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Lost Person Questionnaire Investigator Date Time District Mission Number Recording Official Source of Information Name Address Relationship to Subject Town Phone Number How / Where to Contact Now St Second Phone What Informant Believes to Have Happened Subject Information Age Sex Nickname s Home Address Zip Local Address Home Phone Local Phone D. O. B. Birthplace Physical Description Identification Clothing / Style Color Size Health Height Shirt / Sweater Overall Health Pants Physical Condition Outer Wear Medical Problems Build Inner Wear Psychological Problems Complexion Head Wear Medication Distinguishing Marks Rain Wear Amounts Eyes Gloves Consequences of Loss Hair Color Extra Clothing Eyesight w/o Glasses Footwear Medic-Alert Hair Style Beard Mustache Sideburns Glasses Jewelry Photo Available Return Photo Youth / Child Afraid of Dark Afraid of Animals Afraid of Strangers Cry When Hurt Cry When Scared Hides When Afraid HUG-A-TREE Trained Has a Safety Word ICS SAR 201B Rev. 6-17-97 ICS Forms Online Sole Sample Available Scent Articles Available Clothing Visible from Air Equipment Pack Stove Tent Fuel Sleeping Bag Compass Ground Cloth Map Fishing Gear Food Climbing Gear Knife Liquid Container Camera Fire Starter Lens Skis Snowshoes Money Credit Cards Other Documents Rope Camp Tools Smoker Alcohol Drugs Gum Candy A Leader A Survivor Legal Problems Personal Problems Hitchhiker Religious Educated Local Hero Extravert Introvert Loner Depressed Continue Page 1 Place Last Seen Common Name / Description Description Additional Comments Subject Last Seen by Talked to Subject About Weather at That Time Weather Since Subject s Direction of Travel Subject s Attitude Subject s Condition Subject s Trip Plans Itenerary Transportation Started At Vehicle Location Make / Model Destination License By Way of Purpose Time Confirmed Length of Stay Additional Vehicles at Scene Size of Group Alternate Plans / Routes Has Subject Made This Trip Before Transported By Discussed With Subject s Outdoor Experience General Experience Familiar With Area Travels Alone In Area Recently Stays on Route Formal Outdoors Training Travels X-C Medical Training Lost Before Scouting Will Stay Put Military Keeps on Move Overnight Climber Athletic Contacts Upon Reaching Civilization Name of Person That Subject Would Contact Phone Who Is There Now Overdue Groups Group Characteristics Kind of Group Personality Clashes Actions If Separated Experience of Group / Leader Competitive Spirit Local Point of Contact Intragroup Dynamics Actions Taken So Far By Family / Friends By Others. Lost Person Questionnaire Investigator Date Time District Mission Number Recording Official Source of Information Name Address Relationship to Subject Town Phone Number How / Where to Contact Now St Second Phone What Informant Believes to Have Happened Subject Information Age Sex Nickname s Home Address Zip Local Address Home Phone Local Phone D. O. B. Birthplace Physical Description Identification Clothing / Style Color Size Health Height Shirt / Sweater Overall Health Pants Physical Condition Outer Wear Medical Problems Build Inner Wear Psychological Problems Complexion Head Wear Medication Distinguishing Marks Rain Wear Amounts Eyes Gloves Consequences of Loss Hair Color Extra Clothing Eyesight w/o Glasses Footwear Medic-Alert Hair Style Beard Mustache Sideburns Glasses Jewelry Photo Available Return Photo Youth / Child Afraid of Dark Afraid of Animals Afraid of Strangers Cry When Hurt Cry When Scared Hides When Afraid HUG-A-TREE Trained Has a Safety Word ICS SAR 201B Rev* 6-17-97 ICS Forms Online Sole Sample Available Scent Articles Available Clothing Visible from Air Equipment Pack Stove Tent Fuel Sleeping Bag Compass Ground Cloth Map Fishing Gear Food Climbing Gear Knife Liquid Container Camera Fire Starter Lens Skis Snowshoes Money Credit Cards Other Documents Rope Camp Tools Smoker Alcohol Drugs Gum Candy A Leader A Survivor Legal Problems Personal Problems Hitchhiker Religious Educated Local Hero Extravert Introvert Loner Depressed Continue Page 1 Place Last Seen Common Name / Description Description Additional Comments Subject Last Seen by Talked to Subject About Weather at That Time Weather Since Subject s Direction of Travel Subject s Attitude Subject s Condition Subject s Trip Plans Itenerary Transportation Started At Vehicle Location Make / Model Destination License By Way of Purpose Time Confirmed Length of Stay Additional Vehicles at Scene Size of Group Alternate Plans / Routes Has Subject Made This Trip Before Transported By Discussed With Subject s Outdoor Experience General Experience Familiar With Area Travels Alone In Area Recently Stays on Route Formal Outdoors Training Travels X-C Medical Training Lost Before Scouting Will Stay Put Military Keeps on Move Overnight Climber Athletic Contacts Upon Reaching Civilization Name of Person That Subject Would Contact Phone Who Is There Now Overdue Groups Group Characteristics Kind of Group Personality Clashes Actions If Separated Experience of Group / Leader Competitive Spirit Local Point of Contact Intragroup Dynamics Actions Taken So Far By Family / Friends By Others.