Report a Missing Person - Detailed Form

Important: Please ensure you have a police report and a recent photo ready before submitting this form.

Please complete the form below with the physical description of the missing person, along with your current information and details about the investigating law enforcement agency.

For public notifications, provide detailed and accurate descriptive information as it should appear. Ensure all fields are completed thoroughly.

All profile submissions will undergo a thorough review process before publication, including confirmation from the police or investigating agency and verification of the case number. This ensures the credibility of the Association for Intellectually Disabled Black, Indigenous, and People Oppressed by Color and the integrity of the reported data.

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Missing Person Information

Name of Missing Person

First

Middle

Last

Maiden Name of Missing Person

Nickname or Alias of Missing Person

Missing Person's Date of Birth

Missing Person's Age at Time of Disappearance

Date Missing Person Last Seen

Missing Person's Last Seen Location

Please limit to 100 characters or less. This will be included on the flyer.

Missing Person's Cell Phone Number

Missing Person's Home Phone Number

Missing Person's Email

Missing Person's Address

Address Line 1

Address Line 2

City

State

Zip Code

Missing Person's Biological Gender

Male
Female

Missing Person's Gender Identity

Female
Male
Nonbinary
Not LIsted

gender that the missing person identifies as

Missing Person's Preferred Pronoun

i.e. he/him, she/her, they/them

Missing Person's Parental Status

Children at Home (under 18)
Children at Home (18 and over)
Disabled Children (any age)
Foster Children
Adopted Children
Children 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)

Missing Person's Height (ft)

missing person's height in feet only

Missing Person's Height (in)

missing person's height in inches only

Missing Person's Weight (lbs)

please enter missing person's weight in pounds (lbs) (number value only)

Missing Person's Eye Color

Missing Person's Hair Length

bald, short, medium, long, etc...

Missing Person's Hair Style

buzz, curly, straight, etc..

Contacts or Glasses?

Does missing person wear contacts or glasses? If so, please describe.

Identifying Marks/Characteristics

Tattoos

Does missing person have any tattoos? If yes, please describe size, location, colors, and what the tattoo is (if known).

Piercings

Does missing person have any piercings? If yes, please describe size, location, colors, and what the piercing(s) is (if known).

Last Seen Wearing

what were they wearing last (color/style)

Jewelry

describe

Missing Person's Vehicle Information (if known)

Missing Person's Vehicle Description

Missing Person's Personal Vehicle Description (Year, Make, Model, Color, Description Details, etc....)

State Missing Person's Vehicle Plates are Registered To

Missing Person's Vehicle License Plate Number

Missing Person's Employer Information (if known)

Missing Person's Employer

Missing Person's Employer Phone Number

Missing Person's Employer Address

Address Line 1

Address Line 2

City

State

Zip Code

Missing Person's Employer Email

Spouse/Significant Other Information

Spouse/Significant Other First Name

Spouse/Significant Other Middle Name

Spouse/Significant Other Last Name

Spouse/Significant Other Suffix

Spouse/Significant Other Cell Phone

Spouse/Significant Other Home Phone

Spouse/Significant Other Email

Spouse/Significant Other Address

Address Line 1

Address Line 2

City

State

Zip Code

Law Enforcement Information

Was a Police Report Filed?

Date Missing Person Report Was Filed

Police Report Case Number

Law Enforcement Officer Who Took Report

Police Department Name

Police Department Phone Number

Police Street Address

Police City

Police County

Police State

Case Assignment Information

Assigned Detective Name

Assigned Detective Phone Number

Assigned Detective Email

Missing Persons Databases

NAMUS ID Number

NCIC Number

REWARD - If there is a reward being offered, please list information/amount here.

Circumstances Surrounding Disappearance

Person Last Seen With Information

First Name of Person Last Seen With

Last Name of Person Last Seen With

Address of Person Last Seen With

Address Line 1

Address Line 2

City

State

Zip Code

Relationship to Person Last Seen With

Phone Number of Person Last Seen With

Email of Person Last Seen With

Circumstances of Disappearance

be specific as possible

Has this person ever went missing before? If so, please provide details here.

Known Illness, Mental Conditions, Disabilities, Disorders

Does Missing Person Require Medication and/or Medical Attention?

Yes
No
Do Not Know

If Known or Suspected Drug Use, Please Provide Drug Name(s)/Information Here

Alcohol Abuse

Yes - Known Alcohol Abuse
No Known Alcohol Abuse
Possible Alcohol Abuse Suspected
Do Not Know

Alcohol Abuse - More Information if Answered 'Yes' Above

Known Hangout Areas (neighborhood, city, state, club, etc...)

Missing Person's Hobbies

Electronics With Missing Person

Social Media of Missing Person (if known)

Facebook

Instagram

Only Fans

TikTok

YouTube

Dating Site

SnapChat

Other

Military Service

Family / Authorized Contact Person

Family/Authorized Contact Person

First

Last

Family/Authorized Contact's Relationship to Missing Person

Family/Authorized Contact Person's Cell Phone Number

Family/Authorized Contact Person's Home Phone Number

Family/Authorized Contact Person's Email

Person Submitting Form

your information

Your First Name

Your Middle Name

Your Last Name

Your Suffix

Your Cell Phone

Your Home Phone

Your Email

Address

Address Line 1

Address Line 2

City

State

Zip Code

Your Relationship to Missing Person

Attach Additional Documents and/or Flyers Here

Pictures of Missing Person

Please email any additional pictures of missing person to: MissingPerson@AIDBIPOC.org if you have more than 3 that you would like to submit. At least ONE IMAGE must be uploaded now for flyer.

Upload Images Here

Click or drag files to this area to upload. You can upload up to 3 files.

First image uploaded will be the picture used on the flyer.

Upload Reports & Documents Here

Click or drag files to this area to upload. You can upload up to 6 files.

Additional Information and/or Questions

Do you agree to allow us to use any pictures submitted on this form publicly?

Yes, I agree

Do you understand that any/all information provided on this form may be shared with others to help find the missing person?

Yes, I understand

Do you agree to allow us to post publicly about the missing person on social media sites and/or public websites?

Yes, I agree

Do you agree to allow us to contact/coordinate search efforts with any/all law enforcement agencies as needed and/or required?

Yes, I agree

Do you agree to allow us to contact/coordinate awareness and search campaigns with various media outlets/sources?

Yes, I agree

Do you understand that all services provided by us will be at no charge to you?

Yes, I understand

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