MISSING PERSON’S REPORT
Literature Police
Department
Berwick High
School
1100 Fowler Avenue
Berwick,
Pennsylvania 18603
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MISSING PERSON
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Name:
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Alias/Street Name/Nickname:
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Relatives:
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Race:
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Height:
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Weight:
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Hair:
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Eyes:
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Sex:
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Hat:
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Jacket/Coat:
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Shirt:
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Pants:
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Skirt/Dress:
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Shoes:
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Age:
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DOB:
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Social Security #:
XXX-XX-XXXX
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Scars/Marks/Tattoos:
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Overall Health:
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Last Seen Health Condition:
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Last Seen By:
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Last Seen Location:
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Last Seen Date:
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Last Seen Time:
Approx.
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Address:
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Residence Phone: N/A
Business Phone: N/A
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Occupation:
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Employer:
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Employer Address:
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MISSING PERSON REPORTED BY
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Name:
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Address:
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Residence Phone:
Business Phone:
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REPORTING PERSON’S
NARRATIVE (Brief narrative of the facts
surrounding the missing person report.)
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REPORTING OFFICER
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DATE REPORTED
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REPORTING OFFICER
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//
Signature |
Unit Number |
00/00/00
Date |
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SUPERVISING OFFICER
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Signature |
Unit Number |
00/00/00
Date |
