Police RU OK? Enrollment Form

Salado Police Department

313 North Stagecoach Road

Salado, Texas, 76571

Phone (254) 947-5681

Subscriber Information
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Emergency Contact Information
Next of Kin Information
Key Location/Occupant Information
Extra Key? *
Pets? *
Live Alone? *
Alarm System? *
Life Alert? *
Do you own a vehicle? *
Medical History
Able to Walk? *
Physical Impairment? *
Miscellaneous Information/Remarks
Authorization
I, the undersigned, freely and voluntarily give permission to the Salado Police Department and/or their agents to enter my residence for the purpose of checking on the well-being of myself or my family.