Professional Documents
Culture Documents
Type of
Incident # Installation Date of Incident Date of Referral Victim
20090010 Fort Bragg 26JUN2008 26JUN2008 Spouse
Victim Victim
Victim Date of Race Marital
Victim FMP Victim SSN Victim Name Birth Victim Sex Ethnicity Status
20 REDACTED REDACTED 01JAN1920 Male Black, Not Not
Hispanic Reported
Abuser
Abuser Date of Abuser Race Branch of
Abuser SSN Abuser Name Birth Abuser Sex Ethnicity Service
REDACTED REDACTED 01JAN1920 Female Black, Not Hispanic Civilian (Include
Govt Contr)
Determination Date
(i.e., CRC Date) Determination Type(s) of Abuse Substantiated
23SEP2008 Referred for Services BLANK
SECTION VI - CLOSURE