Black & Missing, Inc.
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Tip Line

Please use this form if you believe you have sighted a person who is listed by the police as missing or within our missing persons database.  All information you submit will be treated as confidential and will not be forwarded without your permission.

** ALL TIPS ARE ANONYMOUS **

This form is for sightings only.  If you wish to report a person missing, please use the Report a Missing Person form.

Please complete the form in its entirety.

* Indicates a required field (you must complete this information to submit the form).

Your Contact Details (Optional)

First Name

Middle Name

Last Name

Street Address

City

State

Zip

Phone

Fax

Email Address

*Permission for us to release your details, if required, to relevant agencies?

Yes   No

Missing Person Sighting Details

First Name

Nickname

Middle Name

Last Name

Date of Birth

Date Missing

*Gender (check one)

Female     Male

*Did you report this information to any law enforcement agencies?

Yes   No

If yes, which agency?

*Location of your sighting

City

State

Zip

*Details about your sighting

Where did you recognize or become aware of this missing person?

 

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