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Lost Contact tracing request form

This form will allow Missing People to assess if we can help you reconnect with your loved one using our Lost Contact service.

It will take around 15 minutes to complete and will require detailed information about your loved one including their full name, date of birth and your reason for wanting to reconnect. We are unable to undertake a trace without accurate and full information.

We operate a waiting list and will contact you within 14 working days to discuss your application.

Information for Lost Contact Tracing service

Please tick to confirm that your request fits criteria for this service. If you can’t answer yes to all of these criteria, please give us a call on 116 000 or email lostcontact@missingpeople.org.uk to discuss how we can help.
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You will not be able to continue with this form if you do not meet the above criteria.

Please give us a call on 116 000 or email lostcontact@missingpeople.org.uk to discuss how we can help.

About You

Title
Please enter the title

First Name(*)
Please enter the first name

Surname(*)
Please enter the surname

Date of Birth
(dd/mm/yyyy)(*)
Please enter the date of birth
(dd/mm/yyyy)

Relationship to missing person(*)
Please enter the relationship to missing person

House No.(*)
Please enter the house no.

House / Building Name
Please enter the house / building name

Street(*)
Please enter the street

District
Please enter the district

Town(*)
Please enter the town

County(*)
Please enter the county

Postcode(*)
Please enter the postcode

Country(*)
Please enter the country

Preferred Tel No.(*)
Please enter the preferred tel no.

Mobile No.
Please enter the mobile no.

Work Tel No.
Please enter the work tel no.

Email Address(*)
Please enter the email address

Are you filling this form in on behalf of someone else?(*)
Please enter the are you filling this form in on behalf of someone else?

If you have answered yes please provide us with your contact details and brief explanation of relationship e.g. social worker.(*)
Please enter the if you have answered yes please provide us with your contact details and brief explanation of relationship e.g. social worker.

Missing Person's Details

Title
Please enter the title

First Name(*)
Please enter the first name

Middle Name
Please enter the middle name

Surname(*)
Please enter the surname

Alias
Please enter the alias

Maiden Name
Please enter the maiden name

Date of Birth
(dd/mm/yyyy)(*)
Please enter the date of birth
(dd/mm/yyyy)

Gender(*)
Please enter the gender

Nationality
Please enter the nationality

House No.
Please enter the house no.

House / Building Name
Please enter the house / building name

Street
Please enter the street

District
Please enter the district

Town(*)
Please enter the town

County
Please enter the county

Postcode
Please enter the postcode

Country
Please enter the country

Date of Last Contact
(dd/mm/yyyy)(*)
Please enter the date of last contact
(dd/mm/yyyy)

How did you last make contact? (e.g Phone, Letter, In Person, Skype)(*)
Please enter the how did you last make contact? (e.g phone, letter, in person, skype)

How did you lose touch and is this the first time this has happened?(*)
Please enter the how did you lose touch and is this the first time this has happened?

Do you know of any family members who are in contact with them?
Please enter the do you know of any family members who are in contact with them?

Please tell us why you would like to reconnect with your relative.(*)
Please enter the please tell us why you would like to reconnect with your relative.

Consent Statements

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Submit Form

The form is now complete. In order to submit the form please click the following button.

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