mtDNA SOP-01:1
Revision 01
STATE OF CONNECTICUT
DESPP
DEPARTMENT OF
EMERGENCY SERVICES and PUBLIC PROTECTION
DIVISION OF SCIENTIFIC SERVICES
DIVISION OF SCIENTIFIC SERVICES
Guy M. Vallaro, Ph.D.
Director
Laboratory #: _____________________
Additional Information Required for Requests for Missing Persons Testing
To better facilitate the processing of Missing Persons cases, please provide the following
information in addition to the case summary described on the DESPP Request for Examination
of Physical Evidence. Please submit this form at the time of evidence submission. A new form
should be completed each time additional evidence is submitted.
Submitting Agency: ______________________________ Agency Case #: ________________
1) If available, please list the following:
a. NamUs #: ________________________
b. VICAP #: ________________________
c. NCIC #: __________________________
2) Are other family members willing to submit a sample for DNA testing? If so, who are they and
what relationship do they have to the missing individual?
a. Name: ___________________________ Relationship: ___________________________
b. Name: ___________________________ Relationship: ___________________________
c. Name: ___________________________ Relationship: ___________________________
3) Please list any metadata specific to the corresponding category:
a. Unidentified person (age range/age at time of death, height, sex, ethnic group
scars/marks/tattoos, date of recovery, location of recovery)
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
b. Missing person (date of birth, height, sex, ethnic group, scars/marks/tattoos, location of
last contact to include city and state)
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
c. Biological relative (sex, ethnic group)
______________________________________________________________________
______________________________________________________________________
278 Colony Street, Meriden, Connecticut 06451
Phone (203) 639-6400 Fax (203) 639-6485
An Affirmative Action / Equal Opportunity Employer