas Station
Social Science (social worker, counselor…)
Government Employee (non-military)
Student
Grocery Store
Unemployed
Gun Dealer
Other (describe) ______________________________
Health Services (pharmacist, nurse, doctor, dentist…)
Unknown
Homemaker

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25. Lifestyle Characteristics: Victim's general lifestyle characteristics (check all that apply):
Alcohol Abuser
Mentally Ill (describe) ________________________
Bisexual
Physically Disabled (describe)__________________
Child (17 years or younger)
Pimp
Child Molester/Pedophile
Promiscuous
Criminal Activity (describe) _____________________
Prostitute
Drug User/Seller
Recluse/Loner
Elderly
Registered Sex Offender
Gambler
Retired
Habitual Offender
Runaway
Heterosexual
Student
Hitchhiker
Transgender
Homeless/Street Person
Transient/Drifter
Homosexual
Transvestite/Crossdresser
Illegal Alien
Other (describe)______________________________
Mentally Disabled (describe)_____________________
Unknown
26. Group Affiliation: Was the victim a member of, or associated with, any group or organization?
Yes (describe)________________________________________________________________________________
No
Unknown
27. Marital Status: Victim's marital status (select one):
Divorced
Married
Separated
Single
Widowed
Other (specify)________________________________________________________________________________
Unknown
28. Living Arrangements: Victim was living with (check all that apply):
Alone
Child(ren)
Friend(s)
Girlfriend/Boyfriend
Parent(s)/Guardian(s)
Relative(s)
Roommate(s)
Spouse/Common-Law
Other (specify)________________________________________________________________________________
Unknown

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OFFENDER DEMOGRAPHICS
29. Offender’s Residence
Street Address___________________________________________________________________________________
City__________________________________ County______________________
State/Province _________________________ Zip Code ____________________ Country___________________
District/Division/Beat______________________________ Latitude/Longitude______________________________
30. Identification Numbers
A. Social Security Number(s) ______________________________________________________________________
B. FBI Number _________________________________________________________________________________
C. State ID Number(s) ____________________________________________________________________________
D. City/County ID Number(s) ______________________________________________________________________
E. Dept. of Corrections /Number(s) __________________________________________________________________
F. Driver’s License State(s)/Number(s) _______________________________________________________________
31. Sex (select one):
Male
Female
Other (specify)________________________________________________________________________________
Unknown
32. Race/Appearance (check all that apply):
American Indian or Alaska Native
Asian
Black or African American
Hispanic or Latino

Native Hawaiian or Other Pacific Islander
White
Other (describe)_________________________________
Unknown

33. Age, Height, Weight
A. Date(s) of Birth (mm/dd/yyyy) ___________________________________________________________________
B. Age (or best estimate) at time of incident_________________________ to_______________________________
C. Apparent Physical Age (if different from 33b) _____________________ to_______________________________
D. Height (or best estimate)______________________________________ to_______________________________
E. Weight (or best estimate ______________________________________ to_______________________________
34. Hair
A. Hair Color (check all that apply):
Black
Gray
Blonde
Green
Blue
Orange
Brown
Pink
B. Hair Length (check all that apply):
Bald/Shaved
Balding/Receding
Shorter than Collar Length
Collar Length

Purple
Red
Sandy
White

Other (describe)_______________________
Unknown

Shoulder Length
Longer than Shoulder Length
Other (describe)__________________________
Unknown

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35. Eye Color (check all that apply):
Black
Blue
Brown
Gray

Green
Hazel
Other (describe) _____________________________
Unknown

36. Facial Hair (check all that apply):
None
Beard
Goatee
Mustache

Unshaven/Stubble
Other (describe) _____________________________
Unknown

37. Scars/Marks/Tattoos/Piercings: Does the offender have any noticeable scars, marks (e.g., pockmarks), tattoos, or
body piercings?
Yes (describe in the table below)
No
Unknown
Location on Body
*see below for selections

Left/Center/Right

Type: S/M/T/P

Description

Location on Body
Abdomen, Ankle, Anus, Arm(s), Back, Breast(s), Buttock(s), Chest, Ear(s), Eye(s), Face, Finger(s), Foot/Feet, Genitalia, Groin, Hand(s), Head,
Leg(s), Lip(s), Neck/Throat, Nipple(s), Nose, Shoulder(s), Thigh(s), Tongue, Other, Unknown.

38. Outstanding Feature(s): Does the offender have any outstanding features not reported above (e.g., physical
deformity, speech impediment, accent, odor)?
Yes (describe)________________________________________________________________________________
No
Unknown
39. Clothing, Jewelry, and Possessions: Description of clothing, jewelry, glasses, and other items worn by or in
possession of the offender:
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________

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OFFENDER BACKGROUND
40. Offender Occupation(s): Offender's legal/illegal occupation(s) (check all that apply):
Agriculture (farmer, rancher…)
Animal Care (pet groomer, veterinarian...)
Athletics (athlete, coach…)
Automotive (sales, mechanic, detailer...)
Aviation (pilot, flight attendant, airline industry…)
Banking/Finance (accountant, bank teller…)
Bar/Nightclub (bartender, bouncer…)
Business Administration (executive, manager…)
Child Care
Clergy (priest, minister, nun…)
Computer/Information Technician
Construction/Laborer (painter, welder, roofer…)
Consultant
Convenience Store
Criminal (hit man, thief…)
Custodial Worker (janitor, bldg maintenance, maid…)
Driver - Bus (school, transit…)
Driver - Delivery (food/merchandise delivery…)
Driver - Taxi
Driver - Truck
Driver - Other (chauffeur…)
Drug Sales (illegal)
Educator (teacher, administrator, professor, tutor…)
Electronics (maintenance, repair…)
Entertainment (actor, musician, clown…)
Escort Service
Exotic Dancer/Stripper
Fair/Carnival
Fast Food
Fisherman
Gambling (legal or illegal)
Gas Station
Government Employee (non-military)
Grocery Store
Gun Dealer
Health Services (pharmacist, nurse, doctor, dentist…)
Homemaker

Hotel/Motel
Insurance
Jeweler/Coin Dealer
Landlord/Property Manager
Landscaper (groundskeeper, gardener…)
Law Enforcement
Legal Profession (lawyer, judge, paralegal…)
Liquor Sales
Maintenance - Mechanical (appliance repair…)
Manufacturing (assembly plant worker…)
Migrant Worker
Military
News Media (anchor person, journalist, editor…)
Office Worker (secretary, receptionist, admin asst.…)
Oil Field/Miner
Pawn Shop
Pimp
Prostitution
Protective Services (security, body guard…)
Public Utility (electric/water/gas/cable/telephone…)
Radio/TV (on-air personality, producer…)
Railroad Worker
Real Estate
Restaurant/Food Service
Retired
Sales - Retail (merchandise sales, cashier…)
Sales - Traveling (door-to-door salesman…)
Sales - Other
Salon/Spa Worker (hairstylist, masseuse…)
Self-employed
Service Industry (florist, dry cleaner, travel agent…)
Social Science (social worker, counselor…)
Student
Unemployed
Other (describe) ______________________________
Unknown

UNCLASSIFIED//LES
12

41. Lifestyle Characteristics: Offender’s general lifestyle characteristics (check all that apply):
Alcohol Abuser
Mentally Ill (describe) ________________________
Bisexual
Physically Disabled (describe) _________________
Child (17 years or younger)
Pimp
Child Molester/Pedophile
Promiscuous
Criminal Activity (describe) _____________________
Prostitute
Drug User/Seller
Recluse/Loner
Elderly
Registered Sex Offender
Gambler
Retired
Habitual Offender
Runaway
Heterosexual
Student
Hitchhiker
Transgender
Homeless/Street Person
Transient/Drifter
Homosexual
Transvestite/Crossdresser
Illegal Alien
Other (describe)______________________________
Mentally Disabled (describe)_____________________
Unknown
42. Group Affiliation: Was the offender a member of, or associated with, any group or organization?
Yes (describe)________________________________________________________________________________
No
Unknown
43.Offender-Victim Relationships: Indicate and specify the offender’s relationship to each victim:
Victim

Relationship
*see below for selections

Specify

Victim #_____________
Victim #_____________
Victim #_____________
Victim #_____________

Relationship
Acquaintance, Boyfriend/Girlfriend, Business Partner, Care Provider/Babysitter, Child, Classmate, Clergyman, Co-Worker, Customer/Client, Date,
Employee, Employer, Ex-Boyfriend/Ex-Girlfriend, Ex-Spouse, Friend, Landlord, Medical Provider, Neighbor, Parent/Guardian, Relative,
Roommate, Spouse, Stranger, Student, Teacher/Educator, Tenant, Other (specify), Unknown.

44. Additional Offenses: Have any statements been made by the offender or have any items been identified that indicate
the offender may have been involved in additional ViCAP-criteria offenses not documented in Question #88 - Similar
Cases (e.g., identification or photographs of unidentified victims, articles of clothing, jewelry, newspaper clippings, etc.)?
Yes (describe)________________________________________________________________________________
No
Unknown

UNCLASSIFIED//LES
13

45. Sex-related Paraphernalia/Devices: Did the offender possess sex-related paraphernalia/devices?
Yes (check all that apply and describe):
No
Unknown
Belts/Leathers_____________________________________________________________________________
Condoms/Contraceptive Devices______________________________________________________________
Handcuffs________________________________________________________________________________
Lubricants/Lotions _________________________________________________________________________
Masks/Costumes/Clothing ___________________________________________________________________
Rape Kit/Crime Kit_________________________________________________________________________
Sexual Bondage Items_______________________________________________________________________
Sexual Devices/Toys________________________________________________________________________
Torture Devices____________________________________________________________________________
Other (specify)_____________________________________________________________________________
46. Sex-related Collections: Is the offender known to possess sex-related collections (e.g., erotica, pornography)?
Yes (fill in the table)
No
Unknown
Medium
Audio
Image
Text
Video
Other
Unknown
Audio
Image
Text
Video
Other
Unknown
Audio
Image
Text
Video
Other
Unknown

Description

Age

Sex

Adult
Child
Unknown

Male
Female
Both
Unknown

Adult
Child
Unknown

Male
Female
Both
Unknown

Adult
Child
Unknown

Male
Female
Both
Unknown

Type

Source

Sexual Non-Violent
Sexual Violent
Non-Sexual
Unknown

Commercial
Homemade
Unknown

Sexual Non-Violent
Sexual Violent
Non-Sexual
Unknown

Commercial
Homemade
Unknown

Sexual Non-Violent
Sexual Violent
Non-Sexual
Unknown

Commercial
Homemade
Unknown

47. Sexual Practices & Preferences: Indicate the offender's known sexual practices and preferences (check all that
apply):
Bestiality
Necrophilia
Bondage Practitioner
Sadism
Exhibitionist
Voyeurism
Group Sex Practitioner
Other (describe) _____________________________
Incest
Unknown
Masochism

UNCLASSIFIED//LES
14

OFFENDER TIMELINE
NOTE: If a timeline has been created for this offender in a separate document, a copy (electronic or printed) should be provided with this form.

48. Offender Timeline: If the offender is identified, please enter information on his/her known whereabouts into the table
below. Photocopy and attach additional pages if necessary. This information is valuable when associating/eliminating this
offender in connection with other crimes.
Date From

Date To

(mm/dd/yyyy)

(mm/dd/yyyy)

Street Address, City,
County, State/Province,
Zip Code, Country

Location
Description

Purpose

Employed
Resided
Visited
In Custody
In Military (Branch _________)
Unknown
Employed
Resided
Visited
In Custody
In Military (Branch _________)
Unknown
Employed
Resided
Visited
In Custody
In Military (Branch _________)
Unknown
Employed
Resided
Visited
In Custody
In Military (Branch _________)
Unknown
Employed
Resided
Visited
In Custody
In Military (Branch _________)
Unknown

UNCLASSIFIED//LES
15

APPROACH TO VICTIM
49. Offender's Initial Approach: What was the offender's initial approach to the victim (check all that apply)?
Unknown
By Deception or Con

Administered Drug (specify) _________________________________________________________________
Alleged Drug Transaction
Asked For/Offered Assistance
Asked Victim to Model/Pose for Photos
Befriended Victim
Caused/Staged Traffic Accident
Engaged Victim in Conversation
Feigned an Injury
Implied Family Emergency or Illness
Internet Communication
Offered Job, Money, Treats, or Toys
Offered Ride/Transportation
Placed or Responded to Advertising
Posed as Authority Figure/Police Officer
Posed as Business Person/Customer
Solicited for Sex
Telephone Contact
Third Person Used to Lure Victim
Wanted to Show Something
Other Deception/Con (describe) ______________________________________________________________
By Surprise

Awakened Victim
Forceful Sudden Entry
Lay in Wait - In Building
Lay in Wait - In Vehicle
Lay in Wait - Out of Doors
Threatened with Weapon
Other Surprise (describe)____________________________________________________________________
By Blitz (Direct and Immediate Physical Assault)

Choked Victim
Hit Victim with Hand, Fist, Clubbing Weapon
Physically Overpowered Victim
Shot Victim
Stabbed/Cut Victim
Other Blitz/Assault (describe)________________________________________________________________
Other Approach (describe)______________________________________________________________________

UNCLASSIFIED//LES
16

50. Victim's Activity: If relevant to the crime, describe the victim’s activity at the time of the initial contact between the
victim and the offender, or when the victim was last seen alive prior to the incident (check all that apply):
Babysitting
Buying/Selling/Using Alcohol/Drugs
Hitchhiking
Hunting/Camping/Hiking/Fishing
In Transit Between Two Destinations (describe)_____________________________________________________
Making a Delivery
On a Date
On Vacation
Outdoor Exercising (jogging, biking, etc.)
Playing Outside
Prostituting
Selling Home, Vehicle, etc.
Sleeping
Other (describe)_______________________________________________________________________________
Unknown
51. Event/Activity in Area: Prior to, or at the time of this incident, was there an event in the area (e.g., carnival,
convention, construction project)?
Yes (describe)________________________________________________________________________________
No
Unknown
52. Victim Targeted: Has the victim had an experience that would suggest he/she was a targeted victim?
Yes (check all that apply):
No
Unknown
Calls, Notes, or Internet Communication
Feeling That Victim Was Watched or Followed
Prowlers or Peeping Incidents
Residential or Vehicle Break-Ins
Theft of Personal Items (clothing, etc.)
Other (describe) ___________________________________________________________________________
53. How Offender Gained Entry: If any of the crime scenes were inside a building, indicate how the offender gained
entry (check all that apply):
Forced Entry
Let In by Victim
Lived There/Let Self In
No Sign of Forced Entry
Public Access
Through Unsecured Door/Window
Other (describe)_______________________________________________________________________________
Unknown

UNCLASSIFIED//LES
17

TRAUMA
54. Types of Trauma
A. Indicate the types of trauma inflicted on the victim, including attempted injury (check all that apply). Where
appropriate, indicate the number of wounds.
None
Asphyxiation
Airway Occlusion (choking)
Compressive (crushing)
Drowning
Hanging
Smoke Inhalation
Smothering/Suffocation
Strangulation
Strangulation - Ligature
Strangulation - Manual
Strangulation - Undetermined
Blunt Force Injury(s) -__________wounds
Minimal
Moderate
Excessive
Brutal
Unknown
Burns (fire)
Crushing Injury
Cutting or Incised Wound(s) -__________wounds
Drug Injection/Overdose
Explosive Trauma
Exposure
Gunshot Wound(s) -__________wounds
Distant
Intermediate
Close
Contact
Unknown
Malnutrition/Dehydration
Poisoning
Stab Wound(s) -__________ wounds
Other (specify)___________________________________-__________ wounds
Undetermined
Unknown

B. For deceased victims only, indicate the medical examiner's/coroner's officially listed primary cause of death,
if known:______________________________________________________________________________________

UNCLASSIFIED//LES
18

55. Trauma Locations (check all that apply):
None
Breast(s)/Nipple(s)
Anus/Buttock(s)
Chest/Abdomen
Arm(s)
Face
Back
Foot/Feet

Genitalia/Groin
Hand(s)
Head

Leg(s)
Neck/Throat
Unknown

56. Human Bite Marks: Was the victim bitten by the offender?
Yes
No
Unknown
Undetermined: Choose 'Undetermined' if the victim has bite marks that have not been definitively determined to be (a)
human or (b) caused by the offender.

Check all that apply:
Anus/Buttock(s)
Arm(s)
Back
Breast(s)/Nipple(s)
Chest/Abdomen

Ear(s)
Face
Foot/Feet
Genitalia/Groin

Hand(s)
Head
Leg(s)
Lips(s)

Neck/Throat
Nose
Tongue
Unknown

57. Body Parts Removed: Did the offender remove or attempt to remove any of the victim's body parts? If so, describe
in the table below.
Yes
No
Unknown
Undetermined: Choose 'Undetermined' if the cause of dismemberment cannot be definitively attributed to the offender (e.g.,
animal activity, environmental conditions).
Body Part Removed
*see below for selections

Body Part Removed Description

Recovery Location
Not Recovered
Recovered at Scene
Recovered Elsewhere__________________________
Unknown
Not Recovered
Recovered at Scene
Recovered Elsewhere__________________________
Unknown

Body Part Removed
Anus, Arm(s), Breast(s), Buttock(s), Ear(s), Eye(s), Face, Finger(s), Foot/Feet, Genitalia/Groin, Hand(s), Head, Internal Organ(s), Leg(s), Lip(s),
Nipple(s), Nose, Toe(s), Tongue, Torso, Other (describe), Unknown.

58. Dismemberment Method (check all that apply):
Bitten
Disarticulated
Hacked/Chopped
Ripped/Torn

Cut/Sawed
Other (describe) _____________________________
Unknown

UNCLASSIFIED//LES
19

59. Unusual Assault/Trauma/Torture: Was unusual assault/trauma/torture inflicted upon the victim?
Yes (check all that apply and describe):

No

Unknown

Beat Sexual Areas
With Hands/Fists _______________________________________________________________________
With Object ___________________________________________________________________________
Body Cavities or Genitalia Mutilated___________________________________________________________
Body Cavities or Wounds Explored/ Probed ____________________________________________________
Body Set on Fire___________________________________________________________________________
Burns (cigarette, iron, branding, etc.) __________________________________________________________
Cannibalism ______________________________________________________________________________
Carving on Victim _________________________________________________________________________
Douche/Enema Given to Victim ______________________________________________________________
Evisceration ______________________________________________________________________________
Hair Cut/Shaved
Head_________________________________________________________________________________
Pubic ________________________________________________________________________________
Other (specify) _________________________________________________________________________
Hair Pulled _______________________________________________________________________________
Hanged/Suspended_________________________________________________________________________
Kicked/Stomped___________________________________________________________________________
Offender Defecated/Urinated
At Scene______________________________________________________________________________
On Victim ____________________________________________________________________________
Patterned Injury ___________________________________________________________________________
Pierced Body Parts_________________________________________________________________________
Pinched
With Device___________________________________________________________________________
With Hands ___________________________________________________________________________
Postmortem Assault
Sexual _______________________________________________________________________________
Other (specify)_________________________________________________________________________
Pulled Body Parts__________________________________________________________________________
Puncture/Torture Wounds ___________________________________________________________________
Shocked
Electrical _____________________________________________________________________________
Stun Gun/Taser ________________________________________________________________________
Skinned__________________________________________________________________________________
Slapped/Spanked (with hands)________________________________________________________________
Vampirism _______________________________________________________________________________
Vehicular Assault
Dragged By Vehicle ____________________________________________________________________
Pushed/Shoved/Thrown From Vehicle ______________________________________________________
Run Over By Vehicle ___________________________________________________________________
Whipped/Paddled (with object) _______________________________________________________________
Other (specify) ____________________________________________________________________________

UNCLASSIFIED//LES
20

WEAPON
60. Weapon: Was a weapon used, displayed, or threatened during the commission of this crime?
Yes-Instruments Used (describe in the table below)
Weapon Category

Weapon Type

*see below for selections

*see below for selections

Weapon Category

Weapon
Description

Yes-Hands/Feet

No

Weapon Selection

Unknown

Weapon Recovery

Brought to Scene
Found at Scene
Unknown

Not Recovered
Recovered at Scene
Recovered Elsewhere__________
Unknown

Brought to Scene
Found at Scene
Unknown

Not Recovered
Recovered at Scene
Recovered Elsewhere__________
Unknown

Brought to Scene
Found at Scene
Unknown

Not Recovered
Recovered at Scene
Recovered Elsewhere__________
Unknown

Weapon Type

Asphyxial Device

Clothing, Linens, Pillow, Plastic Bag, Tape, Unspecified Asphyxial Device, Other Asphyxial Device (specify)

Bludgeon/Club

Baseball Bat, Bottle, Concrete Block/Brick, Fireplace Tool, Hammer, Pipe, Rock, Shovel, Tire Iron, Unspecified
Bludgeon/Club, Other Bludgeon/Club (specify)

Drug

Cocaine, Tranquilizers, Valium, Unspecified Drug, Other Drug (specify)

Explosive Device
Fire/Accelerant

Fire, Alcohol, Gasoline/Fuel, Lighter Fluid, Unspecified Fire/Accelerant, Other Fire/Accelerant (specify)

Firearm
Ligature

Clothing, Electrical/Phone Cord, Linens, Rope/Cordage, Wire/Coathanger, Unspecified Ligature, Other Ligature (specify)

Pepper Spray
Poison

Arsenic, Cyanide, Strychnine, Thallium, Unspecified Poison, Other Poison (specify)

Stabbing/Cutting

Axe/Hatchet, Box Cutter, Ice Pick, Knife-Hunting/Outdoor, Knife-Kitchen/Butcher, Knife-Pocket, Knife-Tactical/Fighting,
Knife-Other, Machete/Sword, Scissors, Screwdriver, Unspecified Stabbing/Cutting, Other Stabbing/Cutting (specify)

Stun Gun (e.g., Taser)
Vehicle (see Vehicle, Page 30)
Other Weapon (specify)
Unknown

61. Firearm Type: Firearm/Projectile Characteristics:
Firearm Type

Firearm Make

Cartridge/Caliber
or Gauge

Handgun
Shotgun
Rifle
Other
Unknown
Handgun
Shotgun
Rifle
Other
Unknown

UNCLASSIFIED//LES
21

Pellet Size

# Lands/Grooves

Direction
of Twist

SEXUAL ACTIVITY
62. Sexual Activity
A. Is there an indication of sexual activity or attempted sexual activity with the victim?
Yes (check all that apply):

No

Unknown

Undetermined

Anal Penetration
Penile
Digital
Hand/Fist
Unknown

Offender Performed Oral Sex on Victim
Anus
Penis
Vagina

Vaginal Penetration
Penile
Digital
Hand/Fist
Unknown

Victim Performed Oral Sex on Offender
Anus
Penis
Vagina

Masturbation
Offender Masturbated Victim
Offender Masturbated Self
Victim Masturbated Offender
Victim Masturbated Self

Other Sexual Acts
Inserted a Foreign Object (other than a body part)
Fondled/Groped/Hugged
Forced Victim to Swallow Semen
Kissed
Licked
Rubbed Genitalia Against Victim
Simulated Intercourse
Sucked Breasts
Other (describe)______________________________

B. If there was an indication of foreign object insertion, identify the body orifice, the foreign object, and
whether or not the object was left in the victim's body.
Body Orifice/Description

Foreign Object

Left in Body

Anus ___________________________________________
Mouth __________________________________________
Vagina__________________________________________
Other (specify)____________________________________

Yes
No
Unknown

Anus ___________________________________________
Mouth __________________________________________
Vagina__________________________________________
Other (specify)____________________________________

Yes
No
Unknown

UNCLASSIFIED//LES
22

63. Semen/Ejaculation Location(s) (check all that apply):
None
In Victim's Anus
In Victim's Mouth
In Victim's Vagina
On Victim's Body (describe)_____________________________________________________________________
On Victim's Clothing (describe) __________________________________________________________________
Elsewhere at Scene (describe)____________________________________________________________________
Other (describe)_______________________________________________________________________________
Unknown
64. Fetishes: Did the offender display any obvious fetishes (sexual interests in artificial objects or non-sexual parts of the
body)?
Yes (describe)________________________________________________________________________________
No
Unknown
65. Special Props: Did the offender use special props during the offense (e.g., red negligee, costume)?
Yes (describe)________________________________________________________________________________
No
Unknown
66. Disrobing: Who disrobed whom (check all that apply)?
Victim Already Nude
Victim Disrobed by Offender
Victim Disrobed Self
Victim's Clothing Moved Up/Down/Aside
Victim's Clothing Not Removed
Offender Already Nude
Offender Disrobed by Victim
Offender Disrobed Self
Offender's Clothing Moved Up/Down/Aside
Offender's Clothing Not Removed
Other (describe)_______________________________________________________________________________
Unknown
67. Clothing Intentionally Ripped/Cut: Was the victim's clothing intentionally ripped/torn and/or cut by the offender?
Yes - Ripped/Torn (describe) ____________________________________________________________________
Yes - Cut (describe) ___________________________________________________________________________
No
Unknown

UNCLASSIFIED//LES
23

INCIDENT DETAILS
68. Victim Bound: At any time, was the victim bound?
Yes (describe in the table below)
Binding
Article
Category

Binding
Article
Type

*see below for
selections

*see below for
selections

Binding Article Category

Binding
Article
Description

No

Body Part Bound

Unknown

Bindings
Selection

Bindings
Recovery

Hands, Wrists, or Arms
Feet, Ankles, or Legs
Hands Bound to Feet
Arms Bound to Torso
Other (specify)_______
Unknown

Brought to Scene
Found at Scene
Unknown

Left at Scene (not on victim)
Left on Victim
Taken from Scene
Unknown

Hands, Wrists, or Arms
Feet, Ankles, or Legs
Hands Bound to Feet
Arms Bound to Torso
Other (specify)_______
Unknown

Brought to Scene
Found at Scene
Unknown

Left at Scene (not on victim)
Left on Victim
Taken from Scene
Unknown

Hands, Wrists, or Arms
Feet, Ankles, or Legs
Hands Bound to Feet
Arms Bound to Torso
Other (specify)_______
Unknown

Brought to Scene
Found at Scene
Unknown

Left at Scene (not on victim)
Left on Victim
Taken from Scene
Unknown

Binding Article Type

Chain
Clothing

Belt, Bra, Dress/Skirt, Necktie, Nightclothes, Panties/Underwear, Pants/Shorts, Pantyhose/Nylons, Purse Strap,
Scarf/Bandana, Shirt/Undershirt, Shoe or Boot Lace, Sock, Unspecified Clothing , Other Clothing (specify)

Coathanger/Wire (non-electrical)
Electrical Cord/Phone Cord
Flexcuffs/Plastic Ties
Handcuffs
Linens

Bedsheet, Blanket, Pillowcase, Rag/Cloth, Towel/Washcloth, Unspecified Linens, Other Linens (specify)

Rope/Cordage

Rope, Bungee Cord, Clothesline, Dog Leash, Twine/String, Window Blinds Cord, Unspecified Rope/Cordage, Other
Rope/Cordage (specify)

Tape

Duct, Electrical, Masking, Medical, Packaging, Unspecified Tape, Other Tape (specify)

Other Binding Article (specify)
Unknown

69. Victim Bound to Object: At any time, was the victim bound to an object?
Yes (describe)________________________________________________________________________________
No
Unknown

UNCLASSIFIED//LES
24

70. Gag: At any time, was a gag placed in/on the victim's mouth?
Yes (describe)________________________________________________________________________________
No
Unknown
71. Blindfold/Hood: At any time, was a blindfold/hood placed on/over the victim's eyes?
Yes (describe)________________________________________________________________________________
No
Unknown
72. Investigative/Forensic Countermeasures: Did the offender employ any investigative/forensic countermeasures to
avoid identification or apprehension?
Yes (check all that apply and describe):

No

Unknown

Administered Drugs to Victim________________________________________________________________
Altered Lighting___________________________________________________________________________
Burned Scene/Victim's Body_________________________________________________________________
Cleaned Scene ____________________________________________________________________________
Cleaned Self______________________________________________________________________________
Cleaned Victim ___________________________________________________________________________
Covered Victim's Eyes/Face/Head_____________________________________________________________
Destroyed/Removed Evidence _______________________________________________________________
Disabled Phone/Security Device(s) ____________________________________________________________
Disabled Victim's Vehicle ___________________________________________________________________
Forced Victim to Bathe or Douche_____________________________________________________________
Increased or Decreased Temperature Setting_____________________________________________________
Moved Victim from Murder/Assault Area to Release/Recovery Area _________________________________
Planted Evidence __________________________________________________________________________
Prepared Escape Route Prior to the Assault______________________________________________________
Provided False Information (e.g., name, occupation) to Victim (specify)_______________________________
Ransacked Scene __________________________________________________________________________
Staged Scene______________________________________________________________________________
Told Victim Not to Look at Offender___________________________________________________________
Told Victim Not to Report Incident to Police ____________________________________________________
Used a Condom ___________________________________________________________________________
Used a Lookout ___________________________________________________________________________
Used a Police Scanner Radio _________________________________________________________________
Vandalized Scene __________________________________________________________________________
Wore a Disguise/Mask ______________________________________________________________________
Wore Gloves _____________________________________________________________________________
Other (specify) ____________________________________________________________________________

UNCLASSIFIED//LES
25

73. Offender’s Reaction to Resistance: If applicable, indicate the offender's reaction to the types of resistance used by
this victim.
Victim Resistance

Passive
Physical
Verbal

Passive
Physical
Verbal

Offender #

Offender Reaction
Ceased the Demand
Compromised or Negotiated
Escalated Force
Fled
Ignored
Used Force
Used Threat
Other (describe)_________________________________________
Unknown

Ceased the Demand
Compromised or Negotiated
Escalated Force
Fled
Ignored
Used Force
Used Threat
Other (describe)_________________________________________
Unknown

74. Verbal Activity: Was there offender verbal activity?
Yes (check all that apply):

No

Offender #_____________

Offender #_____________

Unknown

Apologetic (e.g., "I'm sorry this had to happen.")
Commanding (e.g., "Take off your clothes, now!")
Complimentary (e.g., "You are very pretty.")
Concern (e.g., "Are you comfortable?")
Derogatory (e.g., "You are so stupid.")
Ego-satisfying (e.g., "Tell me I'm better than your boyfriend.")
Inquisitive (e.g., "How old are you?")
Knowledgeable (e.g., "I know your husband is not home.")
Negotiating (e.g., "If you stop struggling, I'll loosen the bindings.")
Personal (e.g., "I just moved here from Ohio.")
Profane (e.g., "You're a ******* whore.")
Reassuring (e.g., "I'm not going to hurt you, just do as I say.")
Self-demeaning (e.g., "You'd never go out with someone like me.")
Threatening (e.g., "I'll kill you if you don't do as I say.")
Other (describe) ___________________________________________________________________________
Unknown

UNCLASSIFIED//LES
26

75. Offender Dialogue: Indicate what the offender said to the victim, in chronological order. Use the offender's exact
words/phrases where possible and include anything the offender directed the victim to say or do.
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
76. Recorded Events: Did the offender record events during the crime (e.g., audio/video/photography)?
Yes (describe)________________________________________________________________________________
No
Unknown
77. Writing or Drawing: Was there writing or drawing at any of the crime scenes or on the victim's body?
Yes (describe in the table below)
No
Unknown
Location at Scene

Body Location
*see below for selections

Writing/Drawing
Description

Writing Tool and
Description
*see below for selections

Body Location
Abdomen, Ankle, Anus, Arm(s), Back, Breast(s), Buttock(s), Chest, Ear(s), Eye(s), Face, Finger(s), Foot/Feet, Genitalia, Groin, Hand(s), Head,
Leg(s), Lip(s), Neck/Throat, Nipple(s), Nose, Shoulder(s), Thigh(s), Tongue, Other, Unknown.
Writing Tool
Blood, Computer, Crayon, knife/Sharp Instrument, Lipstick, Marker, Paint/Spray Paint, Pen/Pencil, Typewriter, Other, Unknown.

78. Other Deliberate, Unique, or Symbolic Act(s): Is there any indication that a deliberate, unique, or symbolic act was
performed at any of the crime scenes not captured elsewhere in this form (e.g., unique objects placed at scene, foreign
substance on body)?
Yes (describe)________________________________________________________________________________
No
Unknown

UNCLASSIFIED//LES
27

79. Items Taken: Did the offender take items from the victim and/or any of the crime scenes?
Yes (check all that apply and describe):

No

Unknown

Backpack/Fannypack/Briefcase _______________________________________________________________
Camera/Camcorder ________________________________________________________________________
Cellphone/Pager/PDA ______________________________________________________________________
Checkbook/Checks_________________________________________________________________________
Cigarettes/Case/Lighter _____________________________________________________________________
Clothing _________________________________________________________________________________
Computer/Laptop __________________________________________________________________________
Credit/Debit/ATM Card_____________________________________________________________________
Driver's License/ID ________________________________________________________________________
Drugs - Legal/Illegal _______________________________________________________________________
Electronic Equipment (stereo, TV, etc.)_________________________________________________________
Electronic Media (CD, DVD, etc.)_____________________________________________________________
Food/Drink_______________________________________________________________________________
Jewelry __________________________________________________________________________________
Keys/Keychain ____________________________________________________________________________
Money __________________________________________________________________________________
Personal Papers/Journal/Datebook_____________________________________________________________
Photograph _______________________________________________________________________________
Purse/Wallet ______________________________________________________________________________
Telephone/Answering Machine _______________________________________________________________
Vehicle (see question 86) ____________________________________________________________________
Weapon _________________________________________________________________________________
Other (specify) ____________________________________________________________________________

VICTIM RELEASE/RECOVERY
80. End of Contact: How did the victim/offender contact end (check all that apply)?
Escape (offender lost control of victim)
Inadvertent Intervention by Third Party
Offender Left Scene
Release (offender intentionally gave up control of victim)
Rescue/Intervention
Victim's Death
Other (describe) ______________________________________________________________________________
Unknown
81. Victim Positioned: Was the victim intentionally posed or displayed in an unusual or unnatural manner?
Yes (describe)________________________________________________________________________________
No
Unknown

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82. Victim Release and Recovery (check all that apply and describe):
As Skeletal Remains __________________________________________________________________________
Buried _____________________________________________________________________________________
Concealed, Hidden, or Placed to Prevent or Delay Discovery _________________________________________
Covered
Completely______________________________________________________________________________
Partially ________________________________________________________________________________
Face Only_______________________________________________________________________________
In Water
Weighted Down__________________________________________________________________________
Not Weighted Down ______________________________________________________________________
In a Bag ___________________________________________________________________________________
In a Bathtub/Shower __________________________________________________________________________
In a Container/Box/Dumpster ___________________________________________________________________
In a Remote Area_____________________________________________________________________________
In a Vehicle _________________________________________________________________________________
Indoors_____________________________________________________________________________________
Openly Placed to Ensure Discovery ______________________________________________________________
Outdoors ___________________________________________________________________________________
Wrapped ___________________________________________________________________________________
83. Victim Clothing: Clothing on Victim-post-assault (select one):
Fully Dressed
Partially Dressed (describe) _____________________________________________________________________
Completely Nude
Unknown
84. Victim Redressed: Is there evidence to suggest the victim was redressed by the offender?
Yes (describe)________________________________________________________________________________
No
Unknown
85. Offender Returned to Site: Is there any indication that the offender returned to the victim release/recovery site after
the offense?
Yes (describe)________________________________________________________________________________
No
Unknown

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VEHICLE
NOTE: If your incident has multiple vehicles, photocopy the vehicle section of this form and provide separate information for each vehicle.

86. Vehicle Information
A. Vehicle Used: Was a vehicle known or suspected to have been used in this incident, and/or was the offender
known to have access to other vehicles?
Yes (complete the questions below)
No
Unknown
B. Vehicle Description
License Plate Number_________________________________________________________________________
License State/Province ____________________________ License Country ____________________________
Vehicle Year (or estimated range) ___________________ to ________________________________________
Vehicle Make _______________________________________________________________________________
Vehicle Model_______________________________________________________________________________
Vehicle Identification Number (VIN)_____________________________________________________________
Body Style (select one):
Bike/Moped
Motorcycle
Passenger Car
Pick-Up Truck
RV/Motor Home
Sport Utility

Station Wagon
Tractor-Trailer
Van
Other (specify) ___________________________
Unknown

Vehicle Color (select one):
Black __________________________________
Blue ___________________________________
Bronze _________________________________
Brown _________________________________
Burgundy_______________________________
Camouflage _____________________________
Chrome, Stainless Steel____________________
Copper ________________________________
Cream, Ivory ____________________________
Dark___________________________________
Gold___________________________________
Gray___________________________________
Green _________________________________
Light___________________________________

Maroon _________________________________
Multicolored _____________________________
Orange__________________________________
Pink ___________________________________
Purple __________________________________
Red ____________________________________
Silver___________________________________
Tan or Beige ____________________________
Taupe __________________________________
Teal____________________________________
White___________________________________
Yellow__________________________________
Other (describe )__________________________

C. Distinctive Features: Distinctive features of vehicle, if any:
______________________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________

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D. Vehicle Status (check all that apply):
Owned by Offender (specify offender #/name) ___________________________________________________
Owned by Victim (specify victim #/name) _______________________________________________________
Ownership Unknown
Borrowed from (specify name/relationship) _____________________________________________________
Rented from (specify company) _______________________________________________________________
Stolen - Not Recovered
Stolen Date ____________________________
Owner Name __________________________
Stolen from Address ____________________
City __________________________________
County _______________________________
State/Province _________________________
Zip Code _____________________________
Country ______________________________
Stolen - Recovered
Stolen Date ____________________________
Owner Name __________________________
Stolen from Address ____________________
City __________________________________
County _______________________________
State/Province _________________________
Zip Code _____________________________
Country ______________________________

Recovered Date ________________________________
Recovered at Address____________________________
City__________________________________________
County _______________________________________
State/Province _________________________________
Zip Code______________________________________
Country_______________________________________

Stolen - Recovery Status Unknown
Stolen Date ____________________________
Owner Name __________________________
Stolen from Address ____________________
City __________________________________
County _______________________________
State/Province _________________________
Zip Code _____________________________
Country ______________________________
E. Vehicle Involvement: How was the vehicle involved (check all that apply)?
Transported offender(s) during this incident
Transported victim(s) during this incident
As a crime scene
Not involved in this incident but offender(s) has access to it
Unknown

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FORENSIC/PHYSICAL EVIDENCE
87. Forensic/Physical Evidence: Indicate all forensic/physical evidence items pertaining to this case that may be suitable
for comparison:
DNA from Offender
None
Available
Submitted to LDIS
Submitted to SDIS
Submitted to NDIS
Status Unknown

Offender’s Prints
None
Available
Submitted to state repository and processed successfully
Submitted to NGI and processed successfully
Insufficient quality for processing
Status Unknown

DNA from Victim
None
Available
Submitted to LDIS
Submitted to SDIS
Submitted to NDIS
Status Unknown

Victim’s Prints
None
Available
Submitted to state repository and processed successfully
Submitted to NGI and processed successfully
Insufficient quality for processing
Status Unknown

Projectiles/Casings
None
Available
Submitted to NIBIN
Status Unknown

Latent Prints
None
Available
Submitted to state repository and processed successfully
Submitted to NGI and processed successfully
Insufficient quality for processing
Status Unknown

Other Evidence (e.g., hairs, fibers, tire tracks, shoeprints, etc.):
______________________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________

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SIMILAR CASES
NOTES: 1) An agency name or ViCAP number is required for each similar/linked case. 2) Photocopy and attach additional sheets if necessary.

88. Similar/Linked Cases
(1)
ViCAP Number _____________________________ Agency Name__________________________________
State/Province _______________________________ Country_______________________________________
Case Number ________________________________________________________________________________
Investigator Name____________________________ Telephone Number______________________________
Victim’s Full Name ___________________________________________________________________________
Case Type (select one):
Homicide - Victim Identified
Missing Person
Attempted Homicide
Unidentified Human Remains
Sexual Assault
Other Case Type (specify)______________________
Has this case been linked to the instant case through physical evidence, corroborated confession or conviction?
Yes (provide details in the Narrative, Q#9)
Physical Evidence
Corroborated Confession
Conviction
No
Unknown

(2)
ViCAP Number _____________________________ Agency Name__________________________________
State/Province _______________________________ Country_______________________________________
Case Number ________________________________________________________________________________
Investigator Name____________________________ Telephone Number _____________________________
Victim’s Full Name ___________________________________________________________________________
Case Type (select one):
Homicide - Victim Identified
Missing Person
Attempted Homicide
Unidentified Human Remains
Sexual Assault
Other Case Type (specify) _____________________
Has this case been linked to the instant case through physical evidence, corroborated confession or conviction?
Yes (provide details in the Narrative, Q#9)
Physical Evidence
Corroborated Confession
Conviction
No
Unknown

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ADDENDUM
NOTE: Photocopy and attach additional pages for each individual/category selected below.

Please enter information on any other individual(s) relevant to this crime or to your investigation. This section is optional
and is intended to assist agency case management.
The following information relates to:
Victim #___________________
Offender # _________________
Crime Scene ______________________________________
Other (specify)_____________________________________
Category (select one):
Acquaintance
Associate
Boyfriend/Girlfriend
Coroner/Medical Examiner
Co-Worker
Employee
Employer
Informant
Neighbor

Person of Interest
Roommate
Relative (specify)___________________________________
Specialist (e.g., odontologist) (specify) __________________
Spouse
Tips Caller
Witness
Other (specify) _____________________________________

Business/Agency Name_______________________________________________________________________________
Title-First/Middle/Last Name-Suffix ____________________________________________________________________
Alias/Nickname ____________________________________________________________________________________
Telephone Number __________________________________________________________________________________
Email Address _____________________________________________________________________________________
Street Address _____________________________________________________________________________________
City___________________________________ County______________________ State/Province _________________
Zip Code_______________________________ Country______________________
Social Security Number(s) ____________________________________________________________________________
Date(s) of Birth (mm/dd/yyyy) _________________________________________________________________________
FBI Number________________________________________________________________________________________
Remarks:
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________

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ATTACHMENTS
The ViCAP Web application supports the upload of text documents, electronic images, and other files (e.g., Microsoft
Office files, small video clips). Each attachment cannot exceed 100 MB in size, and only files with these extensions can
be accepted: .AVI, .BMP, .DOC, .DOCX, .GIF, .HTM, .HTML, .JPEG, .JPG, .MOV, .MP3, .MPEG, .MPG, .ODP, .ODS,
.ODT, .PDF, .PNG, .PPT, .PPTX, .RTF, .TXT, .WAV, .WMV, .WPD, .XLS, .XLSX.
Attachments should be submitted in electronic format, if possible. If only hard copies are available, attach them to this
form and indicate that you would like them scanned and uploaded for you.
Examples of appropriate attachments include items such as suspect/offender photos, timelines, crime scene photos,
autopsy reports and photos, composites, facial reconstructions, bulletins, and vehicle photos.

SUPPLEMENTAL INFORMATION
If at any point during the completion of this form, you were unable to include all pertinent information, please include that
information in the table below. Indicate the question number and the question topic, then enter the information as free
text. This information will be added to the appropriate question when the case is entered into ViCAP Web.
Question #

Topic

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35

Supplemental Information