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POMC Forms

We are committed to honoring those we have lost through violence. Feel free
to browse our collection of forms for victim commemoration.

Downloadable & Online Forms

Below are the links to all the online forms available on the National POMC web site.  Downloadable copies of these forms can be seen below online form. 

If you would like to have your loved one’s name inscribed on a brass plate and placed on our Murder Wall…Honoring Their Memories:
Murder Wall Inscribed Plate Order Form

If you would like to have your loved one included in the Memorial Book that accompanies the Murder Wall…Honoring Their Memories:
Memorial Book Order Form

If you would like to order a photo of the individual panel that your loved one’s name was added to:
Murder Wall Panel Photo Form

If you would like to order a Personalized Individual Wall Picture in which a photograph of your loved one will be professionally superimposed on a Murder Wall panel:
Personalized Individual Wall Picture Form

If you would like to support the Murder Is Not Entertainment MINE program:
MINE Form

If you would like to initiate a Parole Block Petition:
Parole Block Program Form

If your loved one’s murderer was paroled/released early from prison:
Killer Alert Information Form

If you would like to initiate our Second Opinion Services (S.O.S.):
Second Opinion Services Form

If you would like to pay directly for recurring monthly contributions:
Debit Authorization Form

If you would like to add your loved one’s name on a POMC’s Memorial card:
Memorial Card Consent Form