Important: Please note that it is highly recommended to enclose copies of documentation relevant to your claims. DO NOT SEND ORIGINALS. If your communication refers to the enforced disappearance of a person(s), include the following information as part of the facts (if possible): (a) Date of arrest, abduction or disappearance: ............................... (b) Place of arrest, abduction or where the disappearance occurred (be as precise as possible. Indicate street, city, province or any other relevant information): .............................................................................. (c) Date when the person was last seen, if different from the date of arrest or abduction (for example, if seen in a prison months after the initial arrest or abduction): ............................................................................ (d) Place where the person was last seen (if different from place of arrest or abduction. For example, if seen in a prison months after the initial arrest or abduction). Please, be as precise as possible. Indicate street, city, province or any other relevant information: ...................................... ............................................................................................... ............................................................................................... (e) If possible, please, provide a full description of how the disappearance took place: ........................................................................ ............................................................................................... ............................................................................................... (f) Identity, if possible, the State or State-supported forces, entity, or group believed to be responsible for the disappearance. (i) If the perpetrators are believed to be State agents, please specify and indicate who and why they are believed to be responsible. Be as precise as possible—military, police, persons in uniform or civilian clothes, agents of security services, unit to which they belong, rank and functions, identification presented, etc.: ................................ .......................................................................................... (ii) If identification as State agents is not possible, specify and indicate which group or entity is believed to be responsible. Please indicate if its members acted with the authorization, support or acquiescence of the State. Explain why you believe that governmental authorities, or persons linked to them, may be responsible for the incident: ........... .......................................................................................... (g) Additional information on the case. Please indicate any other relevant information that could be useful: .................................................... ............................................................................................... ............................................................................................... ............................................................................................... ............................................................................................... 39