Case Intake Form Date of Report(Required) MM slash DD slash YYYY This Relates To(Required) Missing Child Other Other(Required)Name of the reporting party completing this form(Required) First Last Phone number of the individual completing this form(Required)Email of the individual completing this form(Required) Best way to make contact if any other information is needed(Required) Call Text Email Primary Language(Required) English Spanish Other What language ?(Required)Relation of the individual to the minor (i.e father, mother, sibling, friend, etc.)Please describe the circumstances behind the youth going missing?(Required)MINOR INFORMATIONMinor's First and Last Name(Required) First Last Date of Birth(Required) MM slash DD slash YYYY AgeMinor's Address (Last Known Address) Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Minor's Phone NumberGender(Required) Female Male Transgender Male Transgender Female Weight (lbs)(Required)Height(Required)Race(Required) American Indian Asian Black Hispanic White Biracial Other Please define ( Race )(Required)Parents Marital Status Married Divorced Separated Widowed Other Parental Status Other, Please Describe:Father's InformationNameSame as Minor’s Address ( Father ) Same as Minor’s Address Address Street Address City State ZIP Code Phone NumberEmail Mother's InformationNameSame as Minor’s Address ( Mother ) Same as Minor’s Address Address Street Address City State ZIP Code Phone NumberEmail Any Social Media platform? Facebook, Twitter, Snapchat, TikTok, Live, MSN, and any other social media accounts. Please list the username(s) and login information for each account.Date / Time minor last seen(Required) MM slash DD slash YYYY Time(Required) Hours : Minutes AM PM AM/PM When was the last date and time minor was last seenPlease upload at least two recent high quality photographs, including one headshot and another showing the entire body.(Required) Drop files here or Select files Max. file size: 50 MB, Max. files: 5. Please upload at least two recent high quality photographs, including one headshot and another showing the entire body.INVESTIGATING POLICE AGENCY INFOHave the police been notified?* Yes No Did they take a missing person's report? Yes No N/A Post Custom FieldWe strongly recommend calling 911 or your local PD and filing a missing child report. Be sure to note down the report number and name and phone number of the assigned detectiveIf yes, Name of the police agency (Dept)Detective NameDetective Phone NumberPolice case numberDate police notified MM slash DD slash YYYY Do you have a copy of the police report? Yes No This field is hidden when viewing the formSPECIAL OPERATIONS ONLYThis field is hidden when viewing the formPI or PI Firm assignedThis field is hidden when viewing the formPlease Indicate If: Case Accepted Not Accepted Case Deferred Case Referred This field is hidden when viewing the formAny additional informationThis field is hidden when viewing the formDate MM slash DD slash YYYY This field is hidden when viewing the formSpecial Operations case number assignedPARENT/LEGUARDIAN CONSENT:I am not the Parent/Legal Guardian I am not the Parent/Legal Guardian If you are the parent/legal guardian of the missing minor, Do you give Finding Kids permission to access the minor's social media account(s)? Yes No Consent to use Photo(Required) Yes No If you are the parent/legal guardian of the missing minor, do you give Special Operations permission to use your child’s photo in efforts to locate them — including sharing on social media, distributing missing persons bulletins in the community, and showing it to individuals who may have seen your child? How did you hear about Finding Kids?Please SelectFinding Kids Investigation AssistantLaw EnforcementFriendFamilyWebsiteOther