Handle with Care Registry

Handle with care registry has been created to help police officers better assist citizens with special needs, in the event of an emergency or other interaction, by providing law enforcement with vital information regarding a registrant’s disability such as emergency contact information, physical description, current photograph and more.

The goal of Handle with care registry is to ensure all community members who have a special need are able to get the help and support they need in a time of emergency, if reported missing and/or during an interaction with law enforcement personnel.

What is defined as a "Handle with care"?

Handle with care are often defined as a physical or mental impairment that substantially limits one or more major life activity due to a physical and/or intellectual disability. Examples of Handle with care can include, but are not limited to:

• Mental Health Issues

• Mobility Issues (wheelchairs, power chairs, walkers)

• Dementia or Alzheimer’s Disease

• Cognitive Impairments

• Autism

• Oxygen Dependency

• Hearing, Vision, or Speech Deficits

• Post-Traumatic Stress Disorder

• Dialysis Dependent

• Paralysis /Stroke Patients

• Developmental/ Intellectual Disabilities

• Life Threatening Allergies

Please complete this form to register a person who may Handle with care needs with the Crawford Police Department .

Your Contact Information

First Name *

Last Name *

E-mail Address *

Phone Number *

Handle with Care Person

First Name *

Last Name *

Date of Birth *

Month

Day

Year

Race(s) *

Gender *

Height *

Weight *

Location

Get Address from Map Marker

Organization / Building / etc

Street Address *

Apartment / Suite Number

City *

State *

Zip Code *

Map Marker

Use Location Address Use My Current Location

Hint, click the map to add or drag a GPS Marker. Zoom in for a better view.

Information

Include school/work info, car info, triggers, calming methods, service animal, etc.

Additional Notes / Condition / Consideration *

Photo

Attach a photo (jpg, jpeg, png) of the person.

Emergency Contacts

Include as much contact information as possible, e.g. name, address, phone, etc.

Emergency Contact #1 *

Additional Emergency Contacts

Agree *

I understand that submitting a false report is punishable by law.

Leave this field blank