Texas EquuSearch • Missing Person Report • 281-309-9500 ...
|Name: | |Home Address ↓↓↓ |
|Date Missing: | | |
|Missing From: | | |
|DOB: | |Address Last Seen ↓↓↓ |
|Age: | | |
|Hair Color: | | |
|Height: | |Hair Length: | |
|Weight: | |Facial Marks/Scars | |
|Eye Color: | |Complexion: | |
|Sex: | |Glasses (Y/N) | |
|Ethnicity: | |Body Scars/Tattoos ↓↓↓ |
|Complexion: | | |
|Police/Sheriff: | | |
|Officer Name: | |Clothing Worn at Time of Disappearance ↓↓↓ |
|Officers Phone #: | | |
|Officer’s Case #: | | |
|TXEQ Case #: | | |
|Reconstruct Circumstances of Disappearance (including drug/alcohol/mental/medical condition) ↓↓↓ |
| |
Vehicle Make: ____________________ Model ________________ Year _____ Color(s) _________________________
License # _________________ State _______________ Has Vehicle Been Found ☐Yes ☐No Condition ____________
Address, City and State Where Found _________________________________________________
Date Found _____________ Does Vehicle Has OnStar or Other GPS Device Activated on Vehicle? ☐Yes ☐No
☐Truck ☐Sedan ☐SUV ☐Van ☐2-Door ☐4-Door
Address of Vehicle now ________________________________
Distinguishing Things about Vehicle (such as school bumper sticker, or crushed fender) _________________________ ________________________________________________________________________________________________
Since the Disappearance; Has Anyone Used, or Attempted to Use the Missing Person’s Debit or Credit Cards? ☐Yes ☐No If Yes; What Was the Date, Time, Location and Amount of Purchase? ______________________________
_______________________________________________________________________________________________
Since the Disappearance; Has Anyone Removed, or Attempted to Withdrawal Cash from an ATM Using the Missing Person’s Information? ☐Yes ☐No If Yes; What Was the Date, Time, Location and Amount of Withdrawal? ____________________________________________________________________________________________
☐Dementia ☐Mentally Challenged ☐Schizophrenia ☐Bi-Polar ☐Hallucinations ☐PTSD ☐Depression ☐Autism
Level and / Intellect or Stage: ________________________________________________________________________
Has the Missing Person Missed Taking Their Prescribed Medications? ☐Yes ☐No Number of Days? ______
Reason They Didn’t Take Their Medication? _________________________________________________________
Is the Missing Person Aggressive or Violent? ☐Yes ☐No Date Diagnosed: ________________________________ Diagnosed By: Dr. _____________________________________________
Doctor’s Address & Phone #: _______________________________________________________________________
Medications: ____________________________________________________________________________________
☐Heart Problems ☐Diabetes ☐High Blood Pressure ☐Current Cancer ☐Respiratory Issues ☐Other ______________
Doctor’s Address & Phone #:________________________________________________________________________
Medications: _____________________________________________________________________________________
Does the Missing Person Abuse the Use of Alcohol? ☐Yes ☐No If Yes, Describe the Amount, and the Frequency of Use: ___________________________________________________________________________________________
Does the Missing Person Currently, or Do They Have a History of Using Illegal Drugs? ☐Yes ☐No
If yes; Which Ones Apply? ☐Cocaine / Crack ☐Meth ☐Marijuana ☐LSD ☐Heroin ☐Ecstasy ☐other _____________
Has the Missing Person Given Any Indications That They May Intentionally Harm Themselves?
☐Yes ☐No Indications: ___________________________________________________________________________
Has the Missing Person Been Unusually Quite Lately? ☐Yes ☐No
Did They Leave Any Kind of Concerning Note? ☐Yes ☐No
What Did the Note Say? _____________________________________________________________________________________________
Any Issues / Problems With: ☐Family / Relationship ☐Job ☐Health ☐Finances ☐Drugs ☐PTSD
Has Missing Person Been Giving Away Personal Possessions to Their Family / Friends? ☐Yes ☐No
Has Missing Person Disappeared, And They Left Behind Things They Normally Would Take Such As? Keys, Phone,
Ipad / Laptop, Wallet / Money ☐Yes ☐No What Items Did They Leave? _________________________________
Does the Missing Person Have Phone / iPad With Them? ☐Yes ☐No Phone # _____________________________
Is the Phone Working and Charged? ☐Yes ☐No
Has the Missing Person Checked Their Messages? ☐Yes ☐No
Who Pays the Missing Person’s Phone Bill? _______________________ Can They Access Account? ☐Yes ☐No
Last Time Phone Was Used? _______________ Does Phone Have Activated GPS, OR “Find My Phone”? ☐Yes ☐No
Phone Carrier: ____________________ Is Missing Person’s Phone Charger Missing? ☐Yes ☐No
|MP Home Phone # | |Facebook Page: | |
|MP Cell Phone # | |Twitter Feed: | |
|MP Place of Employment or School/Address: | | |
| |MP Work Phone # | |
| | | |
Has the Missing Person Ever Disappeared Before; Even If For A Short Time? ☐Yes ☐No
When Did They Previously Disappear, and Why: ________________________________________________________
Has the Missing Person Recently Been Threatened, Stalked or Harassed By Anyone? ☐Yes ☐No
Explain: _______________________________________________________________________________________
Is the Missing Person Currently Have Any Open Arrest Warrants By Law Enforcement? ☐Yes ☐No
Is the Missing Person Currently on Parole or Probation? ☐Yes ☐No If Yes, Why: ___________________________
_______________________________________________________________________________________________
Has the Missing Person Missed Any Important Appointments, or Planned Family Events Since They Disappeared?
If Yes, Describe: ________________________________________________________________________________
Is the Missing Person Straight, Gay, Bisexual, Lesbian or Transgender? ___________________________
|Additional Notes: |
|Reported by: | |Date: | |
|Home Address: ↓↓↓ |Phone #: | |
| |Relationship: | |
| | |
| |Please DO NOT type in ALL CAPS |
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