Task/Mission Number:
CONTACT INFORMATION MISSING PERSON INFORMATION
LAST Name:
Contact's Name: FIRST Name:
Present Phone #: Nic Name:
Present Location: Age: Mental Age:
Reached for further info: Height: Weight:
(phone # if not present)
Relationship to lost person: Build: Race:
Optional: Distinguishing marks/scars:
Home address:
Home/Business phone #:
BACKGROUND PROFILE
Number of missing persons: Have they separated?:
Classification (hiker, child, etc.): If child - Password:
TIME: DATE: Grid location:
Where is the PLS/LKP?: Latitude:
Longitude:
Maps on site (Y/N)?: Scale: Map sheet #'s:
Zone #: Air photos (Y/N)?: Scale: ID #:
Is there a history of incidents in this area?:
If Yes, describe:
Has person done this before? (Y/N):
If Yes, describe:
Last seen by who?:
Contact at?: Location?:
(Enter phone # if not present)
Reason for leaving?:
Purpose of trip:
Destination: Unusual circumstances:
Via:
Alternate plans:
Planned stops:
Bastard search possible (Y/N)?:
MISSING PERSON PROFILE
Any known psychological/emotional problems? (Y/N Desc):
Any current family/personal problems? (Y/N Desc):
Any history of depression or running away? (Y/N Desc):
Will person keep moving or stay put? (Y/N Desc):
Any outdoor/survival training? (Y/N Desc):
Aliases: Describe personality:
Occupation:
Date of Birth: Likes group or solo activities:
Hair colour: Balding? (Y/N): Evidence of Leadership:
Length: Degree:
Religious?:
Mustache (Y/N): Type:
Sideburns: Style: Status at school/work:
Beard: Style:
Hitchhike?:
Complexion: Eye colour:
(Light, Medium, Dark)
Home address:
Home phone #:
Next of kin: Phone #:
Address:
CHILDREN AND GROUP PROFILE
FOR CHILDREN FOR GROUPS
Active or lethargic type: What is the experience of
Describe any fears?: the leader:
Actions taken when hurt? (cry, etc.?): Experience of rest of
group:
Talk to strangers? (Y/N):
Accept rides? (Y/N): Actions if separated:
Close friends/personality
clashes:
Any strong leaders not
actually the leader??:
MEDICAL PROFILE
Any suspected injury? (Y/N Desc): Use any aids? (Desc):
(glasses, hearing aid)
Consequence of loss?:
Any suspected illness? Allergies?:
(ex. Diabetes)? (Y/N Desc):
Any handicaps?:
On any medication? (Y/N Desc):
Physical condition:
Consequence of loss?: Nutritional state:
Have it with them? (Y/N):
How much?: Time of last food intake:
Doctor's Name: Phone #:
EXPERIENCE AND KNOWLEDGE PROFILE
Rate familiarity with the area? (V/F/N): V=very familiar
F=familiar
N=not familiar
Rate the level of experience (E/A/B): E=Experienced
A=average
B=beginner
Ever been lost before? (Y/N): If yes, is there
Describe the action taken: a file available?:
(By the lost person)
Any other areas of related experience? (Y/N): Describe:
Any overnight back-country experience? (Y/N): Describe:
Any First-aid training? (Y/N): Level: When?: Where?:
Any scouts, guides, military training? (Y/N): When?: Where?:
Any previous long trips? (Y/N) : When?: Where?:
Athletic interests/hobbies:
Any other relevant experience/knowledge? Describe:
CLOTHING AND EQUIPMENT PROFILE
Have adequate clothing to spend the night? (Y/N Desc):
Desc. outer garments (colour/style):
Have adequate equipment/supplies to spend the night? (Y/N Desc):
Have any food/snacks? (Y/N Desc):
Have any water?: Amount?:
Describe the footwear:
Sole type:
Is there a sample available? (Y/N):
Where?:
Any scent articles?:
Articles to be handled only by Dog Handler!
Describe: Where located?:
ITEM COLOUR DESCRIPTION
Hat:
Scarf:
Coat/Jacket:
Sweater:
Shirt :
Pants:
Shorts:
Socks:
Underwear:
Gloves/Mitts:
Raingear:
Extra clothing?: Describe:
Container?:
Food?: Candy?:
Describe:
Cigs?: Brand?:
Money?: Amount?:
Credit Cards?: Which ones?:
Jewellery?: Watch?: Other?:
Survival gear?: Describe:
Maps?: Map type?:
Compass?: Compass type?:
First-aid Equipment? : Describe:
Boat?: Describe:
Fishing Gear?: Type/Desc.:
Firearms?: Type :
Lic. Tags?: Desc.:
Climbing gear?: Describe:
Backpack?: Brand/Type?: Size?:
Knife?: Type?:
Flashlite?: Battery - Size & No:
Radio?: Whistle?:
Flagging tape?: Tape colour?:
Signal mirror?: Flares?: Type?: Other?:
Sleeping bag?: Brand?: Colour?:
Sunglasses?:
Stove?: Type?: Fuel with person?:
How much?:
Skis?: Type: Colour: Style:
Length: Bindings: Ski-wax:
Poles-desc.: Colour: Length:
Snow-shoes?: Type: Colour:
Drinking fluids?: What kind?: Amount:
NOTES:
TERRAIN PROFILE
Any possible hazards in the area? (Y/N Desc):
Any possible natural barriers? (Y/N Desc):
Any possible escape (ex. drainage) routes? (Y/N Desc):
Any attraction in area? (Y/N Desc):
Desc. general terrain (mountains, flats, hills):
Any confusion factors? (Y/N Desc):
Any other possible shortcuts? (Y/N Desc):
Elevation:
Desc. general flora (swampy, forest, salal):
WEATHER PROFILE
Is there any hazardous weather now? (Y/N Desc):
Within 12 hours? (Y/N Desc):
Within 48 hours? (Y/N Desc):
Describe the local weather:
Expected precipitation (24hrs):
Temp High: Cloud cover:
Temp Low: How much cover:
Kind of cover (broken, scattered, etc):
Sun rise:
Sun set: Altitude:
Moon rise: Wind Speed:
Moon set: Wind direction:
Moon phase:
VEHICLE PROFILE
Vehicle located at?: Verified? (Y/N):
Was person to be picked up? (Y/N): Pick-up time: Pick-up place:
Name of person picking-up?:
Address: Phone #:
Used a vehicle? (Y/N): Stay with vehicle? (Y/N):
Make: Model: Colour: Lic. #:
NOTES:
MISSING CHILD INFORMATION FORM - SCHOOL
Date : ________________ Time (reported missing) : _________________
Elapsed Time : _________________
Name : _________________________________ Nickname : _______________________
Password : _______________________
Parent/Guardian Name :_________________________________
Address : _____________________________________________ Phone #: ____________
LAST KNOWN LOCATION :_________________________________________________________
Age : _______ Mental Age : ________ Sex: ________ Race : __________________
Height : ____________ Weight : ________ Build : ________________________
Hair colour:____________ Hair Length : ___________ Eye colour : _____________
Wear glasses? : ____
Physical characteristics : ______________________________________ (scars etc.)
Physical condition : _________________________________________________________
Growth Problems/Allergies : __________________________________________________
Known Fears : ________________________________________________________________
Coat : ___________ Shirt : ___________ Dress :___________ Sweater : __________
Pants : __________ Skirt : ___________ Hat : ____________ Other :_____________
Boots : ________________________________ Shoes : _____________________________
Runners : ______________________________ Other : _____________________________
Lunch kit : ____________________________ Food : ______________________________
Backpack/School bag : __________________ Toys : ______________________________
School books : _________________________ Other : _____________________________
School : ________________________________________ Phone #: __________________
Home room Teacher: ______________________________ Phone #: __________________
Classroom #: __________
Known intentions : ___________________________________________________________
Areas child frequents : ______________________________________________________
Ever been lost before : ____________ Where found : ___________________________
Actions taken : ______________________________________________________________
Point last seen : ____________________________________________________________
Home to school arrangements : ________________________________________________
Transporter's Name: ______________________________ Phone #: __________________
Names of child's friends :____________________________________________________
Description, Names of companion(s), if any : _________________________________
______________________________________________________________________________
Circumstances of disappearance:
____________________________________
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