INSTRUCTIONS ON HOW TO FILL OUT THE FOLLOWING FORM:
STATE OF LOUISIANA AMBER ALERT NOTIFICATION SYSTEM
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DATE (Date this fax is being sent)
CONTACT (The person from this agency who is sending the fax to Troop F)
TELEPHONE # (LPSO telephone number
FACISMILE # (LPSO fax number)
SUBJECT # (What this fax is about)
PAGE 2 – FULL NAME OF MISSING (The full name of the child that has
been reported missing)
CITY OR COMMUNITY WHERE CHILD WAS LAST SEEN (The city or
community where the missing child was last seen)
PARISH WHERE CHILD WAS LAST SEEN (The name of the parish where
the missing child was last seen)
DAY AND DATE CHILD WAS LAST SEEN (The day and date the missing
child was last seen)
EXACT TIME CHILD WAS LAST SEEN (The exact time the missing child
was last seen)
EXACT ADDRESS WHERE CHILD WAS LAST SEEN (The exact address
where the missing child was last seen)
KNOWN LANDMARKS AT OR NEAR LOCATION WHERE CHILD
WAS LAST SEEN (List any landmark at or near the location where the
missing child was last seen)
LAST KNOWN DIRECTION OF TRAVEL, INCLUDE HIGHWAY #OR
STREET ADDRESS (Last known direction of travel to include highway
number or street address of missing child)
THREAT OF IMMINENT DANGER – IS THE MISSING CHILD
BELIEVED TO BE IN IMMINENT DANGER (Is there information that
would indicate that the child is in imminent danger)
IS THERE EVIDENCE THE CHILD WAS ABDUCTED (Is there
information that would indicate that the missing child was abducted)
PERSONAL INFORMATION AND DESCRIPTION – RACE OR
ETHNIITY OF MISSING CHILD (What is the race and ethnic background of
the missing child)
MALE OR FEMALE (Is the missing child a boy or a girl)
COLOR AND STYLE OF HAIR (What is the color of the missing child’s
hair and what style of hair does the child have)
COLOR OF EYES (What color are the eyes of the missing child)
DOB (What is the missing child’s date of birth)
COMPLEXION (What type of complexion does the missing child have)
HEIGHT (Height of the missing child)
WEIGHT (Weight of the missing child)
DESCRIPTION OF CLOTHING CHILD WAS LAST SEEN WEARING
AND PERSONAL ITEMS IN POSSESSION OF CHILD (Describe in detail
the clothing the missing child was wearing when last seen include all personal
items that were in the possession of the missing child)
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SUPPLEMENTAL – NAME AND DOB OF INDIVIDUAL WHO MAY BE
WITH MISSING CHILD (The name and date of birth of an individual who
may be with the child that is missing)
DESCRIPTION OF INDIVIDUAL WHO MAY BE WITH MISSING CHILD
(A description of an individual who may be with the child that is missing)
DESCRIPTION OF VEHICLE BEING DRIVEN BY INDIVIDUAL WHO
MAY BE WITH MISSING CHILD (Description of the vehicle being driven
by an individual who may be with the child that is missing)
NAME OF LOCAL LAW ENFORCEMENT AGENCY MAKING
REQUEST FOR ALERT ACTIVATION (The name of the agency asking to
activate the Amber Alert)
SIGNATURE OF SHERIFF/POLICE CHIEF OR AUTHORIZED AGENCY
COMMANDER (Signature of the Sheriff authorizing the activation of the
Amber Alert)
24/7 TELEPHONE NUMBER FOR CALL BACK FROM PUBLIC (A
telephone number that is available to the public 24 hours a day, seven days a
week)
FOR USE BY LOUISIANA STATE POLICE TROOP F (This section is to
be completed by Louisiana State Police Troop F)