Form Center

Project H.O.M.E. helps first responders identify children or adults who are unable to communicate their names or addresses due to a cognitive impairment. To enroll, caregivers can complete this information sheet, attach a photo of the child/adult, and submit the information to Allen Police Department.

If the individual is found wandering, Allen Police can search the database for individuals who match the physical description. With photo identification, medical information and emergency contacts easily accessible, police can return the individual to caregivers quickly and safely. For more information, email policerecords@cityofallen.org or call 214.509.4350.

1. Close-up headshot only. 2. Preferably a plain background so as not to distract from the face. 3. Subject should not be wearing a hat, sunglasses or mask of any kind. 4. Photo should be recent

I hereby attest that I am freely and voluntarily providing the information contained in this form and a digital photograph to the City of Allen Police Department (APD) with the expressed intent that APD maintain the information in its files and may use the information for any lawful purpose. I understand that certain information in this form may be considered protected medical and/or identifiable health care information. I further understand that APD is not a health care provider and/or covered entity under HIPPA for the purposes of the collection and use of any protected medical and/or identifiable health information. I attest that I am freely and voluntarily providing the information to APD for record keeping and lawful use. I further attest that I am authorized to provide all foregoing information to APD.