BUREAU OF THE OTHER-THAN-ORDINARY
MINDWALKERS DIVISION — INTAKE OFFICE
DECLARATION OF ANOMALIEN PERSON AND/OR ABILITY
Complete every section legibly. Omitted fields will delay review, classification, and issuance of Anomalien Status. Use permanent ink only. This form must be re-filed every five (5) years or immediately following any significant supernatural related incident.
Full Legal Name: Benedictus Enorches Sanduíche
I want it on record that I did not choose this name, I did not write this name, and I have several professional opinions about this name that I am nonetheless declining to include on a federal document.
it's a BEAUTIFUL name, Allan, it's got RHYTHM, it's got a little SAMBA in it. you wouldn't understand.
Preferred Name(s), if any: Benny. Also answers to "hey you," "angel boy," and "Conan."
Current Residence:
Formerly: New Beneville (self-founded township).
Presently: a suite at Z-Tech pending Division pickup.
Date of Birth: Not applicable in any terrestrial sense. Subject predates the calendar system being used to fill out this box.
April 15th, 3 days before Conan O'Brien
Place of Birth: Heaven
Within a designated High Resonance Zone? Yes ☒ No ☐
Was subject present in or near Cardington at the time of the 1974 Incident? Yes ☐ No ☒
If yes, indicate distance from epicenter at time of exposure: He was, as best I can determine, mid-fall at the time. No indication on how far from the site, but was in a separate bubble of reality.
Name(s) of Parent(s) or Guardian(s): Presumed divine authorship.
I am not going to write "God" on line 2 of a government intake form and I would ask the reviewing officer not to make me.
Household Address, if different from above: New Beneville.
Does household reside within a quarantined Resonance Zone? Yes ☒ No ☐
Any known visible physiological variance in household members (pigmentation shift, sensory alteration, etc.)? Yes ☒ No ☐
If yes, describe: Subject is, by his own repeated and unsolicited testimony, "the most beautiful being to ever exist," which he considers a physiological fact rather than an opinion. I am noting it here because he would not let me move to Section II otherwise.
(Benny: it IS a fact, Allan, it's peer reviewed. the peer is me and I reviewed it very thoroughly, very thoroughly, every morning, in the mirror)
When was the subject's capacity first observed?
☐ At birth ☐ Adolescence ☒ Following a specific event ☐ Undetermined
If following a specific event, describe the circumstances (exposure to a Resonance Zone, contact with an other anomaly, emotional trauma, medical procedure, inheritance from a bonded entity, etc.):
Subject reports ingesting a piece of fruit "shaped like an eyeball," which summoned an entity subject refers to as La Estrella. An arrangement was made. Shortly thereafter, the subject was stripped of certain hardware (wings, halo — see Section III) and relocated to Earth without paperwork of his own. I am filling out the paperwork forty-some years late. You're welcome.
Indicate the believed origin. Check all that apply:
☐ Inherited / familial trait
☒ Proximity exposure (Resonance Zone or anomaly contact)
☐ Deliberate conditioning or training program
☒ Possession, merger, or hosted secondary consciousness
(Unconfirmed. Flagging for Division follow-up. Not my department. I clone people. I don't do metaphysics.)
☐ Unknown / spontaneous emergence
If anything other than "Unknown," describe the cause in as much detail as the subject is able to provide:
See above. Also see attached commentary from subject below, which I am transcribing verbatim per form instructions, against my better judgment:
a GARDEN, it's a nice garden, I'm just WALKING, and there's this FRUIT, and it's got a little—it's looking at me, Allan, the fruit had an EYE, and any normal angel woulda just kept walking but I was like "no thank you," and then I was like "wait, actually, yes thank you" and I took a bite and then there was a LOT of light and a voice and some very generous promises about my hair, and next thing you know, i had no wings or halo and was stuck with a DEBT!
Individual must demonstrate a primary domain of influence, with optional secondary domains manifesting at reduced strength or reliability. Indicate the subject's primary domain and check all domains in which any capacity has been observed.
Primary Domain (select one):
☐ MIND — direct mental contact, thought transference
☒ MATTER — influence over physical objects or forces
☐ TIME — anticipation or perception of events not yet occurred
☐ DEATH — contact, communication, or influence involving the deceased
☐ PERCEPTION — senses extending beyond the ordinary range
Secondary manifestations observed (check all that apply):
☐ Mind
☐ Matter
☒ Time
☐ Death
☐ Perception
☒ Bodily variance — pigmentation change, altered density, regenerative capacity, shape instability
☐ Environmental influence — capacity appears to affect weather, light, sound, or temperature
For each box checked above, briefly characterize the capacity in the space provided:
Subject can relocate anywhere on Earth instantaneously, which is either a Time manifestation, a Perception manifestation, or both. Subject is also under what he describes as a divine obligation to redeem exactly 7,777 souls, which he tracks obsessively. I am noting it here because it organizes his entire nervous system and someone in your office should probably know that.
SEVEN THOUSAND SEVEN HUNDRED AND SEVENTY-SEVEN. Not 7,776. Not 7,778. SEVEN. SEVEN SEVEN SEVEN SEVEN. you write that number down, officer, you write it down TWICE.
Does the subject's capacity intensify, destabilize, or otherwise change in relation to emotional state?
Yes ☒ No ☐ Unknown ☐
If yes, describe the correlation (e.g., surges under emotional distress, weakens when composure is lost, requires an altered or dissociative state to access):
Subject becomes markedly more voluble, more erratic, and considerably harder to keep in one room when emotionally activated. In my observation, that is always the case. There does not appear to be a resting state.
Does the subject maintain a consuming interest, hobby, or fixation that appears to stabilize or restore them when engaged? Yes ☒ No ☐
If yes, name the fixation and describe how engagement with it affects the subject's condition:
Two, technically. First, the soul-quota mentioned above, which functions as both motivation and compulsion. Second, subject has a fondness for cinnamon, which he applies to nearly everything he consumes, ostensibly for a chronic gastrointestinal condition. I have reason to believe, based on field samples my son collected without my authorization or, frankly, my knowledge until after the fact, that the "cinnamon" is not cinnamon. I am not accusing the Bureau of anything. I am simply suggesting testing it in your toxicology lab.
List any unusual occurrences observed in proximity to the subject's use of capacity (localized weather change, sudden temperature drop, voice/sound distortion, objects moving without contact, visible tears in reality, etc.):
Subject reports occasional sensations he describes as "electric" following cinnamon consumption, along with mood elevation disproportionate to the circumstances. My own facility notes several small unexplained scorch patterns and one instance of localized weather activity in a containment room with no ventilation to the outside.
it's CINNAMON, Allan, minha mana—I don't have an mana, I have never had an mana, I invented an mana for this bit—minha mana used to say cinnamon fixes everything, and I believe her, and she doesn't exist, and I still believe her
Is the subject's capacity dependent on, or enhanced by, any of the following?
☐ A specific object, keepsake, or focus
☐ An animal or other bonded companion
☒ A device or apparatus of unknown or partial origin
☐ None identified
If checked, describe origin and function:
A substance, self-administered, unknown provenance. My facility did not manufacture it, did not synthesize it, an—for the record—did not run out of it on purpose.
Has the subject ever generated a documented Strangeness spike (notable distortion of reality) during an incident? Yes ☒ No ☐
Is the subject presently affiliated with, or has the subject previously been affiliated with, any known faction, order, or unregistered group exercising anomalous influence? Yes ☒ No ☐
If yes, list name(s) and known status of each (registered / unregistered / hostile / unknown):
New Beneville: self-founded, self-governed, unregistered, status unknown to me and possibly to the Bureau as well. I'd recommend a field visit.
Does the subject derive income, housing, or material benefit through use of their capacity? Yes ☐ No ☒
Is the subject presently engaged, formally or informally, in duties involving public safety, containment response, or investigation of anomalous incidents? Yes ☒ No ☐
Does the subject's livelihood depend on continued use of their capacity? Yes ☒ No ☐
If the subject answered yes to any of the preceding three questions, does the subject carry active Field Liability Coverage as required under Division policy? Yes ☐ No ☒
If yes, list carrier and policy number: _______________________
If no, attach Form 12-W, Waiver of Field Liability Coverage.
Has the subject received compensation, equipment, or other material benefit through association with the Division or any recognized sensitive collective? Yes ☐ No ☒
If yes, describe and estimate value: _______________________
I certify that the information provided above is accurate and complete to the best of my knowledge. I understand that knowingly withholding or falsifying information on this form constitutes a violation of federal statute and may result in revocation of certification, denial of coverage, or referral for further Division review.
Signature of Subject: B.E. Sanduíche
Date: ███████████████████████
Signature of Parent/Guardian (if subject is a minor): _______________________
Signature of Intake Officer: Agt. Lloyd Gallagher Badge No.: 103187
Witness Signature (required if subject was examined within an active Resonance Zone): _______________________
If the subject is not able to appear in person due to instability, dissociation, incorporeal state, or containment status, contact your nearest Division field office to arrange remote certification. Astral communication, secondhand testimony, and correspondence through a hosted or channeled consciousness are not accepted in lieu of direct examination. Requests for remote certification must be accompanied by Form 12-R, Petition for Off-Site Verification.