Missing Persons Questionnaire Form

Name:
Address:
Phone numbers:
Age:	DOB
Race:	Sex:
Occupation:
Employer:
Employer's Address:
Phone (_____)_________________	Fax (_____)________________
Probable Destination:
Possible cause of absence:
Date & time last seen:
Where last seen:
Car:	Year :
Make :	Model:
Doors:	Color :
Lic. Plate:	Driver's Lic, No.:
Driving records - Accidents & Citations:
Vehicle Legal Owner:
Auto Ins. Co	Phone (_____)_________________
Vehicle Legal Owner Address

Height:	Weight:		Build:
Complexion:
Color Eyes:		Glasses:	Contact lenses:
Hair:		Part:	Length:
Moustache:		Beard:	Sideburns:
Teeth:		False
Ears:		Eyebrows:
Accent:
Deformities & Scars:
Birthmarks:		Moles:	Tattoo marks:
Forehead: High, low, bulging, broad, narrow, receding:
Head: Short, long, broad, narrow:
Face: Round, square, long, oval:
Lips: Thin, thick, hair lip, pale, bright, pinched, unusual:
Neck: Long, short, thin, thick, big Adam's apple, scrawny:
Chin: Receding, weak, prominent, juts:
Cheeks: Fleshy, lined, hollow, broad, round, sallow:
Cheekbones: High, low, prominent, narrow:
Teeth: Size, white, stained, filled, braces, broken, false:
Shoulders: Broad, narrow, round, erect, stooped, uneven:
Waist: Thin, fat, medium, small, tiny, round:
Feet: Large, small, flat, club-footed, pigeon-toed:
Legs: Short, long, straight, bowed, knock-kneed, even:
Hands: Wide, narrow, long, short, thin, hairy, dirty:
Fingers: Wide, narrow, long, short, gnarled, rough, fat, bony, any missing:
Walk: Fast, slow, loping, erect,, limp, dragging:
Dress: Loud, neat, conservative, slovenly, cheap, expensive:
Marks & Scars: tattoos, marks, moles, scars, warts:
Speech: Nasal, accent, loud, soft, slow, fast, stammer:
Habits: Clean, dirty, chews gum or tobacco, smokes, drinks, nervous habits:
Unusual Characteristics: Any peculiarities not covered above:

Brothers & Sisters (Address, DOB, Occupation):
1.
2.
3.
Other Relatives (Address & Occupation):
1.
2.
3.
Spouse or Significant Other:
Martial Status:
Name:	DOB: ____/__ _/____
Address:
Occupation:
Employer & address:
Place of origin
Children's Information (Names, DOB, Nativity, Were now):
1.
2.
3.
Former Spouse's Information:
Name:	DOB:______/____/_____
Address:
Place of origin:
Occupation:
Employer & address:
Alimony:	How much:	When sent:
Places visited:
Languages spoken:
Organizations & Clubs:
Hobbies:
Hangouts:

Bank:	Branch:
Address:
Checking Amount:	Savings Amount:
Contents of safety deposit box:
Other Banks:
Credit Cards:
Money owed to subject by whom & amount of debt:
Draws unemployment?	How long?
Stock Broker & Address :
Value of stocks:	Value of Bonds:
C.P.A. & address:
Insurance agent & address:
Attorney & address:
Realtor& address:
Vehicle financed by & address:
Phone, Water, Gas deposits:
Pension or Relief:
Other Income:

Ever finger printed:	When: ______/______/_______		Where:
Why:
Value of Bonds:		Classification (If known):
Police Record:
When:		Where:
Prison:		Time served:
Crime:
Parole records:
Parole officer & address:
Pistol Permit:		When Obtained:______/______/______
Where:		Why:
Make:		Caliber:	Serial No:
Warrants Outstanding:
Passports:		Visas:
Veterinarian
Discharge Type: Service Branch:		Rank:
Date entered service:____/____/___		Date Discharged:____/____/___
Specialization:
Veteran Organizations:
Registered Voter:		Where:
P.O. Forwarding:
Unions:

Where do you think subject is now?
Anyone with whom the subject might correspond?
Any relatives or friends contacted?
Authorities notified?
Previously missing:	When: ____/____/_____
Reported By:	Phone: ( )_____________
Address:
Details and Remarks: