Missouri Amber Alert
Abduction Alert Provider Sign-Up
This form is for entities that have the ability to alert the public of abductions.

The AMBER ALERT system is a voluntary partnership between the state, local law enforcement agencies, and public and private entities that have the ability to disseminate information promptly to the general public or to employees or members who are in regular contact with the general public. AMBER ALERT is governed by an oversight committee established by Executive Order.

The AMBER ALERTsystem is triggered by local law enforcement after a review to ensure that activation criteria have been met. The system is triggered when local law enforcement sends an alert to the Central Point of Contact. The Central Point relays the alert information to law enforcement, radio and television broadcasters, and other volunteer Alert Providers. Alert Providers are responsible for disseminating the alert to the public. The oversight committee will determine which entities and organizations are qualified to serve as Alert Providers.

At this time, AMBER ALERT is limited to providing alerts in abduction cases. Current criteria for abduction alerts are as follows:
1. There has been an abduction.
2. There are sufficient details concerning the abduction to make a public alert useful.
3. The victim must be 17 years of age or younger.
4. There has been a credible threat of serious harm or death to the victim.
5. Parental disputes do not apply unless a possibility of harm to the child has been determined.

Alert Providers will receive alerts on a standardized form. At this time, alerts will be made by fax. All alerts will include the following information: victim's name; law enforcement agency issuing alert; rank/name of officer authorizing alert; and agency case number. The alert message itself will include: (1) a description of the victim; (2) the time, location, and a description of the abduction; (3) if known, a description of the suspect, including vehicle and direction of travel, and (4) a contact phone number for public response. An alert may include relevant photographs, maps, or other useful attachments. Local law enforcement is responsible for determining that information included in an alert is appropriate for release. After each alert, the oversight committee will review the effectiveness of the system.

Abduction Alert Provider Sign-Up
To apply to serve as a volunteer Alert Provider in abduction cases, please complete this form and transmit it to the Missouri Department of Public Safety, P.O. Box 749, Jefferson City, MO 65102.

Name of entity/organization: ________________________________________________________
Name of contact person: ___________________________________________________________
Telephone: ________________________ E-mail: _______________________________________
Fax number for receiving alerts: _____________________________________________________
Method by which alert will be disseminated:
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The above-named entity or organization voluntarily agrees to participate in the ALERT MISSOURI system by (1) disseminating alerts as soon as possible upon receipt; (2) disseminating alerts in the method described above; and (3) notifying the Department of Public Safety immediately upon any change in the above information.

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Authorized Representative

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Title/Position

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Time