LBT GLOBAL SR1

3: MISSING PERSON OR VICTIM DETAILS

Fill in the details of the person the form relates to
Their Date of Birth *

Day Month Year
Their nationality *
Religious Beliefs
Gender
Sexuality
Marital Status
Occupation
Their home address *

Street Address

Street Address Line 2

City County

Postal
Their Landline Phone Number

Area Code Phone Number
Their Mobile Number
Start 07
Do they have any medical conditions or disabilities? *
Their email address
example@example.com
Physical description *
Please be as descriptive as you can
Height
Weight
Build
Appearance
Eye colour
Hair colour and style
Clothing and belongings
List anything they were known to have with them or were wearing

4: ABOUT THE DISAPPEARANCE / INCIDENT
Missing from / Incident address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Phone Number

Country / Area Phone Number
Why were they there? *
Holiday, Business, Gap Year etc
Who were they travelling with? *
Include any contact details if possible
What happened? *
Details of disappearance / incident
[MISSING PERSONS] What was their last confirmed location?
Include any CCTV or other locational data
When were they last seen? (if known)

Month Day Year
Hour Minutes AM/PM Option
When was your last contact with them?

Month Day Year
Hour Minutes AM/PM Option
What was this contact?
If possible, please upload a copy of any last messages / emails if you are comfortable doing so below.
[MISSING PERSONS] Details of last person to see them
[INCIDENT] Do they have any injuries or illnesses?
[INCIDENT] Where are they now?
[ALL] Have they recently displayed any changes in behaviour? *
Include change in beliefs, new friends, changes in lifestyle etc.
Who else have you contacted? *
Include contacts of any FCDO / Police and any case reference numbers
Any other information
Include any other relevant details you have not yet mentioned.
Document upload - you can use this to send us any relevant files.

5: PHOTOGRAPH

Please provide a recent good quality image. Essential in missing person cases. Head and shoulders is ideal.
Upload

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.
Name *

First Name Last Name
Signature *

Clear
Any restrictions *

No media appeals No publishing of photographs No social media appeals Other - please enter below No restrictions
Other Restrictions
Enter any other restrictions here

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.
Please verify that you are human *
Should be Empty:

SR1 Self Referral Form