• SR1 Self Referral Form

    RESTRICTED WHEN COMPLETE
  • 1: NAME OF MISSING PERSON OR VICTIM

  • 2: YOUR DETAILS

    The person completing this form
  •  - - Pick a Date
  •  -
  • 3: MISSING PERSON OR VICTIM DETAILS

    Fill in the details of the person the form relates to
  •  / / Pick a Date
  •  -
  • 4: ABOUT THE DISAPPEARANCE / INCIDENT

  •  -
  •  - - Pick a Date
  •  - - Pick a Date
  • 5: PHOTOGRAPH

    Please provide a recent good quality image. Essential in missing person cases. Head and shoulders is ideal.
  • 6: AUTHORITY TO ACT

    Your permission for us to act on your behalf.
  • By electronically signing this form below you confirm that we have your authority to act on your behalf, and on the missing person's behalf whilst they are missing or that you have consent for us to act on the victim's behalf. 

  • Clear
  • 7: COMPLETE AND SUBMIT

  • You cannot edit this form once submitted. Please email any changes or updates to bravo.ops@lbt.global for missing persons cases and and delta.ops@lbt.global for serious incidents.

    Once submitted the case will be assessed and a caseworker will be assigned and will get in touch shortly.

    All information submitted via this form is encrypted and securely stored. Data provided is treated as restricted personal data.

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