Submit A Case

The case submission / Missing Person Intake form should be filled out with as much detail and as accurately as possible; to the best of your knowledge.

Once you have completed the intake screening process, our team will review your case and get back to you as soon as possible. At that point we will be better able to determine which services we are to provide.

We recognize that you have been waiting a long time for answers; we understand the sensitivity required when dealing with such matters. Our team of volunteers treats every case with the utmost respect.

If you have any questions regarding this form please contact us.

Last Page

Your Name *

Your Email *

Your Phone Number

Name Of Missing Person *

Age

Date Of Birth

Gender

Male, Female, other (please specify)

Race / Ethnicity

Caucasian, African American, Black, Asian, Indigenous, Hispanic, Latino, Biracial, Multiracial, Other (please specify)

Notable Features On Teeth

braces, missing, dentures, etc...

Eyewear

glasses, contacts, etc...

Birthmarks / Scars

Tatoos / Peircings

Jewelry / Accessories

Necklaces, bracelets, rings, etc...

Medications

Electronics

cell phone, tablet, laptop, other...

Social Media Accounts

please include links

Where were they last seen? *

What were they last seen wearing?

What were the circumstances leading up to disappearance? *

Please provide as much detail as possible

Photo(s) of the missing person

Maximum file size: 25 MB

Declaration *

Please Bring Me Home can share photos and information about this case publicly.

I understand that vital information about the missing person may not be shared.

I acknowledge that Please Bring Me Home is a volunteer organization.