|
Main Office 7556 Spring Hill Dr. Spring Hill Fl 34606 Hernando County 352-683-0300
|
|
GULFSIDE SURVEILLANCE INC> |
|
People Locater Questionnaire |
|
SKIP TRACE INFORMATION FORM General Information of person to be located Physical Description (Note peculiarities)
|
|
Name: |
|
|
Address: |
|
|
Phone numbers: |
|
|
Age: |
DOB |
|
Race: |
Sex: |
|
Occupation: |
|
|
Employer: |
|
|
Employer's Address: |
|
|
Phone (_____)_________________ |
SS# |
|
Last Known Address: |
|
|
Possible cause of absence: |
|
|
Date & time last seen: |
|
|
Where last seen: |
|
|
Car: |
Year : |
|
Make : |
Model: |
|
Doors: |
Color : |
|
Lic. Plate: |
Driver's Lic, No.: |
|
Driving records - Accidents & Citations: |
|
|
Vehicle Legal Owner: |
|
|
Auto Ins. Co |
Phone (_____)_________________ |
|
Vehicle Legal Owner Address |
|
|
Height: |
Weight: |
Build: |
|
|
Complexion: |
|||
|
Color Eyes: |
Glasses: |
Contact lenses: |
|
|
Hair: |
Part: |
Length: |
|
|
Moustache: |
Beard: |
Sideburns: |
|
|
Teeth: |
False |
||
|
Ears: |
Eyebrows: |
||
|
Accent: |
|||
|
Deformities & Scars: |
|||
|
Birthmarks: |
Moles: |
Tattoo marks: |
|
|
Forehead: High, low, bulging, broad, narrow, receding: |
|||
|
Head: Short, long, broad, narrow: |
|||
|
Face: Round, square, long, oval: |
|||
|
Lips: Thin, thick, hair lip, pale, bright, pinched, unusual: |
|||
|
Neck: Long, short, thin, thick, big Adam's apple, scrawny: |
|||
|
Chin: Receding, weak, prominent, juts: |
|||
|
Cheeks: Fleshy, lined, hollow, broad, round, sallow: |
|||
|
Cheekbones: High, low, prominent, narrow: |
|||
|
Teeth: Size, white, stained, filled, braces, broken, false: |
|||
|
Shoulders: Broad, narrow, round, erect, stooped, uneven: |
|||
|
Waist: Thin, fat, medium, small, tiny, round: |
|||
|
Feet: Large, small, flat, club-footed, pigeon-toed: |
|||
|
Legs: Short, long, straight, bowed, knock-kneed, even: |
|||
|
Hands: Wide, narrow, long, short, thin, hairy, dirty: |
|||
|
Fingers: Wide, narrow, long, short, gnarled, rough, fat, bony, any missing: |
|||
|
Walk: Fast, slow, loping, erect,, limp, dragging: |
|||
|
Dress: Loud, neat, conservative, slovenly, cheap, expensive: |
|||
|
Marks & Scars: tattoos, marks, moles, scars, warts: |
|||
|
Speech: Nasal, accent, loud, soft, slow, fast, stammer: |
|||
|
Habits: Clean, dirty, chews gum or tobacco, smokes, drinks, nervous habits: |
|||
|
Unusual Characteristics: Any peculiarities not covered above: |
|||
|
Place of birth: |
|
|
Religion: |
|
|
Former Addresses: |
|
|
1. |
|
|
2. |
|
|
3. |
|
|
Former occupations: |
|
|
Former employers & addresses: |
|
|
1. |
|
|
2. |
|
|
3. |
|
|
Former associates & address: |
|
|
1. |
|
|
2. |
|
|
3. |
|
|
Grade School Address: |
|
|
High School Address: |
|
|
College Address: |
|
|
Degree: |
Year: |
|
Correspondence Schools: |
|
|
Father's Information |
|
|
Name: |
DOB:______/_____/______ |
|
Present address: |
|
|
Place of origin: |
|
|
Occupation: |
|
|
Employer & address: |
|
|
Mother's Information |
|
|
Maiden name: |
DOB: ____/_____/_____ |
|
Place of Oorigin: |
|
|
Occupation: |
|
|
Present address: |
|
|
Employer & address: |
|
|
Brothers & Sisters (Address, DOB, Occupation): |
||
|
1. |
||
|
2. |
||
|
3. |
||
|
Other Relatives (Address & Occupation): |
||
|
1. |
||
|
2. |
||
|
3. |
||
|
Spouse or Significant Other: |
||
|
Martial Status: |
||
|
Name: |
DOB: ____/__ _/____ |
|
|
Address: |
||
|
Occupation: |
||
|
Employer & address: |
||
|
Place of origin |
||
|
Children's Information (Names, DOB, Nativity, Were now): |
||
|
1. |
||
|
2. |
||
|
3. |
||
|
Former Spouse's Information: |
||
|
Name: |
DOB:______/____/_____ |
|
|
Address: |
||
|
Place of origin: |
||
|
Occupation: |
||
|
Employer & address: |
||
|
Alimony: |
How much: |
When sent: |
|
Places visited: |
||
|
Languages spoken: |
||
|
Organizations & Clubs: |
||
|
Hobbies: |
||
|
Hangouts: |
||
|
|
||
|
Ever finger printed: |
When: ______/______/_______ |
Where: |
|
|
Why: |
|||
|
Value of Bonds: |
Classification (If known): |
||
|
Police Record: |
|||
|
When: |
Where: |
||
|
Prison: |
Time served: |
||
|
Crime: |
|||
|
Parole records: |
|||
|
Parole officer & address: |
|||
|
Pistol Permit: |
When Obtained:______/______/______ |
||
|
Where: |
Why: |
||
|
Make: |
Caliber: |
Serial No: |
|
|
Warrants Outstanding: |
|||
|
Passports: |
Visas: |
||
|
Veterinarian |
|||
|
Discharge Type: Service Branch: |
Rank: |
||
|
Date entered service:____/____/___ |
Date Discharged:____/____/___ |
||
|
Specialization: |
|||
|
Veteran Organizations: |
|||
|
Registered Voter: |
Where: |
||
|
P.O. Forwarding: |
|||
|
Unions: |
|||
|
Where do you think subject is now? |
|
|
Anyone with whom the subject might correspond? |
|
|
Any relatives or friends contacted? |
|
|
Authorities notified? |
|
|
Previously missing: |
When: ____/____/_____ |
|
Reported By: |
Phone: ( )_____________ |
|
Address: |
|
|
Details and Remarks: |
|