SOUTH CAROLINA AMBER

ALERT CANCELLATION FORM

DATE: _____________________________ TIME: ___________________________AM/PM

TO: SOUTH CAROLINA LAW ENFORCEMENT DIVISION

FAX (803) 896-7041 (If problem, call (800) 322-4453 or (803) 737-9000)

FROM: _______________________________________________________________________

CONTACT PERSON: ___________________________________________________________

Telephone #: ___________________________________________________________________

Facsimile #: ____________________________________________________________________

CANCELLATION INFORMATION

NCIC #: ______________________________________________________________________

VICTIM'S NAME: ______________________________________________________________

DATE OF BIRTH:______________________________________________________________

REASON FOR CANCELLATION: ________________________________________________

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