shp-738 a...feet inches weight birthmarks scars & marks pierced ears tattoos bites nails scars...
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Produced by:Public Information & Education Division
Missouri State Highway PatrolSHP-738 C 3/12
Also see brochures SHP-127 Amber Alerts and SHP-717 Endangered Person Advisory for more information.
To rep
ort a
missi
ng pe
rson i
n Miss
ouri
telep
hone
the
Misso
uri S
tate
Highw
ay Pa
trol’s
Missi
ng Pe
rsons
Hotli
ne:
1-800
-877
-345
2
Check ( ) What Applies
LightMediumDarkRuddyFrecklesDimplesOther
Complexion HairBlackBlond(e)BrownRed
EyesBlack BlueBrownGrayGreenHazel
GlassesContactsProstheticOther
Devices
SlenderMediumHeavy
Build
Height & Weight
At AgeFeetInchesWeight
Birthmarks
Scars & Marks
Pierced EarsTattoosBites NailsScarsMarks Where?
Alergies
Eating Habits
Good PoorFavorite Foods:
Foods Disliked:
Teeth
Permanent TeethFilingsWhere?
Caps? Where?
Missing Teeth? Where?
Broken Bones Where?
Blood Type Where?
X-Rays On File At:
Identification RecordsComplete this form and keep it in a safe place.
Name: Date:
Address: Phone:
Nickname:
Date of Birth: Sex: Race:
Place of Birth:
School(s) attended:
Parent’s or Guardian’s Name:
Address: Phone:
Record physical and personal characteristics below:
Disabilities?
Serious illnesses requiring special medication?
Names and addresses of doctor and dentist where medical and dental records are on file:
Hobbies, favorite pastimes, and places person likes to visit:
Friends and acquaintances who might provide a “lead” on the missing person:
Add any other identifying information: Place recent photo here.
(month) (day) (year)
(city) (state) (hospital)
(names) (addresses)
(limp, speech impediment, etc.)
(illness) (special medication)