En el presente formulario se solicitarán una serie de datos, con la finalidad de obtener los antecedentes pertinentes y así, realizar el ingreso de la denuncia en la plataforma web de Fiscalía
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10684168-3ante
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10684168-3ante
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Fecha de nacimiento denunciante
*
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Fecha de nacimiento denunciante
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Edad denunciante
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Edad denunciante
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Sexo o género denunciante
*
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Sexo o género denunciante
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Estado civil denunciante
*
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Estado civil denunciante
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Nacionalidad denunciante
*
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Nacionalidad denunciante
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Escolaridad denunciante
*
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Escolaridad denunciante
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Profesión u oficio denunciante
*
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Profesión u oficio denunciante
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Lugar de trabajo denunciante
*
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Lugar de trabajo denunciante
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Domicilio denunciante
*
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Domicilio denunciante
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Teléfono denunciante
*
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Teléfono denunciante
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Correo electrónico denunciante
*
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Correo electrónico denunciante
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Parentesco o vínculo con la víctima
*
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Parentesco o vínculo con la víctima
*
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No
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En caso de que, la respuesta anterior sea afirmativa, indicar cual
*
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En caso de que, la respuesta anterior sea afirmativa, indicar cual
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Nombre completo víctima (en caso de tener conocimiento de ello)
*
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Nombre completo víctima (en caso de tener conocimiento de ello)
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RUT/Pasaporte víctima
(en caso de tener conocimiento de ello)
*
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RUT/Pasaporte víctima
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Fecha de nacimiento víctima
(en caso de tener conocimiento de ello)
*
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Fecha de nacimiento víctima
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Edad víctima
(en caso de tener conocimiento de ello)
*
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Edad víctima
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Sexo o género de la víctima
(en caso de tener conocimiento de ello)
*
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Sexo o género de la víctima
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Nacionalidad de la víctima
(en caso de tener conocimiento de ello)
*
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Nacionalidad de la víctima
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Domicilio de la víctima
(en caso de tener conocimiento de ello)
*
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Domicilio de la víctima
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Adulto a cargo en caso de que, se denuncie en favor de un menor (en caso de tener conocimiento de ello)
*
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Adulto a cargo en caso de que, se denuncie en favor de un menor (en caso de tener conocimiento de ello)
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Nombre completo del denunciado
(en caso de no saberlo, indicar NO)
*
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Nombre completo del denunciado
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Apodo del denunciado (en caso de tener conocimiento de ello)
*
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Apodo del denunciado (en caso de tener conocimiento de ello)
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RUT/Pasaporte del denunciado
(en caso de tener conocimiento de ello)
*
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RUT/Pasaporte del denunciado
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Nacionalidad denunciado (en caso de tener conocimiento de ello)
*
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Nacionalidad denunciado (en caso de tener conocimiento de ello)
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Descripción física del denunciado (lo más detalladamente posible)
*
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Descripción física del denunciado (lo más detalladamente posible)
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Fecha de los hechos que denuncia
*
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Fecha de los hechos que denuncia
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Hora aproximada en que ocurrieron los hechos que denuncia
*
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Hora aproximada en que ocurrieron los hechos que denuncia
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Lugar en que ocurrieron los hechos que denuncia
*
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Lugar en que ocurrieron los hechos que denuncia
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Explique con el mayor detalle posible los hechos que va a denunciar
*
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Explique con el mayor detalle posible los hechos que va a denunciar
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¿Existen testigos de los hechos que denuncia?
*
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¿Existen testigos de los hechos que denuncia?
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En caso de que, su respuesta anterior sea SÍ, indique: nombre, RUT y teléfono (si tiene conocimiento de ello) del o los testigos
*
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En caso de que, su respuesta anterior sea SÍ, indique: nombre, RUT y teléfono (si tiene conocimiento de ello) del o los testigos
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¿Cuenta con otros medios de prueba?
*
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¿Cuenta con otros medios de prueba?
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En caso de que, tenga medios de pruebas, indique cuáles
*
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En caso de que, tenga medios de pruebas, indique cuáles
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Fotografías
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Clave única (se solicita para realizar un seguimiento a su denuncia en la plataforma web de la Fiscalía)
*
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Clave única (se solicita para realizar un seguimiento a su denuncia en la plataforma web de la Fiscalía)
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10684168-3ante
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Fecha de nacimiento denunciante
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Edad denunciante
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Sexo o género denunciante
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Estado civil denunciante
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Nacionalidad denunciante
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Escolaridad denunciante
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Profesión u oficio denunciante
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Lugar de trabajo denunciante
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Domicilio denunciante
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Teléfono denunciante
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Correo electrónico denunciante
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Parentesco o vínculo con la víctima
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En caso de que, la respuesta anterior sea afirmativa, indicar cual
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Nombre completo víctima (en caso de tener conocimiento de ello)
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RUT/Pasaporte víctima
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Fecha de nacimiento víctima
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Edad víctima
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Sexo o género de la víctima
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Nacionalidad de la víctima
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Domicilio de la víctima
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Adulto a cargo en caso de que, se denuncie en favor de un menor (en caso de tener conocimiento de ello)
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Nombre completo del denunciado
(en caso de no saberlo, indicar NO)
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Apodo del denunciado (en caso de tener conocimiento de ello)
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RUT/Pasaporte del denunciado
(en caso de tener conocimiento de ello)
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Nacionalidad denunciado (en caso de tener conocimiento de ello)
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Descripción física del denunciado (lo más detalladamente posible)
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Fecha de los hechos que denuncia
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Hora aproximada en que ocurrieron los hechos que denuncia
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Lugar en que ocurrieron los hechos que denuncia
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Explique con el mayor detalle posible los hechos que va a denunciar
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¿Existen testigos de los hechos que denuncia?
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En caso de que, su respuesta anterior sea SÍ, indique: nombre, RUT y teléfono (si tiene conocimiento de ello) del o los testigos
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¿Cuenta con otros medios de prueba?
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En caso de que, tenga medios de pruebas, indique cuáles
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Clave única (se solicita para realizar un seguimiento a su denuncia en la plataforma web de la Fiscalía)
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