Submit an Officer

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Submit an Officer

* Bold fields are required

Your Contact Information

Name

Relationship

Agency

Agency Affiliation

Phone

Victim Officer's Information

Rank & full name

Officer's agency

Agency chief executive name

Mailing address

City & state

Phone number

Date of death

Cause of death

Age

Badge or Unit #

Years in law enforcement i.e.: 12 years with Los Angeles PD & 5 years with Los Angeles County SO

Race

Veteran Status

Military Details i.e.: wars, years, medals, reserves, etc.

Survivors at time of death i.e.: Wife, two children

Attach a photograph Max file size: 3 MB

Add another picture (Max 5)

Information about the Incident

Date of incident

Time of incident

Incident location i.e.: address, intersection, closest landmark

Duty Status On Duty Off Duty

Incident details Please be as detailed as possible

Suspect Information

Suspect Status

Trial outcome

Additional information

Acknowledgement

Submitting a fallen officer to the Officer Down Memorial Page does not guarantee the officer will be added to this memorial. All officers submitted to ODMP are evaluated against our criteria for inclusion using information compiled from user submissions, media accounts, and correspondence with the officer's agency.

If necessary, an ODMP staff member may contact you regarding your submission. To specifically request a response, please use our contact form after completing this submission.

By submitting this form, you acknowledge that you have read and understand ODMP's Terms of Service and Privacy Statement.