Demographic Information Form For Another

Posted in: Other Resources

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Users Preferred Contact Method

Are you the next of kin?*

Yes

No

If you are the next of kin, we will use the information you provided above. There is no need to fill out this section.

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Gender*

Male

Female

Marital Status

Is the address inside city limits?*

Yes

No

I'm not sure

Is this person of Hispanic or Haitian origin?*

Yes

No

I prefer not to say

Highest Level of Education

Did this person serve in the Armed Forces?*

Yes

No

Do you have a copy of their DD-214 Form?

Yes

No

Not applicable

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