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Report A Case

Surname, first name

Rank

Age

Last Office

Years Of Service

City (of the incident)

Life Partner

Children





Cause Of Death

Date Of Death

..

Circumstances Of Death

Source

Newspaper, Internet etc.

Your E-Mail Address

The e-mail address will not be published and not stored. It will only be used for possible queries and/or to inform you when your contribution has been published.





Mandatory information


Enter Deceased Service Dog

Name

Age

Last Office

Years Of Service

City (of the incident)

Cause Of Death

Date Of Death

..

Circumstances Of Death

Source

Newspaper, Internet etc.

Your E-Mail Address

The e-mail address will not be published and not stored. It will only be used for possible queries and/or to inform you when your contribution has been published.






Mandatory information


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