Report a Missing Person - Detailed

Missing Person Information

Name of Missing Person *

First

Middle

Last

Maiden Name

Nickname or Alias

Date of Birth

Age at Time of Disappearance

Cell Phone Number

Home Phone Number

Email

Address

Address Line 1

Address Line 2

City

State

Zip Code

Ethnicity

Hispanic or Latino
Not Hispanic or Latino
Do Not Know
Other

Description of 'Other' Ethnicity

Race

Description of 'Other' Race

Biological Gender

Male
Female

Gender Identification

Female
Male

Preferred Pronoun

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

Relationship Status

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)

Height

Weight

Eye Color

Hair Color

Natural Hair Color

Hair Length

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

Hair Style

buzz, curly, straight, etc..

Glasses/Contacts

please describe

Teeth

describe condition

Scars, Marks, or Deformities

Tattoos

location and description

Piercings

location and description

Clothing

what were they wearing last (color/style)

Jacket/Coat

what were they wearing last (color/style)

Footwear

what were they wearing last (color/style)

Shoe Size

Headwear

describe (hat, scarf, bowtie, etc...)

Jewelry

describe

Spouse/Significant Other Information

Spouse/Significant Other Name *

First

Middle

Last

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? *

Yes
No

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

Has Missing Person Been Listed In These Databases?

please select all that apply

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.

Date Last Seen *

Date

Time

Person Last Seen With

First

Middle

Last

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

Missing Person's Vehicle Description

State Vehicle Plates are Registered To

Vehicle License Plate Number

Missing Person's Employer

Missing Person's Employer Address

Address Line 1

Address Line 2

City

State

Zip Code

Missing Person's Employer Phone Number

Missing Person's Employer Email

Is Foul Play Suspected?

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

Drug Use *

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

Facebook

Instagram

Only Fans

TikTok

YouTube

Dating Site

SnapChat

Other

Military Service

Military Status

Military Branch

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

Email *

Address

Address Line 1

Address Line 2

City

State

Zip Code

Your Relationship to Missing Person *

Attach Additional Documents and/or Flyers Here

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

Pictures of Missing Person

Please email pictures of missing person to: MissingPerson@AIDBIPOC.org or you can submit via URL Link(s) below.

Missing Person Picture URL #1

Missing Person Picture URL #2

Missing Person Picture URL #3

Missing Person Picture URL #4