Get State Of Utah Emergency Application For Commitment - Dsamh Utah

This guide provides step-by-step instructions for completing the State of Utah Emergency Application for Commitment form online. Designed for mental health or peace officers, this form is essential for ensuring the safety of a child who may be facing mental health challenges.

Follow the steps to complete the application accurately and efficiently.

1. Click the ‘Get Form’ button to obtain the relevant document and open it in your editing application.
2. Begin by filling out the date on the form. Enter the current date in the designated field.
3. Identify yourself in the section provided for the mental health or peace officer. Fill in your name to show you are authorized to make this application.
4. In the area for observations, provide the name of the child, specifying that they are under 18 years of age.
5. Explain the circumstances that led to the child being observed. Use clear and detailed information to outline the events or conduct that prompted this application in the first statement field.
6. In the section regarding the specific nature of the danger, articulate the potential risks to the child or others, ensuring a comprehensive description.
7. Summarize your observations that support your claims of danger for the child in the designated summary area, including any pertinent details.
8. Fill in the section for notifying relevant individuals. Include the parent or legal guardian's name and address, as well as their phone number.
9. If there are additional individuals to notify, provide their relationship to the child, along with necessary contact information.
10. Once you have completed all sections, review your entries for accuracy. Then, sign the form and include your address and phone number in the specified fields.
11. After finishing the form, save your changes, download, print, or share the completed document as needed.

Complete your applications online to ensure swift action and support for those in need.