Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Missing Person InformationName of Missing Person *FirstMiddleLastNickname or Alias of Missing PersonMissing Person's Date of Birth *Missing Person's Age at Time of DisappearanceDate Missing Person Last Seen *Time Missing Person Last SeenMissing From City *Missing From CountyMissing From State *AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingMissing Person's Last Seen Location *Please limit to 100 characters or less. This will be included on the flyer.Missing Person's AddressAddress Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeRace *American Indian or Alaska NativeBlack or African AmericanAsianNative Hawaiian or Other Pacific IslanderHispanicWhiteBiracialOtherSkin Complexion *LightMediumDarkMissing Person's Biological Gender *MaleFemaleMissing Person's Gender IdentityFemaleMaleNonbinaryOtherMissing Person Description(description at time of disappearance)Missing Person's Height (ft) *missing person's height in feet onlyMissing Person's Height (in) *missing person's height in inches onlyMissing Person's Weight (lbs) *please enter missing person's weight in pounds (lbs) (number value only)Missing Person's Eye Color *BlackBlueBrownGreenGrayHazelPink (albino)OtherMissing Person's Hair Color *BaldBlackBlondeSandy BlondeAsh BlondePlatinum BlondeBrownLight BrownGraySilverWhiteRedBurgundyPurplePinkGreenOrangeBlueOtherMissing 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/CharacteristicsTattoosDoes missing person have any tattoos? If yes, please describe size, location, colors, and what the tattoo is (if known).PiercingsDoes 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)JewelrydescribeLaw Enforcement InformationWas a Police Report Filed? *YesDate Missing Person Report Was Filed *Date Missing Person Report Was FiledPolice Report Case Number *Police Report Case NumberLaw Enforcement Officer Who Took ReportPolice Department Name *Police Department Phone Number *Police Street AddressPolice City *Police CountyPolice State *AlabamaAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingCase Assignment InformationAssigned Detective NameAssigned Detective Phone NumberAssigned Detective EmailMissing Persons DatabasesHas Missing Person Been Listed In These Databases? *NoneLEADSNAMUSNCICFBINational Center for Missing and Exploited ChildrenPoly Klaas FoundationMissingKids.comInternational Centre for Missing & Exploited ChildrenAmber AlertSilver AlertEndangered Missing Persons AlertAshanti AlertBlue AlertGreen AlertCamo AlertClear AlertEbony AlertMEPA (Missing Endangered Person Advisory)MIP (Missing Indigenous Person Alert)Gold AlertLevi’s CallPurple AlertJade AlertNational Center for Missing AdultsOffice to Monitor and Combat Trafficking in PersonsCrimeStoppers (state specific)ALEA (Alabama)CAMP (California)FCIC (Florida)GCIC (Georgia)KBI (Kansas)LEIN (Michigan)MUPU (Missouri)NCIC (National)NamUs (National)NJSP (New Jersey)NYSIC (New York)Oregon Missing Persons DatabasePennsylvania Missing PersonsTBI (Tennessee)VCIC (Vermont)WSP (Washington)Otherplease select all that applyNAMUS ID NumberNCIC NumberCircumstances Surrounding DisappearanceHas this person ever went missing before? If so, please provide details here.REWARD - Please list any Reward information/amount here.Missing Person's Vehicle DescriptionMissing Person's Personal Vehicle Description (Year, Make, Model, Color, Description Details, etc....)State Missing Person's Vehicle Plates are Registered ToAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingMissing Person's Vehicle License Plate NumberMissing Person's Vehicle License Plate NumberIs Foul Play or Runaway 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 RunawayOtherSelect one pleaseCircumstances of 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 HereKnown Hangout Areas (neighborhood, city, state, club, etc...)Family / Authorized Contact PersonFamily/Authorized Contact Person *Family/Authorized Contact Person Full NameFamily/Authorized Contact's Relationship to Missing Person *Missing Person's SpouseMissing Person's Boyfriend/GirlfriendMissing Person's ParentMissing Person's ChildMissing Person's GrandparentMissing Person's GuardianMissing Person's Aunt/UncleMissing Person's CousinMissing Person's SiblingMissing Person's FriendMissing Person's CaretakerMissing Person's RoommateFamily/Authorized Contact Person's Cell Phone NumberFamily/Authorized Contact Person's Home Phone NumberFamily/Authorized Contact Person's Email *Person Submitting Formyour informationSubmitter's First Name *Submitter's Middle NameSubmitter's Last Name *Submitter's Cell Phone NumberSubmitter's Home Phone NumberSubmitter's Email *Submitter's Street AddressSubmitter's City *Submitter's CountySubmitter's State *AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingSubmitter's Zip Code *Submitter's Relationship to Missing Person *Missing Person's SpouseMissing Person's Boyfriend/GirlfriendMissing Person's ParentMissing Person's ChildMissing Person's GrandparentMissing Person's GuardianMissing Person's Aunt/UncleMissing Person's CousinMissing Person's SiblingMissing Person's FriendMissing Person's CaretakerMissing Person's RoommateAdvocateSubmitter's Relationship to Missing PersonPictures of Missing PersonPlease email pictures of missing person to: MissingPerson@AIDBIPOC.org or you can submit via URL Link(s) below.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 HereFile Upload Click or drag files to this area to upload. You can upload up to 3 files. Additional 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 conduct and/or 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 understandSubmit