The National Coalition Against Domestic Violence (NCADV), in conjunction with Ms. Magazine, started this project in 1994. The project was developed to create a national registry of victim's names to increase public awareness of domestic violence deaths. 20 years later, NCADV continues to collect the names and information submitted by family and friends to produce a honorarium poster each year for 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.