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2. The At-Risk Persons Alert Program is a proactive initiative by police departments designed to assist individuals who may be vulnerable or at risk due to various factors such as age, medical conditions, or cognitive impairments. This program aims to quickly identify and locate these individuals in emergencies, such as cases of wandering or missing persons.

   Participants typically include seniors, individuals with disabilities, and those with mental health challenges. Families or caregivers can enroll these individuals in the program, providing essential information such as physical descriptions, medical conditions, and emergency contacts. In the event of a reported missing person, police can swiftly access this data to enhance search efforts and ensure timely assistance. The program fosters community safety and strengthens the bond between law enforcement and the community it serves.

4. Name of Person at Risk
6. First Name*
7. Middle Name*
8. Last Name*
10. Date of Birth*
12. Address*
13. City*
14. State*
16. Phone Number*
17. Gender*
18. Height*
20. Race*
21. Hair Color*
22. Facial Hair (beard etc)
24. Eye Color*
25. Glasses*
27. Preferred Hospital*
29. Physician Name
30. Physician Phone Number
32. Additional Information
34. Reporting Party Information
36. First Name*
37. Last Name*
39. Relationship to Applicant*
41. Phone Number*
42. Email Address*
44. Address of Reporting Party*
46. Photograph of Potential Wanderer*
48. Date*
    Date
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50. 1. Receive an email copy of this form.
51. Email address

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52. Submit

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