6547 N Academy Blvd • 2223 • Colorado Springs CO • 80917
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Basic Information
Personal data
Incident Data
Contact information
You have indicated that you would like to create a memorial for your loved one.
First, we offer our sincere condolences. Unfortunately, we know what it is to go through this terrible tragedy. If Marley can help you in any way, please reach out to us. In the meantime, know that you are not alone, and that we stand with you in getting justice.
We will be asking you a series of questions about your loved one and the incident that took them from you. Some of these questions may be uncomfortable. You are free to skip any questions you wish not to answer. The more thoroughly and completely you answer the questions, the more complete the memorial will be.
With that, let's begin...
Continue to 'Personal data'
Biography
Full Name of the Deceased
(We're asking you for their name in a few different ways because of the way it appears on the memorial.)
First Name
Middle Name
Last Name
Nick Name
Photographs / Images
Please share two photos with us. The first one should be square, similar to a Facebook profile picture. The header image should be a rectangular photo similar to Facebook's header image.
Photo
Select File
Upload
0%
Header Image
Select File
Upload
0%
Basic Info
Age
Date of Birth
Gender
--- select Gender ---
Male
Female
Relationship Status
--- select Relationship Status ---
Single
Married
Divorced
Widowed
Children?
--- select Children? ---
yes
no
Number of Children
Race
--- select Race ---
White
Black / African American
Asian
American Indian / Alaskan Native
Native Hawaiian / Pacific Islander
Hispanic / Latino
Other
Religion
--- select Religion ---
Christian
Jewish
Buddhist
Hindu
Muslim
Other
unknown
Introduction
Brief
Accolades
Occupation
Highest Education Level
--- select Highest Education Level ---
No High School
Some High School
High School Diploma or GED
Trade or Craft Certificate
Professional Certificate
Some College
Associate Degree
Bachelor's Degree
Masters Degree
Doctorate Degree
Post Graduate
Professional Degree
Unknown
Accomplishments
Biography
Biography
Continue to 'Incident Data'
Now, we will ask about some information specific to the incident. Again, you are welcome to skip any questions that are uncomfortable. This information will be used to tell your loved one's story.
Date of Death
City of Death
--- select State of Death ---
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Agency Involved in Death
Cause of Death
--- select Cause of Death ---
shot
tasered
bludgeoned
vehicle
asphyxiation
chemical agent
fall from height
drug overdose
drowned
stabbed
other
undetermined
Armed with...
--- select Armed with... ---
lawfully armed with a legal gun
armed with a gun
holding a knife
holding a toy weapon
holding a shovel
holding a hammer
holding a sword
holding a machete
holding a box cutter
holding another blunt object
holding another sharp object
not armed
undetermined
The death was ruled
--- select The death was ruled ---
has been ruled justified
was determined to be criminal
was determined to be negligent
is currently being determined by a court
justification has not yet determined
is currently under investigation
is currently under DA review
Mental Health / Criminal History
Mental Health
yes
no
unknown
Mental Health Treatment
yes
no
unknown
Criminal History
--- select Criminal History ---
had a criminal history as an adult
had no criminal history
was a minor at the time of any criminal record
has no known criminal record
Continue to 'Contact information'
Now we're going to ask you a little bit of information about yourself. Please feel free to answer as much or as little of the information as you wish. The information given here WILL be listed in your loved one's memorial.
Your Name
Relationship to Deceased
Your Email Address
Phone Number
Twitter
http://
https://
ftp://
Facebook URL
http://
https://
ftp://
Instagram
http://
https://
ftp://
Justice URL
http://
https://
ftp://
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