Please enable JavaScript in your browser to complete this form.Missing Person InformationName of Missing Person *FirstMiddleLastMaiden NameNickname or AliasDate of BirthAge at Time of DisappearanceCell Phone NumberHome Phone NumberEmailAddressAddress Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeEthnicityHispanic or LatinoNot Hispanic or LatinoDo Not KnowOtherDescription of 'Other' EthnicityRaceAmerican Indian or Alaska NativeBlack or African AmericanAsianNative Hawaiian or Other Pacific IslanderWhite2 or More RacesDo Not KnowOtherDescription of 'Other' RaceBiological GenderMaleFemaleGender IdentificationFemaleMalePreferred Pronouni.e. he/him, she/her, they/themRelationship StatusMarriedSingleDivorcedGoing Through DivorceBoyfriend/Girlfriend RelationshipGoing Through BreakupMultiple PartnersParental StatusChildren at Home (under 18)Children at Home (18 and over)Disabled Children (any age)Foster ChildrenAdopted ChildrenChildren Not Living at Home (under 18)Children Not Living at Home (18 and over)Disabled Children Not Living at Home (any age)Missing Person Description(description at time of disappearance)HeightWeightEye ColorHair ColorNatural Hair ColorHair Lengthbald, short, medium, long, etc...Hair Stylebuzz, curly, straight, etc..Glasses/Contactsplease describeTeethdescribe conditionScars, Marks, or DeformitiesTattooslocation and descriptionPiercingslocation and descriptionClothingwhat were they wearing last (color/style)Jacket/Coatwhat were they wearing last (color/style)Footwearwhat were they wearing last (color/style)Shoe SizeHeadweardescribe (hat, scarf, bowtie, etc...)JewelrydescribeSpouse/Significant Other InformationSpouse/Significant Other Name *FirstMiddleLastSpouse/Significant Other Cell PhoneSpouse/Significant Other Home PhoneSpouse/Significant Other EmailSpouse/Significant Other AddressAddress Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeLaw Enforcement InformationWas a Police Report Filed? *YesNoDate Missing Person Report Was Filed *Law Enforcement Officer Who Took ReportFirstLastPolice Department Name *Police Department Phone Number *Case Number / Police Report Number *Assigned Detective NameFirstLastAssigned Detective Phone NumberAssigned Detective EmailHas Missing Person Been Listed In These Databases?LEADSNAMUSNCICFBINational Center for Missing and Exploited ChildrenPoly Klaas FoundationMissingKids.comInternational Centre for Missing & Exploited ChildrenAmber AlertSilver AlertMissing and Black Inc.National Center for Missing AdultsOffice to Monitor and Combat Trafficking in Personsplease select all that applyNAMUS NumberNCIC NumberPlease List Other Databases and/or Law Enforcement Agencies Missing Person Has Been Listed With Here.Circumstances Surrounding DisappearanceHas this person ever went missing before? If so, please provide details here.REWARD - Please list any Reward information/amount here.Date Last Seen *DateTimePerson Last Seen WithFirstMiddleLastAddress of Person Last Seen WithAddress Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeRelationship to Person Last Seen WithPhone Number of Person Last Seen WithEmail of Person Last Seen WithMissing Person's Vehicle DescriptionState Vehicle Plates are Registered ToVehicle License Plate NumberMissing Person's EmployerMissing Person's Employer AddressAddress Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeMissing Person's Employer Phone NumberMissing Person's Employer EmailIs Foul Play Suspected?Kidnapping or LuringParental KidnappingHuman Trafficking - SexHuman Trafficking - DrugsHuman Trafficking - LaborHuman Trafficking - OtherDomestic Violence ReportedDomestic Violence Not ReportedStalker ReportedStalker Not ReportedThreats ReportedThreats Not ReportedNo Suspected Foul PlaySuspected RunawayOtherDetails Surrounding Disappearance *be specific as possibleKnown Illness, Mental Conditions, Disabilities, DisordersDoes Missing Person Require Medication and/or Medical Attention? *YesNoDo Not KnowIf Answered 'Yes' to Required Medication/Medical Attention, Please Explain HereDrug Use *Yes - Known Current Drug UseYes - Known Past Drug Use (not currently using)No Known Drug UsePossible Drug Use SuspectedDo Not KnowIf Known or Suspected Drug Use, Please Provide Drug Name(s)/Information HereAlcohol Abuse *Yes - Known Alcohol AbuseNo Known Alcohol AbusePossible Alcohol Abuse SuspectedDo Not KnowAlcohol Abuse - More Information if Answered 'Yes' AboveKnown Hangout Areas (neighborhood, city, state, club, etc...)Missing Person's HobbiesElectronics With Missing PersonSocial Media of Missing PersonFacebookInstagramOnly FansTikTokYouTubePinterestLinkedInDating SiteSnapChatOtherOtherMilitary ServiceMilitary StatusActive DutyAWOLNational GuardReservesRetiredVeteran Honorable DischargeVeteran Dishonorable DischargeVeteran Other Than Honorable DischargeVeteran of WartimeVeteran OtherNot a VeteranMilitary BranchArmyAir ForceSpace ForceNavyMarinesCoast GuardOtherFamily / Authorized Contact PersonFamily/Authorized Contact Person *FirstLastFamily/Authorized Contact's Relationship to Missing Person *Family/Authorized Contact Person's Cell Phone NumberFamily/Authorized Contact Person's Home Phone NumberFamily/Authorized Contact Person's Email *Person Submitting Formyour informationName *FirstLastCell PhoneHome PhoneEmail *AddressAddress Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeYour Relationship to Missing Person *Attach Additional Documents and/or Flyers HereAdditional Information and/or QuestionsDo you agree to allow us to use any pictures submitted on this form publicly? *Yes, I agreeDo you understand that any/all information provided on this form may be shared with others to help find the missing person? *Yes, I understandDo you agree to allow us to post publicly about the missing person on social media sites and/or public websites? *Yes, I agreeDo you agree to allow us to contact/coordinate search efforts with any/all law enforcement agencies as needed and/or required? *Yes, I agreeDo you agree to allow us to contact/coordinate awareness and search campaigns with various media outlets/sources? *Yes, I agreeDo you understand that all services provided by us will be at no charge to you? *Yes, I understandPictures of Missing PersonPlease email pictures of missing person to: MissingPerson@AIDBIPOC.org or you can submit via URL Link(s) below.Missing Person Picture URL #1Missing Person Picture URL #2Missing Person Picture URL #3Missing Person Picture URL #4Submit