FAMILY INTAKE

DISCLAIMER

Disclaimer Agreement:

You/ I Agree to the Disclaimer by submitting this form, and You/ I agree to allow We Can Bring You Hope, Inc. to have all information pertaining to this case and you/I give my permission to share flyers, work with law enforcement, conduct searches, contact Media, and use all social media outlets.

You/I agree that you/ I am to take it upon MYSELF to help post MY missing loved one's flyers once created. You, the submitter, are to meet with us in chat at least ONCE A WEEK to provide us with updates. You, the submitter agree to allow We Can Bring You Hope to use any/all photos YOU have provided. You/ I fully understand and agree to the photos being shared with the public and on the We Can Bring You Hope websites. In addition, You/I fully agree, that I will NOT hold We Can Bring You Hope, Inc of any liability, whether actual or perceived. While we work your case, you can not "GHOST" on us. That means to deactivate your social media account(s) unless you notify us prior. Plus you may NOT BLOCK anyone that is working on your case. Deactivate your account counts as blocking us. We will remove you from any and all communication regarding your case.

You/I also state by submission of this form, that You/I am the legal guardian of the missing person, should this person be a minor. You/I understand that We Can Bring You Hope, Inc. is a Community Based Volunteer Organization that provides these services to families of the missing through contributions received, and I will not be billed for, nor asked for any money by We Can Bring You Hope, Inc, nor any of its representatives.

BY SUBMITTING You/I AGREE. You/I understand that You/I may NOT alter POSTERS / FLYERS or use my own phone number or email while you/ I am COORDINATING SERVICES with We Can Bring You Hope, Inc. Using personal numbers and email may put Missing and/or others at risk and has been explained to me, by submitting this disclaimer I agree to these terms in full and hold We Can Bring You Hope, Inc. Harmless of any liability.

Please make sure your case MEETS THE FOLLOWING CRITERIA:
-You are the Missing person's IMMEDIATE FAMILY
-Your loved one has been missing 2 years or LESS
-There is an OPEN and ACTIVE Missing PERSONS case with a Law Enforcement AGENCY

You will need to know the following INFO:
-Height, Weight, Sensitive Information
-We ask that you be honest with us, We can't help you if we don't know everything. We will verify that it is an open active investigation to a Missing Person.
-Need Police Agency Phone number/Case Number
-Please submit MOST RECENT PICTURES of your missing loved one

We will review your case within 24-36 Hours of initial submission and decide if we are taking your case. You will be contacted either way.

FAMILY INTAKE ALL FIELDS MUST BE ANSWERED

* Indicates required field

Full LEGAL Name of Person Completing this Form *

First

Last

Your Relationship to Missing Person *

Your Address *

Line 1

Line 2

City

State

Zip Code

Country

Your BEST Phone Number with which to contact you *

Your Email *

Take your time answering the questions on this form. Things to keep in mind:

We are here to HELP you. Any thing no matter how small may be IMPORTANT we are not here to JUDGE YOU or them and we are not here to hurt you or them just get them SAFE. That is our concern. WE are not the LAW! Please be honest with us.
Please DO NOT post PERSONAL phone numbers on social media because SCAMMERS will use this to extort money from you.
IF YOU FEEL THAT YOU NEED TO TELL US SOMETHING IN CONFIDENCE YOU CAN SEND US A PRIVATE MESSAGE OR CALL US AT 724-466-4673 . The line is always opened 24/7
We understand that this is a difficult time and that through the course of this event things may change.
We Can Bring You Hope organization will consider any and all conversations including Family thread conversations part of a case file. You may NOT Screen Shot them. You must ask in writing for permission to the transcripts of any and all conversations between staff at WCBYH. We will also provide information accordingly as we are generally working with the public over Social Media and people may Falsify who they are. We may Cease and Desist our contracts at any time due to our safety concerns or any violations that we see fit that prohibits the violation of our Protocols. WCBYH is her to work in GOOD Faith however it sometimes does not work to our advantage and in society people try and take advantage and generosity.
Starting this year (2019) we are no longer taking NEW cases that are TWO (2) years old and older. It takes a lot of time to work what we consider "Cold Cases" there may be other missing organizations out there that would be willing to look into your cases. (This RULE DOES NOT affect our cases we currently have)
We can and will make adjustments to any materials created so that the most accurate and updated information is out in circulation for your Missing Loved One.
We will review you case and decide if we think it meets our criteria. Not every case is accepted.

Full Legal Missing Person's NAME *

First

Last

ANY ALIAS/NICK NAMES and CURRENT ADDRESS of MISSING PERSON *

Line 1

Line 2

City

State

Zip Code

Country

LINKS TO ALL MISSING PERSON SOCIAL MEDIA ACCOUNTS *

Phone Number for Missing person - description of phone and name of carrier *

MISSING PERSON-City, State and COUNTY where they went missing *

Age at the time they went MISSING and age now *

Missing Person Weight *

Missing Person Height *

Missing Person Eye Color *

Missing Person Hair Color *

LAST DATE SEEN and WITH WHOM *

Missing Person's Date of Birth and Location *

History of Drug Addiction, if so what kind? *

First

Last

Police Department Name *

Police Department Phone Number *

Case Number *

Did the Missing person have any Tattoos, Scars, and Birthmarks, Surgeries that required any implants such as pins, rods, etc. specific distinctive features PLEASE DESCRIBE *

Contacts/Glasses and Description *

BIO MOTHERS and/or FATHER'S NAME CONTACT INFORMATION *

First

Last

SPOUSE OR SIGNIFICANT OTHER NAME AND CONTACT INFORMATION *

MISSING PERSONS CLOSEST FRIENDS with contact information *

SIBLING NAMES AND CONTACT INFORMATION FOR LIVING SIBLINGS *

Any other info that may be helpful in aiding to locate your missing loved one *

List their Dentist Name, address and Phone number if known. Dental Issues (Dentures, Braces, Teeth color, Etc.) *

Any known circumstances concerning their disappearance and What they were wearing *

List their Medical Provider Name, Address and Phone Number if Known. Medical concerns and Are they on any Medications? If known Please list *

DOES THE MISSING PERSON HAVE A HISTORY OF GOING MISSING? IF SO HOW OFTEN DOES THIS HAPPEN *

WAS THE MISSING IN AN ABUSIVE RELATIONSHIP? IN FEAR FOR THEIR LIFE? HAVE ANY RECENT MAJOR LIFE CHANGES? PLEASE LIST. *

How did you hear about us? *

CHECK THE BOX TO AGREE *

I Agree to the Disclaimer Listed Above. I certify that I am the legal Guardian IF this is a MINOR that I am reporting.

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