MISSING PERSON (MP) INFORMATION Instructions: Please complete all fields in this section.
Full Name:
Date of Birth:
Age:
Sex:
Eye Color:
Hair Color:
Hair Length:
Height:
Weight:
Race:
Ethnicity:
Complexion:
Facial Marks or Scars:
Tattoos/Piercings/Other Markings:
DISAPPEARANCE INFORMATION Instructions: Please complete all fields in this section. If you do not know an answer, enter “Don’t Know”.
Date Missing:
Home Address:
Address Last Seen/Missing From:
Clothing Worn at Time of Disappearance
Method of Transportation:
Law Enforcement Entity:(To what law enforcement entity was the missing person reported to as missing.)
Investigator’s Name:
Investigator’s Phone:
Case Number #:
Reconstruct the circumstances of the disappearance below. Please be specific.
VEHICLE INFORMATION Instructions: If the MP left in a motorized vehicle, an accurate description of the vehicle may be very helpful.
Color:
Year:
Make:
Model:
Body:
2-door 4-door Sedan SUV Truck Van Motorcycle Other:
License Plate #:
State:
If yes, where was the vehicle found (address, city, state, etc.)?
Where is vehicle now?
Distinguishing characteristics (body damage, accessories, decals, etc.):
Is the vehicle equipped with OnStar, Low-Jack, or other GPS tracking equipment?
Yes No Don’t Know
Does the missing person own or lease the vehicle?
Own Lease
FINANCIAL INFORMATION Note: Understanding the MP’s most recent transactions may help in defining the search plan appropriately.
Did the MP have monetary resources at the time of their disappearance?
Cash $ Credit Card Debit Card Checkbook
Have any of the MP’s credit cards been used or attempted since the MP’s disappearance?
Yes No
If yes, what was the date, time, location, and amount of purchase or attempted purchase?
Has anyone removed or attempted to withdraw MP’s cash from an ATM since their disappearance?
Yes No
If yes, what was the date, time, location, and amount of the withdrawal or attempted withdrawal?
Does anyone have access to the MP’s financial accounts? If yes, who?
MEDICAL/MENTAL HEALTH Instructions: Describing the MP’s medical and mental health may help in defining the search plan appropriately.
Is the MP diagnosed with or suffer from any of the following?
Dementia Intellectually Disabled Autism Depression Schizophrenia Bipolar Hallucinations PTSD Other:
For any of the above, what is the level, stage, or intellect age?
For any of the above, what is the level of functionality?
Diagnosed by (enter doctor’s name):
Date Diagnosed
Doctor’s Address:
Doctor’s Phone:
Prescribed Medications:
Physical Condition:
Heart Problems Diabetes High Blood Pressure Current Cancer Respiratory Issues Kidney Failure Dialysis Other:
Has the MP given any indication that they may harm themselves?
Yes No
If yes, what indications?
Has the MP been unusually quiet lately?
Yes No
Did the MP leave any concerning note?
Yes No
If the MP left a concerning note, what did the note say?
MEDICAL/MENTAL HEALTH Instructions: Describing the MP’s medical and mental health may help in defining the search plan appropriately.
Does the MP have any recent problems with any of the following?
Family Relationships Job Health Finances Other:
Does the MP use, or are they dependent on, alcohol?
Yes No
Frequency:
Alcohol of Choice:
Does the MP use illegal/street drugs?
Yes No
Frequency:
Drug of Choice:
If yes, which drugs does the MP currently use?
Marijuana Cocaine Crack Meth Heroin PCP Ecstasy LSD Bath Salts Other:
DEVICES and PERSONAL BELONGINGS Instructions: As related to the missing person, complete this section as best as possible.
Phone Number:
Brand:
Color:
Phone Type (check all that apply):
iPhone Android Pre-Paid/Burner Slide-phone Flip-phone iPad or Tablet Blackberry Other:
Describe the phone case (color, stickers, etc.)
Who is the cell phone provider? (i.e., Verizon, ATT, etc.)
Who is responsible for paying the cell phone bill?
Yes No
Is the missing person’s phone turned on or off?
On Off Don’t Know
hat happens when you call the MPs cell phone?
To your knowledge, when was the phone last used?
Has the MP given away any personal possessions to their family or friends?
Yes No
Did the MP leave any of the following behind that they would normally take with them?
Keys Phone Wallet Charger Tablet Money Credit Cards Medications Other:
PHONE, SOCIAL MEDIA, and EMPLOYMENT INFORMATION Instructions: Complete this section based on the missing person’s contact and social media platforms.
MP’s Mobile Phone:
MP’s Facebook:
MP’s Home Phone:
MP’s Twitter:
MP’s Work Phone:
MP’s Instagram
MP’s Employer:
MP’s Snapchat:
MP’s Work Address:
MP’s TikTok:
MP’s Current School:
School Address:
MP’s other pertinent contact information:
PAST HISTORY
Has the MP ever run away, wandered off, or gone missing before?
Yes No
If yes above, provide details:
When:
Details:
How was the MP found?
RELATIONSHIP INFORMATION
Relationship Status:
Single/Dating Cohabitating Married Separated Divorced Widowed Unknown
Name of Significant Other (S/O):
Phone of S/O
Address of S/O:
Is the MP gay, bisexual, lesbian, transsexual, etc.?
Has anyone recently threatened, harassed, stalked, or bothered the MP?
Yes No
Has the MP missed any appointments or events?
Yes No
CRIMINAL HISTORY Please Note: A criminal history does not determine whether or not a search will be conducted.
Is the MP on parole or probation?
Yes No
Is the MP on parole or probation?
Yes No
SEARCH HISTORY Instructions: Describe any searches that have recently been conducted.
Have any searches been conducted in an effort to locate the MP?
Yes No
Please provide details of the search(es)
ADDITIONAL INFORMATION Instructions: Provide any additional details, distinguishing, or pertinent information that may help further explains the MP’s
disappearance.
SOURCE INFORMATION Instructions: Name and information of person reporting the MP missing to Texas EquuSearch
Date Reported:
Reported By:
Relationship:
Phone:
Email:
Address:
Submit