Type of
Incident # Installation Date of Incident Date of Referral Victim
20091667 Fort Bragg 18JUL2009 18JUL2009 Spouse
Victim Victim
Victim Date of Race Marital
Victim FMP Victim SSN Victim Name Birth Victim Sex Ethnicity Status
30 REDACTED REDACTED 01JAN1920 Female Asian/ Not
Pacific Reported
Islander
Abuser
Abuser Date of Abuser Race Branch of
Abuser SSN Abuser Name Birth Abuser Sex Ethnicity Service
REDACTED REDACTED 01JAN1920 Male Asian/Pacific Army
Islander
Determination Date
(i.e., CRC Date) Determination Type(s) of Abuse Substantiated
18AUG2009 DidNotMeetCriteriaContinue BLANK
SECTION VI - CLOSURE