Missing Persons Report Form PDF Details

Missing a person can be one of the most worrying and heartbreaking situations anyone can experience. Whether it is a family member, friend or beloved pet that has seemingly vanished without trace, every precious second counts in getting them home safe and sound. To help speed up this process, having an official form to fill out with all of the details surrounding the disappearance helps provide essential information to authorities who then use these reports as starting points for investigations. In this blog post, we'll take an in-depth look at what constitutes a missing persons report form and discuss how families should go about filling one out quickly and accurately during their time of crisis.

QuestionAnswer
Form NameMissing Persons Report Form
Form Length3 pages
Fillable?No
Fillable fields0
Avg. time to fill out45 sec
Other namesmissing person case file template, missing persons report form, missing person report online, california missing report

Form Preview Example

STATE OF CALIFORNIA

DEPARTMENT OF JUSTICE

CJIS 8568

PAGE 1 of 3

(Rev. 07/2018)

 

MISSING PERSON REPORT

Pursuant to Penal Code §13519.07(d)

Adult Child

Date and Time of Report:

Date and Time of Last Contact:

Report Number:

Report Type:

 

 

 

 

Runaway

 

 

 

 

Voluntary

 

 

 

 

Parental/Family

 

Dependent

 

 

Unknown

 

 

 

 

 

 

 

Stranger

 

 

 

 

Suspicious

 

Catastrophe

 

 

Lost

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Missing Adult

 

 

Abduction

 

 

 

Adult

 

 

 

 

Circumstances

 

 

 

Abduction

 

 

 

 

Circumstances

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Category:

 

 

 

 

 

 

Prior

 

 

 

 

Sexual

 

 

 

 

Urgent Case

 

 

 

Silver Alert

 

Abducted During

 

 

Amber

 

 

 

 

 

 

 

At Risk

Endangered Missing

 

 

 

 

 

 

Missing

 

 

 

 

Exploitation

 

 

 

 

 

 

a Crime

 

 

 

 

 

 

 

Alert

 

 

 

 

 

 

 

Advisory

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Name (Last, First, Middle):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Sex:

 

 

 

 

 

 

 

 

 

 

Race:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

M

F

 

UNK

 

 

 

 

 

A - Other Asian

 

 

K - Korean

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

L - Laotian

 

 

 

Alias/Moniker/Nickname:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DOB/Age:

 

 

 

 

 

 

Height:

 

Weight:

 

 

 

 

 

B - Black

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

C - Chinese

 

 

O - Other

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Eye Color:

 

Facial Hair:

 

 

Corrective Lenses:

 

 

 

 

 

Hair Color/Style:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

P - Pacific Islander

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

D - Cambodian

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Glasses

 

Contacts

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

S - Samoan

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

F - Filipino

 

 

 

 

 

Scars/Marks/Tattoos:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Cell Phone Number:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

U - Hawaiian

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

G - Guamanian

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

H - Hispanic/Latin/

V- Vietnamese

 

 

 

Residence Address, City, State, Zip Code:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Residence Phone Number:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Mexican

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

W - White

Information

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

I -

American Indian

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Business Address, City, State, Zip Code:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Business Phone Number:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

J - Japanese

 

 

X - Unknown

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Z - Asian Indian

 

 

 

FBI Number:

 

 

 

 

 

 

 

 

Local Reference Number:

 

CII Number:

 

 

 

 

Social Security Number:

 

 

 

 

 

 

 

 

 

 

Driver's License/ID Number:

 

State:

Person

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Email Address:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Probation/Parole/Social Worker Name & Phone:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Missing

Clothing:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Social Networking Site(s) and Screen Name(s):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Alcohol, Drug, Mental Health, or Medical Condition(s):

 

 

 

 

 

 

 

 

 

 

 

 

Jewelry:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Last Known Location/Activity (Description or Address, City, State, Zip Code):

 

Possible Destination (Description or Address, City, State, Zip Code):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Known Associates and Lifestyle:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

X-rays Available:

 

 

 

Visible Dental Work:

 

 

Y

 

 

 

N

Dentures:

 

 

 

Braces:

 

Dentist Name, Address, Phone Number:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Dental:

 

 

 

 

Skeletal:

 

 

If yes,

 

 

 

 

 

 

 

 

 

 

 

 

Upper

Full

 

Upper

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Y

N

 

 

 

 

Y

N

 

 

describe:

 

 

 

 

 

 

 

 

 

 

Lower

Partial

 

Lower

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Photo

 

 

Y

 

 

Age in

 

 

Fingerprints:

 

Broken Bones /

 

 

 

 

 

 

 

 

 

 

Medical Provider Name, Address, Phone Number:

 

 

 

 

 

 

 

 

 

 

Available:

N

 

 

Photo:

 

 

 

Y

N

 

Missing Organs: If Yes,

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Y

 

 

N

 

 

Describe:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Info.

Describe:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Registered Owner:

Missing Person

Suspect

 

 

 

 

Color(s):

 

 

Make:

 

 

Model:

 

 

 

Body Style:

Veh. Year:

VIN:

 

 

 

 

 

 

 

Vehicle

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

License Number:

 

State/Province/Country:

Reg. Year:

Operator:

Missing Person

Suspect

Other

 

 

Damage to Vehicle:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Describe:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Info.

Operator:

 

 

 

Missing Person

 

 

Suspect

Other

 

 

 

 

Registered Owner:

 

Missing Person

 

 

Suspect

 

 

Other

Damage to Boat:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Describe:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Describe:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Boat

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Boat Year:

 

 

Make:

 

 

 

 

 

Model:

 

 

 

 

Body Style:

 

Color(s):

 

 

 

Hull Number:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

State/Province/Country:

Reg. Expiration:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Info.

Name (Last, First, Middle):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Relationship to Missing:

 

Sex:

 

 

 

 

 

 

 

 

Race:

 

DOB/Age:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

M

 

 

 

 

F

 

 

UNK

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Suspect

Address, City, State, Zip Code:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Phone Number:

 

 

E-Mail Address:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Scars/Marks/Tattoos:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Clothing:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Reporting

Name (Last, First, Middle):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Relationship to Missing:

 

Sex:

 

 

 

 

 

 

 

 

Race:

DOB/Age:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

M

 

 

 

F

 

 

UNK

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Address, City, State, Zip Code:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Phone Number:

 

 

E-Mail Address:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

FCN Number:

NIC Number

M

STATE OF CALIFORNIA

DEPARTMENT OF JUSTICE

CJIS 8568

PAGE 2 of 3

(Rev. 07/2018)

 

MISSING PERSON REPORT

Pursuant to Penal Code §13519.07(d)

Missing Person's Name (Last, First, Middle):

DOB/Age:

Report Number:

Narrative:

Reporting Officer:

 

 

 

 

 

ID/Badge #:

Date:

 

Investigating Agency Address and Phone Number:

Forward Copy of Report to: (per PC §14211(g)):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Approving Officer:

 

 

 

 

 

ID/Badge #:

Date:

 

 

 

Internally Route to:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Authorization to release photo, dental treatment notes, and skeletal x-rays per PC §14212:

 

 

 

 

I am a family member, next-of-kin, or law enforcement official investigating the disappearance of the missing person, and I hereby authorize the release of all dental or skeletal x-rays

 

and treatment notes, photographs, physical description, and circumstances surrounding the disappearance to assist law enforcement agencies in locating the above named missing

 

person. This information may be used by the Department of Justice for inclusion in bulletins and posters, which will be distributed throughout California and on the Internet, including

 

the Attorney General's Web Site at http://oag.ca.gov/ and the FBI's National Dental Image Repository, to assist law enforcement agencies in locating the missing person.

 

 

 

Yes

 

No

Initial

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Informationof

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Authorization to release information to the National Missing and Unidentified Person System per PC §14209:

 

 

 

 

 

 

 

 

I am a family member, next-of-kin, or law enforcement official investigating the disappearance of the missing person and I hereby authorize the release of all dental or skeletal x-rays,

 

photographs, physical description, and circumstances surrounding the disappearance to the National Missing and Unidentified Person System (NamUs) at http://namus.gov/.

 

 

 

Yes

 

No

Initial

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Release

Authorization to refer missing juveniles who are the victims of sexual exploitation/human trafficking to victim advocacy groups and resources:

 

I am the parent or legal guardian of a missing juvenile believed to be the victim of sexual exploitation/human trafficking. I hereby authorize the law enforcement official investigating

 

 

the disappearance, the power/right to refer the above named missing juvenile to the victim advocacy group(s) and/or resource of their choice.

 

 

 

 

Yes

 

No

Initial

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Name:

 

 

 

 

 

 

 

 

 

Signature:

 

 

Date:

 

 

 

 

 

 

 

 

 

 

 

 

 

Relationship to Missing Person:

Address:

 

 

 

City:

State:

Zip Code:

Phone Number:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Per Penal Code §14212, submit photographs, dental/skeletal x-rays, dental treatment notes, and fingerprints for entry into the Missing Person System at:

Department of Justice Missing & Unidentified Persons Section, P.O. Box 903387, Sacramento, CA 94203-3870, or via email at:

Missing.Persons@doj.ca.gov. For questions, please call the MUPS at (916) 210-3119.

STATE OF CALIFORNIA

DEPARTMENT OF JUSTICE

CJIS 8568

PAGE 3 of 3

(Rev. 07/2018)

 

MISSING PERSON REPORT

Pursuant to Penal Code §13519.07(d)

Privacy Notice

As Required by Civil Code § 1798.17

Collection and Use of Personal Information. The California Justice Information Services (CJIS) Division in the Department of Justice (DOJ) collects the information requested on this form as authorized by Penal Code sections 13519.07(d) and 14206. The CJIS Division uses this information to collect physical and medical reports on missing persons in order to assist law enforcement agencies (LEAs) in locating the missing person. In addition, any personal information collected by state agencies is subject to the limitations in the Information Practices Act and state policy. The DOJ's general privacy policy is available at http://oag.ca.gov/privacy-policy.

Providing Personal Information. Providing any personal information is voluntary.

Access to Your Information. You may review the records maintained by the CJIS Division in the DOJ that contain your personal information, as permitted by the Information Practices Act. See below for contact information.

Possible Disclosure of Personal Information. In order to assist LEAs in locating the missing person, we may need to share the information you give us with the Federal Bureau of Investigation's National Dental Image Repository and the public for inclusion in bulletins and posters to be distributed throughout California, nationally, the Internet, and the Attorney General's Web Site at http://oag.ca.gov.

The information you provide may also be disclosed in the following circumstances:

With other persons or agencies where necessary to perform their legal duties, and their use of your information is compatible and complies with state law, such as for investigations or for licensing, certification, or regulatory purposes;

To another government agency as required by state or federal law.

Contact Information. For questions about this notice or access to your records, you may contact the program manager in the DOJ's Missing Persons Section by phone at (916) 210-3119, by email at missing.persons@doj.ca.gov, or by mail at:

California Department of Justice

Missing Persons Section

P.O. Box 903387

Sacramento, CA 94203

How to Edit Missing Persons Report Form Online for Free

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It will be simple to finish the pdf using out helpful tutorial! Here is what you must do:

1. It's vital to complete the missing persons report template properly, thus be careful when working with the sections that contain these blanks:

How you can complete missing persons report portion 1

2. Soon after the prior selection of blanks is filled out, proceed to enter the relevant details in all these: n o s r e P g n s s M, Clothing, Social Networking Sites and Screen, Alcohol Drug Mental Health or, Jewelry, Last Known LocationActivity, Possible Destination Description, Known Associates and Lifestyle, Xrays Available Dental, Skeletal, Photo Available, Age in Photo, Visible Dental Work If yes describe, Dentures Upper, and Full.

Writing part 2 in missing persons report

3. This third step should also be fairly simple, Name Last First Middle, Relationship to Missing, Sex, Race, DOBAge, UNK, Address City State Zip Code, Phone Number, EMail Address, ScarsMarksTattoos, Clothing, Name Last First Middle, Relationship to Missing, Sex, and Race - each one of these blanks will have to be filled out here.

Step no. 3 of filling out missing persons report

Be extremely attentive when filling out Race and Name Last First Middle, because this is the section in which most people make mistakes.

4. To move onward, this section will require typing in several form blanks. Included in these are Missing Persons Name Last First, DOBAge, Report Number, Pursuant to Penal Code d, and Narrative, which you'll find fundamental to moving forward with this particular document.

Tips on how to complete missing persons report step 4

5. Now, the following last section is precisely what you should finish prior to finalizing the form. The blanks here include the next: Reporting Officer, IDBadge Date, Investigating Agency Address and, Approving Officer, IDBadge Date, Internally Route to, Authorization to release photo, I am a family member nextofkin or, Yes, Initial, Authorization to release, I am a family member nextofkin or, Yes, Initial, and Authorization to refer missing.

I am a family member nextofkin or, Approving Officer, and Yes of missing persons report

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