Missing Person Contact Information - University Courtyard

Missing Person Contact Information
Resident Information
First Name:
Last Name:
Student Eamil Adress (student@mail.fresnostate.edu):
Student ID Number (XXXXXXXXX):
Contacts Information
First Name:
Last Name:
Relationship to Resident:
Address Line 1:
Address Line 2:
City:	State:
Zip: -	Country:
House Phone(with area code) (XXX-XXX-XXXX):
Cell Phone(with area code)(XXX-XXX-XXXX):
Work Phone(with area code)(XXX-XXX-XXXX):
Email Address:
Confirm Email Address:
Each student living on-campus has the option to register anyone as their "confidential missing person contact" to be notified in the event that the student is determined to be missing. Any missing person under the age of 18 that are not emancipated will have their parent or guardian notified as well. Only authorized campus officials and law enforcement persons in furtherance of a missing person investigation may have access to this information.


If you are having technical difficulties with the completion of form please email your request to Michele Davis