Get Safe & Sound Application/authorization Form - Polk County Sheriff's ... - Polksheriff

This guide provides step-by-step instructions for completing the Safe & Sound Application/Authorization Form from the Polk County Sheriff's Office. The form is essential for registering individuals in the Project Safe & Sound program, ensuring their protection and public safety.

Follow the steps to successfully complete the application form.

1. Click the ‘Get Form’ button to access the Safe & Sound Application/Authorization Form and open it in your preferred editor.
2. Begin by filling in the person's name being registered. Include their last name, first name, and middle name. If applicable, provide the nickname.
3. Enter the address of the person. Include street address, city, state, and zip code. Indicate the type of residence by checking the appropriate box: residence, apartment, or nursing home.
4. Provide the person's physical details such as height, weight, race, sex, hair color, and eye color.
5. Fill in the date of birth and any distinguishing features that can help identify the person.
6. List any relevant medical conditions that the sheriff's office should be aware of to better assist the individual.
7. In the remarks section, add any additional information that may be important for the application.
8. Provide the name and telephone number of the individual's doctor.
9. In the caregiver section, enter the caregiver's full name, relationship to the individual, and their contact information including home and cell telephone numbers.
10. Fill in the backup contact information with the name, relationship, and contact details as necessary.
11. Record the bracelet number and the date it was issued, if applicable.
12. The caregiver must sign and date the form, confirming their authorization for the release of information.
13. Finally, save your changes. You may choose to download, print, or share the completed form as needed.

Complete your Safe & Sound Application/Authorization Form online today to ensure timely processing and access to necessary services.