Situation Report

Todays Date

Date

Your Name

First NameLast Name

Your Email

example@example.com

Your Phone Number

Please enter a valid phone number.

Youth/Young Adult Name

First NameLast Name

DOB

Date

Race/Ethnicity

Phone Number

Please enter a valid phone number.

Any Alias

Current physical description: (attach the most recent photo)

Situation to date (what has happened)

Summary of overall situation to date (how information was obtained)

Current physical location (as specific as possible/ address/hotel/ etc)

How many persons need safety (children involved?)

What happened prior to being trafficked (if applicable)

All phone numbers and emails associated with case

All social media accounts (usernames and platforms)

Actions to date (what has been done)

Brief reporting of actions completed to date (any contact with law enforcement)

Summary of information gathered Pimps, car descriptions address.

Other victims that may be involved.

Current physical conditions-document any bruises, burn marks etc. (take photos of these and document if possible)

Health issues (allergies, drug use, pregnancy)

Immediate needs: clothing, hygiene, food, medication.

Actions to be completed (what will be done)

Brief reporting of scheduled/planned actions

Drug rehab

Re-unification with family

Safe house-for long term care

Issue(s)

Brief description of issue(s) that are known/reasonably expected to arise

CONFIDENTIALITY NOTICE: Document is for the person or entity to which it is addressed and may contain CONFIDENTIAL or PRIVILEGED material. Any unauthorized review, use, disclosure or distribution is prohibited.