Template Field Operations Guide



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Missing Person Form


Informant Contact Information

Last Name

First Name

Middle Name

Relationship to Missing Person

Phone Number(s)

e-Mail

Street Address

City

State

Zip

Contact Person (if different than above)

Last Known Contact (please list time, location, method of interaction)

Please list why you think they are missing:

Missing Person Information

Last Name

First Name

Middle Name

Maiden Name (if applicable)

Nicknames or Aliases

Phone Number(s)

Date of Birth

Age

Gender

Relationship to Informant

Race

Marital Status

Street Address

City

State

Zip

Does the person require medication (if yes, please list)

Primary Language

Does the person have any major medical or mental health concerns (if yes, please list)

Weight

Height

Eye Color

Hair Color & Length

Identifying Characteristics – scars, tattoos, piercings, birth marks, ...

Last known Clothing – type, size, color, footwear, jewelry, ...

Does the person carry a wallet or purse, if so please describe?

Informant’s Needs – Do you have need for any of the following? (please circle if yes)

Lodging

Medical

Dietary

Religious

Transportation

Other:

Confidentiality: We respect your privacy. We will honor your wishes when sharing information about your needs. Please let us know of limitations.

Staff Use

Staff Name

Staff Phone Number

Date

Time

Method of Collection:

By Phone In Person, list location





Missing Person Tracking Form


Missing Person – Brief Summary

Last Name

First Name

Date of Birth

Is Individual a minor?

Last Known Location

Check survivor pool first

Survivor List










Check hospital lists second

 MNTrac

Contact Name:

Date:

Time:

 Hospital

Contact Name:

Date:

Time:




Confirm family liaison assigned:

Check databases

 Police

Contact Name:

Date:

Time:

 School

Contact Name:

Date:

Time:

 Employer

Contact Name:

Date:

Time:

Red Cross

Contact Name:

Date:

Time:

 Personal

Contact Name:

Date:

Time:

 ________

Contact Name:

Date:

Time:

 ________

Contact Name:

Date:

Time:

When Located

Location found?

Finding Verified By:

Located Information Provided to:

Last Name

First Name

Middle Name

Street Address

City

State

Zip

Time & Date information provided:

Method:

in Person via Phone Other: ________



Phone Number(s)

Special Request?


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