Amber Alert Request (Public Act 92-0259)FACSIMILE TRANSMISSION PACKETDate MM slash DD slash YYYY Time Hours : Minutes To:Illinois Springfield Communications Center Telephone #: 217-786-6677 Facsimile #: 217-786-7191FromDepartment Contact TelephoneFacsimileOCA (LEADS/NCIC) Number Subject: AMBER ALERT CHILD ENDANGERMENT/ABDUCTION EMERGENCY NOTIFICATION MESSAGE PHOTOGRAPH OF THE CHILD, ABDUCTOR, OR VEHICLE AND THE COMPLETED FORM SHOULD BE SENT TO: isp.scc@illinois.gov If you have any questions regarding this transmission, please call the sender at the telephone number listed above. This facsimile contains CONFIDENTIAL INFORMATION which may also be legally privileged and is intended only for the use of the individual or entity to which it is addressed. Unauthorized disclosure or dissemination may be prohibited by state and federal statutes. If you have received this communication in error, please contact the sender immediately.EMERGENCY NOTIFICATION MESSAGE CRITERIAThe child is under the age of 16 or has a proven mental or physical disabilityand, Police must believe the child is in danger of serious bodily harm or death.ABDUCTION INFORMATIONDate Abducted Month Day Year Time Abducted Hours : Minutes Location/Place of Abduction City State Zip County Vehicle DescriptionColor Year Make Model Style License Plate State of Issue Direction of Travel/Destination Incident DetailsCHILD INFORMATIONLast Name First Name MI Date of Birth Month Day Year Age Race GenderMaleFemaleHeight Weight Eyes Hair ClothingShirt Pants Shoes Outerwear Identifying Features Photo EmailedYesNoABDUCTOR INFORMATIONLast Name First Name MI Date of Birth Month Day Year Age Race GenderMaleFemaleHeight Weight Eyes Hair ClothingShirt Pants Shoes Outerwear Identifying Features Photo EmailedYesNoLAW ENFORCEMENT CONTACT INFORMATIONDepartment Contact Phone #Media Inquiry # Department ORI Contact Email Although each case has its own set of circumstances, police must follow the abduction criteria as closely as possible.This process should not replace departmental policy/procedure on conducting follow-up investigation to include collecting photographs of any missing or abducted child.Enter an email address below to send a copy of this complete form to: