To be completed by a Law Enforcement Officer who is DIRECTLY working with the person in need.
****AoP WILL NOT provide assistance if an officer is called out by Crisis, a Victim Advocate, community member, another nonprofit agency, etc., solely to place a request to AoP.*** This does not meet our mission as an officer should not have been called out for a "211" issue.
Officer first name
Officer last name
Officer's call back number - (this is for AoP to contact upon receiving request) We don't share your #.
LEO's Badge # - Precinct - Assignment
Incident # - If applicable
What was the call for service/or reason for LEO contact?
Homeless Request? REMINDER: AoP is extremely limited when working with the homeless, as most do not require PD (911), but require social services (211). Please provide families with the Family Housing HUB # 602-595-8700 so they may get on the list asap, in lieu of placing a request to AoP.
Current location of person needing assistance
Information for Individual Being Assisted by this Request
Main Contact's First Name
Main Contact's Last Name
Client's Email Address
Additional Individuals On-Scene
# of adults requiring assistance
# of youth requiring assistance
Additional information you'd like to share about individual/family
Request of Angels on Patrol
What is your request of Angels on Patrol?
If applicable, list what other resources were sought prior to submitting request to AoP.
After Hours Request - Between (1900-0700 hours Monday - Friday or weekend & holidays)
Was an After Hours Visa Card used?
If After Hours card was used, please provide what it was used for. ** If used for a motel: What motel and room #. ** Thank you for returning the AH card and sending a copy of the receipt to firstname.lastname@example.org