Missing Person Report — Missing

For official use / to submit to law enforcement

Date of Report: [YYYY-MM-DD]
Time of Report: [HH:MM — 24hr]
Reporting party (person filing):
Name: [Your Full Name]
Relationship to Missing Person: [e.g., friend / family / employer / self]
Phone (best contact): [###-###-####]
Alternate phone / email: [###-###-#### / email@example.com]
Address: [Street, City, State, ZIP]

1) Missing Person — Basic Identifying Information

Name: John Doe
Nicknames / AKA: [e.g., Jack, Johnny]
Date of Birth / Age: [MM/DD/YYYY] / [Age]
Sex: [Male/Female/Other]
Race/Ethnicity: [e.g., White / Hispanic / Black / Asian / Other]
Height: [ft in or cm]
Weight: [lbs or kg]
Hair color & style: [e.g., Brown, short]
Eye color: [e.g., Brown]
Complexion: [e.g., fair, medium, dark]
Scars / Tattoos / Distinguishing marks: [Describe location + appearance — e.g., “Tattoo: anchor on left forearm; scar on left eyebrow”]
Glasses / hearing aid / prosthetics: [Yes / No — describe if yes]
Medical conditions / medications: [e.g., diabetes, epilepsy, needs insulin; currently taking — list medication names if known]
Mental health concerns (if any): [e.g., dementia, bipolar disorder, suicidal ideation — include if relevant]
Is the person capable of caring for themselves? [Yes / No / Unknown]

2) Last Known Whereabouts & Circumstances

Last known location (address / place): [Street/landmark/city]
Date last seen: [MM/DD/YYYY]
Time last seen: [HH:MM — AM/PM]
Seen with (person/vehicle): [Names or description of companion(s), if any]
Vehicle description (if applicable): Make: [e.g., Toyota], Model: [e.g., Camry], Color: [e.g., blue], Year: [YYYY], License plate #: [ABC-1234], Notable marks/damage: [e.g., bumper dent on right side]
Direction last seen going / intended destination (if known): [e.g., walked east on Main St toward 5th Ave / heading to work at ... / maybe going to friend’s house at ...]
Reason for concern (why you think this person is missing or at risk): [e.g., missed appointments, unusual behavior, last message implied intent to harm self, medical condition requiring medication, very young/elderly, etc.]
Time reporting party became concerned: [HH:MM — AM/PM on MM/DD/YYYY]
Has this person gone missing before? [Yes / No — if yes, provide details and dates]

3) Clothing & Possessions When Last Seen

Clothing: [e.g., dark blue jeans, gray hoodie, black sneakers]
Outerwear: [e.g., brown jacket]
Jewelry / watch: [describe]
Carrying: [e.g., small black backpack, blue tote bag, wallet, phone]
Last known phone number for the missing person: [###-###-####]
Last known social media accounts (if relevant): [e.g., Facebook: johndoe; Instagram: @johndoe]
Is phone on / last seen online: [Yes / No / Unknown — include last seen status if known]

4) Actions Already Taken by Reporting Party

• Called [friends/family names] at [times] — results: [e.g., no contact].
• Searched locations: [home, workplace, parks, hospitals — list].
• Checked local hospitals / emergency rooms: [Yes / No — list names if checked].
• Called known friends / associates: [Yes / No — provide names].
• Notified employer / school (if applicable): [Yes / No — details].
• Any surveillance / doorbell / phone records obtained: [Yes / No — describe].
• Other (e.g., left voicemail, checked social accounts): [Details].

5) Additional Relevant Information

• Known habits / frequented places: [e.g., goes to Central Park daily, likes to visit 7-Eleven on Elm St]
• Known associates / contacts (names & phone numbers):

• [Name — Relationship — Phone]

• [Name — Relationship — Phone]
  • Possible destinations or routes: [e.g., may go to sister’s house at address or to the bus station]
  • Weapons or violent tendencies (if any): [Yes / No — describe if relevant]
  • Recent events that may be relevant (arguments, job loss, hospitalization): [Describe briefly]
  • Any language barriers / limited English proficiency: [Yes / No — language]

6) Photo(s) & ID Attached During Follow up from the company

“Once the intake process is completed, the company will provide a follow-up call. This call ensures that all information is accurate, the case is properly documented, and any next steps are clearly communicated to the member or family.”

Attach clear recent photo(s) of the missing person (headshot and full-body if possible).
Attach copy of government ID if available (driver’s license, state ID).
Photo filenames: [e.g., JohnDoe_headshot.jpg; John Doe]
ID included: [Yes / No]

7) Consent & Statement

I, [Reporting Party Full Name], declare that the information provided in this report is true and complete to the best of my knowledge. I authorize law enforcement to use this information to assist in locating John Doe and to share with other agencies as required.

Reporting party signature: _________________________
Date / Time: [MM/DD/YYYY — HH:MM]

8) Law Enforcement Use — (to be completed by attending officer)

Officer name / badge #: ____________________
Agency / Department: ______________________
Report / Incident #: ________________________
Date / Time received: ______________________
Entry into NCIC / Missing Persons database: [Yes / No] — Entry date/time: ____________
Investigative notes: ____________________________________________________
Follow-up actions assigned to: ______________________ Date: ______________

9) Quick checklist for submission

• Provide at least one clear recent photo (head and full-body)

• Provide copy/photo of government ID (if available)

• Provide copies of any text messages, emails, social posts from the last 48–72 hours that may be relevant

• Provide contact list of family/friends and places last visited

• Provide any surveillance footage or possible witnesses (names & contact info)

• Keep a record of every phone call and person you notify — note date/time and name

 10) Reporting party

1. If you believe John Doe is in immediate danger, call 911 now.

2. Give law enforcement all original documents and unobstructed digital access to relevant accounts if asked (do not alter or delete messages).

3. Ask the officer for the incident/report number and the investigator’s contact info; keep that for follow-up.

4. If you obtain new information (sighting, phone ping, message), contact the investigating agency immediately.

5. Request an entry into the regional/state missing persons database (NCIC in the U.S.) and confirmation that John Doe’s details and photo have been entered.