YOUR NAME (Required)* * YOUR BUSINESS NAME (If applicable) Full Name Nickname(s) Aliases Safe word? Select one... Yes No If YES to safe word, what is the safe word? If YES to the safe word, who else knows it? Subjects primary language Home address Business or work address Home phone Work phone Cell phone Email address Facebook profile LinkedIn profile ID number Race Gender Height Weight Build Hair Color Hair length Hair style If balding describe Describe facial hair, if any Eye color Wears glasses? Select one... Yes No Wears contacts? Select one... Yes No Describe glasses (If applicable) Facial features, shape Complexion Distinguishing marks or scars General appearance Clothing worn when last seen: Note brandm style, pattern, colors & size for each Describe all accessories the subject may have been wearing, such as belt, rings, watch, pins, hair accessories, necktie etc Describe all items subject may have been carrying, such as hand bag/purse, wallet, backpack, cell phone, keys, weapon etc Location where subject went mitting from Point last seen Date and time last seen Last seen by whom Subject accompanied by animal(s)? Describe Vehicle description, if driving: Make, model, color, registration number, stickers, dents etc Destination(s), stated intentions Possible routes Events of the last 24 hours leading up to the time the subject went missing Reported missing by Why was the subject reported missing? Address of person who reported subject missing Phone of person who reported subject missing Relationship to the missing person Where can this person be reached in the next 12 hours? Has this subject been the object of a search in the past? If so describe the circumstances and where found General physical condition Handicaps Known medical problems Pregnant? General mental health Known mental problems Suicidal? Select one... Yes No Is subject dangerous to self or others? If yes explain Does subject have access to, or possibly carrying a weapon? Select one... Yes No Are all weapons accounted for? Select one... Yes No Does subject have access to finances? If yes explain and detail sources Subjects marital status Select one... Single Married Divorced Widowed Spouce/boyfriend/girlfriend name Address (If different) Cell phone Siblings: Name, age, residence. phone Is father still living? Select one... Yes No Fathers name Fathers contact information Is mother still living? Select one... Yes No Mothers name Mothers contact information Hobbies, special interests Experience in outdoors, backcountry? Select one... Yes No Favourite places to visit Active/outgoing or quiet/withdrawn? Attitude toward authority Recent, current or anticipated financial, legal or other problems Who does subject confide in/or whom does he/she talk to on the phone? Who last talked to the subject at length? When and what was the topic? Does the subject keep a diary? Select one... Yes No If subject has access to a computer, describe locations, user name(s), password(s) etc Does subject smoke, drink or use illegal drugs? Describe in detail Names and contact numbers for subjects friends Has missing persons case been opened with police? Select one... Yes No Date case was opened Police station where case was opened Police issued case (CAS) number Investigating officers name Contact information for investigating officer What actions have been taken by police todate? What actions have been taken by family todate? Name and contact information of person to be notified when subject is found Other relevant information.

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