FD-676 ViCAP Case Submission Form

ViCAP Case Submission Form

1110-0011_ViCAP Web Case Submission Form_Approval 08222022

OMB: 1110-0011

Document [docx]

Download: docx | pdf

U .S. Department of Justice

Federal Bureau of Investigation

FD-676 (Rev. 04/19/2022)

OMB No. 1110-0011 (exp. TBD)

Shape1

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

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

Shape2

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. ViCAP’s services and ViCAP Database access are provided at no cost to law enforcement agencies.

ViCAP National Crime Database: Electronic Submission

ViCAP’s National Crime Database (ViCAP) 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 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, contact FBI ViCAP and request the analyst assigned to your state, or visit the ViCAP JusticeConnect page 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.

• 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.

TABLE OF CONTENTS
Case Administration	………………………………………………………....................	1
Victim/Offender Names	………………………………………………………....................	2
Narrative	………………………………………………………....................	3
Dates & Locations	………………………………………………………....................	4
Victim Demographics	………………………………………………………....................	6
Victim Background	………………………………………………………....................	8
Offender Demographics	………………………………………………………....................	10
Offender Background	………………………………………………………....................	12
Offender Timeline	………………………………………………………....................	15
Approach to Victim	………………………………………………………....................	16
Trauma	………………………………………………………....................	18
Weapon	………………………………………………………....................	21
Sexual Activity	………………………………………………………....................	22
Incident Details	………………………………………………………....................	24
Victim Release/Recovery	………………………………………………………....................	28
Vehicle	………………………………………………………....................	30
Forensic/Physical Evidence	………………………………………………………....................	32
Similar Cases	………………………………………………………....................	35
Addendum	………………………………………………………....................	36
Attachments	………………………………………………………....................	37
Supplemental Information	………………………………………………………....................	37

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 users (select one)?

Yes

2. Case Status: Investigating Agency’s Case Status (select one):

Open-Active Closed-By Arrest

Open-Inactive/Suspended Closed-By Exceptional Circumstances

Closed-Other (specify) ________________________

Case Status Date_______________________ 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___________________

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.

First_______________________ Middle__________________ Last______________________ Suffix______

Victim Alias Name(s)

First_______________________ Middle__________________ Last______________________ Suffix______

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______

Offender Alias Name(s)

First_______________________ Middle__________________ Last______________________ Suffix______

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 as an attachment.

__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

____________________________________________________________________________________________________________________________________________________________________________________________________

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)________________________________________________________________________________

Unknown

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. Victim's Residence 4. Multi-Family Dwelling (apt.) 7. Transient/Temporary Quarters

2. Offender's Residence 5. Rest/Nursing Home 8. Other Living Quarters (specify)

3. Dormitory 6. Single-Family Dwelling

Businesses

9. Victim's Workplace 15. Daycare Facility 21. Motel/Hotel

10. Offender's Workplace 16. Fast Food Restaurant 22. Pawn Shop

11. Bank/ATM 17. Gas Station 23. Restaurant

12. Bar/Tavern/Nightclub 18. Grocery Store/Market 24. Shopping Mall/Center/Retail Store

13. Casino 19. Hair/Nail/Tan Salon 25. Video Store

14. Convenience Store 20. Liquor Store 26. Other Business (specify)

Transportation

27. Victim's Vehicle 31. Bus/Bus Stop/Bus Station 34. Train/Railroad Property 28. Offender's Vehicle 32. Subway/Subway Station 35. Truck/Truck Stop

29. Aircraft/Airport 33. Taxi 36. Other Transportation (specify)

30. Boat/Ship

Public Areas/Buildings

37. Athletic Field/Arena 41. Hospital/Medical Facility 45. School/College Campus

38. Church 42. Military Installation 46. Shed/Outbuilding/Barn

39. Circus/Fair/Carnival 43. Office Building 47. Vacant Building/House

40. Government Building 44. Public Restroom 48. Other Public Area/Building (specify)

Outdoor/Water Locations

49. Alley 62. Dump/Landfill 75. Road-Highway/Interstate

50. Beach/Shoreline/Riverbank 63. Embankment 76. Road-Paved/Public

51. Bridge/Overpass/Underpass 64. Field/Orchard/Farm 77. Sidewalk

52. Camping Area 65. Lake/Pond 78. Storm Drain/Sewer System

53. Canal/Inland Waterway 66. Marsh/Swamp/Bayou 79. Stream/Creek

54. Cave/Mine/Quarry 67. Mountains/Hills 80. Swimming Pool

55. Cemetery 68. Ocean/Bay 81. Trail/Jogging Path

56. Commercial Area 69. Parking Lot/Garage 82. Vacant Lot

57. Construction Area 70. Playground/Park 83. Vice Area

58. Desert 71. Residential Area 84. Wooded Area/Forest

59. Ditch/Culvert 72. Rest Stop/Area 85. Other Outdoor Location (specify) 60. Dock/Boat Ramp 73. River 86. Other Water Location (specify)

61. Driveway/Yard 74. Road-Gravel/Dirt

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 Native Hawaiian or Other Pacific Islander

Asian White

Black or African American Other (describe)_________________________________

Hispanic or Latino 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 Purple Other (describe)_______________________

Blonde Green Red Unknown

Blue Orange Sandy

Brown Pink White

B. Hair Length (check all that apply):

Bald/Shaved Shoulder Length

Balding/Receding Longer than Shoulder Length

Shorter than Collar Length Other (describe)__________________________ Collar Length Unknown

18. Eye Color (check all that apply):

Black Green

Blue Hazel

Brown Other (describe) _____________________________ Gray Unknown

19. Facial Hair (check all that apply):

None Unshaven/Stubble

Beard Other (describe) _____________________________

Goatee Unknown

Mustache

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)________________________________________________________________________________

Unknown

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

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)________________________________________________________________________________

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

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 Native Hawaiian or Other Pacific Islander

Asian White

Black or African American Other (describe)_________________________________

Hispanic or Latino 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 Purple Other (describe)_______________________

Blonde Green Red Unknown

Blue Orange Sandy

Brown Pink White

B. Hair Length (check all that apply):

Bald/Shaved Shoulder Length

Balding/Receding Longer than Shoulder Length

Shorter than Collar Length Other (describe)__________________________ Collar Length Unknown

35. Eye Color (check all that apply):

Black Green

Blue Hazel

Brown Other (describe) _____________________________ Gray Unknown

36. Facial Hair (check all that apply):

None Unshaven/Stubble

Beard Other (describe) _____________________________

Goatee Unknown

Mustache

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

38. Outstanding Feature(s): Does the offender have any outstanding features not reported above (e.g., physical deformity, speech impediment, accent, odor)?

Yes (describe)________________________________________________________________________________

Unknown

39. Clothing, Jewelry, and Possessions: Description of clothing, jewelry, glasses, and other items worn by or in possession of the offender:

OFFENDER BACKGROUND

40. Offender Occupation(s): Offender's legal/illegal occupation(s) (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

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)________________________________________________________________________________

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)________________________________________________________________________________

Unknown

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

Description

Age

Sex

Type

Source

Audio

Image

Text

Video

Other

Unknown

Adult

Child

Unknown

Male

Female

Both

Unknown

Sexual Non-Violent

Sexual Violent

Non-Sexual

Unknown

Commercial

Homemade

Unknown

Audio

Image

Text

Video

Other

Unknown

Adult

Child

Unknown

Male

Female

Both

Unknown

Sexual Non-Violent

Sexual Violent

Non-Sexual

Unknown

Commercial

Homemade

Unknown

Audio

Image

Text

Video

Other

Unknown

Adult

Child

Unknown

Male

Female

Both

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

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 (mm/dd/yyyy)	Date To (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

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)______________________________________________________________________

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)________________________________________________________________________________

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

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

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:______________________________________________________________________________________

55. Trauma Locations (check all that apply):

None Breast(s)/Nipple(s) Genitalia/Groin Leg(s)

Anus/Buttock(s) Chest/Abdomen Hand(s) Neck/Throat

Arm(s) Face Head Unknown

Back Foot/Feet

56. Human Bite Marks: Was the victim bitten by the offender?

Yes

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) Ear(s) Hand(s) Neck/Throat

Arm(s) Face Head Nose

Back Foot/Feet Leg(s) Tongue

Breast(s)/Nipple(s) Genitalia/Groin Lips(s) Unknown

Chest/Abdomen

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

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 Cut/Sawed

Disarticulated Other (describe) _____________________________

Hacked/Chopped Unknown

Ripped/Torn

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) ____________________________________________________________________________

WEAPON

60. Weapon: Was a weapon used, displayed, or threatened during the commission of this crime?

Yes-Instruments Used (describe in the table below) Yes-Hands/Feet No Unknown

Weapon Category *see below for selections	Weapon Type *see below for selections	Weapon Description	Weapon Selection	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 Category	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

Pellet Size

# Lands/Grooves

Direction

of Twist

Handgun

Shotgun

Rifle

Other

Unknown

Handgun

Shotgun

Rifle

Other

Unknown

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 Offender Performed Oral Sex on Victim

Penile Anus

Digital Penis

Hand/Fist Vagina

Unknown

Vaginal Penetration Victim Performed Oral Sex on Offender

Penile Anus

Digital Penis

Hand/Fist Vagina

Unknown

Masturbation Other Sexual Acts

Offender Masturbated Victim Inserted a Foreign Object (other than a body part)

Offender Masturbated Self Fondled/Groped/Hugged

Victim Masturbated Offender Forced Victim to Swallow Semen

Victim Masturbated Self 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

Unknown

Anus ___________________________________________

Mouth __________________________________________

Vagina__________________________________________

Other (specify)____________________________________

Yes

Unknown

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)________________________________________________________________________________

Unknown

65. Special Props: Did the offender use special props during the offense (e.g., red negligee, costume)?

Yes (describe)________________________________________________________________________________

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) ___________________________________________________________________________

Unknown

INCIDENT DETAILS

68. Victim Bound: At any time, was the victim bound?

Yes (describe in the table below) No Unknown

Binding Article Category *see below for selections	Binding Article Type *see below for selections	Binding Article Description	Body Part Bound	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 Category	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)________________________________________________________________________________

Unknown

70. Gag: At any time, was a gag placed in/on the victim's mouth?

Yes (describe)________________________________________________________________________________

Unknown

71. Blindfold/Hood: At any time, was a blindfold/hood placed on/over the victim's eyes?

Yes (describe)________________________________________________________________________________

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) ____________________________________________________________________________

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

Victim Resistance

Offender Reaction

Offender #

Passive

Physical

Verbal

Ceased the Demand

Compromised or Negotiated

Escalated Force

Fled

Ignored

Used Force

Used Threat

Other (describe)_________________________________________

Unknown

Offender #_____________

Passive

Physical

Verbal

Ceased the Demand

Compromised or Negotiated

Escalated Force

Fled

Ignored

Used Force

Used Threat

Other (describe)_________________________________________

Unknown

Offender #_____________

74. Verbal Activity: Was there offender verbal activity?

Yes (check all that apply): No 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

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)________________________________________________________________________________

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

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)________________________________________________________________________________

Unknown

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)________________________________________________________________________________

Unknown

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)________________________________________________________________________________

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)________________________________________________________________________________

Unknown

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 Station Wagon

Motorcycle Tractor-Trailer

Passenger Car Van

Pick-Up Truck Other (specify) ___________________________

RV/Motor Home Unknown

Sport Utility

Vehicle Color (select one):

Black __________________________________ Maroon _________________________________

Blue ___________________________________ Multicolored _____________________________

Bronze _________________________________ Orange__________________________________

Brown _________________________________ Pink ___________________________________

Burgundy_______________________________ Purple __________________________________

Camouflage _____________________________ Red ____________________________________

Chrome, Stainless Steel____________________ Silver___________________________________

Copper ________________________________ Tan or Beige ____________________________

Cream, Ivory ____________________________ Taupe __________________________________

Dark___________________________________ Teal____________________________________

Gold___________________________________ White___________________________________

Gray___________________________________ Yellow__________________________________

Green _________________________________ Other (describe )__________________________

Light___________________________________

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

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 ____________________________ Recovered Date ________________________________

Owner Name __________________________ Recovered at Address____________________________

Stolen from Address ____________________ City__________________________________________

City __________________________________ County _______________________________________

County _______________________________ State/Province _________________________________

State/Province _________________________ Zip Code______________________________________

Zip Code _____________________________ Country_______________________________________

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

FORENSIC/PHYSICAL EVIDENCE

NOTE: If your incident has multiple offenders/victims, photocopy the Suspect/Known Offender/Victim Forensic Evidence section of this form, and provide separate information for each offender/victim.

87. Forensic/Physical Evidence: Indicate all forensic/physical evidence items pertaining to this case that may be suitable for comparison:

Forensic Unknown/Crime Scene Evidence

Forensic Unknown/Crime Scene DNA Collected

Yes

Unknown

Forensic Unknown/Crime Scene DNA Status

CODIS ID # __________

LDIS (Local)

SDIS (State)

NDIS (National)

Pending

Available (Not In CODIS) Sample # __________

Unknown

Forensic Unknown/Crime Scene DNA Profile

Complete STR

Partial STR

Y-STR

mtDNA

Pending

Unknown

Forensic Unknown/Crime Scene DNA Processed

Local Lab (Name)

State Lab (Name)

FBI Lab

Other/Private Lab (Name)

Unknown

Familial State DNA DB Search Conducted

Yes

Not Permitted by State Law

Most Recent Date Searched:

Forensic Unknown/Crime Scene Forensic

Genetic Genealogy (FGG) Submitted

Yes. Status (describe)

Date of Submission: __________

Forensic Unknown/Crime Scene Fingerprints

None

NGI

Local/State

Other (describe)

Insufficient quality for processing

Unknown

Suspect/Known Offender Forensic Evidence

Suspect/Known Offender DNA Collected

Yes

Unknown

Suspect/Known Offender DNA Status

CODIS ID # __________

LDIS (Local)

SDIS (State)

NDIS (National)

Pending

Available (Not In CODIS) Sample # __________

Unknown

Suspect/Known Offender DNA Profile

Complete STR

Partial STR

Y-STR

mtDNA

Pending

Unknown

Suspect/Known Offender Fingerprints

None

NGI

Local/State

Other (describe)

Insufficient quality for processing

Unknown

Victim Forensic Evidence

Victim DNA Collected

Yes

Unknown

Victim DNA Status

CODIS ID # __________

LDIS (Local)

SDIS (State)

NDIS (National)

Pending

Available (Not In CODIS) Sample # __________

Unknown

Victim DNA Profile

Complete STR

Partial STR

Y-STR

mtDNA

Pending

Unknown

Victim Fingerprints

None

NGI

Local/State

Other (describe)

Insufficient quality for processing

Unknown

Note: Completion of the Family Reference DNA section is required for missing person cases ONLY.

Family Reference Sample

Yes

Unknown

Family Reference DNA Status

CODIS ID # __________

LDIS (Local)

SDIS (State)

NDIS (National)

Pending

Available (Not In CODIS) Sample # __________

Unknown

Family Reference DNA Profile

Complete STR

Partial STR

Y-STR

mtDNA

Pending

Unknown

Victim Forensic Genetic Genealogy (FGG) Submitted

Yes. Status (describe) __________

Date of Submission: __________

Other Forensic Evidence

Projectiles/Casings

None

Available

Submitted to NIBIN

Status Unknown

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

____________________________________________________________________________________________________________________________________________________________________________________________

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

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

Unknown

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 Person of Interest

Associate Roommate

Boyfriend/Girlfriend Relative (specify)___________________________________

Coroner/Medical Examiner Specialist (e.g., odontologist) (specify) __________________ Co-Worker Spouse

Employee Tips Caller

Employer Witness

Informant Other (specify) _____________________________________

Neighbor

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:

ATTACHMENTS

The ViCAP 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.

Question #	Topic	Supplemental Information

UNCLASSIFIED//LES

File Type	application/vnd.openxmlformats-officedocument.wordprocessingml.document
Author	ldmarcolini
File Modified	0000-00-00
File Created	2023-08-30