Military Missing Report Substitute Statement Form
Use this form to submit a substitute statement when a military member cannot be located, including the reporter’s details, the member’s identifying service information, and the circumstances of the missing situation.
Reporter Information
Full Name
*
First Name
Middle Name
Last Name
Relationship to Missing Military Member
*
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email Address
*
example@example.com
Missing Military Member Information
Missing Military Member Full Name
*
First Name
Middle Name
Last Name
Branch / Service Affiliation
*
Please Select
Army
Navy
Air Force
Marine Corps
Space Force
Coast Guard
Other
Rank or Grade
*
Unit or Command
*
Last Known Duty Location / Base
*
Substitute Statement Details
Date Last Accounted For
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Approximate Time Last Accounted For
Hour Minutes
AM
PM
AM/PM Option
Last Known Location
*
Circumstances of Missing Situation
*
Names of Witnesses or Others Aware of the Situation
Believed to Be Safe or Recently Contacted?
*
Yes
No
Unsure
Declaration
Submit Form
Should be Empty: