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The Guardian Program is designed to assist law enforcement quickly locate missing
persons that are endangered due to a diagnosed medical condition that hinders cognitive ability and/or the ability to communicate.
Please provide the following information on the person participating in the program.
Provide the following medical information including the name of the condition causing mental impairment.
Notice: Documentation required to issue alert
Please provide information for any vehicle the applicant has access to, regardless of current driving status.
Please provide the following information for other primary caregivers and emergency contacts.
This field is not part of the form submission.
* indicates a required field