Get Anonymous Perk Storage Notification Form

The Anonymous PERK Storage Notification Form is an important document for individuals seeking to have their evidence stored securely without immediate involvement of law enforcement. This guide provides clear, step-by-step instructions to help you fill out the form online with ease.

Follow the steps to complete the form accurately.

1. Press the ‘Get Form’ button to obtain the Anonymous PERK Storage Notification Form and open it in your preferred document editor.
2. Begin by entering your patient name in the designated field. This ensures proper identification of the request for storage.
3. Next, provide the name of the health care facility where the examination took place. This is crucial for administrative records.
4. Input the health care facility's number in the appropriate section. This may typically be found on your medical records or documentation from the facility.
5. Fill in the date of the examination. This date is essential for tracking the storage timeline of your evidence.
6. Enter the unique PERK ID number located at the top right of the form. This identification number is critical for retrieval and tracking of your stored evidence.
7. In the statement provided, affirm your request by writing your name in the highlighted space, confirming that you wish for the evidence to be stored without contacting law enforcement.
8. Read the important information and terms carefully to understand your rights and the process. Acknowledge this by signing in the designated signature space.
9. Date your signature to indicate when you are submitting the form.
10. If completed correctly, save the changes made to the document, and prepare to download, print, or share the form as necessary.

Complete your Anonymous PERK Storage Notification Form online to ensure your evidence is securely stored.