Missing Child Intake Form

This is the MissingKids.ca initial intake form. Filling out this form is the first step in requesting service from MissingKids.ca. A MissingKids.ca caseworker will receive this information and will contact you during regular business hours to complete the intake process.

You can also reach MissingKids.ca at 1-866-KID-TIPS (543-8477). If this is an emergency, please contact the police.

This form is not a replacement for reporting your child missing to police.

If you are currently residing in the province of Quebec, you may also wish to reach out to the Missing Children’s Network. If you are currently residing in the United States, we recommend you contact the National Center for Missing and Exploited Children for assistance.

Please provide us with:

Please select which of the following categories best describes the circumstances of your missing child(ren).

Child #1

First name of missing child

Last name of missing child

Age of missing child

Does your child have any medical or mental health diagnosis?

Yes No

Do you have more than one child who is missing?

When did you last see your child(ren)?

Date

Time

(e.g. 07:20 a.m.)

Has anyone seen your child(ren) since?

Yes No Unknown

Please provide details regarding your child(ren)’s disappearance:

Have you contacted police?

Yes No

Your information

We require your contact information so that a MissingKids.ca caseworker can contact you to finalize the intake process.

Your first name

Your last name

Your phone number (optional)

Your email address

Your relationship to child

Are you the child(ren)’s legal guardian?

Yes No

How did you become aware of MissingKids.ca?

Enter the letters and numbers you see in the image

All information collected permits us to assess your case and will be used and disclosed in accordance with our Privacy Policy. You choose what information to provide to us, and by providing such information, you are consenting to the collection, use and disclosure of such information as outlined in the Privacy Policy. If you do not consent, do not provide us with the information.

This page contains links to websites owned and operated by third parties. These links are provided for your information and convenience only and are not an endorsement by the Canadian Centre for Child Protection of the content of such linked websites or third parties.