e-mail to  ddthompson@texoma.net

FORM TO BE COMPLETED BY THE FAMILY AND RETURNED TO WEB SITE

CROSS REFERENCED DATA BASE-
ALLEGED SELF-INFLICTED DEATHS OF ACTIVE DUTY MILITARY

NAME:
RANK:
JOB IN THE MILITARY:
STATIONED WHERE:

1.     Where death occurred:  (i.e.: USS Constitution; Fort Bragg)

2.      Cause of death:  (i.e.: hanging; gun shot)

3.      Investigating authority(s): (i.e. Naval Criminal Investigative Service; Sheriff)

3A.   Individual(s) investigating in that authority:

4.      Individual signing off on Manner of Death:  (who determined the death was self-inflicted)

5.      Individual signing off on psychological autopsy:

6.      Was there a suicide note? (yes or no)

7.      Was there an autopsy?

7A.   Who signed off on the autopsy report?

8.      Was there a private or second autopsy?

8A.   Who performed the private or second autopsy?

9.      Who are your Members of Congress?  (You have one US Representative and two US Senators)

10.     Did you contact the FBI? (yes or no)

10A.  Name of FBI individual(s) who either wrote to you or spoke with you.

11.     Were all of the belongings returned? (Yes or No)

11A.  What was missing?  (Use one word descriptions)

12.      Had the deceased written to anyone about any problem? (Yes or No)

13.     Did the deceased have any problem with the military or other military personnel? (Yes or No)

14.     Did the deceased speak of gun smuggling or theft? (Yes or No)

14A.  Did the deceased speak of drugs?  (Yes or No)

14B.  Did the deceased speak of cults or gangs?  (Yes or No)  Name the cult or gang:

15.     Did you receive the following:  Yes or No (if NO, name individual who denied access)

                        Crime scene report:

                        Crime scene photos:

                        Autopsy report:

                        Autopsy photos:

                        Inventory of Belongings:

                        Full Investigative Report(s):

                        Psychological Report: