Intake Form

Please complete this short form. Your submission goes directly to the NEM intake team. We’ll call you to confirm details.

Missing Person's Name *

Reporter Name *

Reporter Email *

Reporter Phone *

Relationship *

Parent/GuardianFamilyFriendAgencyOther

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Add File

Title

Alternative Text

Leave empty if the image is purely decorative.

Caption

Description

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Last Seen Date/Time *

State Missing From *

CTMEMANHRIVT

Last Seen Location *

Brief Description of What Happened

Case Number (if known)

Police Department handling the case

Lead Officer’s Name

When (report filed)

Best Time to Call

ASAPMorningAfternoonEvening

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