Parent or Guardian Intake
Full Name; First and Last
Contact Phone
Best Phone Number to be Reached
Contact Email Address
Name of Missing Child (First, Last)
List Legal Name of Child
Relationship to the Missing Child
You Must be the Legal Parent, Guardian or Custodial Parent with full Custodial Permissions to submit this information.
Parent with Legal Custody
Guardian with Legal Custody
Sex of the Child
Male
Female
Child's Age at time of Missing:
When Child was reported missing, how old was the child at that time.
Child's Birthdate
Child's Height
Child's Height at the Time of Missing
Child's Weight
Child's Weight at the Time of Missing
Child's Hair Color
Child's Eye Color
Physical Description
Please describe your child's physical appearance including any birthmarks, tattoos, piercings, etc., that may be identifiable
Characters left:
2000
/2000
Date Child Became Missing
Date the Child was Reported Missing to Law Enforcement
Date Child Was Last Seen
List the Date Child Was Last Seen if different than Missing Date
Has A Missing Person's Report Been Filed?
Every Submission MUST Have a Missing Person's Report filed With Local Law Enforcement
Yes
No
Missing Person's Report #
Please List the Missing Person's Report Number or ID That was Given to you by Local Law Enforcement
Name of Law Enforcement Agency and Lead Detective Assigned to Your Missing Child
Last Known Events
Please describe the previous 48 hours activities of the Missing Child and events leading up to the Missing Date. Every detail that can be remembered is important.
Words left:
500
/500
Picture Upload
Please Upload at Least 3 Recent Pictures of the Missing Child
Add files
Drop files anywhere to add
Child's Address
Afghanistan
Albania
Algeria
Andorra
Angola
Anguilla
Antigua & Deps
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia Herzegovina
Botswana
Brazil
British Virgin Islands
Brunei
Bulgaria
Burkina
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Rep
Chad
Chile
China
Colombia
Comoros
Congo
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Faroe Islands
Fiji
Finland
France
Gabon
Gambia
Georgia
Germany
Ghana
Greece
Grenada
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Ivory Coast
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Korea North
Korea South
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Saint Vincent & the Grenadines
Samoa
San Marino
Sao Tome & Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Sudan
Spain
Sri Lanka
St Kitts & Nevis
St Lucia
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad & Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican
Venezuela
Vietnam
Yemen
Zambia
Zimbabwe
Other
Child's Profile
Please list any social media accounts, jobs, school, etc., that belong to the Missing Child
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