Lost/Missing Person Form

Lost/Missing Person Form

Oldham County Task Force - Search & Rescue Branch

Agency Information
Date

MonthDayYear
Date
Your Name

First NameLast Name
Your Phone Number

Area CodePhone Number
Your Email
example@example.com
Your Agency

Search Urgency Data
Number of Subjects Missing*
Age*
Medical Condition*
Time*
Circumstances*
Experience Profile*
Physical Condition*
Clothing Profile*
Weather Conditions*
Equipment Profile*
Terrain & Hazardous Profile*
SEARCH URGENCY SCORE
Search Urgency Score is {searchUrgency}.
- A score less than 15 requires an urgent response. Deploy additional resources immediately!
- A score between 16-27 requires a measured response.
- A score greater than 28 suggests an evaluation and further investigation.

Missing Person(s) Information
Subject (s) Name

First NameLast Name
Subject (s) Name

First NameLast Name
Subject (s) Name

First NameLast Name
Height
Weight
Build
Eye Color
Hair Color
Hair Style/Other Hair Description
Facial Hair
Facial Features/Skin Color/Tone
Fingernail Color
Distinguishing Marks
Jewelry
Eyewear
Overall Appearance
Photos Available:

YESNO
Upload Photos

Browse Files

Cancelof

Clothing

	Style	Color	Size	Other
Shirt/Sweater
Pants (belt/suspenders)
Outerware
Underwear/socks
Headwear
Rainwear
Glasses
Gloves
Neckwear
Footwear
Extra Clothing

Shoe Sole Type:
Shoe Sole Sample Available?

YESNO
Scent Articles Available?

YESNO
What Scent Article?
Sent Article Secured?

YESNO
Number of Subjects Score
Age Score
Medical Condition Score
Time Score
Circumstances Score
Experience Profile Score
Physical Condition Score
Clothing Profile Score
Weather Conditions Score
Terrain and Hazardous Profile Score
Equipment Profile Score

Runaway Questionnaire
Attracted to Water

YESNO
Which Body of Water?
Able to swim?

YESNO
Attracted to Wooded Area?

YESNO
Which Wooded Area?
Runaway Before

YESNO
Where Found?
Sibling Runaway Before?

YESNO
Where Found?
Favorite Places/Locations:
Knows:

Home AddressPhone #
Other Contact Information:
Has Mobile Phone?

YESNO
Mobile Phone Number

Area CodePhone Number
Password/PIN
Carrier

Social Media

	Service	User Name	Password/PIN
1
2
3
4
5

On-Line Gaming

	Game	Gamer Tag	Password/PIN
1
2
3
4
5

Likes:
Dislikes:
Fears:
Behavioral Triggers:
Wears Medical ID Tag?

YESNO
Dietary Issues/Requirements:
Special-Needs Conditions
Other Notes/Comments
Should be Empty: