REPORT A MISSING AMERICAN

This form is a service offered by the Daniel Robinson Foundation to facilitate the dissemination of information regarding your loved one. Prior to completing this form, it is imperative that you have submitted a police report.

The Daniel Robinson Foundation requires the name of the law enforcement agency, the corresponding city and state, as well as the case number in order to publicly share information about your loved one.

Kindly provide comprehensive information regarding your loved one, including any photographs you wish to share, to assist the public in their efforts to help you.

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Photo Is Alias

Submitter Information

Your Name

First

Middle

Last

Submitter's Name

Your Address

Address Line 1

Address Line 2

City

State

Zip Code

Submitter Address

Your Phone Number

Submitter Phone number

Your Relationship to The Missing American?

Missing American Information:

Missing American Full Legal Name

First

Middle

Last

Nickname or Alias

Skin Complexion

Dark
Medium
Light

Other Distinguishing Marks And Features

Be Specific On Anything That May Help Identify Your Loved One

Date / Time Went Missing

Date

Time

NCIC#

NCIC # should be provided by law enforcement

Date Of Birth

Missing American Date Of Birth

Height Of Loved One in Feet?

Height Of Loved One In Inches

Weight Of Loved One?

Other Eye Information

Tell Anything About Your Loved One's Eyes Not Mentioned Above

If Other, What Color?

Please describe the color and style of your loved one's hair.

Missing From What County, City, and State?

City, County, and State report was created

Last Seen Location

Address Line 1

City

State

Please Give A Description Of The Location Your Missing Loved One Was Last Seen. This Can Be A Street Address, Corner, State, City, Location (Mall, Church, Work) ETC.

Last Seen Wearing?

Describe What Your Loved One Was Last Seen Wearing. If Unknown, Write Unknown.

Circumstances Of Your Loved One's Disappearance

Is the missing American a Child?

Anyone under the age of 18

Was a Amber Alert Issued?

Yes
No
Unsure

Are There Any Legal Parental Circumstances Involving A Child?

Yes
No
Pending

Is The Missing American Elderly?

If Yes, The Missing American Is Elderly, Was A Silver Alert Issued?

Photo Upload

Click or drag files to this area to upload. You can upload up to 2 files.

Please upload the best quality photo with a clear head shot view of your loved one's natural face. It will help others who may be able to identify your missing American.

Law Enforcement Agency

Name Of Law Enforcement Agency

Name Of Detective/Official

First

Last

Case Number #

Name Of Law Enforcement Agency

Name Of Detective/Official

First

Last

Case Number #

Investigating Department's Address

Address Line 1

Address Line 2

City

State

Zip Code

Department/Detective Phone Number#

Comments or Questions

Agreement:

By selecting, you confirm that you have read, understand, and accept the Privacy Policy and Terms of Use outlined in the "Terms and Agreement" section under the "Contact Us" tab on the Daniel Robinson Foundation (DRF) website. You further grant the Daniel Robinson Foundation (DRF) permission to use and share any non-personal information you voluntarily provide through our social media platforms, website, or other communication channels for the purpose of raising awareness about your missing loved one. You acknowledge that any personal information you submit will be used solely by DRF for internal verification purposes to authenticate your identity and ensure the accuracy of submissions. DRF will not disclose or share your personal information with third parties without your explicit written consent, except as required by law. By agreeing, you affirm that you have the authority to provide the information submitted and that the information is accurate to the best of your knowledge.