Orange County NC Website
SECTION Emergency Operations <br /> STANDARD <br /> OPERATING S.O.G. No: 604,03 <br /> GUIDELINES <br /> SUBJECT Lost/Missing Person Report <br /> LOST I MISSING PERSON REPORT Incident No. <br /> ❑ LOST PERSON ❑ MISSING PERSON ❑ ADULT ❑ CHILD Date: <br /> Occurrence Title Time: <br /> Person Taking Information How taken(phone,etc.) <br /> A. SOURCE OF INFORMATION <br /> Complainant's Name I Date of Birth Relationship <br /> Home Address Home Telephone <br /> City I State I Zip Business Telephone <br /> Where/how to contact now: Cell Phone <br /> Where/how to contact later: <br /> What does Informant think occurred? <br /> Is subject registered with any registry service(e.g.Alzheimer,Missing Children)? ❑ Yes ❑ No <br /> LOST PERSON(Check One) <br /> ❑ Hunter ❑ Hiker ❑ Berry Picker ❑ Camper ❑ Other <br /> Specify <br /> ❑ Fisherman ❑ Camper ❑ Boater ❑ Mountain Climber <br /> MISSING PERSON (Check One) <br /> ❑ Runaway ❑ Kidnapping ❑ Accident ❑ Disaster ❑ Other <br /> Specify <br /> ❑ Walk-a-way ❑ Foul Play ❑ Parental Abduction ❑ Unknown <br /> B. LOST PERSON I MISSING PERSON <br /> Name l Given Name I Nickname I Sex ❑ Female ❑ Male <br /> Age I Date of Birth I I Place of Birth Race Occupation <br /> Home Address Home Telephone <br /> Local Address Local Telephone <br /> C. PHYSICAL DESCRIPTION <br /> Height Weight Build <br /> Hair I Color Length Style Beard Mustache I Sideburns <br /> Facial Features(shape) Complexion Distinguishing Marks/Scars <br /> Eyes I Teeth Overall appearance <br /> PHOTO AVAILABLE ❑ Yes ❑ No <br /> Where I Need to return ❑ Yes ❑ No <br /> URGENT MEDICAL INFORMATION <br /> Page 1 of 7 <br />