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Request an Endangered Missing Advisory

This page is for LAW ENFORCEMENT OFFICERS ONLY

To request an Endangered Missing Advisory, complete the following form and click "submit" at the bottom. Then, call Nebraska State Patrol Dispatch at (402) 479-4921.

ENDANGERED MISSING ADVISORY REQUEST FORM

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Date *

Time *

Agency/Department *

Officer's Name *

Officer's Phone # *

Officer Email Address *

Phone number for public to call *

Is the person missing under unexplained, involuntary, or suspicious circumstances? *

Yes

Do you have reason to believe that the person is in danger because of age, health, cognitive or physical disability, environment or weather conditions, in the company of a potentially dangerous person, or some other factor that may put the person at risk for serious bodily injury or death? *

Yes

Is there enough information for the public to assist in locating the missing person? *

Yes

Missing Person Last Name *

Missing Person First Name *

Missing Person Middle Name

Date of Birth/Age *

Gender *

Height

Weight

Eyes

Race

Hair Color/Style

Clothing Description

Additional Information that may assist the public

Date Missing Since *

Time Missing Since

Location Missing From *

Direction of Travel

Destination

Vehicle Make

Vehicle Model

Vehicle Color

Vehicle Year

License Plate (Number and State)

Vehicle Style

Additional Information that may assist the public

Services

Request an Endangered Missing Advisory

Request an Endangered Missing Advisory

ENDANGERED MISSING ADVISORY REQUEST FORM

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