Official
Defunding Police Advocate
W A I V E R
I ___________________, FORFEIT ALL RIGHTS to POLICE ASSISTANCE.
FUTURE CRIME VICTIM
ADDRESS____________________________________________
CITY___________________ STATE___________________ ZIP________________
I REQUEST that 911 BLOCK THE FOLLOWING PHONE NUMBERS:
HOME(__)_______CELL(__)________WORK(__)_________
I UNDERSTAND that BY SIGNING this WAIVER, I NULLIFY ALL RIGHTS to POLICE ASSISTANCE.
_____________________________________
SIGNATURE of FUTURE CRIME VICTIM
PLEASE SUBMIT this FORM
to YOUR NEAREST LAW
ENFORCEMENT AGENCY
PLEASE CUT ALONG the DOTTED LINES
2022 sep 14
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2021 dec 31
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2021 jul 15
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2021 apr 3
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2020 sep 17
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2020 sep 17
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Stay safe and healthy.