Required fields are marked with asterisks (*)

Group Home Missing Youth Report

Missing Youth Information

Name of youth:

Alias of youth:

Youth's date of birth:

Youth's current address:

Youth's cell phone number:

Social media

Current Circumstances

Date youth last seen:

Time youth last seen:

Date youth considered missing:

Time youth considered missing:

Name of person to last see youth:

Relationship of person to last see youth:

Location youth last seen:

Youth's probable destination:

Locations youth frequents/social programs they attend:

Youth's known acquaintances:

Descriptors

Height:

Weight:

Gender Identity:

Tatoos/Piercings/Scars:

Do you have a photograph of the youth to share?

Yes

Do you have a dental records/xrays of the youth to share?

Yes

Clothing Description

Jacket:

Shirt:

Pants:

Footwear:

Backpack:

Headwear:

Glasses:

Gloves:

Other

Medical and Mental Health

Known medical conditions:

Medication required:

Last observed mental state:

Any mental health diagnosis:

Known drug or alcohol abuse:

Additional Information

Estimated amount of money available to youth:

Do they have a Lethbridge Transit Pass?

Yes

Do they have a Lethbridge Facilities Pass?

Yes

Court orders or conditions in place:

^{Please note that there will be no response to submissions that are anonymous, malicious, or contain inappropriate or profane language. Such submissions will be discarded.}

^{Personal information on this form is collected in accordance with Sections 33 and 34 of the Freedom of Information and Protection of Privacy Act. Personal information shall be used and shared for the purposes outlined in Sections 39 to 41 of the Freedom of Information and Protection of Privacy Act (FOIP Act), and for other legal requirements where they are consistent with the FOIP Act.}^{If you have any questions regarding the collection or use of this personal information, please contact the Lethbridge Police Service's Access and Privacy Unit.}