Submit a Fallen Canine

Submit an Fallen Canine

* Bold fields are required

Your Contact Information

Name:

Email:

Relationship:

Agency:

Phone:

Victim Canine's Information

Canine's Name:

Canine's agency:

City & state:

Date of death:

Cause of death:

Weapon Used:

Age:

Gender: Male Female

Breed:

Length of service:

Attach a photograph: Max file size: 1 MB

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.

Line of duty deaths this year
12 +140%

Gunfire deaths this year
5 +150%

Auto-related deaths this year
6 +200%