In 1994, the National Coalition Against Domestic Violence, in conjunction with Ms. Magazine started the Remember My Name™ project. This project was developed to create a national registry of victims who have lost their lives to domestic violence and to increase public awareness about domestic violence. Twenty years later, NCADV continues to honor this legacy by collecting names and information submitted by family and friends to produce an annual honorarium poster during Domestic Violence Awareness Month. If you would like to submit a name and information for inclusion in the registry and honorarium poster, please complete this form.

You may attach additional information such as news articles, police reports, court records, etc. Items submitted are no longer confidential and cannot be returned.

Due to the large number of submissions we receive, we ask that you restrict your sumbittal to this form only. Submissions must be received by May 1st for inclusion on current year poster.

An asterisk (*) indicates a required field.
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  • please use one or two words
  • please use only a few words
  • please use only a few words
  • Please list the names, ages, relationship to primary victim and weapon used of any additional victims below:
  • Please include the EXACT links to online news stories about this case. If you do not know how to copy and paste hyperlinks, please upload any news articles below (limit--3).
  • Please do not send case documents. News articles only please (limit--3). Thank you.