Missing Person Cold Case Review Panel Request Form

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Use this form to request a missing person cold case review. A Missing Person Clearinghouse representative will contact you for more detailed information.

Requester Information

Name *

Rank/Title *

Agency Name *

Primary Phone Number *

Secondary Phone Number

Email Address *

Missing Person Case Information

Missing Person Name *

NCIC # *

Missing Persons Age at Time of Going Missing *

Date Person Went Missing *

YYYY

Last Known Location *

Who reported the person missing? *

Who was the last person to see the missing person? *

Are there any suspects associated with the case? *

Yes

Required

If yes, provide suspect details

Were there any suspects who are no longer considered suspects? *

Yes

If yes, provide details.

Can case be linked to other cold cases in region/time period *

Yes

Required

If yes, provide other cases.

Is there any DNA/Forensic evidence with case? *

Yes

If yes, provide DNA details.

Please submit a description of the case and include the following: type of case, victim biographical information, general description of what happened (the 5 W’s), timeline of events, investigative steps that have been taken, extenuating circumstances. This information will be used in the evaluation process of case review selection. *

Will you be able to provide a formal presentation which might include a PowerPoint presentation, and/or maps, timelines, and other relevant case documents? *

Yes

Additional comments:

Submit

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