Information on Missing Person Name First Middle Last Aliases SSN SexFemaleMaleUnknownRaceAm In/AlaskanAsianBlackMulti-RacialUnknownWhiteDate of Birth Month Day Year Place of Birth Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Email Photo ProvidedYesNoCell #Cell Phone Subscriber Info Social Media Accounts Age Height Weight EyesBlackBlueBrownGrayGreenHazelMaroonMulticolorPinkUnknownHairAuburnBaldBlackBlondeBrownGrayOtherRedWhiteSkin ToneAcne or RuddyAlbinoDarkFairLightLight BrownMediumMedium BrownOliveYellowHair TextureWavyCurlyStraightTeasedHair Style Hair Length Hand PreferenceRight HandedLeft HandedBuildLargeMediumMuscularObeseThinLast Seen Wearing Handicaps, Illness or Mental Illness Additional information such as physical features / characteristics / scars / marks / tattoos / piercing / medical information / jewelry Describe any physical anomalies / prosthetics / surgical or cosmetic implants, etc. Occupation/School Work/School Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Length of time missing and why reporting person suspects the person is missing and not voluntary Is foul play suspected?NoYesIf foul play is suspected explainPrevious incidents of running awayNoYesIf previous incidents of running away explain History of substance abuse?NoYesIf previous history of substance abuse explain Previous threats of suicide?NoYesIf previous threats of suicide explain Last know location Possible destination Frequent locations Last person w/contact, physical description, vehicle information License Plate and Vehicle InformationDriver’s license number Driver’s license expiration date License plate type Vehicle VIN # Vehicle Year Vehicle Make Vehicle Model Information on Person Making the ReportName First Last Relationship TX Full Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code My signature depicts my request to have the missing person entered into LEADS, NCIC and other databases as appropriate. I take full responsibility for such action. If the missing person returns or is located, I will notify the Elgin Police Department to cancel the LEADS, NCIC and other notification message. If I fail to do so, I will take full responsibility for any result of such failure to notify. This also serves as my authorization to post the missing person’s photograph on social media outlets; this authorization also includes the posting of other individuals who may be included in the photo of the missing person.SignatureDate MM slash DD slash YYYY Time Hours : Minutes In-taking Employee/Supervisor ApprovalIn-taking employee’s name First Last Date MM slash DD slash YYYY Approving supervisor First Last Date MM slash DD slash YYYY To be Completed by the TelecommunicatorTC’s Name NCIC Number LEADS Number