Missing Persons Report

Missing Persons Report

Use this form to file a missing persons report with The Office of the Medical Investigator. Please fill out this form with as much detail as possible. *PHOTOS ARE REQUIRED*

Name of Reporter*

(Last, First)

Phone of Reporter*

Email of Reporter*

Relationship to missing person*

Select

Other*

If selected other, list here

Filed with Law Enforcement*

Select

LE Case # and Officer*

Please list a case number/CAD#, the agency and officer name if available

Missing Person Information:

Last Physically Seen (date and location)*

Last physically seen (date)
Last spoken/heard from (date)

Last Name of Missing Person*

First Name of Missing Person*

Middle Name of Missing Person

Nickname/Aliases

Age (or approximate age)*

Race/Ethnicity*

Select

Other Specify*

Biological Sex*

Male

Female

Intersex

Gender identity

Male

Female

Non-Binary

Other

Other Identity*

Procedure

Select

Comments regarding procedure*

DOB (approximate date and year)*

Social Security Number

Last Four Only

Height (approximate)*

Weight (approximate)*

Social Media

Include name they are under and what site

You may select multiple

Select

Other Sites*

Username(s)

Clothing Description*

Clothing size/color
Shoe size/color/brand

Tattoos / Body Piercings / Scars*

Location ON BODY of each tattoo/scar/body piercing
Describe physical look of tattoos / piercings/ scars
If names tattooed please spell out name and where on body the name is

Describe physical abnormalities*

EXAMPLE : Broken Nose, missing limbs, surgical implants

Disabilities

Teeth Appearance*

Color
Missing teeth (which teeth are they missing)
braces

Doctors/Dentists/Hopitals

Include all Addresses, phone numbers, and names.

Eye Color*

Glasses

Description of Glasses

Hair Length/Style/Color*

Facial

Select

Facial Description

Medications/Medical History

History of Drug Abuse*

Yes

No

Unsure

Criminal History*

Include which prisons/jails

Adopted/in the system as a child

Yes

No

Unsure

History of Running away

Yes

No

Unsure

Last Employment

Include addresses and phone #'s

School(s) Attended:

Special Training

Military/Hunting/Hiking

Yes

No

Unsure

Description of Training*

Vehicle Description/bus/On foot

Items Taken/Electronics

Suicidal Ideations*

Specific location

Speak of anyone Specific

Select

Description of Specific Person*

Associates/hangouts

Include names, addresses, etc.

Additional Information to Consider

Use to upload, photos, records, etc. (10 files max)*

Drag and drop files here or

How did you hear about our Missing Persons Page?*

Select or enter value

Other*

If selected other, please list here

Why do you think they are missing.*

Send me a copy of my responses

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