Project Safe Return

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The Marion Police Department is initiating a pilot program to help reunite children or adults with special needs with their loved ones, if necessary. Police are frequently called upon to reunite a non-verbal or otherwise challenged individual who is found within the community. Some of these concerns may include, but are not limited to: dementia, Alzheimer’s and autism.

By completing the following form, the Police Department will have access to valuable information to help expedite the reunion process.

Any information provided will be kept confidentially at the Police Department. Feel free to contact the Marion Police Department at 319-377-1511 with questions.


Please correct the field(s) marked in red below:

Please complete this form for the adult or child with special needs. The information provided will be kept confidential and used only in situations where the individual needs to be reunited with their caregiver.

Name:

Date of Birth:

School (if applicable):


Grade (if applicable):


Medical Conditions:


Allergies:

Strengths and Abilities:

Things enjoyed within the community (hobbies, places of worship, interests, venues):

Ways that a member of the Police Department can help:

Things to avoid during an interaction (food, actions, phrases, behavior):

The most important thing to know in the event of an EMERGENCY: