Inspector Stephen Lear

USPIS/NCMEC
Post Office Box 19853
Alexandria, VA 22302-9853

Re: Newly Identified Child Victim Submission

Enclosed please find material related to a newly identified child victim

that we wish to have entered into the Child Recognition and
Identification System (CRIS).

Investigating Agency: Agency Name

Case Number: Agency case #

Contact Information for this series

Name: Investigating officer's name
Phone Number: Investigating officer's phone #
Email Address: Investigating officer's email address
Preferred method of contact? Phone Email

Case Information
Suspect Name:
Suspect DOB:
Relationship to victim:
Age of victim when media was produced:
Date range of when media was produced:
Approximate number of media files in series:

Distribution
Is there confirmed distribution of these files? YES NO
Would you like this series placed on “Be on the lookout” status?
YES NO

Internet information regarding suspect (if applicable)

Known email addresses:
Known screen names:
Related CyberTipline/Technical Assistance reports:

Case Summary:
Please enter case synopsis