File a Report Form – CUE – Community United Effort

Step 1 of 5

20%

Your Email

Missing Person Information

Missing Persons Name

Date of Birth

Age at Disappearance

Height

Weight

Build

Gender

Male

Female

Other

Race

African American

Asian

Caucasian

Hispanic

Native American

Other

Complexion

Hidden

Race

Hidden

Gender

Eye Color

Blue

Brown

Green

Hazel

Eye Wear

Glasses

Contacts

Other

Hair Color

Brown

Black

Blond

Gray

Red

Other

Hair Length

Short

Long

Shoulder Length

Shaved

Bald

Hidden

Eye Wear

Hidden

Eye Color

Hidden

Hair Color

Hidden

Hair Length

Date Last Seen

MM slash DD slash YYYY

Time Last Seen

Person who last saw individual

Location Last Seen

Address

City State

List items missing or that is with the missing individual

Please list any birthmarks, scars or tattoo's and their location

What type of employment and hobbies involved your missing person, be detailed

Dentist and Contact info

Please select dental appliance if any

Full Dentures

Retainer

Braces

Partial

None

List any medications

Clothing and Descriptive Information

Sizes

Be Detailed: Pant, Shirt etc.

List any jewelry, head gear or other descriptive items that may be on the missing individual.

List any other valuable information of the missing person here

List any other details, locations or addresses that pertain to your missing loved one:

Details of Disappearance

Vehicle Information (If any)

Make

Model

Year

Color

Tag#

# of Doors

Direction of Travel

Family Information

Family Contact Name

Phone

Website

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Relationship to Missing Person

List contact information for family members we may need to speak with.

Law Enforcement Agency

Agency Name

Detective Name

Position

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone

Advocacy?

Yes

Do you consent to CUE Center for Missing Persons acting as an advocate?

Required Attachments

Copy of Missing Persons Report

Max. file size: 512 MB.

Photo of Missing Person

Max. file size: 512 MB.

Photo of Missing Person

Max. file size: 512 MB.

Other Attachment

Max. file size: 512 MB.

Authorization

Attestation

By Checking this box, I attest that the information provided is accurate and complete and represents the signature of the person completing and submitting this report.

Name of Person Submitting Report

Today's Date

MM slash DD slash YYYY

Untitled

First Choice

Second Choice

Third Choice

Name

This field is for validation purposes and should be left unchanged.

File A Report

Missing Person Information

Vehicle Information (If any)

Family Information

Law Enforcement Agency

Required Attachments

Authorization