Working together to help keep our children safe

Police Enforcement Registration
To be filled out by law enforcement officers only - all other requests please call 1-888-326-5352, email kim@childcybersearch.com, or fill out the parent registration form if appropriate.

Please provide the following information (items in red are mandatory):

This is a:

New Registration

Update on case currently online

Police Department(Required)

Police Contact Name:(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Telephone Number:(Required)

E-Mail Address:(Required)

Web Address (If Applicable):(Required)

Police File Number:(Required)

Missing Children Information

Name(Required)

First Last

Date of birth(Required)

Date of disappearance(Required)

Race(Required)

Ethnic origin:(Required)

Gender(Required)

Male

Female

Eye Color(Required)

Hair Color(Required)

Uses which hand:(Required)

Glasses(Required)

Yes

No Choice

Contact lenses(Required)

Yes

Birthmarks or other distinguishing characteristics(Required)

Medical History:(Required)

Dental History:(Required)

Details surrounding last known sighting or when last seen:(Required)

Medical Health Number:(Required)

Social Insurance Number/or Social Security Number:(Required)

Drivers License Number:(Required)

Suspected to be in company of:

Name(Required)

First Last

Relationship to missing person:(Required)

Description of possible abductor:(Required)

Alternative Contact People

1. Name and Relationship to Missing Person:(Required)

Day Phone Number:(Required)

Evening Phone Number:(Required)

E-Mail Address:(Required)

2. Name and Relationship to Missing Person:(Required)

Day Telephone Number:(Required)

Evening Telephone Number:(Required)

E-Mail Address:(Required)

Other Pertinent Information:

Upload picture

Max. file size: 15 MB.

Working together to help keep our children safe

Missing Children Information

Suspected to be in company of:

Alternative Contact People

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