Report a Missing Person - Short 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

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 Address

Address Line 1

Address Line 2

City

State

Zip Code

Complexion

Light
Medium
Dark

Biological Gender

Male
Female
Other

Gender Identification

Female
Male
Other

Missing Person Description

(description at time of disappearance)

Height (feet)

Height (inches)

Weight (lbs)

Eye Color

Hair Color

Hair Length

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

Hair Style

buzz, curly, straight, etc..

Contacts or Glasses?

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

Identifying Marks, Scars, Marks, or Deformities

Tattoos

location and description (type NONE if missing person has no tattoos)

Piercings

location and description

Clothing Last Seen Wearing

what were they wearing last (color/style)

Jewelry

describe

Law Enforcement Information

Was a Police Report Filed?

Date Missing Person Report Was Filed

Law Enforcement Officer Who Took Report

First

Last

Police Department Name

Police Department Phone Number

Case Number / Police Report Number

Assigned Detective Name

First

Last

Assigned Detective Phone Number

Assigned Detective Email

NAMUS Number

NCIC Number

Please List Other Databases and/or Law Enforcement Agencies Missing Person Has Been Listed With Here.

Circumstances Surrounding Disappearance

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

REWARD - Please list any Reward information/amount here.

Missing Person's Vehicle Description

State Vehicle Plates are Registered To

Vehicle License Plate Number

Details Surrounding Disappearance

be specific as possible

Known Illness, Mental Conditions, Disabilities, Disorders

Does Missing Person Require Medication and/or Medical Attention?

Yes
No
Do Not Know

If Answered 'Yes' to Required Medication/Medical Attention, Please Explain Here

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

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

Name

First

Last

Cell Phone

Home Phone

Address

Address Line 1

Address Line 2

City

State

Zip Code

Your Relationship to Missing Person

Pictures of Missing Person

Please 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 Here

File Upload

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