Fillable Printable Missing Person Report Form - North Carolina
Fillable Printable Missing Person Report Form - North Carolina
 
                        Missing Person Report Form - North Carolina

MISSING ADULTMISSING ADULTMISSING ADULTMISSING ADULTMISSING ADULTMISSING ADULTMISSING ADULTMISSING ADULTMISSING ADULTMISSING ADULTMISSING ADULTMISSING ADULTMISSING ADULTMISSING ADULTMISSING ADULTMISSING ADULTMISSING ADULTMISSING ADULTMISSING ADULTMISSING ADULTMISSING ADULTMISSING ADULTMISSING ADULTMISSING ADULTMISSING ADULTMISSING ADULTMISSING ADULTMISSING ADULTMISSING ADULTMISSING ADULTMISSING ADULTMISSING ADULTMISSING ADULTMISSING ADULTMISSING ADULTMISSING ADULTMISSING ADULTMISSING ADULTMISSING ADULTMISSING ADULTMISSING ADULTMISSING ADULTMISSING ADULTMISSING ADULTMISSING ADULT
MISSING PERSON
                                                         Case Number                                   OCA                                                   NCIC
MISSING PERSON
                                                         Case Number                                   OCA                                                   NCIC
MISSING PERSON
                                                         Case Number                                   OCA                                                   NCIC
MISSING PERSON
                                                         Case Number                                   OCA                                                   NCIC
MISSING PERSON
                                                         Case Number                                   OCA                                                   NCIC
MISSING PERSON
                                                         Case Number                                   OCA                                                   NCIC
MISSING PERSON
                                                         Case Number                                   OCA                                                   NCIC
MISSING PERSON
                                                         Case Number                                   OCA                                                   NCIC
MISSING PERSON
                                                         Case Number                                   OCA                                                   NCIC
MISSING PERSON
                                                         Case Number                                   OCA                                                   NCIC
MISSING PERSON
                                                         Case Number                                   OCA                                                   NCIC
MISSING PERSON
                                                         Case Number                                   OCA                                                   NCIC
MISSING PERSON
                                                         Case Number                                   OCA                                                   NCIC
MISSING PERSON
                                                         Case Number                                   OCA                                                   NCIC
MISSING PERSON
                                                         Case Number                                   OCA                                                   NCIC
MISSING PERSON
                                                         Case Number                                   OCA                                                   NCIC
MISSING PERSON
                                                         Case Number                                   OCA                                                   NCIC
MISSING PERSON
                                                         Case Number                                   OCA                                                   NCIC
MISSING PERSON
                                                         Case Number                                   OCA                                                   NCIC
MISSING PERSON
                                                         Case Number                                   OCA                                                   NCIC
MISSING PERSON
                                                         Case Number                                   OCA                                                   NCIC
MISSING PERSON
                                                         Case Number                                   OCA                                                   NCIC
MISSING PERSON
                                                         Case Number                                   OCA                                                   NCIC
MISSING PERSON
                                                         Case Number                                   OCA                                                   NCIC
MISSING PERSON
                                                         Case Number                                   OCA                                                   NCIC
MISSING PERSON
                                                         Case Number                                   OCA                                                   NCIC
MISSING PERSON
                                                         Case Number                                   OCA                                                   NCIC
MISSING PERSON
                                                         Case Number                                   OCA                                                   NCIC
MISSING PERSON
                                                         Case Number                                   OCA                                                   NCIC
MISSING PERSON
                                                         Case Number                                   OCA                                                   NCIC
MISSING PERSON
                                                         Case Number                                   OCA                                                   NCIC
MISSING PERSON
                                                         Case Number                                   OCA                                                   NCIC
MISSING PERSON
                                                         Case Number                                   OCA                                                   NCIC
MISSING PERSON
                                                         Case Number                                   OCA                                                   NCIC
MISSING PERSON
                                                         Case Number                                   OCA                                                   NCIC
MISSING PERSON
                                                         Case Number                                   OCA                                                   NCIC
MISSING PERSON
                                                         Case Number                                   OCA                                                   NCIC
MISSING PERSON
                                                         Case Number                                   OCA                                                   NCIC
MISSING PERSON
                                                         Case Number                                   OCA                                                   NCIC
MISSING PERSON
                                                         Case Number                                   OCA                                                   NCIC
MISSING PERSON
                                                         Case Number                                   OCA                                                   NCIC
MISSING PERSON
                                                         Case Number                                   OCA                                                   NCIC
DATE:  DATE:  DATE:  
NAME: (Last, First, Middle)  NAME: (Last, First, Middle)  NAME: (Last, First, Middle)  NAME: (Last, First, Middle)  NAME: (Last, First, Middle)  NAME: (Last, First, Middle)  NAME: (Last, First, Middle)  NAME: (Last, First, Middle)  NAME: (Last, First, Middle)  NAME: (Last, First, Middle)  NAME: (Last, First, Middle)  NAME: (Last, First, Middle)  NAME: (Last, First, Middle)  NAME: (Last, First, Middle)  NAME: (Last, First, Middle)  NAME: (Last, First, Middle)  NAME: (Last, First, Middle)  NAME: (Last, First, Middle)  NAME: (Last, First, Middle)  NAME: (Last, First, Middle)  NAME: (Last, First, Middle)  NAME: (Last, First, Middle)  NAME: (Last, First, Middle)  NAME: (Last, First, Middle)  NAME: (Last, First, Middle)   ALIAS/NICKNAMES:ALIAS/NICKNAMES:ALIAS/NICKNAMES:ALIAS/NICKNAMES:ALIAS/NICKNAMES:ALIAS/NICKNAMES:ALIAS/NICKNAMES:ALIAS/NICKNAMES:ALIAS/NICKNAMES:ALIAS/NICKNAMES:ALIAS/NICKNAMES:ALIAS/NICKNAMES:ALIAS/NICKNAMES:ALIAS/NICKNAMES:ALIAS/NICKNAMES:ALIAS/NICKNAMES:ALIAS/NICKNAMES:ALIAS/NICKNAMES:ALIAS/NICKNAMES:ALIAS/NICKNAMES:
SEX: RACE:RACE:  OTHER
    Y / N
 OTHER
    Y / N
 OTHER
    Y / N
 OTHER
    Y / N
 OTHER
    Y / N
PLACE OF BIRTH (City, State, County):PLACE OF BIRTH (City, State, County):PLACE OF BIRTH (City, State, County):PLACE OF BIRTH (City, State, County):PLACE OF BIRTH (City, State, County):PLACE OF BIRTH (City, State, County):PLACE OF BIRTH (City, State, County):PLACE OF BIRTH (City, State, County):PLACE OF BIRTH (City, State, County):PLACE OF BIRTH (City, State, County):PLACE OF BIRTH (City, State, County):PLACE OF BIRTH (City, State, County):PLACE OF BIRTH (City, State, County):PLACE OF BIRTH (City, State, County):PLACE OF BIRTH (City, State, County):PLACE OF BIRTH (City, State, County):PLACE OF BIRTH (City, State, County):PLACE OF BIRTH (City, State, County): DATE OF BIRTH:DATE OF BIRTH:DATE OF BIRTH:DATE OF BIRTH:DATE OF BIRTH:DATE OF BIRTH:DATE OF BIRTH:DATE OF BIRTH: AGE:AGE:AGE: HEIGHT:HEIGHT:HEIGHT:HEIGHT: WEIGHT:WEIGHT:WEIGHT: BUILD:
EYE COLOR:EYE COLOR: HAIR COLOR:HAIR COLOR:HAIR COLOR:HAIR COLOR:HAIR COLOR:HAIR COLOR: HAIR LENGTH:HAIR LENGTH:HAIR LENGTH:HAIR LENGTH:HAIR LENGTH:HAIR LENGTH:HAIR LENGTH: HAIR STYLE:  HAIR STYLE:  HAIR STYLE:  HAIR STYLE:   NAMES OF PLACES FREQUENTED  NAMES OF PLACES FREQUENTED  NAMES OF PLACES FREQUENTED  NAMES OF PLACES FREQUENTED  NAMES OF PLACES FREQUENTED  NAMES OF PLACES FREQUENTED  NAMES OF PLACES FREQUENTED  NAMES OF PLACES FREQUENTED  NAMES OF PLACES FREQUENTED  NAMES OF PLACES FREQUENTED  NAMES OF PLACES FREQUENTED  NAMES OF PLACES FREQUENTED  NAMES OF PLACES FREQUENTED  NAMES OF PLACES FREQUENTED  NAMES OF PLACES FREQUENTED  NAMES OF PLACES FREQUENTED  NAMES OF PLACES FREQUENTED  NAMES OF PLACES FREQUENTED  NAMES OF PLACES FREQUENTED  NAMES OF PLACES FREQUENTED  NAMES OF PLACES FREQUENTED  NAMES OF PLACES FREQUENTED  NAMES OF PLACES FREQUENTED  NAMES OF PLACES FREQUENTED  NAMES OF PLACES FREQUENTED  NAMES OF PLACES FREQUENTED  
COMPLEXION:   ! Albino     ! Black     !
Fair, Light     !
Medium   
! 
 Dark    
!
 Ruddy     
!
 Olive     
!
 Yellow     
!
 Acne
COMPLEXION:   ! Albino     ! Black     !
Fair, Light     !
Medium   
! 
 Dark    
!
 Ruddy     
!
 Olive     
!
 Yellow     
!
 Acne
COMPLEXION:   ! Albino     ! Black     !
Fair, Light     !
Medium   
! 
 Dark    
!
 Ruddy     
!
 Olive     
!
 Yellow     
!
 Acne
COMPLEXION:   ! Albino     ! Black     !
Fair, Light     !
Medium   
! 
 Dark    
!
 Ruddy     
!
 Olive     
!
 Yellow     
!
 Acne
COMPLEXION:   ! Albino     ! Black     !
Fair, Light     !
Medium   
! 
 Dark    
!
 Ruddy     
!
 Olive     
!
 Yellow     
!
 Acne
COMPLEXION:   ! Albino     ! Black     !
Fair, Light     !
Medium   
! 
 Dark    
!
 Ruddy     
!
 Olive     
!
 Yellow     
!
 Acne
COMPLEXION:   ! Albino     ! Black     !
Fair, Light     !
Medium   
! 
 Dark    
!
 Ruddy     
!
 Olive     
!
 Yellow     
!
 Acne
COMPLEXION:   ! Albino     ! Black     !
Fair, Light     !
Medium   
! 
 Dark    
!
 Ruddy     
!
 Olive     
!
 Yellow     
!
 Acne
COMPLEXION:   ! Albino     ! Black     !
Fair, Light     !
Medium   
! 
 Dark    
!
 Ruddy     
!
 Olive     
!
 Yellow     
!
 Acne
COMPLEXION:   ! Albino     ! Black     !
Fair, Light     !
Medium   
! 
 Dark    
!
 Ruddy     
!
 Olive     
!
 Yellow     
!
 Acne
COMPLEXION:   ! Albino     ! Black     !
Fair, Light     !
Medium   
! 
 Dark    
!
 Ruddy     
!
 Olive     
!
 Yellow     
!
 Acne
COMPLEXION:   ! Albino     ! Black     !
Fair, Light     !
Medium   
! 
 Dark    
!
 Ruddy     
!
 Olive     
!
 Yellow     
!
 Acne
COMPLEXION:   ! Albino     ! Black     !
Fair, Light     !
Medium   
! 
 Dark    
!
 Ruddy     
!
 Olive     
!
 Yellow     
!
 Acne
COMPLEXION:   ! Albino     ! Black     !
Fair, Light     !
Medium   
! 
 Dark    
!
 Ruddy     
!
 Olive     
!
 Yellow     
!
 Acne
COMPLEXION:   ! Albino     ! Black     !
Fair, Light     !
Medium   
! 
 Dark    
!
 Ruddy     
!
 Olive     
!
 Yellow     
!
 Acne
COMPLEXION:   ! Albino     ! Black     !
Fair, Light     !
Medium   
! 
 Dark    
!
 Ruddy     
!
 Olive     
!
 Yellow     
!
 Acne
COMPLEXION:   ! Albino     ! Black     !
Fair, Light     !
Medium   
! 
 Dark    
!
 Ruddy     
!
 Olive     
!
 Yellow     
!
 Acne
COMPLEXION:   ! Albino     ! Black     !
Fair, Light     !
Medium   
! 
 Dark    
!
 Ruddy     
!
 Olive     
!
 Yellow     
!
 Acne
TEETH:  ! Normal     ! Braces    ! Caps    ! Protruding   ! Gaps    !
Chipped    ! Decayed           
   ! Other
TEETH:  ! Normal     ! Braces    ! Caps    ! Protruding   ! Gaps    !
Chipped    ! Decayed           
   ! Other
TEETH:  ! Normal     ! Braces    ! Caps    ! Protruding   ! Gaps    !
Chipped    ! Decayed           
   ! Other
TEETH:  ! Normal     ! Braces    ! Caps    ! Protruding   ! Gaps    !
Chipped    ! Decayed           
   ! Other
TEETH:  ! Normal     ! Braces    ! Caps    ! Protruding   ! Gaps    !
Chipped    ! Decayed           
   ! Other
TEETH:  ! Normal     ! Braces    ! Caps    ! Protruding   ! Gaps    !
Chipped    ! Decayed           
   ! Other
TEETH:  ! Normal     ! Braces    ! Caps    ! Protruding   ! Gaps    !
Chipped    ! Decayed           
   ! Other
TEETH:  ! Normal     ! Braces    ! Caps    ! Protruding   ! Gaps    !
Chipped    ! Decayed           
   ! Other
TEETH:  ! Normal     ! Braces    ! Caps    ! Protruding   ! Gaps    !
Chipped    ! Decayed           
   ! Other
TEETH:  ! Normal     ! Braces    ! Caps    ! Protruding   ! Gaps    !
Chipped    ! Decayed           
   ! Other
TEETH:  ! Normal     ! Braces    ! Caps    ! Protruding   ! Gaps    !
Chipped    ! Decayed           
   ! Other
TEETH:  ! Normal     ! Braces    ! Caps    ! Protruding   ! Gaps    !
Chipped    ! Decayed           
   ! Other
TEETH:  ! Normal     ! Braces    ! Caps    ! Protruding   ! Gaps    !
Chipped    ! Decayed           
   ! Other
TEETH:  ! Normal     ! Braces    ! Caps    ! Protruding   ! Gaps    !
Chipped    ! Decayed           
   ! Other
TEETH:  ! Normal     ! Braces    ! Caps    ! Protruding   ! Gaps    !
Chipped    ! Decayed           
   ! Other
TEETH:  ! Normal     ! Braces    ! Caps    ! Protruding   ! Gaps    !
Chipped    ! Decayed           
   ! Other
TEETH:  ! Normal     ! Braces    ! Caps    ! Protruding   ! Gaps    !
Chipped    ! Decayed           
   ! Other
TEETH:  ! Normal     ! Braces    ! Caps    ! Protruding   ! Gaps    !
Chipped    ! Decayed           
   ! Other
TEETH:  ! Normal     ! Braces    ! Caps    ! Protruding   ! Gaps    !
Chipped    ! Decayed           
   ! Other
TEETH:  ! Normal     ! Braces    ! Caps    ! Protruding   ! Gaps    !
Chipped    ! Decayed           
   ! Other
TEETH:  ! Normal     ! Braces    ! Caps    ! Protruding   ! Gaps    !
Chipped    ! Decayed           
   ! Other
TEETH:  ! Normal     ! Braces    ! Caps    ! Protruding   ! Gaps    !
Chipped    ! Decayed           
   ! Other
TEETH:  ! Normal     ! Braces    ! Caps    ! Protruding   ! Gaps    !
Chipped    ! Decayed           
   ! Other
TEETH:  ! Normal     ! Braces    ! Caps    ! Protruding   ! Gaps    !
Chipped    ! Decayed           
   ! Other
TEETH:  ! Normal     ! Braces    ! Caps    ! Protruding   ! Gaps    !
Chipped    ! Decayed           
   ! Other
TEETH:  ! Normal     ! Braces    ! Caps    ! Protruding   ! Gaps    !
Chipped    ! Decayed           
   ! Other
TEETH:  ! Normal     ! Braces    ! Caps    ! Protruding   ! Gaps    !
Chipped    ! Decayed           
   ! Other
SCARS; MARKS; TATTOOS:                                                                                                                             SCARS; MARKS; TATTOOS:                                                                                                                             SCARS; MARKS; TATTOOS:                                                                                                                             SCARS; MARKS; TATTOOS:                                                                                                                             SCARS; MARKS; TATTOOS:                                                                                                                             SCARS; MARKS; TATTOOS:                                                                                                                             SCARS; MARKS; TATTOOS:                                                                                                                             SCARS; MARKS; TATTOOS:                                                                                                                             SCARS; MARKS; TATTOOS:                                                                                                                             SCARS; MARKS; TATTOOS:                                                                                                                             SCARS; MARKS; TATTOOS:                                                                                                                             SCARS; MARKS; TATTOOS:                                                                                                                             SCARS; MARKS; TATTOOS:                                                                                                                             SCARS; MARKS; TATTOOS:                                                                                                                             SCARS; MARKS; TATTOOS:                                                                                                                             SCARS; MARKS; TATTOOS:                                                                                                                             SCARS; MARKS; TATTOOS:                                                                                                                             SCARS; MARKS; TATTOOS:                                                                                                                             SPECIAL IDENTIFIERS (Eye glasses, Contacts, Beard, Mustache)SPECIAL IDENTIFIERS (Eye glasses, Contacts, Beard, Mustache)SPECIAL IDENTIFIERS (Eye glasses, Contacts, Beard, Mustache)SPECIAL IDENTIFIERS (Eye glasses, Contacts, Beard, Mustache)SPECIAL IDENTIFIERS (Eye glasses, Contacts, Beard, Mustache)SPECIAL IDENTIFIERS (Eye glasses, Contacts, Beard, Mustache)SPECIAL IDENTIFIERS (Eye glasses, Contacts, Beard, Mustache)SPECIAL IDENTIFIERS (Eye glasses, Contacts, Beard, Mustache)SPECIAL IDENTIFIERS (Eye glasses, Contacts, Beard, Mustache)SPECIAL IDENTIFIERS (Eye glasses, Contacts, Beard, Mustache)SPECIAL IDENTIFIERS (Eye glasses, Contacts, Beard, Mustache)SPECIAL IDENTIFIERS (Eye glasses, Contacts, Beard, Mustache)SPECIAL IDENTIFIERS (Eye glasses, Contacts, Beard, Mustache)SPECIAL IDENTIFIERS (Eye glasses, Contacts, Beard, Mustache)SPECIAL IDENTIFIERS (Eye glasses, Contacts, Beard, Mustache)SPECIAL IDENTIFIERS (Eye glasses, Contacts, Beard, Mustache)SPECIAL IDENTIFIERS (Eye glasses, Contacts, Beard, Mustache)SPECIAL IDENTIFIERS (Eye glasses, Contacts, Beard, Mustache)SPECIAL IDENTIFIERS (Eye glasses, Contacts, Beard, Mustache)SPECIAL IDENTIFIERS (Eye glasses, Contacts, Beard, Mustache)SPECIAL IDENTIFIERS (Eye glasses, Contacts, Beard, Mustache)SPECIAL IDENTIFIERS (Eye glasses, Contacts, Beard, Mustache)SPECIAL IDENTIFIERS (Eye glasses, Contacts, Beard, Mustache)SPECIAL IDENTIFIERS (Eye glasses, Contacts, Beard, Mustache)SPECIAL IDENTIFIERS (Eye glasses, Contacts, Beard, Mustache)SPECIAL IDENTIFIERS (Eye glasses, Contacts, Beard, Mustache)SPECIAL IDENTIFIERS (Eye glasses, Contacts, Beard, Mustache)
EMAIL/SCREEN NAME(S):EMAIL/SCREEN NAME(S):EMAIL/SCREEN NAME(S):EMAIL/SCREEN NAME(S):EMAIL/SCREEN NAME(S):EMAIL/SCREEN NAME(S):EMAIL/SCREEN NAME(S):EMAIL/SCREEN NAME(S):EMAIL/SCREEN NAME(S):EMAIL/SCREEN NAME(S):EMAIL/SCREEN NAME(S): CELL PHONE:  CELL PHONE:  CELL PHONE:  CELL PHONE:  CELL PHONE:  CELL PHONE:  CELL PHONE:   MENTAL STATE:MENTAL STATE:MENTAL STATE:MENTAL STATE:MENTAL STATE:MENTAL STATE:MENTAL STATE:MENTAL STATE:MENTAL STATE:MENTAL STATE:MENTAL STATE: DATE & TIME LAST SEEN:DATE & TIME LAST SEEN:DATE & TIME LAST SEEN:DATE & TIME LAST SEEN:DATE & TIME LAST SEEN:DATE & TIME LAST SEEN:DATE & TIME LAST SEEN:DATE & TIME LAST SEEN:DATE & TIME LAST SEEN:DATE & TIME LAST SEEN: MISSING FROM (City, State):MISSING FROM (City, State):MISSING FROM (City, State):MISSING FROM (City, State):MISSING FROM (City, State):MISSING FROM (City, State):
SOCIAL SECURITY NUMBERSOCIAL SECURITY NUMBERSOCIAL SECURITY NUMBERSOCIAL SECURITY NUMBERSOCIAL SECURITY NUMBERSOCIAL SECURITY NUMBERSOCIAL SECURITY NUMBERSOCIAL SECURITY NUMBERSOCIAL SECURITY NUMBERSOCIAL SECURITY NUMBERSOCIAL SECURITY NUMBERSOCIAL SECURITY NUMBER DRIVER’S LICENSE NUMBER/STATE:DRIVER’S LICENSE NUMBER/STATE:DRIVER’S LICENSE NUMBER/STATE:DRIVER’S LICENSE NUMBER/STATE:DRIVER’S LICENSE NUMBER/STATE:DRIVER’S LICENSE NUMBER/STATE:DRIVER’S LICENSE NUMBER/STATE:DRIVER’S LICENSE NUMBER/STATE:DRIVER’S LICENSE NUMBER/STATE:DRIVER’S LICENSE NUMBER/STATE:DRIVER’S LICENSE NUMBER/STATE:DRIVER’S LICENSE NUMBER/STATE:DRIVER’S LICENSE NUMBER/STATE:DRIVER’S LICENSE NUMBER/STATE:DRIVER’S LICENSE NUMBER/STATE: POSSIBLE DIRECTION OF TRAVEL:POSSIBLE DIRECTION OF TRAVEL:POSSIBLE DIRECTION OF TRAVEL:POSSIBLE DIRECTION OF TRAVEL:POSSIBLE DIRECTION OF TRAVEL:POSSIBLE DIRECTION OF TRAVEL:POSSIBLE DIRECTION OF TRAVEL:POSSIBLE DIRECTION OF TRAVEL:POSSIBLE DIRECTION OF TRAVEL:POSSIBLE DIRECTION OF TRAVEL:POSSIBLE DIRECTION OF TRAVEL:POSSIBLE DIRECTION OF TRAVEL:POSSIBLE DIRECTION OF TRAVEL:POSSIBLE DIRECTION OF TRAVEL:POSSIBLE DIRECTION OF TRAVEL:POSSIBLE DIRECTION OF TRAVEL:POSSIBLE DIRECTION OF TRAVEL:POSSIBLE DIRECTION OF TRAVEL:
CLOTHING DESCRIPTION: DETAILEDCLOTHING DESCRIPTION: DETAILEDCLOTHING DESCRIPTION: DETAILEDCLOTHING DESCRIPTION: DETAILEDCLOTHING DESCRIPTION: DETAILEDCLOTHING DESCRIPTION: DETAILEDCLOTHING DESCRIPTION: DETAILEDCLOTHING DESCRIPTION: DETAILEDCLOTHING DESCRIPTION: DETAILEDCLOTHING DESCRIPTION: DETAILEDCLOTHING DESCRIPTION: DETAILEDCLOTHING DESCRIPTION: DETAILED BIOLOGICAL PARENT(S) LIVING:   
                         Y / N
BIOLOGICAL PARENT(S) LIVING:   
                         Y / N
BIOLOGICAL PARENT(S) LIVING:   
                         Y / N
BIOLOGICAL PARENT(S) LIVING:   
                         Y / N
BIOLOGICAL PARENT(S) LIVING:   
                         Y / N
BIOLOGICAL PARENT(S) LIVING:   
                         Y / N
BIOLOGICAL PARENT(S) LIVING:   
                         Y / N
BIOLOGICAL PARENT(S) LIVING:   
                         Y / N
BIOLOGICAL PARENT(S) LIVING:   
                         Y / N
BIOLOGICAL PARENT(S) LIVING:   
                         Y / N
BIOLOGICAL PARENT(S) LIVING:   
                         Y / N
BIOLOGICAL PARENT(S) LIVING:   
                         Y / N
BIOLOGICAL PARENT(S) FULL NAME(S) IF KNOWN:BIOLOGICAL PARENT(S) FULL NAME(S) IF KNOWN:BIOLOGICAL PARENT(S) FULL NAME(S) IF KNOWN:BIOLOGICAL PARENT(S) FULL NAME(S) IF KNOWN:BIOLOGICAL PARENT(S) FULL NAME(S) IF KNOWN:BIOLOGICAL PARENT(S) FULL NAME(S) IF KNOWN:BIOLOGICAL PARENT(S) FULL NAME(S) IF KNOWN:BIOLOGICAL PARENT(S) FULL NAME(S) IF KNOWN:BIOLOGICAL PARENT(S) FULL NAME(S) IF KNOWN:BIOLOGICAL PARENT(S) FULL NAME(S) IF KNOWN:BIOLOGICAL PARENT(S) FULL NAME(S) IF KNOWN:BIOLOGICAL PARENT(S) FULL NAME(S) IF KNOWN:BIOLOGICAL PARENT(S) FULL NAME(S) IF KNOWN:BIOLOGICAL PARENT(S) FULL NAME(S) IF KNOWN:BIOLOGICAL PARENT(S) FULL NAME(S) IF KNOWN:BIOLOGICAL PARENT(S) FULL NAME(S) IF KNOWN:BIOLOGICAL PARENT(S) FULL NAME(S) IF KNOWN:BIOLOGICAL PARENT(S) FULL NAME(S) IF KNOWN:BIOLOGICAL PARENT(S) FULL NAME(S) IF KNOWN:BIOLOGICAL PARENT(S) FULL NAME(S) IF KNOWN:BIOLOGICAL PARENT(S) FULL NAME(S) IF KNOWN:
ADI   ADDITIONAL INFORMATION  ADDIOTNAL DESCRIPTION:   ADDIOTNAL DESCRIPTION:   ADDIOTNAL DESCRIPTION:   ADDIOTNAL DESCRIPTION:   ADDIOTNAL DESCRIPTION:   ADDIOTNAL DESCRIPTION:   ADDIOTNAL DESCRIPTION:   ADDIOTNAL DESCRIPTION:   ADDIOTNAL DESCRIPTION:   ADDIOTNAL DESCRIPTION:   ADDIOTNAL DESCRIPTION:   ADDIOTNAL DESCRIPTION:   ADDIOTNAL DESCRIPTION:   ADDIOTNAL DESCRIPTION:   ADDIOTNAL DESCRIPTION:   ADDIOTNAL DESCRIPTION:   ADDIOTNAL DESCRIPTION:   ADDIOTNAL DESCRIPTION:   ADDIOTNAL DESCRIPTION:   ADDIOTNAL DESCRIPTION:   ADDIOTNAL DESCRIPTION:   ADDIOTNAL DESCRIPTION:   ADDIOTNAL DESCRIPTION:   ADDIOTNAL DESCRIPTION:   ADDIOTNAL DESCRIPTION:   ADDIOTNAL DESCRIPTION:   ADDIOTNAL DESCRIPTION:   ADDIOTNAL DESCRIPTION:   ADDIOTNAL DESCRIPTION:   ADDIOTNAL DESCRIPTION:   ADDIOTNAL DESCRIPTION:   ADDIOTNAL DESCRIPTION:   ADDIOTNAL DESCRIPTION:   ADDIOTNAL DESCRIPTION:   ADDIOTNAL DESCRIPTION:   ADDIOTNAL DESCRIPTION:   ADDIOTNAL DESCRIPTION:   ADDIOTNAL DESCRIPTION:   
OTHER PERSON(S)OTHER PERSON(S)OTHER PERSON(S)OTHER PERSON(S)OTHER PERSON(S)OTHER PERSON(S)OTHER PERSON(S)OTHER PERSON(S)OTHER PERSON(S)OTHER PERSON(S)OTHER PERSON(S)OTHER PERSON(S)OTHER PERSON(S)OTHER PERSON(S)OTHER PERSON(S)OTHER PERSON(S)OTHER PERSON(S)OTHER PERSON(S)OTHER PERSON(S)OTHER PERSON(S)OTHER PERSON(S)OTHER PERSON(S)OTHER PERSON(S)OTHER PERSON(S)OTHER PERSON(S)OTHER PERSON(S)OTHER PERSON(S)OTHER PERSON(S)OTHER PERSON(S)OTHER PERSON(S)OTHER PERSON(S)OTHER PERSON(S)OTHER PERSON(S)OTHER PERSON(S)OTHER PERSON(S)OTHER PERSON(S)OTHER PERSON(S)OTHER PERSON(S)OTHER PERSON(S)OTHER PERSON(S)OTHER PERSON(S)OTHER PERSON(S)OTHER PERSON(S)OTHER PERSON(S)OTHER PERSON(S)
IN COMPANY OF:  1 !
Companion
2   !
Abductor  3  !
Suspect
IN COMPANY OF:  1 !
Companion
2   !
Abductor  3  !
Suspect
IN COMPANY OF:  1 !
Companion
2   !
Abductor  3  !
Suspect
IN COMPANY OF:  1 !
Companion
2   !
Abductor  3  !
Suspect
IN COMPANY OF:  1 !
Companion
2   !
Abductor  3  !
Suspect
IN COMPANY OF:  1 !
Companion
2   !
Abductor  3  !
Suspect
IN COMPANY OF:  1 !
Companion
2   !
Abductor  3  !
Suspect
IN COMPANY OF:  1 !
Companion
2   !
Abductor  3  !
Suspect
IN COMPANY OF:  1 !
Companion
2   !
Abductor  3  !
Suspect
IN COMPANY OF:  1 !
Companion
2   !
Abductor  3  !
Suspect
NAME (Last, First, Middle):NAME (Last, First, Middle):NAME (Last, First, Middle):NAME (Last, First, Middle):NAME (Last, First, Middle):NAME (Last, First, Middle):NAME (Last, First, Middle):NAME (Last, First, Middle):NAME (Last, First, Middle):NAME (Last, First, Middle):NAME (Last, First, Middle):NAME (Last, First, Middle):NAME (Last, First, Middle):NAME (Last, First, Middle):NAME (Last, First, Middle):NAME (Last, First, Middle):NAME (Last, First, Middle):NAME (Last, First, Middle):NAME (Last, First, Middle):NAME (Last, First, Middle):NAME (Last, First, Middle):NAME (Last, First, Middle):NAME (Last, First, Middle):NAME (Last, First, Middle):NAME (Last, First, Middle):NAME (Last, First, Middle):NAME (Last, First, Middle):NAME (Last, First, Middle):NAME (Last, First, Middle):NAME (Last, First, Middle):NAME (Last, First, Middle):NAME (Last, First, Middle):NAME (Last, First, Middle):NAME (Last, First, Middle):NAME (Last, First, Middle):
ALIAS/MAIDEN NAME:ALIAS/MAIDEN NAME:ALIAS/MAIDEN NAME:ALIAS/MAIDEN NAME:ALIAS/MAIDEN NAME:ALIAS/MAIDEN NAME:ALIAS/MAIDEN NAME: SEX: SEX: SEX:  RACE:   1  
!
 White   2  
!
 Black   3  
!
 American Indian/Alaskan Native 
               4 ! Asian/Pacific Islander    5  ! Unknown
RACE:   1  
!
 White   2  
!
 Black   3  
!
 American Indian/Alaskan Native 
               4 ! Asian/Pacific Islander    5  ! Unknown
RACE:   1  
!
 White   2  
!
 Black   3  
!
 American Indian/Alaskan Native 
               4 ! Asian/Pacific Islander    5  ! Unknown
RACE:   1  
!
 White   2  
!
 Black   3  
!
 American Indian/Alaskan Native 
               4 ! Asian/Pacific Islander    5  ! Unknown
RACE:   1  
!
 White   2  
!
 Black   3  
!
 American Indian/Alaskan Native 
               4 ! Asian/Pacific Islander    5  ! Unknown
RACE:   1  
!
 White   2  
!
 Black   3  
!
 American Indian/Alaskan Native 
               4 ! Asian/Pacific Islander    5  ! Unknown
RACE:   1  
!
 White   2  
!
 Black   3  
!
 American Indian/Alaskan Native 
               4 ! Asian/Pacific Islander    5  ! Unknown
RACE:   1  
!
 White   2  
!
 Black   3  
!
 American Indian/Alaskan Native 
               4 ! Asian/Pacific Islander    5  ! Unknown
RACE:   1  
!
 White   2  
!
 Black   3  
!
 American Indian/Alaskan Native 
               4 ! Asian/Pacific Islander    5  ! Unknown
RACE:   1  
!
 White   2  
!
 Black   3  
!
 American Indian/Alaskan Native 
               4 ! Asian/Pacific Islander    5  ! Unknown
RACE:   1  
!
 White   2  
!
 Black   3  
!
 American Indian/Alaskan Native 
               4 ! Asian/Pacific Islander    5  ! Unknown
RACE:   1  
!
 White   2  
!
 Black   3  
!
 American Indian/Alaskan Native 
               4 ! Asian/Pacific Islander    5  ! Unknown
RACE:   1  
!
 White   2  
!
 Black   3  
!
 American Indian/Alaskan Native 
               4 ! Asian/Pacific Islander    5  ! Unknown
RACE:   1  
!
 White   2  
!
 Black   3  
!
 American Indian/Alaskan Native 
               4 ! Asian/Pacific Islander    5  ! Unknown
RACE:   1  
!
 White   2  
!
 Black   3  
!
 American Indian/Alaskan Native 
               4 ! Asian/Pacific Islander    5  ! Unknown
RACE:   1  
!
 White   2  
!
 Black   3  
!
 American Indian/Alaskan Native 
               4 ! Asian/Pacific Islander    5  ! Unknown
RACE:   1  
!
 White   2  
!
 Black   3  
!
 American Indian/Alaskan Native 
               4 ! Asian/Pacific Islander    5  ! Unknown
RACE:   1  
!
 White   2  
!
 Black   3  
!
 American Indian/Alaskan Native 
               4 ! Asian/Pacific Islander    5  ! Unknown
RACE:   1  
!
 White   2  
!
 Black   3  
!
 American Indian/Alaskan Native 
               4 ! Asian/Pacific Islander    5  ! Unknown
RACE:   1  
!
 White   2  
!
 Black   3  
!
 American Indian/Alaskan Native 
               4 ! Asian/Pacific Islander    5  ! Unknown
RACE:   1  
!
 White   2  
!
 Black   3  
!
 American Indian/Alaskan Native 
               4 ! Asian/Pacific Islander    5  ! Unknown
RACE:   1  
!
 White   2  
!
 Black   3  
!
 American Indian/Alaskan Native 
               4 ! Asian/Pacific Islander    5  ! Unknown
RACE:   1  
!
 White   2  
!
 Black   3  
!
 American Indian/Alaskan Native 
               4 ! Asian/Pacific Islander    5  ! Unknown
RACE:   1  
!
 White   2  
!
 Black   3  
!
 American Indian/Alaskan Native 
               4 ! Asian/Pacific Islander    5  ! Unknown
PLACE OF BIRTH (City, State, County):  PLACE OF BIRTH (City, State, County):  PLACE OF BIRTH (City, State, County):  PLACE OF BIRTH (City, State, County):  PLACE OF BIRTH (City, State, County):  PLACE OF BIRTH (City, State, County):  PLACE OF BIRTH (City, State, County):  PLACE OF BIRTH (City, State, County):  PLACE OF BIRTH (City, State, County):  PLACE OF BIRTH (City, State, County):  
DATE OF BIRTH:DATE OF BIRTH:DATE OF BIRTH:DATE OF BIRTH:DATE OF BIRTH: AGE:AGE:AGE:AGE: HEIGHT:HEIGHT:HEIGHT:HEIGHT:HEIGHT:HEIGHT: WEIGHT:WEIGHT:WEIGHT:WEIGHT:WEIGHT: BUILD:BUILD:BUILD:BUILD:BUILD:BUILD:BUILD:BUILD: EYE COLOR:EYE COLOR:EYE COLOR:EYE COLOR:EYE COLOR: HAIR COLOR:HAIR COLOR:HAIR COLOR:HAIR COLOR:HAIR COLOR:HAIR COLOR:HAIR COLOR: HAIR STYLE:HAIR STYLE:HAIR STYLE: HAIR LENGTH:HAIR LENGTH:
FACIAL HAIR: FACIAL HAIR: FACIAL HAIR:  Special    Identifiers   1   ! Glasses   2  ! Disability   
                                   3   ! Contacts   4  ! Other   
Special    Identifiers   1   ! Glasses   2  ! Disability   
                                   3   ! Contacts   4  ! Other   
Special    Identifiers   1   ! Glasses   2  ! Disability   
                                   3   ! Contacts   4  ! Other   
Special    Identifiers   1   ! Glasses   2  ! Disability   
                                   3   ! Contacts   4  ! Other   
Special    Identifiers   1   ! Glasses   2  ! Disability   
                                   3   ! Contacts   4  ! Other   
Special    Identifiers   1   ! Glasses   2  ! Disability   
                                   3   ! Contacts   4  ! Other   
Special    Identifiers   1   ! Glasses   2  ! Disability   
                                   3   ! Contacts   4  ! Other   
Special    Identifiers   1   ! Glasses   2  ! Disability   
                                   3   ! Contacts   4  ! Other   
Special    Identifiers   1   ! Glasses   2  ! Disability   
                                   3   ! Contacts   4  ! Other   
Special    Identifiers   1   ! Glasses   2  ! Disability   
                                   3   ! Contacts   4  ! Other   
Special    Identifiers   1   ! Glasses   2  ! Disability   
                                   3   ! Contacts   4  ! Other   
Special    Identifiers   1   ! Glasses   2  ! Disability   
                                   3   ! Contacts   4  ! Other   
Special    Identifiers   1   ! Glasses   2  ! Disability   
                                   3   ! Contacts   4  ! Other   
Special    Identifiers   1   ! Glasses   2  ! Disability   
                                   3   ! Contacts   4  ! Other   
Special    Identifiers   1   ! Glasses   2  ! Disability   
                                   3   ! Contacts   4  ! Other   
Special    Identifiers   1   ! Glasses   2  ! Disability   
                                   3   ! Contacts   4  ! Other   
Special    Identifiers   1   ! Glasses   2  ! Disability   
                                   3   ! Contacts   4  ! Other   
TEETH:    ! Normal     ! Braces    ! Caps     ! Protruding     ! Gaps    !
Chipped    
  ! Decayed
TEETH:    ! Normal     ! Braces    ! Caps     ! Protruding     ! Gaps    !
Chipped    
  ! Decayed
TEETH:    ! Normal     ! Braces    ! Caps     ! Protruding     ! Gaps    !
Chipped    
  ! Decayed
TEETH:    ! Normal     ! Braces    ! Caps     ! Protruding     ! Gaps    !
Chipped    
  ! Decayed
TEETH:    ! Normal     ! Braces    ! Caps     ! Protruding     ! Gaps    !
Chipped    
  ! Decayed
TEETH:    ! Normal     ! Braces    ! Caps     ! Protruding     ! Gaps    !
Chipped    
  ! Decayed
TEETH:    ! Normal     ! Braces    ! Caps     ! Protruding     ! Gaps    !
Chipped    
  ! Decayed
TEETH:    ! Normal     ! Braces    ! Caps     ! Protruding     ! Gaps    !
Chipped    
  ! Decayed
TEETH:    ! Normal     ! Braces    ! Caps     ! Protruding     ! Gaps    !
Chipped    
  ! Decayed
TEETH:    ! Normal     ! Braces    ! Caps     ! Protruding     ! Gaps    !
Chipped    
  ! Decayed
TEETH:    ! Normal     ! Braces    ! Caps     ! Protruding     ! Gaps    !
Chipped    
  ! Decayed
TEETH:    ! Normal     ! Braces    ! Caps     ! Protruding     ! Gaps    !
Chipped    
  ! Decayed
TEETH:    ! Normal     ! Braces    ! Caps     ! Protruding     ! Gaps    !
Chipped    
  ! Decayed
TEETH:    ! Normal     ! Braces    ! Caps     ! Protruding     ! Gaps    !
Chipped    
  ! Decayed
TEETH:    ! Normal     ! Braces    ! Caps     ! Protruding     ! Gaps    !
Chipped    
  ! Decayed
TEETH:    ! Normal     ! Braces    ! Caps     ! Protruding     ! Gaps    !
Chipped    
  ! Decayed
TEETH:    ! Normal     ! Braces    ! Caps     ! Protruding     ! Gaps    !
Chipped    
  ! Decayed
TEETH:    ! Normal     ! Braces    ! Caps     ! Protruding     ! Gaps    !
Chipped    
  ! Decayed
TEETH:    ! Normal     ! Braces    ! Caps     ! Protruding     ! Gaps    !
Chipped    
  ! Decayed
TEETH:    ! Normal     ! Braces    ! Caps     ! Protruding     ! Gaps    !
Chipped    
  ! Decayed
TEETH:    ! Normal     ! Braces    ! Caps     ! Protruding     ! Gaps    !
Chipped    
  ! Decayed
TEETH:    ! Normal     ! Braces    ! Caps     ! Protruding     ! Gaps    !
Chipped    
  ! Decayed
TEETH:    ! Normal     ! Braces    ! Caps     ! Protruding     ! Gaps    !
Chipped    
  ! Decayed
TEETH:    ! Normal     ! Braces    ! Caps     ! Protruding     ! Gaps    !
Chipped    
  ! Decayed
TEETH:    ! Normal     ! Braces    ! Caps     ! Protruding     ! Gaps    !
Chipped    
  ! Decayed
COMPLEXION:    COMPLEXION:    COMPLEXION:    COMPLEXION:    COMPLEXION:    COMPLEXION:    COMPLEXION:    COMPLEXION:    COMPLEXION:    COMPLEXION:    COMPLEXION:    COMPLEXION:    COMPLEXION:    COMPLEXION:    COMPLEXION:    COMPLEXION:    COMPLEXION:    COMPLEXION:    COMPLEXION:    COMPLEXION:    COMPLEXION:    COMPLEXION:    COMPLEXION:     SCARS, MARKS,TATTOOS:SCARS, MARKS,TATTOOS:SCARS, MARKS,TATTOOS:SCARS, MARKS,TATTOOS:SCARS, MARKS,TATTOOS:SCARS, MARKS,TATTOOS:SCARS, MARKS,TATTOOS:SCARS, MARKS,TATTOOS:SCARS, MARKS,TATTOOS:SCARS, MARKS,TATTOOS:SCARS, MARKS,TATTOOS:SCARS, MARKS,TATTOOS:SCARS, MARKS,TATTOOS:SCARS, MARKS,TATTOOS:SCARS, MARKS,TATTOOS:SCARS, MARKS,TATTOOS:SCARS, MARKS,TATTOOS:SCARS, MARKS,TATTOOS:SCARS, MARKS,TATTOOS:SCARS, MARKS,TATTOOS:SCARS, MARKS,TATTOOS:SCARS, MARKS,TATTOOS:
LAST KNOWN ADDRESS (Street, City, State, Zip):LAST KNOWN ADDRESS (Street, City, State, Zip):LAST KNOWN ADDRESS (Street, City, State, Zip):LAST KNOWN ADDRESS (Street, City, State, Zip):LAST KNOWN ADDRESS (Street, City, State, Zip):LAST KNOWN ADDRESS (Street, City, State, Zip):LAST KNOWN ADDRESS (Street, City, State, Zip):LAST KNOWN ADDRESS (Street, City, State, Zip):LAST KNOWN ADDRESS (Street, City, State, Zip):LAST KNOWN ADDRESS (Street, City, State, Zip):LAST KNOWN ADDRESS (Street, City, State, Zip):LAST KNOWN ADDRESS (Street, City, State, Zip):LAST KNOWN ADDRESS (Street, City, State, Zip):LAST KNOWN ADDRESS (Street, City, State, Zip):LAST KNOWN ADDRESS (Street, City, State, Zip):LAST KNOWN ADDRESS (Street, City, State, Zip):LAST KNOWN ADDRESS (Street, City, State, Zip):LAST KNOWN ADDRESS (Street, City, State, Zip):LAST KNOWN ADDRESS (Street, City, State, Zip):LAST KNOWN ADDRESS (Street, City, State, Zip):LAST KNOWN ADDRESS (Street, City, State, Zip):LAST KNOWN ADDRESS (Street, City, State, Zip):LAST KNOWN ADDRESS (Street, City, State, Zip):LAST KNOWN ADDRESS (Street, City, State, Zip):LAST KNOWN ADDRESS (Street, City, State, Zip):LAST KNOWN ADDRESS (Street, City, State, Zip):LAST KNOWN ADDRESS (Street, City, State, Zip):LAST KNOWN ADDRESS (Street, City, State, Zip):LAST KNOWN ADDRESS (Street, City, State, Zip):LAST KNOWN ADDRESS (Street, City, State, Zip):LAST KNOWN ADDRESS (Street, City, State, Zip):LAST KNOWN ADDRESS (Street, City, State, Zip):LAST KNOWN ADDRESS (Street, City, State, Zip):LAST KNOWN ADDRESS (Street, City, State, Zip):LAST KNOWN ADDRESS (Street, City, State, Zip):LAST KNOWN ADDRESS (Street, City, State, Zip):LAST KNOWN ADDRESS (Street, City, State, Zip):LAST KNOWN ADDRESS (Street, City, State, Zip):LAST KNOWN ADDRESS (Street, City, State, Zip):LAST KNOWN ADDRESS (Street, City, State, Zip):LAST KNOWN ADDRESS (Street, City, State, Zip):LAST KNOWN ADDRESS (Street, City, State, Zip):LAST KNOWN ADDRESS (Street, City, State, Zip):LAST KNOWN ADDRESS (Street, City, State, Zip):LAST KNOWN ADDRESS (Street, City, State, Zip):
OCCUPATION:OCCUPATION:OCCUPATION:OCCUPATION:OCCUPATION:OCCUPATION: EMPLOYER/SCHOOL AND ADDRESS:EMPLOYER/SCHOOL AND ADDRESS:EMPLOYER/SCHOOL AND ADDRESS:EMPLOYER/SCHOOL AND ADDRESS:EMPLOYER/SCHOOL AND ADDRESS:EMPLOYER/SCHOOL AND ADDRESS:EMPLOYER/SCHOOL AND ADDRESS:EMPLOYER/SCHOOL AND ADDRESS:EMPLOYER/SCHOOL AND ADDRESS:EMPLOYER/SCHOOL AND ADDRESS:EMPLOYER/SCHOOL AND ADDRESS:EMPLOYER/SCHOOL AND ADDRESS:EMPLOYER/SCHOOL AND ADDRESS:EMPLOYER/SCHOOL AND ADDRESS:EMPLOYER/SCHOOL AND ADDRESS:EMPLOYER/SCHOOL AND ADDRESS:EMPLOYER/SCHOOL AND ADDRESS:EMPLOYER/SCHOOL AND ADDRESS:EMPLOYER/SCHOOL AND ADDRESS:EMPLOYER/SCHOOL AND ADDRESS:EMPLOYER/SCHOOL AND ADDRESS:EMPLOYER/SCHOOL AND ADDRESS:EMPLOYER/SCHOOL AND ADDRESS:EMPLOYER/SCHOOL AND ADDRESS:EMPLOYER/SCHOOL AND ADDRESS:EMPLOYER/SCHOOL AND ADDRESS:EMPLOYER/SCHOOL AND ADDRESS:EMPLOYER/SCHOOL AND ADDRESS:EMPLOYER/SCHOOL AND ADDRESS:EMPLOYER/SCHOOL AND ADDRESS:EMPLOYER/SCHOOL AND ADDRESS:EMPLOYER/SCHOOL AND ADDRESS: TELEPHONE (Home):TELEPHONE (Home):TELEPHONE (Home):TELEPHONE (Home):TELEPHONE (Home):TELEPHONE (Home):TELEPHONE (Home):
DRIVER'S LICENSE NUMBER/STATE:DRIVER'S LICENSE NUMBER/STATE:DRIVER'S LICENSE NUMBER/STATE:DRIVER'S LICENSE NUMBER/STATE:DRIVER'S LICENSE NUMBER/STATE:DRIVER'S LICENSE NUMBER/STATE:DRIVER'S LICENSE NUMBER/STATE:DRIVER'S LICENSE NUMBER/STATE:DRIVER'S LICENSE NUMBER/STATE:DRIVER'S LICENSE NUMBER/STATE:DRIVER'S LICENSE NUMBER/STATE:DRIVER'S LICENSE NUMBER/STATE:DRIVER'S LICENSE NUMBER/STATE:DRIVER'S LICENSE NUMBER/STATE: SOCIAL SECURITY NUMBER:SOCIAL SECURITY NUMBER:SOCIAL SECURITY NUMBER:SOCIAL SECURITY NUMBER:SOCIAL SECURITY NUMBER:SOCIAL SECURITY NUMBER:SOCIAL SECURITY NUMBER:SOCIAL SECURITY NUMBER:SOCIAL SECURITY NUMBER:SOCIAL SECURITY NUMBER:SOCIAL SECURITY NUMBER:SOCIAL SECURITY NUMBER:SOCIAL SECURITY NUMBER:SOCIAL SECURITY NUMBER:SOCIAL SECURITY NUMBER:SOCIAL SECURITY NUMBER:SOCIAL SECURITY NUMBER:SOCIAL SECURITY NUMBER: IMMIGRATION/NATURALIZATION NUMBER:IMMIGRATION/NATURALIZATION NUMBER:IMMIGRATION/NATURALIZATION NUMBER:IMMIGRATION/NATURALIZATION NUMBER:IMMIGRATION/NATURALIZATION NUMBER:IMMIGRATION/NATURALIZATION NUMBER:IMMIGRATION/NATURALIZATION NUMBER:IMMIGRATION/NATURALIZATION NUMBER:IMMIGRATION/NATURALIZATION NUMBER:IMMIGRATION/NATURALIZATION NUMBER:IMMIGRATION/NATURALIZATION NUMBER:IMMIGRATION/NATURALIZATION NUMBER:IMMIGRATION/NATURALIZATION NUMBER:
CLOTHING DESCRIPTION:                                                                                                                                   CLOTHING DESCRIPTION:                                                                                                                                   CLOTHING DESCRIPTION:                                                                                                                                   CLOTHING DESCRIPTION:                                                                                                                                   CLOTHING DESCRIPTION:                                                                                                                                   CLOTHING DESCRIPTION:                                                                                                                                   CLOTHING DESCRIPTION:                                                                                                                                   CLOTHING DESCRIPTION:                                                                                                                                   CLOTHING DESCRIPTION:                                                                                                                                   CLOTHING DESCRIPTION:                                                                                                                                   CLOTHING DESCRIPTION:                                                                                                                                   CLOTHING DESCRIPTION:                                                                                                                                   CLOTHING DESCRIPTION:                                                                                                                                   CLOTHING DESCRIPTION:                                                                                                                                   CLOTHING DESCRIPTION:                                                                                                                                   CLOTHING DESCRIPTION:                                                                                                                                   CLOTHING DESCRIPTION:                                                                                                                                   CLOTHING DESCRIPTION:                                                                                                                                   CLOTHING DESCRIPTION:                                                                                                                                   CLOTHING DESCRIPTION:                                                                                                                                   CLOTHING DESCRIPTION:                                                                                                                                   CLOTHING DESCRIPTION:                                                                                                                                   CLOTHING DESCRIPTION:                                                                                                                                   CLOTHING DESCRIPTION:                                                                                                                                   CLOTHING DESCRIPTION:                                                                                                                                   CLOTHING DESCRIPTION:                                                                                                                                   CLOTHING DESCRIPTION:                                                                                                                                   CLOTHING DESCRIPTION:                                                                                                                                   CLOTHING DESCRIPTION:                                                                                                                                   CLOTHING DESCRIPTION:                                                                                                                                   CLOTHING DESCRIPTION:                                                                                                                                   RELATIONSHIP TO MISSING PERSON:RELATIONSHIP TO MISSING PERSON:RELATIONSHIP TO MISSING PERSON:RELATIONSHIP TO MISSING PERSON:RELATIONSHIP TO MISSING PERSON:RELATIONSHIP TO MISSING PERSON:RELATIONSHIP TO MISSING PERSON:RELATIONSHIP TO MISSING PERSON:RELATIONSHIP TO MISSING PERSON:RELATIONSHIP TO MISSING PERSON:RELATIONSHIP TO MISSING PERSON:RELATIONSHIP TO MISSING PERSON:RELATIONSHIP TO MISSING PERSON:RELATIONSHIP TO MISSING PERSON:
VEHICLEVEHICLEVEHICLEVEHICLEVEHICLEVEHICLEVEHICLEVEHICLEVEHICLEVEHICLEVEHICLEVEHICLEVEHICLEVEHICLEVEHICLEVEHICLEVEHICLEVEHICLEVEHICLEVEHICLEVEHICLEVEHICLEVEHICLEVEHICLEVEHICLEVEHICLEVEHICLEVEHICLEVEHICLEVEHICLEVEHICLEVEHICLEVEHICLEVEHICLEVEHICLEVEHICLEVEHICLEVEHICLEVEHICLEVEHICLEVEHICLEVEHICLEVEHICLEVEHICLEVEHICLE
MAKE:MAKE:MAKE:MAKE: MODEL:MODEL:MODEL:MODEL:MODEL:MODEL:MODEL:MODEL:MODEL: VEHICLE YEAR:VEHICLE YEAR:VEHICLE YEAR:VEHICLE YEAR:VEHICLE YEAR:VEHICLE YEAR:VEHICLE YEAR:VEHICLE YEAR: TYPE/STYLE:TYPE/STYLE:TYPE/STYLE:TYPE/STYLE:TYPE/STYLE:TYPE/STYLE:TYPE/STYLE:TYPE/STYLE:TYPE/STYLE: COLOR (Top, Bottom, Interior):COLOR (Top, Bottom, Interior):COLOR (Top, Bottom, Interior):COLOR (Top, Bottom, Interior):COLOR (Top, Bottom, Interior):COLOR (Top, Bottom, Interior):COLOR (Top, Bottom, Interior):COLOR (Top, Bottom, Interior):COLOR (Top, Bottom, Interior):COLOR (Top, Bottom, Interior):COLOR (Top, Bottom, Interior):COLOR (Top, Bottom, Interior):COLOR (Top, Bottom, Interior):COLOR (Top, Bottom, Interior):COLOR (Top, Bottom, Interior):
TAG REGISTRATION NUMBER:TAG REGISTRATION NUMBER:TAG REGISTRATION NUMBER:TAG REGISTRATION NUMBER:TAG REGISTRATION NUMBER:TAG REGISTRATION NUMBER:TAG REGISTRATION NUMBER:TAG REGISTRATION NUMBER:TAG REGISTRATION NUMBER:TAG REGISTRATION NUMBER: TAG STATE:TAG STATE:TAG STATE:TAG STATE:TAG STATE:TAG STATE:TAG STATE: TAG YEAR:TAG YEAR:TAG YEAR:TAG YEAR: DESCRIPTION – LIST ANY DESCRPTIVE FACTSDESCRIPTION – LIST ANY DESCRPTIVE FACTSDESCRIPTION – LIST ANY DESCRPTIVE FACTSDESCRIPTION – LIST ANY DESCRPTIVE FACTSDESCRIPTION – LIST ANY DESCRPTIVE FACTSDESCRIPTION – LIST ANY DESCRPTIVE FACTSDESCRIPTION – LIST ANY DESCRPTIVE FACTSDESCRIPTION – LIST ANY DESCRPTIVE FACTSDESCRIPTION – LIST ANY DESCRPTIVE FACTSDESCRIPTION – LIST ANY DESCRPTIVE FACTSDESCRIPTION – LIST ANY DESCRPTIVE FACTSDESCRIPTION – LIST ANY DESCRPTIVE FACTSDESCRIPTION – LIST ANY DESCRPTIVE FACTSDESCRIPTION – LIST ANY DESCRPTIVE FACTSDESCRIPTION – LIST ANY DESCRPTIVE FACTSDESCRIPTION – LIST ANY DESCRPTIVE FACTSDESCRIPTION – LIST ANY DESCRPTIVE FACTSDESCRIPTION – LIST ANY DESCRPTIVE FACTSDESCRIPTION – LIST ANY DESCRPTIVE FACTSDESCRIPTION – LIST ANY DESCRPTIVE FACTSDESCRIPTION – LIST ANY DESCRPTIVE FACTSDESCRIPTION – LIST ANY DESCRPTIVE FACTSDESCRIPTION – LIST ANY DESCRPTIVE FACTSDESCRIPTION – LIST ANY DESCRPTIVE FACTS
BACKGROUND INFORMATIONBACKGROUND INFORMATIONBACKGROUND INFORMATIONBACKGROUND INFORMATIONBACKGROUND INFORMATIONBACKGROUND INFORMATIONBACKGROUND INFORMATIONBACKGROUND INFORMATIONBACKGROUND INFORMATIONBACKGROUND INFORMATIONBACKGROUND INFORMATIONBACKGROUND INFORMATIONBACKGROUND INFORMATIONBACKGROUND INFORMATIONBACKGROUND INFORMATIONBACKGROUND INFORMATIONBACKGROUND INFORMATIONBACKGROUND INFORMATIONBACKGROUND INFORMATIONBACKGROUND INFORMATIONBACKGROUND INFORMATIONBACKGROUND INFORMATIONBACKGROUND INFORMATIONBACKGROUND INFORMATIONBACKGROUND INFORMATIONBACKGROUND INFORMATIONBACKGROUND INFORMATIONBACKGROUND INFORMATIONBACKGROUND INFORMATIONBACKGROUND INFORMATIONBACKGROUND INFORMATIONBACKGROUND INFORMATIONBACKGROUND INFORMATIONBACKGROUND INFORMATIONBACKGROUND INFORMATIONBACKGROUND INFORMATIONBACKGROUND INFORMATIONBACKGROUND INFORMATIONBACKGROUND INFORMATIONBACKGROUND INFORMATIONBACKGROUND INFORMATIONBACKGROUND INFORMATIONBACKGROUND INFORMATIONBACKGROUND INFORMATIONBACKGROUND INFORMATION
SCHOOL/ADDRESS: SCHOOL/ADDRESS: SCHOOL/ADDRESS: SCHOOL/ADDRESS: SCHOOL/ADDRESS: SCHOOL/ADDRESS: SCHOOL/ADDRESS: SCHOOL/ADDRESS: SCHOOL/ADDRESS: SCHOOL/ADDRESS: SCHOOL/ADDRESS: SCHOOL/ADDRESS: SCHOOL/ADDRESS: SCHOOL/ADDRESS: SCHOOL/ADDRESS: SCHOOL/ADDRESS: SCHOOL/ADDRESS: SCHOOL/ADDRESS: SCHOOL/ADDRESS: SCHOOL/ADDRESS: SCHOOL/ADDRESS: SCHOOL/ADDRESS:  TELEPHONE NUMBER:TELEPHONE NUMBER:TELEPHONE NUMBER:TELEPHONE NUMBER:TELEPHONE NUMBER:TELEPHONE NUMBER:TELEPHONE NUMBER:TELEPHONE NUMBER:TELEPHONE NUMBER:TELEPHONE NUMBER:TELEPHONE NUMBER:TELEPHONE NUMBER:TELEPHONE NUMBER:TELEPHONE NUMBER:TELEPHONE NUMBER:TELEPHONE NUMBER:TELEPHONE NUMBER:TELEPHONE NUMBER:TELEPHONE NUMBER:TELEPHONE NUMBER:TELEPHONE NUMBER:TELEPHONE NUMBER:TELEPHONE NUMBER:
EMPLOYER/ADDRESS:EMPLOYER/ADDRESS:EMPLOYER/ADDRESS:EMPLOYER/ADDRESS:EMPLOYER/ADDRESS:EMPLOYER/ADDRESS:EMPLOYER/ADDRESS:EMPLOYER/ADDRESS:EMPLOYER/ADDRESS:EMPLOYER/ADDRESS:EMPLOYER/ADDRESS:EMPLOYER/ADDRESS:EMPLOYER/ADDRESS:EMPLOYER/ADDRESS:EMPLOYER/ADDRESS:EMPLOYER/ADDRESS:EMPLOYER/ADDRESS:EMPLOYER/ADDRESS:EMPLOYER/ADDRESS:EMPLOYER/ADDRESS:EMPLOYER/ADDRESS:EMPLOYER/ADDRESS: TELEPHONE NUMBER:TELEPHONE NUMBER:TELEPHONE NUMBER:TELEPHONE NUMBER:TELEPHONE NUMBER:TELEPHONE NUMBER:TELEPHONE NUMBER:TELEPHONE NUMBER:TELEPHONE NUMBER:TELEPHONE NUMBER:TELEPHONE NUMBER:TELEPHONE NUMBER:TELEPHONE NUMBER:TELEPHONE NUMBER:TELEPHONE NUMBER:TELEPHONE NUMBER:TELEPHONE NUMBER:TELEPHONE NUMBER:TELEPHONE NUMBER:TELEPHONE NUMBER:TELEPHONE NUMBER:TELEPHONE NUMBER:TELEPHONE NUMBER:
MISSING PERSON REPORT 
CUE Center for Missing Persons 
PO Box 12714 Wilmington, North Carolina 28405
(910) 343-1131 or (910) 232-1687

OTHER PERTINIENT INFORMATION:OTHER PERTINIENT INFORMATION:OTHER PERTINIENT INFORMATION:OTHER PERTINIENT INFORMATION:OTHER PERTINIENT INFORMATION:OTHER PERTINIENT INFORMATION:OTHER PERTINIENT INFORMATION:OTHER PERTINIENT INFORMATION:OTHER PERTINIENT INFORMATION:OTHER PERTINIENT INFORMATION:OTHER PERTINIENT INFORMATION:OTHER PERTINIENT INFORMATION:OTHER PERTINIENT INFORMATION:OTHER PERTINIENT INFORMATION:OTHER PERTINIENT INFORMATION:OTHER PERTINIENT INFORMATION:OTHER PERTINIENT INFORMATION:OTHER PERTINIENT INFORMATION:OTHER PERTINIENT INFORMATION:OTHER PERTINIENT INFORMATION:OTHER PERTINIENT INFORMATION:OTHER PERTINIENT INFORMATION: DENTAL RECORDS AVAILABLE:      DENTIST NAME:
                                                             ADDRESS:
                   Y / N                                                                   
                                                             PHONE NUMBER:    
DENTAL RECORDS AVAILABLE:      DENTIST NAME:
                                                             ADDRESS:
                   Y / N                                                                   
                                                             PHONE NUMBER:    
DENTAL RECORDS AVAILABLE:      DENTIST NAME:
                                                             ADDRESS:
                   Y / N                                                                   
                                                             PHONE NUMBER:    
DENTAL RECORDS AVAILABLE:      DENTIST NAME:
                                                             ADDRESS:
                   Y / N                                                                   
                                                             PHONE NUMBER:    
DENTAL RECORDS AVAILABLE:      DENTIST NAME:
                                                             ADDRESS:
                   Y / N                                                                   
                                                             PHONE NUMBER:    
DENTAL RECORDS AVAILABLE:      DENTIST NAME:
                                                             ADDRESS:
                   Y / N                                                                   
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RELATIVE CONTACT INFORMATION (If known)RELATIVE CONTACT INFORMATION (If known)RELATIVE CONTACT INFORMATION (If known)RELATIVE CONTACT INFORMATION (If known)RELATIVE CONTACT INFORMATION (If known)RELATIVE CONTACT INFORMATION (If known)RELATIVE CONTACT INFORMATION (If known)RELATIVE CONTACT INFORMATION (If known)RELATIVE CONTACT INFORMATION (If known)RELATIVE CONTACT INFORMATION (If known)RELATIVE CONTACT INFORMATION (If known)RELATIVE CONTACT INFORMATION (If known)RELATIVE CONTACT INFORMATION (If known)RELATIVE CONTACT INFORMATION (If known)RELATIVE CONTACT INFORMATION (If known)RELATIVE CONTACT INFORMATION (If known)RELATIVE CONTACT INFORMATION (If known)RELATIVE CONTACT INFORMATION (If known)RELATIVE CONTACT INFORMATION (If known)RELATIVE CONTACT INFORMATION (If known)RELATIVE CONTACT INFORMATION (If known)RELATIVE CONTACT INFORMATION (If known)RELATIVE CONTACT INFORMATION (If known)RELATIVE CONTACT INFORMATION (If known)RELATIVE CONTACT INFORMATION (If known)RELATIVE CONTACT INFORMATION (If known)RELATIVE CONTACT INFORMATION (If known)RELATIVE CONTACT INFORMATION (If known)RELATIVE CONTACT INFORMATION (If known)RELATIVE CONTACT INFORMATION (If known)RELATIVE CONTACT INFORMATION (If known)RELATIVE CONTACT INFORMATION (If known)RELATIVE CONTACT INFORMATION (If known)RELATIVE CONTACT INFORMATION (If known)RELATIVE CONTACT INFORMATION (If known)RELATIVE CONTACT INFORMATION (If known)RELATIVE CONTACT INFORMATION (If known)RELATIVE CONTACT INFORMATION (If known)RELATIVE CONTACT INFORMATION (If known)RELATIVE CONTACT INFORMATION (If known)RELATIVE CONTACT INFORMATION (If known)RELATIVE CONTACT INFORMATION (If known)RELATIVE CONTACT INFORMATION (If known)RELATIVE CONTACT INFORMATION (If known)RELATIVE CONTACT INFORMATION (If known)
NAME: (Last, First, Middle):NAME: (Last, First, Middle):NAME: (Last, First, Middle):NAME: (Last, First, Middle):NAME: (Last, First, Middle):NAME: (Last, First, Middle):NAME: (Last, First, Middle):NAME: (Last, First, Middle):NAME: (Last, First, Middle):NAME: (Last, First, Middle):NAME: (Last, First, Middle):NAME: (Last, First, Middle):NAME: (Last, First, Middle):NAME: (Last, First, Middle):NAME: (Last, First, Middle):NAME: (Last, First, Middle):NAME: (Last, First, Middle):NAME: (Last, First, Middle):NAME: (Last, First, Middle):NAME: (Last, First, Middle):NAME: (Last, First, Middle):NAME: (Last, First, Middle):NAME: (Last, First, Middle):NAME: (Last, First, Middle):NAME: (Last, First, Middle):NAME: (Last, First, Middle):NAME: (Last, First, Middle):NAME: (Last, First, Middle):NAME: (Last, First, Middle):NAME: (Last, First, Middle):NAME: (Last, First, Middle):NAME: (Last, First, Middle):NAME: (Last, First, Middle):NAME: (Last, First, Middle): RELATIONSHIP:RELATIONSHIP:RELATIONSHIP:RELATIONSHIP:RELATIONSHIP:RELATIONSHIP:RELATIONSHIP:RELATIONSHIP:RELATIONSHIP:RELATIONSHIP:RELATIONSHIP:
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PERSON SUBMITTING REPORTPERSON SUBMITTING REPORTPERSON SUBMITTING REPORTPERSON SUBMITTING REPORTPERSON SUBMITTING REPORTPERSON SUBMITTING REPORTPERSON SUBMITTING REPORTPERSON SUBMITTING REPORTPERSON SUBMITTING REPORTPERSON SUBMITTING REPORTPERSON SUBMITTING REPORTPERSON SUBMITTING REPORTPERSON SUBMITTING REPORTPERSON SUBMITTING REPORTPERSON SUBMITTING REPORTPERSON SUBMITTING REPORTPERSON SUBMITTING REPORTPERSON SUBMITTING REPORTPERSON SUBMITTING REPORTPERSON SUBMITTING REPORTPERSON SUBMITTING REPORTPERSON SUBMITTING REPORTPERSON SUBMITTING REPORTPERSON SUBMITTING REPORTPERSON SUBMITTING REPORTPERSON SUBMITTING REPORTPERSON SUBMITTING REPORTPERSON SUBMITTING REPORTPERSON SUBMITTING REPORTPERSON SUBMITTING REPORTPERSON SUBMITTING REPORTPERSON SUBMITTING REPORTPERSON SUBMITTING REPORTPERSON SUBMITTING REPORTPERSON SUBMITTING REPORTPERSON SUBMITTING REPORTPERSON SUBMITTING REPORTPERSON SUBMITTING REPORTPERSON SUBMITTING REPORTPERSON SUBMITTING REPORTPERSON SUBMITTING REPORTPERSON SUBMITTING REPORTPERSON SUBMITTING REPORTPERSON SUBMITTING REPORTPERSON SUBMITTING REPORT
REPORTER NAME:REPORTER NAME:REPORTER NAME:REPORTER NAME:REPORTER NAME:REPORTER NAME:REPORTER NAME:REPORTER NAME:REPORTER NAME:REPORTER NAME:REPORTER NAME:REPORTER NAME:REPORTER NAME:REPORTER NAME:REPORTER NAME:REPORTER NAME:REPORTER NAME:REPORTER NAME:REPORTER NAME:REPORTER NAME:REPORTER NAME:REPORTER NAME:REPORTER NAME:REPORTER NAME:REPORTER NAME:REPORTER NAME:REPORTER NAME:REPORTER NAME:REPORTER NAME:REPORTER NAME:REPORTER NAME:REPORTER NAME:REPORTER NAME:REPORTER NAME: TELEPHONE:TELEPHONE:TELEPHONE:TELEPHONE:TELEPHONE:TELEPHONE:TELEPHONE:TELEPHONE:TELEPHONE:TELEPHONE:TELEPHONE:
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CITY/STATE/ZIP:CITY/STATE/ZIP:CITY/STATE/ZIP:CITY/STATE/ZIP:CITY/STATE/ZIP:CITY/STATE/ZIP:CITY/STATE/ZIP:CITY/STATE/ZIP:CITY/STATE/ZIP:CITY/STATE/ZIP:CITY/STATE/ZIP:CITY/STATE/ZIP:CITY/STATE/ZIP:CITY/STATE/ZIP:CITY/STATE/ZIP:CITY/STATE/ZIP:CITY/STATE/ZIP:CITY/STATE/ZIP:CITY/STATE/ZIP:CITY/STATE/ZIP:CITY/STATE/ZIP:CITY/STATE/ZIP:CITY/STATE/ZIP:CITY/STATE/ZIP:CITY/STATE/ZIP:CITY/STATE/ZIP:CITY/STATE/ZIP:CITY/STATE/ZIP:CITY/STATE/ZIP:CITY/STATE/ZIP:CITY/STATE/ZIP:CITY/STATE/ZIP:CITY/STATE/ZIP:CITY/STATE/ZIP: EMAIL:EMAIL:EMAIL:EMAIL:EMAIL:EMAIL:EMAIL:EMAIL:EMAIL:EMAIL:EMAIL:
INVESTIGATING LAW ENFORCEMENT AGENCYINVESTIGATING LAW ENFORCEMENT AGENCYINVESTIGATING LAW ENFORCEMENT AGENCYINVESTIGATING LAW ENFORCEMENT AGENCYINVESTIGATING LAW ENFORCEMENT AGENCYINVESTIGATING LAW ENFORCEMENT AGENCYINVESTIGATING LAW ENFORCEMENT AGENCYINVESTIGATING LAW ENFORCEMENT AGENCYINVESTIGATING LAW ENFORCEMENT AGENCYINVESTIGATING LAW ENFORCEMENT AGENCYINVESTIGATING LAW ENFORCEMENT AGENCYINVESTIGATING LAW ENFORCEMENT AGENCYINVESTIGATING LAW ENFORCEMENT AGENCYINVESTIGATING LAW ENFORCEMENT AGENCYINVESTIGATING LAW ENFORCEMENT AGENCYINVESTIGATING LAW ENFORCEMENT AGENCYINVESTIGATING LAW ENFORCEMENT AGENCYINVESTIGATING LAW ENFORCEMENT AGENCYINVESTIGATING LAW ENFORCEMENT AGENCYINVESTIGATING LAW ENFORCEMENT AGENCYINVESTIGATING LAW ENFORCEMENT AGENCYINVESTIGATING LAW ENFORCEMENT AGENCYINVESTIGATING LAW ENFORCEMENT AGENCYINVESTIGATING LAW ENFORCEMENT AGENCYINVESTIGATING LAW ENFORCEMENT AGENCYINVESTIGATING LAW ENFORCEMENT AGENCYINVESTIGATING LAW ENFORCEMENT AGENCYINVESTIGATING LAW ENFORCEMENT AGENCYINVESTIGATING LAW ENFORCEMENT AGENCYINVESTIGATING LAW ENFORCEMENT AGENCYINVESTIGATING LAW ENFORCEMENT AGENCYINVESTIGATING LAW ENFORCEMENT AGENCYINVESTIGATING LAW ENFORCEMENT AGENCYINVESTIGATING LAW ENFORCEMENT AGENCYINVESTIGATING LAW ENFORCEMENT AGENCYINVESTIGATING LAW ENFORCEMENT AGENCYINVESTIGATING LAW ENFORCEMENT AGENCYINVESTIGATING LAW ENFORCEMENT AGENCYINVESTIGATING LAW ENFORCEMENT AGENCYINVESTIGATING LAW ENFORCEMENT AGENCYINVESTIGATING LAW ENFORCEMENT AGENCYINVESTIGATING LAW ENFORCEMENT AGENCYINVESTIGATING LAW ENFORCEMENT AGENCYINVESTIGATING LAW ENFORCEMENT AGENCYINVESTIGATING LAW ENFORCEMENT AGENCY
LOCAL AGENCY NAME:LOCAL AGENCY NAME:LOCAL AGENCY NAME:LOCAL AGENCY NAME:LOCAL AGENCY NAME:LOCAL AGENCY NAME:LOCAL AGENCY NAME:LOCAL AGENCY NAME:LOCAL AGENCY NAME:LOCAL AGENCY NAME:LOCAL AGENCY NAME:LOCAL AGENCY NAME:LOCAL AGENCY NAME:LOCAL AGENCY NAME:LOCAL AGENCY NAME:LOCAL AGENCY NAME:LOCAL AGENCY NAME:LOCAL AGENCY NAME:LOCAL AGENCY NAME:LOCAL AGENCY NAME:LOCAL AGENCY NAME:LOCAL AGENCY NAME:LOCAL AGENCY NAME:LOCAL AGENCY NAME:LOCAL AGENCY NAME:LOCAL AGENCY NAME:LOCAL AGENCY NAME:LOCAL AGENCY NAME:LOCAL AGENCY NAME:LOCAL AGENCY NAME:LOCAL AGENCY NAME:LOCAL AGENCY NAME:LOCAL AGENCY NAME:LOCAL AGENCY NAME:LOCAL AGENCY NAME:LOCAL AGENCY NAME: CASE NUMBER:CASE NUMBER:CASE NUMBER:CASE NUMBER:CASE NUMBER:CASE NUMBER:CASE NUMBER:CASE NUMBER:CASE NUMBER:
STREET ADDRESSSTREET ADDRESSSTREET ADDRESSSTREET ADDRESSSTREET ADDRESSSTREET ADDRESSSTREET ADDRESSSTREET ADDRESSSTREET ADDRESSSTREET ADDRESSSTREET ADDRESSSTREET ADDRESSSTREET ADDRESSSTREET ADDRESSSTREET ADDRESSSTREET ADDRESS CITY/STATE/ZIP:CITY/STATE/ZIP:CITY/STATE/ZIP:CITY/STATE/ZIP:CITY/STATE/ZIP:CITY/STATE/ZIP:CITY/STATE/ZIP:CITY/STATE/ZIP:CITY/STATE/ZIP:CITY/STATE/ZIP:CITY/STATE/ZIP:CITY/STATE/ZIP:CITY/STATE/ZIP:CITY/STATE/ZIP:CITY/STATE/ZIP:CITY/STATE/ZIP:CITY/STATE/ZIP:CITY/STATE/ZIP:CITY/STATE/ZIP:CITY/STATE/ZIP: TELEPHONE:TELEPHONE:TELEPHONE:TELEPHONE:TELEPHONE:TELEPHONE:TELEPHONE:TELEPHONE:TELEPHONE:
INVESTIGATING OFFICER’S NAME:  INVESTIGATING OFFICER’S NAME:  INVESTIGATING OFFICER’S NAME:  INVESTIGATING OFFICER’S NAME:  INVESTIGATING OFFICER’S NAME:  INVESTIGATING OFFICER’S NAME:  INVESTIGATING OFFICER’S NAME:  INVESTIGATING OFFICER’S NAME:  INVESTIGATING OFFICER’S NAME:  INVESTIGATING OFFICER’S NAME:  INVESTIGATING OFFICER’S NAME:  INVESTIGATING OFFICER’S NAME:  INVESTIGATING OFFICER’S NAME:  INVESTIGATING OFFICER’S NAME:  INVESTIGATING OFFICER’S NAME:  INVESTIGATING OFFICER’S NAME:  INVESTIGATING OFFICER’S NAME:  INVESTIGATING OFFICER’S NAME:  INVESTIGATING OFFICER’S NAME:  INVESTIGATING OFFICER’S NAME:  INVESTIGATING OFFICER’S NAME:  INVESTIGATING OFFICER’S NAME:  INVESTIGATING OFFICER’S NAME:  INVESTIGATING OFFICER’S NAME:  INVESTIGATING OFFICER’S NAME:  INVESTIGATING OFFICER’S NAME:  INVESTIGATING OFFICER’S NAME:  INVESTIGATING OFFICER’S NAME:  INVESTIGATING OFFICER’S NAME:  INVESTIGATING OFFICER’S NAME:  INVESTIGATING OFFICER’S NAME:  INVESTIGATING OFFICER’S NAME:  INVESTIGATING OFFICER’S NAME:  INVESTIGATING OFFICER’S NAME:  INVESTIGATING OFFICER’S NAME:  INVESTIGATING OFFICER’S NAME:  INVESTIGATING OFFICER’S NAME:  INVESTIGATING OFFICER’S NAME:  INVESTIGATING OFFICER’S NAME:  INVESTIGATING OFFICER’S NAME:  INVESTIGATING OFFICER’S NAME:  INVESTIGATING OFFICER’S NAME:  INVESTIGATING OFFICER’S NAME:  INVESTIGATING OFFICER’S NAME:  INVESTIGATING OFFICER’S NAME:  
INSTRUCTIONSINSTRUCTIONSINSTRUCTIONSINSTRUCTIONSINSTRUCTIONSINSTRUCTIONSINSTRUCTIONSINSTRUCTIONSINSTRUCTIONSINSTRUCTIONSINSTRUCTIONSINSTRUCTIONSINSTRUCTIONSINSTRUCTIONSINSTRUCTIONSINSTRUCTIONSINSTRUCTIONSINSTRUCTIONSINSTRUCTIONSINSTRUCTIONSINSTRUCTIONSINSTRUCTIONSINSTRUCTIONSINSTRUCTIONSINSTRUCTIONSINSTRUCTIONSINSTRUCTIONSINSTRUCTIONSINSTRUCTIONSINSTRUCTIONSINSTRUCTIONSINSTRUCTIONSINSTRUCTIONSINSTRUCTIONSINSTRUCTIONSINSTRUCTIONSINSTRUCTIONSINSTRUCTIONSINSTRUCTIONSINSTRUCTIONSINSTRUCTIONSINSTRUCTIONSINSTRUCTIONSINSTRUCTIONSINSTRUCTIONS
IMPORTANT CHECK LIST:
!
   Copy of agency police report 
!
   Current photograph of the missing person
Please submit a summary of details of the day person 
went missing along with facts that have been completed 
since person(s) disappearance. Note: Include all family 
contact and law officials’ information.  Make sure you have 
signed an advocacy form; this is supplied by our center. 
IMPORTANT CHECK LIST:
!
   Copy of agency police report 
!
   Current photograph of the missing person
Please submit a summary of details of the day person 
went missing along with facts that have been completed 
since person(s) disappearance. Note: Include all family 
contact and law officials’ information.  Make sure you have 
signed an advocacy form; this is supplied by our center. 
IMPORTANT CHECK LIST:
!
   Copy of agency police report 
!
   Current photograph of the missing person
Please submit a summary of details of the day person 
went missing along with facts that have been completed 
since person(s) disappearance. Note: Include all family 
contact and law officials’ information.  Make sure you have 
signed an advocacy form; this is supplied by our center. 
IMPORTANT CHECK LIST:
!
   Copy of agency police report 
!
   Current photograph of the missing person
Please submit a summary of details of the day person 
went missing along with facts that have been completed 
since person(s) disappearance. Note: Include all family 
contact and law officials’ information.  Make sure you have 
signed an advocacy form; this is supplied by our center. 
IMPORTANT CHECK LIST:
!
   Copy of agency police report 
!
   Current photograph of the missing person
Please submit a summary of details of the day person 
went missing along with facts that have been completed 
since person(s) disappearance. Note: Include all family 
contact and law officials’ information.  Make sure you have 
signed an advocacy form; this is supplied by our center. 
IMPORTANT CHECK LIST:
!
   Copy of agency police report 
!
   Current photograph of the missing person
Please submit a summary of details of the day person 
went missing along with facts that have been completed 
since person(s) disappearance. Note: Include all family 
contact and law officials’ information.  Make sure you have 
signed an advocacy form; this is supplied by our center. 
IMPORTANT CHECK LIST:
!
   Copy of agency police report 
!
   Current photograph of the missing person
Please submit a summary of details of the day person 
went missing along with facts that have been completed 
since person(s) disappearance. Note: Include all family 
contact and law officials’ information.  Make sure you have 
signed an advocacy form; this is supplied by our center. 
IMPORTANT CHECK LIST:
!
   Copy of agency police report 
!
   Current photograph of the missing person
Please submit a summary of details of the day person 
went missing along with facts that have been completed 
since person(s) disappearance. Note: Include all family 
contact and law officials’ information.  Make sure you have 
signed an advocacy form; this is supplied by our center. 
IMPORTANT CHECK LIST:
!
   Copy of agency police report 
!
   Current photograph of the missing person
Please submit a summary of details of the day person 
went missing along with facts that have been completed 
since person(s) disappearance. Note: Include all family 
contact and law officials’ information.  Make sure you have 
signed an advocacy form; this is supplied by our center. 
IMPORTANT CHECK LIST:
!
   Copy of agency police report 
!
   Current photograph of the missing person
Please submit a summary of details of the day person 
went missing along with facts that have been completed 
since person(s) disappearance. Note: Include all family 
contact and law officials’ information.  Make sure you have 
signed an advocacy form; this is supplied by our center. 
IMPORTANT CHECK LIST:
!
   Copy of agency police report 
!
   Current photograph of the missing person
Please submit a summary of details of the day person 
went missing along with facts that have been completed 
since person(s) disappearance. Note: Include all family 
contact and law officials’ information.  Make sure you have 
signed an advocacy form; this is supplied by our center. 
IMPORTANT CHECK LIST:
!
   Copy of agency police report 
!
   Current photograph of the missing person
Please submit a summary of details of the day person 
went missing along with facts that have been completed 
since person(s) disappearance. Note: Include all family 
contact and law officials’ information.  Make sure you have 
signed an advocacy form; this is supplied by our center. 
IMPORTANT CHECK LIST:
!
   Copy of agency police report 
!
   Current photograph of the missing person
Please submit a summary of details of the day person 
went missing along with facts that have been completed 
since person(s) disappearance. Note: Include all family 
contact and law officials’ information.  Make sure you have 
signed an advocacy form; this is supplied by our center. 
IMPORTANT CHECK LIST:
!
   Copy of agency police report 
!
   Current photograph of the missing person
Please submit a summary of details of the day person 
went missing along with facts that have been completed 
since person(s) disappearance. Note: Include all family 
contact and law officials’ information.  Make sure you have 
signed an advocacy form; this is supplied by our center. 
IMPORTANT CHECK LIST:
!
   Copy of agency police report 
!
   Current photograph of the missing person
Please submit a summary of details of the day person 
went missing along with facts that have been completed 
since person(s) disappearance. Note: Include all family 
contact and law officials’ information.  Make sure you have 
signed an advocacy form; this is supplied by our center. 
IMPORTANT CHECK LIST:
!
   Copy of agency police report 
!
   Current photograph of the missing person
Please submit a summary of details of the day person 
went missing along with facts that have been completed 
since person(s) disappearance. Note: Include all family 
contact and law officials’ information.  Make sure you have 
signed an advocacy form; this is supplied by our center. 
IMPORTANT CHECK LIST:
!
   Copy of agency police report 
!
   Current photograph of the missing person
Please submit a summary of details of the day person 
went missing along with facts that have been completed 
since person(s) disappearance. Note: Include all family 
contact and law officials’ information.  Make sure you have 
signed an advocacy form; this is supplied by our center. 
IMPORTANT CHECK LIST:
!
   Copy of agency police report 
!
   Current photograph of the missing person
Please submit a summary of details of the day person 
went missing along with facts that have been completed 
since person(s) disappearance. Note: Include all family 
contact and law officials’ information.  Make sure you have 
signed an advocacy form; this is supplied by our center. 
IMPORTANT CHECK LIST:
!
   Copy of agency police report 
!
   Current photograph of the missing person
Please submit a summary of details of the day person 
went missing along with facts that have been completed 
since person(s) disappearance. Note: Include all family 
contact and law officials’ information.  Make sure you have 
signed an advocacy form; this is supplied by our center. 
IMPORTANT CHECK LIST:
!
   Copy of agency police report 
!
   Current photograph of the missing person
Please submit a summary of details of the day person 
went missing along with facts that have been completed 
since person(s) disappearance. Note: Include all family 
contact and law officials’ information.  Make sure you have 
signed an advocacy form; this is supplied by our center. 
IMPORTANT CHECK LIST:
!
   Copy of agency police report 
!
   Current photograph of the missing person
Please submit a summary of details of the day person 
went missing along with facts that have been completed 
since person(s) disappearance. Note: Include all family 
contact and law officials’ information.  Make sure you have 
signed an advocacy form; this is supplied by our center. 
IMPORTANT CHECK LIST:
!
   Copy of agency police report 
!
   Current photograph of the missing person
Please submit a summary of details of the day person 
went missing along with facts that have been completed 
since person(s) disappearance. Note: Include all family 
contact and law officials’ information.  Make sure you have 
signed an advocacy form; this is supplied by our center. 
IMPORTANT CHECK LIST:
!
   Copy of agency police report 
!
   Current photograph of the missing person
Please submit a summary of details of the day person 
went missing along with facts that have been completed 
since person(s) disappearance. Note: Include all family 
contact and law officials’ information.  Make sure you have 
signed an advocacy form; this is supplied by our center. 
MAIL TO: 
CUE Center for Missing Persons
PO Box  12714 
Wilmington, North Carolina 28405
Phone: (910) 343-1131 or (910) 232 -1687    
Fax:  (910) 397-2893
Email:  cuecenter@aol.com
MAIL TO: 
CUE Center for Missing Persons
PO Box  12714 
Wilmington, North Carolina 28405
Phone: (910) 343-1131 or (910) 232 -1687    
Fax:  (910) 397-2893
Email:  cuecenter@aol.com
MAIL TO: 
CUE Center for Missing Persons
PO Box  12714 
Wilmington, North Carolina 28405
Phone: (910) 343-1131 or (910) 232 -1687    
Fax:  (910) 397-2893
Email:  cuecenter@aol.com
MAIL TO: 
CUE Center for Missing Persons
PO Box  12714 
Wilmington, North Carolina 28405
Phone: (910) 343-1131 or (910) 232 -1687    
Fax:  (910) 397-2893
Email:  cuecenter@aol.com
MAIL TO: 
CUE Center for Missing Persons
PO Box  12714 
Wilmington, North Carolina 28405
Phone: (910) 343-1131 or (910) 232 -1687    
Fax:  (910) 397-2893
Email:  cuecenter@aol.com
MAIL TO: 
CUE Center for Missing Persons
PO Box  12714 
Wilmington, North Carolina 28405
Phone: (910) 343-1131 or (910) 232 -1687    
Fax:  (910) 397-2893
Email:  cuecenter@aol.com
MAIL TO: 
CUE Center for Missing Persons
PO Box  12714 
Wilmington, North Carolina 28405
Phone: (910) 343-1131 or (910) 232 -1687    
Fax:  (910) 399-6137
Email:  cuecenter@aol.com
MAIL TO: 
CUE Center for Missing Persons
PO Box  12714 
Wilmington, North Carolina 28405
Phone: (910) 343-1131 or (910) 232 -1687    
Email:  cuecenter@aol.com
MAIL TO: 
CUE Center for Missing Persons
PO Box  12714 
Wilmington, North Carolina 28405
Phone: (910) 343-1131 or (910) 232 -1687    
Email:  cuecenter@aol.com
MAIL TO: 
CUE Center for Missing Persons
PO Box  12714 
Wilmington, North Carolina 28405
Phone: (910) 343-1131 or (910) 232 -1687    
Fax:  (910) 
Email:  cuecenter@aol.com
MAIL TO: 
CUE Center for Missing Persons
PO Box  12714 
Wilmington, North Carolina 28405
Phone: (910) 343-1131 or (910) 232 -1687    
Fax:  
Email:  cuecenter@aol.com
MAIL TO: 
CUE Center for Missing Persons
PO Box  12714 
Wilmington, North Carolina 28405
Phone: (910) 343-1131 or (910) 232 -1687    
Fax:  (910) 397-2893
Email:  cuecenter@aol.com
MAIL TO: 
CUE Center for Missing Persons
PO Box  12714 
Wilmington, North Carolina 28405
Phone: (910) 343-1131 or (910) 232 -1687    
Fax:  (910) 397-2893
Email:  cuecenter@aol.com
MAIL TO: 
CUE Center for Missing Persons
PO Box  12714 
Wilmington, North Carolina 28405
Phone: (910) 343-1131 or (910) 232 -1687    
Fax:  (910) 397-2893
Email:  cuecenter@aol.com
MAIL TO: 
CUE Center for Missing Persons
PO Box  12714 
Wilmington, North Carolina 28405
Phone: (910) 343-1131 or (910) 232 -1687    
Fax:  (910) 397-2893
Email:  cuecenter@aol.com
MAIL TO: 
CUE Center for Missing Persons
PO Box  12714 
Wilmington, North Carolina 28405
Phone: (910) 343-1131 or (910) 232 -1687    
Fax:  (910) 397-2893
Email:  cuecenter@aol.com
MAIL TO: 
CUE Center for Missing Persons
PO Box  12714 
Wilmington, North Carolina 28405
Phone: (910) 343-1131 or (910) 232 -1687    
Fax:  (910) 397-2893
Email:  cuecenter@aol.com
MAIL TO: 
CUE Center for Missing Persons
PO Box  12714 
Wilmington, North Carolina 28405
Phone: (910) 343-1131 or (910) 232 -1687    
Fax:  (910) 397-2893
Email:  cuecenter@aol.com
MAIL TO: 
CUE Center for Missing Persons
PO Box  12714 
Wilmington, North Carolina 28405
Phone: (910) 343-1131 or (910) 232 -1687    
Fax:  (910) 397-2893
Email:  cuecenter@aol.com
MAIL TO: 
CUE Center for Missing Persons
PO Box  12714 
Wilmington, North Carolina 28405
Phone: (910) 343-1131 or (910) 232 -1687    
Fax:  (910) 397-2893
Email:  cuecenter@aol.com
MAIL TO: 
CUE Center for Missing Persons
PO Box  12714 
Wilmington, North Carolina 28405
Phone: (910) 343-1131 or (910) 232 -1687    
Fax:  (910) 397-2893
Email:  cuecenter@aol.com
MAIL TO: 
CUE Center for Missing Persons
PO Box  12714 
Wilmington, North Carolina 28405
Phone: (910) 343-1131 or (910) 232 -1687    
Fax:  (910) 397-2893
Email:  cuecenter@aol.com
NOTESNOTESNOTESNOTESNOTESNOTESNOTESNOTESNOTESNOTESNOTESNOTESNOTESNOTESNOTESNOTESNOTESNOTESNOTESNOTESNOTESNOTESNOTESNOTESNOTESNOTESNOTESNOTESNOTESNOTESNOTESNOTESNOTESNOTESNOTESNOTESNOTESNOTESNOTESNOTESNOTESNOTESNOTESNOTESNOTES
SUBMITTING PERSONS SIGNATURESUBMITTING PERSONS SIGNATURESUBMITTING PERSONS SIGNATURESUBMITTING PERSONS SIGNATURESUBMITTING PERSONS SIGNATURESUBMITTING PERSONS SIGNATURESUBMITTING PERSONS SIGNATURESUBMITTING PERSONS SIGNATURESUBMITTING PERSONS SIGNATURESUBMITTING PERSONS SIGNATURESUBMITTING PERSONS SIGNATURESUBMITTING PERSONS SIGNATURESUBMITTING PERSONS SIGNATURESUBMITTING PERSONS SIGNATURESUBMITTING PERSONS SIGNATURESUBMITTING PERSONS SIGNATURESUBMITTING PERSONS SIGNATURESUBMITTING PERSONS SIGNATURESUBMITTING PERSONS SIGNATURESUBMITTING PERSONS SIGNATURESUBMITTING PERSONS SIGNATURESUBMITTING PERSONS SIGNATURESUBMITTING PERSONS SIGNATURESUBMITTING PERSONS SIGNATURESUBMITTING PERSONS SIGNATURESUBMITTING PERSONS SIGNATURESUBMITTING PERSONS SIGNATURESUBMITTING PERSONS SIGNATURESUBMITTING PERSONS SIGNATURESUBMITTING PERSONS SIGNATURESUBMITTING PERSONS SIGNATURESUBMITTING PERSONS SIGNATURESUBMITTING PERSONS SIGNATURESUBMITTING PERSONS SIGNATURESUBMITTING PERSONS SIGNATURESUBMITTING PERSONS SIGNATURESUBMITTING PERSONS SIGNATURESUBMITTING PERSONS SIGNATURESUBMITTING PERSONS SIGNATURESUBMITTING PERSONS SIGNATURESUBMITTING PERSONS SIGNATURESUBMITTING PERSONS SIGNATURESUBMITTING PERSONS SIGNATURESUBMITTING PERSONS SIGNATURESUBMITTING PERSONS SIGNATURE
I do hereby swear or affirm that the information contained in this Missing Person report is true and correct, to the best of my knowledge 
and belief.
I have read, signed an advocacy form supplied by the CUE Center for Missing Persons and understand all contents within; I further 
grant permission to disseminate any and all information needed to locate the whereabouts of my missing loved one, (list name of 
missing person) ______________________________________ to include; displaying, or releasing information or photographs 
pertaining to said missing person.
I release the Community United Effort, also known as CUE Center for Missing for any unforeseen mentioned and not mentioned in 
organizational reporting forms of damages (of any kind) that may occur concerning listed case of said missing person.
I do hereby swear or affirm that the information contained in this Missing Person report is true and correct, to the best of my knowledge 
and belief.
I have read, signed an advocacy form supplied by the CUE Center for Missing Persons and understand all contents within; I further 
grant permission to disseminate any and all information needed to locate the whereabouts of my missing loved one, (list name of 
missing person) ______________________________________ to include; displaying, or releasing information or photographs 
pertaining to said missing person.
I release the Community United Effort, also known as CUE Center for Missing for any unforeseen mentioned and not mentioned in 
organizational reporting forms of damages (of any kind) that may occur concerning listed case of said missing person.
I do hereby swear or affirm that the information contained in this Missing Person report is true and correct, to the best of my knowledge 
and belief.
I have read, signed an advocacy form supplied by the CUE Center for Missing Persons and understand all contents within; I further 
grant permission to disseminate any and all information needed to locate the whereabouts of my missing loved one, (list name of 
missing person) ______________________________________ to include; displaying, or releasing information or photographs 
pertaining to said missing person.
I release the Community United Effort, also known as CUE Center for Missing for any unforeseen mentioned and not mentioned in 
organizational reporting forms of damages (of any kind) that may occur concerning listed case of said missing person.
I do hereby swear or affirm that the information contained in this Missing Person report is true and correct, to the best of my knowledge 
and belief.
I have read, signed an advocacy form supplied by the CUE Center for Missing Persons and understand all contents within; I further 
grant permission to disseminate any and all information needed to locate the whereabouts of my missing loved one, (list name of 
missing person) ______________________________________ to include; displaying, or releasing information or photographs 
pertaining to said missing person.
I release the Community United Effort, also known as CUE Center for Missing for any unforeseen mentioned and not mentioned in 
organizational reporting forms of damages (of any kind) that may occur concerning listed case of said missing person.
I do hereby swear or affirm that the information contained in this Missing Person report is true and correct, to the best of my knowledge 
and belief.
I have read, signed an advocacy form supplied by the CUE Center for Missing Persons and understand all contents within; I further 
grant permission to disseminate any and all information needed to locate the whereabouts of my missing loved one, (list name of 
missing person) ______________________________________ to include; displaying, or releasing information or photographs 
pertaining to said missing person.
I release the Community United Effort, also known as CUE Center for Missing for any unforeseen mentioned and not mentioned in 
organizational reporting forms of damages (of any kind) that may occur concerning listed case of said missing person.
I do hereby swear or affirm that the information contained in this Missing Person report is true and correct, to the best of my knowledge 
and belief.
I have read, signed an advocacy form supplied by the CUE Center for Missing Persons and understand all contents within; I further 
grant permission to disseminate any and all information needed to locate the whereabouts of my missing loved one, (list name of 
missing person) ______________________________________ to include; displaying, or releasing information or photographs 
pertaining to said missing person.
I release the Community United Effort, also known as CUE Center for Missing for any unforeseen mentioned and not mentioned in 
organizational reporting forms of damages (of any kind) that may occur concerning listed case of said missing person.
I do hereby swear or affirm that the information contained in this Missing Person report is true and correct, to the best of my knowledge 
and belief.
I have read, signed an advocacy form supplied by the CUE Center for Missing Persons and understand all contents within; I further 
grant permission to disseminate any and all information needed to locate the whereabouts of my missing loved one, (list name of 
missing person) ______________________________________ to include; displaying, or releasing information or photographs 
pertaining to said missing person.
I release the Community United Effort, also known as CUE Center for Missing for any unforeseen mentioned and not mentioned in 
organizational reporting forms of damages (of any kind) that may occur concerning listed case of said missing person.
I do hereby swear or affirm that the information contained in this Missing Person report is true and correct, to the best of my knowledge 
and belief.
I have read, signed an advocacy form supplied by the CUE Center for Missing Persons and understand all contents within; I further 
grant permission to disseminate any and all information needed to locate the whereabouts of my missing loved one, (list name of 
missing person) ______________________________________ to include; displaying, or releasing information or photographs 
pertaining to said missing person.
I release the Community United Effort, also known as CUE Center for Missing for any unforeseen mentioned and not mentioned in 
organizational reporting forms of damages (of any kind) that may occur concerning listed case of said missing person.
I do hereby swear or affirm that the information contained in this Missing Person report is true and correct, to the best of my knowledge 
and belief.
I have read, signed an advocacy form supplied by the CUE Center for Missing Persons and understand all contents within; I further 
grant permission to disseminate any and all information needed to locate the whereabouts of my missing loved one, (list name of 
missing person) ______________________________________ to include; displaying, or releasing information or photographs 
pertaining to said missing person.
I release the Community United Effort, also known as CUE Center for Missing for any unforeseen mentioned and not mentioned in 
organizational reporting forms of damages (of any kind) that may occur concerning listed case of said missing person.
I do hereby swear or affirm that the information contained in this Missing Person report is true and correct, to the best of my knowledge 
and belief.
I have read, signed an advocacy form supplied by the CUE Center for Missing Persons and understand all contents within; I further 
grant permission to disseminate any and all information needed to locate the whereabouts of my missing loved one, (list name of 
missing person) ______________________________________ to include; displaying, or releasing information or photographs 
pertaining to said missing person.
I release the Community United Effort, also known as CUE Center for Missing for any unforeseen mentioned and not mentioned in 
organizational reporting forms of damages (of any kind) that may occur concerning listed case of said missing person.
I do hereby swear or affirm that the information contained in this Missing Person report is true and correct, to the best of my knowledge 
and belief.
I have read, signed an advocacy form supplied by the CUE Center for Missing Persons and understand all contents within; I further 
grant permission to disseminate any and all information needed to locate the whereabouts of my missing loved one, (list name of 
missing person) ______________________________________ to include; displaying, or releasing information or photographs 
pertaining to said missing person.
I release the Community United Effort, also known as CUE Center for Missing for any unforeseen mentioned and not mentioned in 
organizational reporting forms of damages (of any kind) that may occur concerning listed case of said missing person.
I do hereby swear or affirm that the information contained in this Missing Person report is true and correct, to the best of my knowledge 
and belief.
I have read, signed an advocacy form supplied by the CUE Center for Missing Persons and understand all contents within; I further 
grant permission to disseminate any and all information needed to locate the whereabouts of my missing loved one, (list name of 
missing person) ______________________________________ to include; displaying, or releasing information or photographs 
pertaining to said missing person.
I release the Community United Effort, also known as CUE Center for Missing for any unforeseen mentioned and not mentioned in 
organizational reporting forms of damages (of any kind) that may occur concerning listed case of said missing person.
I do hereby swear or affirm that the information contained in this Missing Person report is true and correct, to the best of my knowledge 
and belief.
I have read, signed an advocacy form supplied by the CUE Center for Missing Persons and understand all contents within; I further 
grant permission to disseminate any and all information needed to locate the whereabouts of my missing loved one, (list name of 
missing person) ______________________________________ to include; displaying, or releasing information or photographs 
pertaining to said missing person.
I release the Community United Effort, also known as CUE Center for Missing for any unforeseen mentioned and not mentioned in 
organizational reporting forms of damages (of any kind) that may occur concerning listed case of said missing person.
I do hereby swear or affirm that the information contained in this Missing Person report is true and correct, to the best of my knowledge 
and belief.
I have read, signed an advocacy form supplied by the CUE Center for Missing Persons and understand all contents within; I further 
grant permission to disseminate any and all information needed to locate the whereabouts of my missing loved one, (list name of 
missing person) ______________________________________ to include; displaying, or releasing information or photographs 
pertaining to said missing person.
I release the Community United Effort, also known as CUE Center for Missing for any unforeseen mentioned and not mentioned in 
organizational reporting forms of damages (of any kind) that may occur concerning listed case of said missing person.
I do hereby swear or affirm that the information contained in this Missing Person report is true and correct, to the best of my knowledge 
and belief.
I have read, signed an advocacy form supplied by the CUE Center for Missing Persons and understand all contents within; I further 
grant permission to disseminate any and all information needed to locate the whereabouts of my missing loved one, (list name of 
missing person) ______________________________________ to include; displaying, or releasing information or photographs 
pertaining to said missing person.
I release the Community United Effort, also known as CUE Center for Missing for any unforeseen mentioned and not mentioned in 
organizational reporting forms of damages (of any kind) that may occur concerning listed case of said missing person.
I do hereby swear or affirm that the information contained in this Missing Person report is true and correct, to the best of my knowledge 
and belief.
I have read, signed an advocacy form supplied by the CUE Center for Missing Persons and understand all contents within; I further 
grant permission to disseminate any and all information needed to locate the whereabouts of my missing loved one, (list name of 
missing person) ______________________________________ to include; displaying, or releasing information or photographs 
pertaining to said missing person.
I release the Community United Effort, also known as CUE Center for Missing for any unforeseen mentioned and not mentioned in 
organizational reporting forms of damages (of any kind) that may occur concerning listed case of said missing person.
I do hereby swear or affirm that the information contained in this Missing Person report is true and correct, to the best of my knowledge 
and belief.
I have read, signed an advocacy form supplied by the CUE Center for Missing Persons and understand all contents within; I further 
grant permission to disseminate any and all information needed to locate the whereabouts of my missing loved one, (list name of 
missing person) ______________________________________ to include; displaying, or releasing information or photographs 
pertaining to said missing person.
I release the Community United Effort, also known as CUE Center for Missing for any unforeseen mentioned and not mentioned in 
organizational reporting forms of damages (of any kind) that may occur concerning listed case of said missing person.
I do hereby swear or affirm that the information contained in this Missing Person report is true and correct, to the best of my knowledge 
and belief.
I have read, signed an advocacy form supplied by the CUE Center for Missing Persons and understand all contents within; I further 
grant permission to disseminate any and all information needed to locate the whereabouts of my missing loved one, (list name of 
missing person) ______________________________________ to include; displaying, or releasing information or photographs 
pertaining to said missing person.
I release the Community United Effort, also known as CUE Center for Missing for any unforeseen mentioned and not mentioned in 
organizational reporting forms of damages (of any kind) that may occur concerning listed case of said missing person.
I do hereby swear or affirm that the information contained in this Missing Person report is true and correct, to the best of my knowledge 
and belief.
I have read, signed an advocacy form supplied by the CUE Center for Missing Persons and understand all contents within; I further 
grant permission to disseminate any and all information needed to locate the whereabouts of my missing loved one, (list name of 
missing person) ______________________________________ to include; displaying, or releasing information or photographs 
pertaining to said missing person.
I release the Community United Effort, also known as CUE Center for Missing for any unforeseen mentioned and not mentioned in 
organizational reporting forms of damages (of any kind) that may occur concerning listed case of said missing person.
I do hereby swear or affirm that the information contained in this Missing Person report is true and correct, to the best of my knowledge 
and belief.
I have read, signed an advocacy form supplied by the CUE Center for Missing Persons and understand all contents within; I further 
grant permission to disseminate any and all information needed to locate the whereabouts of my missing loved one, (list name of 
missing person) ______________________________________ to include; displaying, or releasing information or photographs 
pertaining to said missing person.
I release the Community United Effort, also known as CUE Center for Missing for any unforeseen mentioned and not mentioned in 
organizational reporting forms of damages (of any kind) that may occur concerning listed case of said missing person.
I do hereby swear or affirm that the information contained in this Missing Person report is true and correct, to the best of my knowledge 
and belief.
I have read, signed an advocacy form supplied by the CUE Center for Missing Persons and understand all contents within; I further 
grant permission to disseminate any and all information needed to locate the whereabouts of my missing loved one, (list name of 
missing person) ______________________________________ to include; displaying, or releasing information or photographs 
pertaining to said missing person.
I release the Community United Effort, also known as CUE Center for Missing for any unforeseen mentioned and not mentioned in 
organizational reporting forms of damages (of any kind) that may occur concerning listed case of said missing person.
I do hereby swear or affirm that the information contained in this Missing Person report is true and correct, to the best of my knowledge 
and belief.
I have read, signed an advocacy form supplied by the CUE Center for Missing Persons and understand all contents within; I further 
grant permission to disseminate any and all information needed to locate the whereabouts of my missing loved one, (list name of 
missing person) ______________________________________ to include; displaying, or releasing information or photographs 
pertaining to said missing person.
I release the Community United Effort, also known as CUE Center for Missing for any unforeseen mentioned and not mentioned in 
organizational reporting forms of damages (of any kind) that may occur concerning listed case of said missing person.
I do hereby swear or affirm that the information contained in this Missing Person report is true and correct, to the best of my knowledge 
and belief.
I have read, signed an advocacy form supplied by the CUE Center for Missing Persons and understand all contents within; I further 
grant permission to disseminate any and all information needed to locate the whereabouts of my missing loved one, (list name of 
missing person) ______________________________________ to include; displaying, or releasing information or photographs 
pertaining to said missing person.
I release the Community United Effort, also known as CUE Center for Missing for any unforeseen mentioned and not mentioned in 
organizational reporting forms of damages (of any kind) that may occur concerning listed case of said missing person.
I do hereby swear or affirm that the information contained in this Missing Person report is true and correct, to the best of my knowledge 
and belief.
I have read, signed an advocacy form supplied by the CUE Center for Missing Persons and understand all contents within; I further 
grant permission to disseminate any and all information needed to locate the whereabouts of my missing loved one, (list name of 
missing person) ______________________________________ to include; displaying, or releasing information or photographs 
pertaining to said missing person.
I release the Community United Effort, also known as CUE Center for Missing for any unforeseen mentioned and not mentioned in 
organizational reporting forms of damages (of any kind) that may occur concerning listed case of said missing person.
I do hereby swear or affirm that the information contained in this Missing Person report is true and correct, to the best of my knowledge 
and belief.
I have read, signed an advocacy form supplied by the CUE Center for Missing Persons and understand all contents within; I further 
grant permission to disseminate any and all information needed to locate the whereabouts of my missing loved one, (list name of 
missing person) ______________________________________ to include; displaying, or releasing information or photographs 
pertaining to said missing person.
I release the Community United Effort, also known as CUE Center for Missing for any unforeseen mentioned and not mentioned in 
organizational reporting forms of damages (of any kind) that may occur concerning listed case of said missing person.
I do hereby swear or affirm that the information contained in this Missing Person report is true and correct, to the best of my knowledge 
and belief.
I have read, signed an advocacy form supplied by the CUE Center for Missing Persons and understand all contents within; I further 
grant permission to disseminate any and all information needed to locate the whereabouts of my missing loved one, (list name of 
missing person) ______________________________________ to include; displaying, or releasing information or photographs 
pertaining to said missing person.
I release the Community United Effort, also known as CUE Center for Missing for any unforeseen mentioned and not mentioned in 
organizational reporting forms of damages (of any kind) that may occur concerning listed case of said missing person.
I do hereby swear or affirm that the information contained in this Missing Person report is true and correct, to the best of my knowledge 
and belief.
I have read, signed an advocacy form supplied by the CUE Center for Missing Persons and understand all contents within; I further 
grant permission to disseminate any and all information needed to locate the whereabouts of my missing loved one, (list name of 
missing person) ______________________________________ to include; displaying, or releasing information or photographs 
pertaining to said missing person.
I release the Community United Effort, also known as CUE Center for Missing for any unforeseen mentioned and not mentioned in 
organizational reporting forms of damages (of any kind) that may occur concerning listed case of said missing person.
I do hereby swear or affirm that the information contained in this Missing Person report is true and correct, to the best of my knowledge 
and belief.
I have read, signed an advocacy form supplied by the CUE Center for Missing Persons and understand all contents within; I further 
grant permission to disseminate any and all information needed to locate the whereabouts of my missing loved one, (list name of 
missing person) ______________________________________ to include; displaying, or releasing information or photographs 
pertaining to said missing person.
I release the Community United Effort, also known as CUE Center for Missing for any unforeseen mentioned and not mentioned in 
organizational reporting forms of damages (of any kind) that may occur concerning listed case of said missing person.
I do hereby swear or affirm that the information contained in this Missing Person report is true and correct, to the best of my knowledge 
and belief.
I have read, signed an advocacy form supplied by the CUE Center for Missing Persons and understand all contents within; I further 
grant permission to disseminate any and all information needed to locate the whereabouts of my missing loved one, (list name of 
missing person) ______________________________________ to include; displaying, or releasing information or photographs 
pertaining to said missing person.
I release the Community United Effort, also known as CUE Center for Missing for any unforeseen mentioned and not mentioned in 
organizational reporting forms of damages (of any kind) that may occur concerning listed case of said missing person.
I do hereby swear or affirm that the information contained in this Missing Person report is true and correct, to the best of my knowledge 
and belief.
I have read, signed an advocacy form supplied by the CUE Center for Missing Persons and understand all contents within; I further 
grant permission to disseminate any and all information needed to locate the whereabouts of my missing loved one, (list name of 
missing person) ______________________________________ to include; displaying, or releasing information or photographs 
pertaining to said missing person.
I release the Community United Effort, also known as CUE Center for Missing for any unforeseen mentioned and not mentioned in 
organizational reporting forms of damages (of any kind) that may occur concerning listed case of said missing person.
I do hereby swear or affirm that the information contained in this Missing Person report is true and correct, to the best of my knowledge 
and belief.
I have read, signed an advocacy form supplied by the CUE Center for Missing Persons and understand all contents within; I further 
grant permission to disseminate any and all information needed to locate the whereabouts of my missing loved one, (list name of 
missing person) ______________________________________ to include; displaying, or releasing information or photographs 
pertaining to said missing person.
I release the Community United Effort, also known as CUE Center for Missing for any unforeseen mentioned and not mentioned in 
organizational reporting forms of damages (of any kind) that may occur concerning listed case of said missing person.
I do hereby swear or affirm that the information contained in this Missing Person report is true and correct, to the best of my knowledge 
and belief.
I have read, signed an advocacy form supplied by the CUE Center for Missing Persons and understand all contents within; I further 
grant permission to disseminate any and all information needed to locate the whereabouts of my missing loved one, (list name of 
missing person) ______________________________________ to include; displaying, or releasing information or photographs 
pertaining to said missing person.
I release the Community United Effort, also known as CUE Center for Missing for any unforeseen mentioned and not mentioned in 
organizational reporting forms of damages (of any kind) that may occur concerning listed case of said missing person.
I do hereby swear or affirm that the information contained in this Missing Person report is true and correct, to the best of my knowledge 
and belief.
I have read, signed an advocacy form supplied by the CUE Center for Missing Persons and understand all contents within; I further 
grant permission to disseminate any and all information needed to locate the whereabouts of my missing loved one, (list name of 
missing person) ______________________________________ to include; displaying, or releasing information or photographs 
pertaining to said missing person.
I release the Community United Effort, also known as CUE Center for Missing for any unforeseen mentioned and not mentioned in 
organizational reporting forms of damages (of any kind) that may occur concerning listed case of said missing person.
I do hereby swear or affirm that the information contained in this Missing Person report is true and correct, to the best of my knowledge 
and belief.
I have read, signed an advocacy form supplied by the CUE Center for Missing Persons and understand all contents within; I further 
grant permission to disseminate any and all information needed to locate the whereabouts of my missing loved one, (list name of 
missing person) ______________________________________ to include; displaying, or releasing information or photographs 
pertaining to said missing person.
I release the Community United Effort, also known as CUE Center for Missing for any unforeseen mentioned and not mentioned in 
organizational reporting forms of damages (of any kind) that may occur concerning listed case of said missing person.
I do hereby swear or affirm that the information contained in this Missing Person report is true and correct, to the best of my knowledge 
and belief.
I have read, signed an advocacy form supplied by the CUE Center for Missing Persons and understand all contents within; I further 
grant permission to disseminate any and all information needed to locate the whereabouts of my missing loved one, (list name of 
missing person) ______________________________________ to include; displaying, or releasing information or photographs 
pertaining to said missing person.
I release the Community United Effort, also known as CUE Center for Missing for any unforeseen mentioned and not mentioned in 
organizational reporting forms of damages (of any kind) that may occur concerning listed case of said missing person.
I do hereby swear or affirm that the information contained in this Missing Person report is true and correct, to the best of my knowledge 
and belief.
I have read, signed an advocacy form supplied by the CUE Center for Missing Persons and understand all contents within; I further 
grant permission to disseminate any and all information needed to locate the whereabouts of my missing loved one, (list name of 
missing person) ______________________________________ to include; displaying, or releasing information or photographs 
pertaining to said missing person.
I release the Community United Effort, also known as CUE Center for Missing for any unforeseen mentioned and not mentioned in 
organizational reporting forms of damages (of any kind) that may occur concerning listed case of said missing person.
I do hereby swear or affirm that the information contained in this Missing Person report is true and correct, to the best of my knowledge 
and belief.
I have read, signed an advocacy form supplied by the CUE Center for Missing Persons and understand all contents within; I further 
grant permission to disseminate any and all information needed to locate the whereabouts of my missing loved one, (list name of 
missing person) ______________________________________ to include; displaying, or releasing information or photographs 
pertaining to said missing person.
I release the Community United Effort, also known as CUE Center for Missing for any unforeseen mentioned and not mentioned in 
organizational reporting forms of damages (of any kind) that may occur concerning listed case of said missing person.
I do hereby swear or affirm that the information contained in this Missing Person report is true and correct, to the best of my knowledge 
and belief.
I have read, signed an advocacy form supplied by the CUE Center for Missing Persons and understand all contents within; I further 
grant permission to disseminate any and all information needed to locate the whereabouts of my missing loved one, (list name of 
missing person) ______________________________________ to include; displaying, or releasing information or photographs 
pertaining to said missing person.
I release the Community United Effort, also known as CUE Center for Missing for any unforeseen mentioned and not mentioned in 
organizational reporting forms of damages (of any kind) that may occur concerning listed case of said missing person.
I do hereby swear or affirm that the information contained in this Missing Person report is true and correct, to the best of my knowledge 
and belief.
I have read, signed an advocacy form supplied by the CUE Center for Missing Persons and understand all contents within; I further 
grant permission to disseminate any and all information needed to locate the whereabouts of my missing loved one, (list name of 
missing person) ______________________________________ to include; displaying, or releasing information or photographs 
pertaining to said missing person.
I release the Community United Effort, also known as CUE Center for Missing for any unforeseen mentioned and not mentioned in 
organizational reporting forms of damages (of any kind) that may occur concerning listed case of said missing person.
I do hereby swear or affirm that the information contained in this Missing Person report is true and correct, to the best of my knowledge 
and belief.
I have read, signed an advocacy form supplied by the CUE Center for Missing Persons and understand all contents within; I further 
grant permission to disseminate any and all information needed to locate the whereabouts of my missing loved one, (list name of 
missing person) ______________________________________ to include; displaying, or releasing information or photographs 
pertaining to said missing person.
I release the Community United Effort, also known as CUE Center for Missing for any unforeseen mentioned and not mentioned in 
organizational reporting forms of damages (of any kind) that may occur concerning listed case of said missing person.
I do hereby swear or affirm that the information contained in this Missing Person report is true and correct, to the best of my knowledge 
and belief.
I have read, signed an advocacy form supplied by the CUE Center for Missing Persons and understand all contents within; I further 
grant permission to disseminate any and all information needed to locate the whereabouts of my missing loved one, (list name of 
missing person) ______________________________________ to include; displaying, or releasing information or photographs 
pertaining to said missing person.
I release the Community United Effort, also known as CUE Center for Missing for any unforeseen mentioned and not mentioned in 
organizational reporting forms of damages (of any kind) that may occur concerning listed case of said missing person.
I do hereby swear or affirm that the information contained in this Missing Person report is true and correct, to the best of my knowledge 
and belief.
I have read, signed an advocacy form supplied by the CUE Center for Missing Persons and understand all contents within; I further 
grant permission to disseminate any and all information needed to locate the whereabouts of my missing loved one, (list name of 
missing person) ______________________________________ to include; displaying, or releasing information or photographs 
pertaining to said missing person.
I release the Community United Effort, also known as CUE Center for Missing for any unforeseen mentioned and not mentioned in 
organizational reporting forms of damages (of any kind) that may occur concerning listed case of said missing person.
I do hereby swear or affirm that the information contained in this Missing Person report is true and correct, to the best of my knowledge 
and belief.
I have read, signed an advocacy form supplied by the CUE Center for Missing Persons and understand all contents within; I further 
grant permission to disseminate any and all information needed to locate the whereabouts of my missing loved one, (list name of 
missing person) ______________________________________ to include; displaying, or releasing information or photographs 
pertaining to said missing person.
I release the Community United Effort, also known as CUE Center for Missing for any unforeseen mentioned and not mentioned in 
organizational reporting forms of damages (of any kind) that may occur concerning listed case of said missing person.
I do hereby swear or affirm that the information contained in this Missing Person report is true and correct, to the best of my knowledge 
and belief.
I have read, signed an advocacy form supplied by the CUE Center for Missing Persons and understand all contents within; I further 
grant permission to disseminate any and all information needed to locate the whereabouts of my missing loved one, (list name of 
missing person) ______________________________________ to include; displaying, or releasing information or photographs 
pertaining to said missing person.
I release the Community United Effort, also known as CUE Center for Missing for any unforeseen mentioned and not mentioned in 
organizational reporting forms of damages (of any kind) that may occur concerning listed case of said missing person.
I do hereby swear or affirm that the information contained in this Missing Person report is true and correct, to the best of my knowledge 
and belief.
I have read, signed an advocacy form supplied by the CUE Center for Missing Persons and understand all contents within; I further 
grant permission to disseminate any and all information needed to locate the whereabouts of my missing loved one, (list name of 
missing person) ______________________________________ to include; displaying, or releasing information or photographs 
pertaining to said missing person.
I release the Community United Effort, also known as CUE Center for Missing for any unforeseen mentioned and not mentioned in 
organizational reporting forms of damages (of any kind) that may occur concerning listed case of said missing person.

X________________________________________         X_____________________________________        X________________
     PRINT Name of Person Submitting Report                     Signature of Person Submitting Report                        Date 
OR
X_________________________________________       X______________________________________       X_______________                         
   PRINT Name of  Law Enforcement Contact Person          Signature of Law Enforcement Contact Person            Date                                                          
X________________________________________         X_____________________________________        X________________
     PRINT Name of Person Submitting Report                     Signature of Person Submitting Report                        Date 
OR
X_________________________________________       X______________________________________       X_______________                         
   PRINT Name of  Law Enforcement Contact Person          Signature of Law Enforcement Contact Person            Date                                                          
X________________________________________         X_____________________________________        X________________
     PRINT Name of Person Submitting Report                     Signature of Person Submitting Report                        Date 
OR
X_________________________________________       X______________________________________       X_______________                         
   PRINT Name of  Law Enforcement Contact Person          Signature of Law Enforcement Contact Person            Date                                                          
X________________________________________         X_____________________________________        X________________
     PRINT Name of Person Submitting Report                     Signature of Person Submitting Report                        Date 
OR
X_________________________________________       X______________________________________       X_______________                         
   PRINT Name of  Law Enforcement Contact Person          Signature of Law Enforcement Contact Person            Date                                                          
X________________________________________         X_____________________________________        X________________
     PRINT Name of Person Submitting Report                     Signature of Person Submitting Report                        Date 
OR
X_________________________________________       X______________________________________       X_______________                         
   PRINT Name of  Law Enforcement Contact Person          Signature of Law Enforcement Contact Person            Date                                                          
X________________________________________         X_____________________________________        X________________
     PRINT Name of Person Submitting Report                     Signature of Person Submitting Report                        Date 
OR
X_________________________________________       X______________________________________       X_______________                         
   PRINT Name of  Law Enforcement Contact Person          Signature of Law Enforcement Contact Person            Date                                                          
X________________________________________         X_____________________________________        X________________
     PRINT Name of Person Submitting Report                     Signature of Person Submitting Report                        Date 
OR
X_________________________________________       X______________________________________       X_______________                         
   PRINT Name of  Law Enforcement Contact Person          Signature of Law Enforcement Contact Person            Date                                                          
X________________________________________         X_____________________________________        X________________
     PRINT Name of Person Submitting Report                     Signature of Person Submitting Report                        Date 
OR
X_________________________________________       X______________________________________       X_______________                         
   PRINT Name of  Law Enforcement Contact Person          Signature of Law Enforcement Contact Person            Date                                                          
X________________________________________         X_____________________________________        X________________
     PRINT Name of Person Submitting Report                     Signature of Person Submitting Report                        Date 
OR
X_________________________________________       X______________________________________       X_______________                         
   PRINT Name of  Law Enforcement Contact Person          Signature of Law Enforcement Contact Person            Date                                                          
X________________________________________         X_____________________________________        X________________
     PRINT Name of Person Submitting Report                     Signature of Person Submitting Report                        Date 
OR
X_________________________________________       X______________________________________       X_______________                         
   PRINT Name of  Law Enforcement Contact Person          Signature of Law Enforcement Contact Person            Date                                                          
X________________________________________         X_____________________________________        X________________
     PRINT Name of Person Submitting Report                     Signature of Person Submitting Report                        Date 
OR
X_________________________________________       X______________________________________       X_______________                         
   PRINT Name of  Law Enforcement Contact Person          Signature of Law Enforcement Contact Person            Date                                                          
X________________________________________         X_____________________________________        X________________
     PRINT Name of Person Submitting Report                     Signature of Person Submitting Report                        Date 
OR
X_________________________________________       X______________________________________       X_______________                         
   PRINT Name of  Law Enforcement Contact Person          Signature of Law Enforcement Contact Person            Date                                                          
X________________________________________         X_____________________________________        X________________
     PRINT Name of Person Submitting Report                     Signature of Person Submitting Report                        Date 
OR
X_________________________________________       X______________________________________       X_______________                         
   PRINT Name of  Law Enforcement Contact Person          Signature of Law Enforcement Contact Person            Date                                                          
X________________________________________         X_____________________________________        X________________
     PRINT Name of Person Submitting Report                     Signature of Person Submitting Report                        Date 
OR
X_________________________________________       X______________________________________       X_______________                         
   PRINT Name of  Law Enforcement Contact Person          Signature of Law Enforcement Contact Person            Date                                                          
X________________________________________         X_____________________________________        X________________
     PRINT Name of Person Submitting Report                     Signature of Person Submitting Report                        Date 
OR
X_________________________________________       X______________________________________       X_______________                         
   PRINT Name of  Law Enforcement Contact Person          Signature of Law Enforcement Contact Person            Date                                                          
X________________________________________         X_____________________________________        X________________
     PRINT Name of Person Submitting Report                     Signature of Person Submitting Report                        Date 
OR
X_________________________________________       X______________________________________       X_______________                         
   PRINT Name of  Law Enforcement Contact Person          Signature of Law Enforcement Contact Person            Date                                                          
X________________________________________         X_____________________________________        X________________
     PRINT Name of Person Submitting Report                     Signature of Person Submitting Report                        Date 
OR
X_________________________________________       X______________________________________       X_______________                         
   PRINT Name of  Law Enforcement Contact Person          Signature of Law Enforcement Contact Person            Date                                                          
X________________________________________         X_____________________________________        X________________
     PRINT Name of Person Submitting Report                     Signature of Person Submitting Report                        Date 
OR
X_________________________________________       X______________________________________       X_______________                         
   PRINT Name of  Law Enforcement Contact Person          Signature of Law Enforcement Contact Person            Date                                                          
X________________________________________         X_____________________________________        X________________
     PRINT Name of Person Submitting Report                     Signature of Person Submitting Report                        Date 
OR
X_________________________________________       X______________________________________       X_______________                         
   PRINT Name of  Law Enforcement Contact Person          Signature of Law Enforcement Contact Person            Date                                                          
X________________________________________         X_____________________________________        X________________
     PRINT Name of Person Submitting Report                     Signature of Person Submitting Report                        Date 
OR
X_________________________________________       X______________________________________       X_______________                         
   PRINT Name of  Law Enforcement Contact Person          Signature of Law Enforcement Contact Person            Date                                                          
X________________________________________         X_____________________________________        X________________
     PRINT Name of Person Submitting Report                     Signature of Person Submitting Report                        Date 
OR
X_________________________________________       X______________________________________       X_______________                         
   PRINT Name of  Law Enforcement Contact Person          Signature of Law Enforcement Contact Person            Date                                                          
X________________________________________         X_____________________________________        X________________
     PRINT Name of Person Submitting Report                     Signature of Person Submitting Report                        Date 
OR
X_________________________________________       X______________________________________       X_______________                         
   PRINT Name of  Law Enforcement Contact Person          Signature of Law Enforcement Contact Person            Date                                                          
X________________________________________         X_____________________________________        X________________
     PRINT Name of Person Submitting Report                     Signature of Person Submitting Report                        Date 
OR
X_________________________________________       X______________________________________       X_______________                         
   PRINT Name of  Law Enforcement Contact Person          Signature of Law Enforcement Contact Person            Date                                                          
X________________________________________         X_____________________________________        X________________
     PRINT Name of Person Submitting Report                     Signature of Person Submitting Report                        Date 
OR
X_________________________________________       X______________________________________       X_______________                         
   PRINT Name of  Law Enforcement Contact Person          Signature of Law Enforcement Contact Person            Date                                                          
X________________________________________         X_____________________________________        X________________
     PRINT Name of Person Submitting Report                     Signature of Person Submitting Report                        Date 
OR
X_________________________________________       X______________________________________       X_______________                         
   PRINT Name of  Law Enforcement Contact Person          Signature of Law Enforcement Contact Person            Date                                                          
X________________________________________         X_____________________________________        X________________
     PRINT Name of Person Submitting Report                     Signature of Person Submitting Report                        Date 
OR
X_________________________________________       X______________________________________       X_______________                         
   PRINT Name of  Law Enforcement Contact Person          Signature of Law Enforcement Contact Person            Date                                                          
X________________________________________         X_____________________________________        X________________
     PRINT Name of Person Submitting Report                     Signature of Person Submitting Report                        Date 
OR
X_________________________________________       X______________________________________       X_______________                         
   PRINT Name of  Law Enforcement Contact Person          Signature of Law Enforcement Contact Person            Date                                                          
X________________________________________         X_____________________________________        X________________
     PRINT Name of Person Submitting Report                     Signature of Person Submitting Report                        Date 
OR
X_________________________________________       X______________________________________       X_______________                         
   PRINT Name of  Law Enforcement Contact Person          Signature of Law Enforcement Contact Person            Date                                                          
X________________________________________         X_____________________________________        X________________
     PRINT Name of Person Submitting Report                     Signature of Person Submitting Report                        Date 
OR
X_________________________________________       X______________________________________       X_______________                         
   PRINT Name of  Law Enforcement Contact Person          Signature of Law Enforcement Contact Person            Date                                                          
X________________________________________         X_____________________________________        X________________
     PRINT Name of Person Submitting Report                     Signature of Person Submitting Report                        Date 
OR
X_________________________________________       X______________________________________       X_______________                         
   PRINT Name of  Law Enforcement Contact Person          Signature of Law Enforcement Contact Person            Date                                                          
X________________________________________         X_____________________________________        X________________
     PRINT Name of Person Submitting Report                     Signature of Person Submitting Report                        Date 
OR
X_________________________________________       X______________________________________       X_______________                         
   PRINT Name of  Law Enforcement Contact Person          Signature of Law Enforcement Contact Person            Date                                                          
X________________________________________         X_____________________________________        X________________
     PRINT Name of Person Submitting Report                     Signature of Person Submitting Report                        Date 
OR
X_________________________________________       X______________________________________       X_______________                         
   PRINT Name of  Law Enforcement Contact Person          Signature of Law Enforcement Contact Person            Date                                                          
X________________________________________         X_____________________________________        X________________
     PRINT Name of Person Submitting Report                     Signature of Person Submitting Report                        Date 
OR
X_________________________________________       X______________________________________       X_______________                         
   PRINT Name of  Law Enforcement Contact Person          Signature of Law Enforcement Contact Person            Date                                                          
X________________________________________         X_____________________________________        X________________
     PRINT Name of Person Submitting Report                     Signature of Person Submitting Report                        Date 
OR
X_________________________________________       X______________________________________       X_______________                         
   PRINT Name of  Law Enforcement Contact Person          Signature of Law Enforcement Contact Person            Date                                                          
X________________________________________         X_____________________________________        X________________
     PRINT Name of Person Submitting Report                     Signature of Person Submitting Report                        Date 
OR
X_________________________________________       X______________________________________       X_______________                         
   PRINT Name of  Law Enforcement Contact Person          Signature of Law Enforcement Contact Person            Date                                                          
X________________________________________         X_____________________________________        X________________
     PRINT Name of Person Submitting Report                     Signature of Person Submitting Report                        Date 
OR
X_________________________________________       X______________________________________       X_______________                         
   PRINT Name of  Law Enforcement Contact Person          Signature of Law Enforcement Contact Person            Date                                                          
X________________________________________         X_____________________________________        X________________
     PRINT Name of Person Submitting Report                     Signature of Person Submitting Report                        Date 
OR
X_________________________________________       X______________________________________       X_______________                         
   PRINT Name of  Law Enforcement Contact Person          Signature of Law Enforcement Contact Person            Date                                                          
X________________________________________         X_____________________________________        X________________
     PRINT Name of Person Submitting Report                     Signature of Person Submitting Report                        Date 
OR
X_________________________________________       X______________________________________       X_______________                         
   PRINT Name of  Law Enforcement Contact Person          Signature of Law Enforcement Contact Person            Date                                                          
X________________________________________         X_____________________________________        X________________
     PRINT Name of Person Submitting Report                     Signature of Person Submitting Report                        Date 
OR
X_________________________________________       X______________________________________       X_______________                         
   PRINT Name of  Law Enforcement Contact Person          Signature of Law Enforcement Contact Person            Date                                                          
X________________________________________         X_____________________________________        X________________
     PRINT Name of Person Submitting Report                     Signature of Person Submitting Report                        Date 
OR
X_________________________________________       X______________________________________       X_______________                         
   PRINT Name of  Law Enforcement Contact Person          Signature of Law Enforcement Contact Person            Date                                                          
X________________________________________         X_____________________________________        X________________
     PRINT Name of Person Submitting Report                     Signature of Person Submitting Report                        Date 
OR
X_________________________________________       X______________________________________       X_______________                         
   PRINT Name of  Law Enforcement Contact Person          Signature of Law Enforcement Contact Person            Date                                                          
X________________________________________         X_____________________________________        X________________
     PRINT Name of Person Submitting Report                     Signature of Person Submitting Report                        Date 
OR
X_________________________________________       X______________________________________       X_______________                         
   PRINT Name of  Law Enforcement Contact Person          Signature of Law Enforcement Contact Person            Date                                                          
X________________________________________         X_____________________________________        X________________
     PRINT Name of Person Submitting Report                     Signature of Person Submitting Report                        Date 
OR
X_________________________________________       X______________________________________       X_______________                         
   PRINT Name of  Law Enforcement Contact Person          Signature of Law Enforcement Contact Person            Date                                                          
X________________________________________         X_____________________________________        X________________
     PRINT Name of Person Submitting Report                     Signature of Person Submitting Report                        Date 
OR
X_________________________________________       X______________________________________       X_______________                         
   PRINT Name of  Law Enforcement Contact Person          Signature of Law Enforcement Contact Person            Date                                                          
X________________________________________         X_____________________________________        X________________
     PRINT Name of Person Submitting Report                     Signature of Person Submitting Report                        Date 
OR
X_________________________________________       X______________________________________       X_______________                         
   PRINT Name of  Law Enforcement Contact Person          Signature of Law Enforcement Contact Person            Date                                                          
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