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CITY OF JOHNSTON POLICE DEPARTMENT C.A.R.E. RESIDENT OF CONCERN www.cityofjohnston.com Police Department 6221 Merle Hay Road PO Box 410 Johnston, IA 50131 5152782345 Please complete this form and
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How to fill out resident of concern:

01
Obtain the resident of concern form: You can usually find this form on your local government's website or by contacting the appropriate department.
02
Fill in personal information: Provide your name, address, contact information, and any other required details accurately.
03
Describe the concern: Clearly explain the specific issue or problem regarding the resident in question. It is essential to provide all necessary details, such as dates, times, and any evidence or witnesses if available.
04
Provide supporting documentation: If applicable, attach any documents or evidence supporting your concern. This may include photographs, videos, official statements, or any other relevant materials.
05
Sign and date the form: Before submitting the resident of concern form, make sure you have signed and dated it properly.
06
Submit the form: Follow the instructions provided on the form to submit it to the relevant department or authority. This may involve mailing it, submitting it online, or delivering it in person.
07
Keep a copy for your records: It is advisable to make a copy of the completed form for your own records before submitting it.

Who needs resident of concern:

01
Concerned citizens: Individuals who have identified a resident with significant issues or problems that need to be addressed by the authorities.
02
Property managers or landlords: When a resident is causing disturbances or violating the terms of their lease, property managers or landlords may need to file a resident of concern form to inform local authorities.
03
Community organizations: Sometimes, community organizations may be responsible for facilitating the filing of resident of concern forms on behalf of their members or individuals they assist.
04
Local government agencies: Local government agencies, such as neighborhood services or code enforcement departments, often require resident of concern forms to investigate and take appropriate action based on reported issues.
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Resident of concern is an individual who is identified as having specific needs or requiring special attention in a residential setting.
Healthcare providers, caregivers, or residential facility staff are typically required to file resident of concern.
The resident of concern form can be filled out with the individual's personal information, medical history, any specific needs or conditions, and the reason for designation as a resident of concern.
The purpose of identifying a resident of concern is to ensure that they receive appropriate care and attention based on their specific needs and conditions.
Information such as personal details, medical history, specific needs or conditions, and any recommendations for care must be reported on the resident of concern.
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