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MN Application by Peace Officer for Emergency Evaluation - City of Maple Grove 2018-2025 free printable template

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Maple Grove Police Department12800 Arbor Lakes Parkway Maple Grove, MN 55369 7634946100 www.maplegrovemn.govApplication by Peace Officer for Emergency Evaluation In the Matter of:Maple Grove Case
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How to fill out MN Application by Peace Officer for Emergency Evaluation

01
Obtain the MN Application by Peace Officer for Emergency Evaluation form from the appropriate authority.
02
Fill in the top section with your name, date, and case number.
03
Provide detailed information about the individual being evaluated, including their name, address, and date of birth.
04
Describe the nature of the emergency and the behavior that led to the need for evaluation.
05
Include specific observations that justify the request for emergency evaluation.
06
Sign and date the application at the bottom.
07
Submit the completed application to the designated mental health authority or local law enforcement agency.

Who needs MN Application by Peace Officer for Emergency Evaluation?

01
Peace officers who encounter individuals in crisis situations where there is a risk to themselves or others.
02
Mental health professionals needing to initiate an emergency evaluation for an individual.
03
Family members or caregivers seeking emergency intervention for a loved one exhibiting severe behavioral issues.
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The MN Application by Peace Officer for Emergency Evaluation is a legal document used by law enforcement to request the emergency evaluation of a person suspected of having a mental illness and posing a danger to themselves or others.
Peace officers, including police officers and sheriffs, are required to file the MN Application for Emergency Evaluation when they believe an individual needs immediate mental health assessment due to potential harm.
To fill out the MN Application, a peace officer must provide specific information regarding the individual’s identity, the observed behavior that indicates a need for evaluation, and any past mental health issues, along with their own observation and assessment.
The purpose of the MN Application is to initiate an emergency evaluation process for individuals who may require immediate mental health care and to ensure their safety and the safety of others.
The application must include the individual's name, age, gender, address, details of the incidents leading to the application, specific behaviors observed, and any relevant history of mental health treatment.
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