Update Confidential Missing Person Contact Information

Student Name:

Student ID Number:

Student Email Address:

Please identify an individual to be notified by Eastern University if you are determined to be missing. If you are determined to be missing, EU will also notify the appropriate law enforcement agency not later than 24 hours after the time that you are reported missing. In addition, if you are under 18 years of age and not an emancipated individual, Eastern University is required to notify your custodial parent or legal guardian if you are determined to be missing.

Please check the box if you under 18 and not an emancipated individual (An “emancipated individual” refers to a minor who is self-supporting and independent of parental control, usually as a result of a court order).

Please check if true

I am under 18, not an emancipated individual.

Name

Relationship

Address

Alternate Phone

Email Address

Alternate Email

If you would like to add another individual, please enter their information below.

Name2

Relationship2

Address2

Email Address2

Alternate Email2