Ohio Triad Manual

OHIO
T R I A D
COMMUNITIES WORKING
TO KEEP SENIORS SAFE
TRIAD CRIME PREVENTION PROGRAM HANDBOOK
*OUSPEVDUJPO
Purpose of Handbook
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Triad: A Concept in Action

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Triad’s Beginnings
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The NATI Logo

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Chapter One—Why Triad is Necessary............ 2 Chapter Seven—Fostering Understanding
Chapter Two—Starting a Triad .......................... 4 Through Triad............................................... 22
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0UIFS.FNCFST Chapter Eight—Senior Volunteers .................. 26
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Chapter Five – Structure of Triad .................... 16 Appendix ............................................................. 51

-PDBM5SJBE Resources ........................................................... 77
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NATI Resource Pages ....................................... 95

Chapter Six—Elements of Triad .......................17
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Percentage of the population age 65 and older, by state, 2000
Less than 10%

10%–12.9%
13%–14.9%
15% or more
Note: Data for the year 2000 are middle-series projections of the
populations. Reference populations: These data refer to the resident
population. Source: U.S. Census Bureau, Population Projections.

Projected distribution of the population age 65 and older, by race and Hispanic
origin, 2000 and 2050
2000 2050
Non-Hispanic Non-Hispanic
White White
84% 64%
Non-Hispanic
Black
12%
Non-Hispanic
Black Hispanic
Hispanic 8% 16% Non-Hispanic
Non-Hispanic
6% American
Asian and
Non-Hispanic Indians and
Non-Hispanic Pacific Islander
American Alaska Native
Asian and 7%
Indians and 0.6%
Pacific Islander Alaska Native
2% 0.4%
Note: Data for the year 2000 are middle-series projections of the populations. Reference populations:
These data refer to the resident population. Source: U.S. Census Bureau, Population Projections.
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Who are Seniors?

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Getting Under Way

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Representation
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Role of the S.A.L.T. Council

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Activities of the S.A.L.T. Council

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Survey of Seniors
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For additional information about conducting surveys, see: Conducting Community Surveys,
by Deborah Weisel (Bureau of Justice Statistics and Office of Community Oriented Policing
Services, 1999). This guide along with accompanying computer software, provides practical,
basic pointers for law enforcement in conducting community surveys. The document is also
available at www.ojp.usdoj.gov/bjs.
Additionally, see: A Police Guide to Surveying Citizens and Their Environments, Bureau of
Justice Assistance, 1993. This guide offers a practical introduction for law enforcement to two
types of surveys that officers find useful: surveying public opinion and surveying the physical
environment. It provides guidance on whether and how to conduct cost-effective surveys.

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Directory
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Information Sharing and Education

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Reassurance, Crime Reporting
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What the Council is Not

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S.A.L.T. Council Meetings

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Success
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Ten Tips for S.A.L.T. Councils

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The Older Victim

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What are Targeted Crimes?

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Impact
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Secondary or Vicarious Victimization

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Local Triad
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Regional Triad
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GPSMPDBMUSBJOUIFUSBJOFSFWFOUT
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State Triad
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JTTVF
Combating Vulnerability
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CVJMEJOHBOEQPTTJCMZSFDSVJUNFOUPGWPMVOUFFSTGPSUIFOFX5SJBE

Safer Seniors—Beginning Projects
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Training for Officers

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What Officers Know

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Victimization and its Effects

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Alzheimer’s Education
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Training for Citizens
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Starting a Citizen Police Academy

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Recruiting
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What Volunteers Can Do
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Law Enforcement Agencies

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The Community
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Benefits (continued)
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$IBQUFS/JOF
&WBMVBUJOH5SJBE
& WBMVBUJPOJTBOFDFTTBSZDPNQPOFOUPGBOZTVDDFTTGVM5SJBEBUUIFWPMVOUFFS BTTJHOFEUBTL

BOEQSPHSBNMFWFMT
5PNFBTVSFIPX5SJBEJTNFFUJOHUIFOFFETPGMBXFOGPSDFNFOUBOETFOJPST QMBOGPSBTTFTTNFOUUP
CFBOJOUFHSBMQBSUPGUIFQSPHSBNGSPNUIFTUBSU
"OFWBMVBUJPO QFSUJOFOUBUBMMUISFFBGPSFNFOUJPOFEMFWFMT TIPVMEBOTXFSUIFTFRVFTUJPOT

%PFTUIFWPMVOUFFSQSPHSBNEPXIBUZPVXBOUEPOF
*TUIFQSPHSBNCFJOHDBSSJFEPVUUIFXBZZPVIBEQMBOOFE
4IPVMEUIFWPMVOUFFSBTTJHONFOUQSPHSBNDPOUJOVFBTPSJHJOBMMZCFHVO PSDIBOHF
"TTFTTNFOUKVTUJmFTDPOUJOVFE5SJBEBHFODZJOWPMWFNFOU'VOEJOHBTTJTUBODFJTPGUFOCBTFEPO
TVDDFTTGVMEFNPOTUSBUJPOPGUIFQSPHSBNTFĊFDUJWFOFTT
Planning for Evaluation

*ODMVEFFWBMVBUJPOTJOUPUIFQSPHSBNQMBOOJOHTUBHFT#FDBVTF5SJBEJTDPNQPTFEPGMBX
FOGPSDFNFOU TFOJPSTBOEQVCMJDPSHBOJ[BUJPOT FBDITIPVMECFFOHBHFEJOUIFSFWJFX
&TUBCMJTIXIPXJMMPWFSTFFUIF5SJBEFWBMVBUJPOBGUFSUIFDPPQFSBUJWFHSPVQTBSFGPSNFE*GQPTTJCMF
FOHBHFBTQFDJBMJTUJOUIFEFTJHOBOEBENJOJTUSBUJPOPGUIFFWBMVBUJPO
*EFBMMZ BTJOHMFQFSTPOPSHSPVQXJMMUBLFSFTQPOTJCJMJUZGPSUIFFWBMVBUJPOɩJTDBOCFBOFYDFMMFOU
PQQPSUVOJUZUPXPSLXJUIDPMMFHFT VOJWFSTJUJFT IJHITDIPPMTPDJBMTDJFODFDMBTTFT MPDBMCVTJOFTTFTPS
PUIFSPSHBOJ[BUJPOTIBWJOHSFTFBSDIDBQBCJMJUZ

Timing
%POPUQPTUQPOFFWBMVBUJPOVOUJMUIFQSPHSBNJTVOEFSXBZ1MBOGPSBQQSBJTBMPSTFFQSPHSFTTTVĊFS
BTBSFTVMU
The Measuring Stick

ɩFTFRVFTUJPOTDBOIFMQZPVGPDVTPOXIBUTIPVMECFFWBMVBUFE
t %PFTUIFDPNNVOJUZLOPXBCPVUZPVS5SJBE
t %PMBXFOGPSDFNFOUBOETFOJPSTLOPXXIBU5SJBEJTBOEXIBUJTJUTQVSQPTF
t *TUIFSFEVQMJDBUJPOPG5SJBEQSPHSBNTJOUIFDPNNVOJUZ
t "SFJOEJWJEVBMTSFQSFTFOUJOH5SJBEEPJOHTPFĊFDUJWFMZ
t "SF5SJBEHPBMTCFJOHNFU
t "SFHPBMTTQFDJmDBOEVOEFSTUBOEBCMF
Goals and Objectives

#BTFFWBMVBUJPOTBOEQSPHSFTTPOUIFGVOEBNFOUBMTPGB5SJBEQSPHSBN B
SFEVDJOHDSJNJOBM
WJDUJNJ[BUJPOPGTFOJPST C
FEVDBUJOHTFOJPSTPODPNNVOJUZTQFDJmDDSJNFBOEDSJNFQSFWFOUJPO
JOGPSNBUJPO D
TUBSUJOHFYQBOEJOHSFBTTVSBODFQSPHSBNTBOE E
FEVDBUJOHMBXFOGPSDFNFOUUP
XPSLNPSFFĊFDUJWFMZXJUIPMEFSQFSTPOT
*GUIFPCKFDUJWFTBSFOPUDMFBSMZEFmOFEPSBSFVOSFBMJTUJD BDDVSBUFFWBMVBUJPONBZCFFMVTJWFPSFWFO
VOBUUBJOBCMFBOETPXJMMTVDDFTTGPSUIFQSPHSBN
Keeping Score
.BJOUBJOQSPHSFTTBTHPBMTBSFBDDPNQMJTIFE'PSFYBNQMF BOJOGPSNBMDIFDLVQTIFFUNJHIU
SFBEMJLFUIJT
1SPHSBN$SJNFQSFWFOUJPOQSFTFOUBUJPOT JOJUJBMQSPHSBNTQMBOOFEGPSTFOJPSDFOUFSTEVSJOH
.BSDIBOE"QSJM
5PQJDTQFSTPOBMTBGFUZ TQSJOHIPNFSFQBJSTDBNT
0CKFDUJWFT
*OGPSNTFOJPSTBCPVUDSJNFSFMBUFETDFOBSJPTBOEBQQSPQSJBUFSFTQPOTFTEFTJHOFE
UPSFEVDFWJDUJNJ[BUJPO
0ċDFS+POFTXJMMUSBJO.S4FOJPS7PMVOUFFSUPDPOEVDUTJNJMBS
QSFTFOUBUJPOT
1BSUJDJQBOUT0ċDFS+POFT %FQVUZ4NJUI BOE.S4FOJPS7PMVOUFFS

ɩFQVSQPTFPGUIFFWBMVBUJPOJTUPDPOmSNUIBUPCKFDUJWFTBSFCFJOHNFUPSUPJEFOUJGZBTQFDUTUIBU
OFFEUPCFDIBOHFE4PNFQSPHSBNTDBOCFBTTFTTFECZQSFQPTUUFTUJOH&WBMVBUFQSPHSBNTJOB
TUBOEBSE NFBTVSBCMFGPSNBU
1FSDFQUVBMQSPHSBNTBSFNPSFEJċDVMUUPFWBMVBUF'PMMPXVQDBMMTXJUIBCSJFGTVSWFZDBOEPDVNFOU
QFSDFQUJPOT$BSSZPVUUIJTQPSUJPOPGUIFFWBMVBUJPOCZWPMVOUFFSTJOUIFWJDUJNXJUOFTTQSPHSBN
Methods of Gathering Information

8SJUUFORVFTUJPOOBJSFTTIPVMECFCSJFG DMFBSBOEFBTZUPSFBE*GNVMUJQMFDIPJDFUZQFRVFTUJPOOBJSFT
BOEZFTOPBOTXFSTBSFFNQMPZFE MJUUMFXSJUJOHXJMMCFSFRVJSFE2VFTUJPOJOEJWJEVBMTCZBTLJOH
TUBOEBSEJ[FERVFTUJPOT GPSDPNQBSJTPOQVSQPTFT

ɩFTBNQMFGPSNT JMMVTUSBUFEIFSF NBZCFBEBQUFEUPmUMPDBMQSPHSBNT
* BN
BNOPU
BXBSFUIBUPVSQPMJDFEFQBSUNFOUBOETIFSJĊTEFQBSUNFOUTBSFXPSLJOHUPHFUIFS
UPSFEVDFDSJNFTBHBJOTUTFOJPSDJUJ[FOT
* IBWF
IBWFOPU
BUUFOEFEPOFPSNPSFPGUIFDSJNFQSFWFOUJPOQSPHSBNTJOUIFMBTUTJYNPOUIT
*GBTBMFTNBOPSSFQBJSNBOXIPN*EJEOPULOPXBQQFBSFEVOFYQFDUFEMZBUNZEPPS * XPVME

XPVMEOPU
LOPXIPXUPEFUFSNJOFJGIFXFSFMFHJUJNBUF
*XPVME GFFMDPNGPSUBCMF
IFTJUBUF
DBMMJOHUIFQPMJDFPSTIFSJĊTEFQBSUNFOUJG*TBXTPNFUIJOH
TVTQJDJPVT
* LOPXBCPVU
EPOPULOPXBCPVU
UIF4FOJPS$BMMQSPHSBNBUUIFQPMJDFEFQBSUNFOU
* LOPX
EPOPULOPX
XIPNUPDPOUBDUBCPVUQSPHSBNTPSTFSWJDFT*NJHIUOFFE
ɩFGPMMPXJOHIZQPUIFUJDBMTJUVBUJPOJMMVTUSBUFTBOPUIFSNFBTVSJOHNFUIPEGSPNEFTJSFESFTVMUTUP
BTTFTTNFOUPGBDUVBMSFTVMUT
Objectives:
3FEVDFUIFJODJEFODFPGWJDUJNJ[BUJPOBOEUIFMFWFMPGGFBSBNPOHUIFFMEFSSFTJEFOUTPG0BLEBMF
.BOPSJODSFBTFUIFOVNCFSPGPMEFSJOEJWJEVBMTJOWPMWFEJODJWJDBDUJWJUJFT
Activities:
$POEVDUBUMFBTUPOFQFSTPOBMTBGFUZBOEDSJNFQSFWFOUJPOQSFTFOUBUJPOQFSXFFLGPSBOBVEJFODF
DPNQPTFEPGPMEFSQFSTPOTFTUBCMJTIWPMVOUFFSFTDPSUTFSWJDFEBJMZGSPNoQNQFSTVBEFDJUZUP
SPVUFNJOJCVTFTUISPVHIUIFBSFBJOTUBMMTUSFFUMJHIUTJOmWFLFZBSFBT
Determining Results by:

.FBTVSJOHOVNCFSTBOEFWFOUT
t "DUVBMDPVOUPGSFQPSUFEDSJNFJODJEFOUTJOWPMWJOHPMEFSWJDUJNTCFGPSF5SJBEFĊPSUTTUBSU BOEBU
TJYNPOUIBOEPOFZFBSQPJOUT
t /VNCFSPGDSJNFQSFWFOUJPOQSFTFOUBUJPOTBOEOVNCFSTPGQFSTPOTBEESFTTFE
t /VNCFSPGCVTSPVUFTSFTDIFEVMFEBOEDIBOHFTJOSJEFSTIJQBOE
t /VNCFSPGOFXTUSFFUMJHIUTJOTUBMMFE
.FBTVSJOH"UUJUVEFTBOE"DUJWJUJFT
t 1SFBOEQPTUTVSWFZTPGTFOJPSBUUJUVEFTBDUJWJUJFTEBZUJNFBOEFWFOJOH
t 3FTJEFOUBUUFOEBODFBUFWFOJOHFWFOUTBOE
t $IBOHFECFIBWJPSPOUIFQBSUPGSFTJEFOUTBTUIFSFTVMUPGDSJNFQSFWFOUJPOQSPHSBNT
5BCVMBUJPOPGUIJTJOGPSNBUJPOQSPWJEFTUIFCBTJTGPSBSFBMJTUJDFWBMVBUJPO
0UIFSFWBMVBUJPOUFDIOJRVFT
t 6OJGPSNMZJOUFSWJFXQBSUJDJQBOUT WPMVOUFFSTBOEQSPHSBNTUBĊ
t "OBMZ[FFYJTUJOHEBUBDFOTVT DSJNFSFQPSUT FDPOPNJDBOETPDJBMEBUB
t %JSFDUPCTFSWBUJPOTCZFWBMVBUPST
t 3FWJFXTPGQSPHSBNT SFQPSUTBOELFZHSPVQTVSWFZT
t %BUBPOBDUVBMDSJNFTJOUIFBSFBBOE
t 7PMVOUFFSTDPVMESFDPSENFFUJOHBUUFOEBODF

1PPSFWBMVBUJPOSFTVMUTTIPVMEOPUCFEJTDPVSBHJOH#SFBLEPXOUIFQSPHSBNJOUPJUTFMFNFOUT
LFFQUIPTFUIBUBSFTVDDFTTGVMBOESFFWBMVBUFNPEJGZFMFNFOUTUIBUXFSFOPU
4BNQMFTVSWFZTBSFJODMVEFEJO"QQFOEJY'ɩFTFNBZCFBEBQUFE
,FZQPJOUTFTTFOUJBMJOBOFWBMVBUJPO
t #FTVSFJUHFUTEPOF5SJBEEPFTOUXPSLXJUIPVUBOFWBMVBUJPOQSPDFTT
t 1MBOGPSBOFWBMVBUJPONFUIPEGSPNUIFCFHJOOJOHPGUIFQSPHSBN
t -PPLBUUIFQSPDFTTBOEUIFSFTVMUT
t "TTFTTDIBOHFTJOGFFMJOHTBOEQFSDFQUJPOBTXFMMBTGBDUT
t 6TFZPVSSFTVMUTUPJNQSPWFUIFQSPHSBN
$PSFQSPHSBNCBTFEPO5BLJOHB4UBOEBHBJOTU$SJNFBOE%SVHTGSPNUIF/BUJPOBM$SJNF
1SFWFOUJPO$PVODJM

$IBQUFS5FO
"WPJEJOH.JTTUFQT
5
IF4"-5$PVODJMTIPVMECFQSFQBSFEUPFODPVOUFSBOEPWFSDPNFEJċDVMUJFTPSXPSL
BSPVOEUIFN#FHJOCZMPPLJOHBUXFMMLOPXO5SJBEQSPHSBNTTJNJMBSUPUIPTFZPV
GPSFTFFFTUBCMJTIJOHɩJTNBOVBMBMTPJODMVEFTTVHHFTUJPOTUPBWPJENJTTUFQT
Involving Triad Partners

'PSUIFMBXFOGPSDFNFOUQBSUOFS
t *OEJDBUFUIBU5SJBEJTBQSPHSBNGPSTFOJPSTCZTFOJPST VTJOHGFXMBX
FOGPSDFNFOUSFTPVSDFT
t &NQIBTJ[FUIFDPNNVOJUZBTQFDUTPGUIFQSPHSBNBOEUIFGBDUUIBUMJOFTPG
DPNNVOJDBUJPOCFUXFFOMBXFOGPSDFNFOUBOETFOJPSTXJMMCFFOIBODFE
t *OEJDBUFUIFXBZT5SJBECFOFmUTTFOJPSTBOEUIFMBXFOGPSDFNFOUBHFODZ
t &NQIBTJ[FTFOJPSCFOFmUJOJODPSQPSBUFEBOEVOJODPSQPSBUFEBSFBT
t &NQIBTJ[FQVCMJDSFMBUJPOTUPPMBTQFDUTPG5SJBE TVDIBTBQQPJOUNFOUPG
4"-5$PVODJMNFNCFST
t &NQIBTJ[FUIBUiCVTJOFTTBTVTVBMwFRVBUFTUPTUBUVTRVPJODSJNFBOEGFBS
4FOJPSTUSVTUMBXFOGPSDFNFOUUIFZLOPXBOEXPSL
XJUI
t 3FBTTVSFBHFODZQFSTPOOFMUIBUUIF4"-5$PVODJMJT
QVSFMZBEWJTPSZ WPMVOUBSZBOEOPUBSFWJFXCPBSE
t 6TFSFTPVSDFTUPDJUFSFQPSUFEBOEUZQJDBMMZVOSFQPSUFE
TFOJPSDSJNF
t "TLBTFOJPSMFBEFSUPBDDPNQBOZZPVUPTUSFOHUIFOZPVS
JOWJUBUJPOGPSQBSUJDJQBUJPOPSUPNBLFBTFQBSBUFBQQFBM
JOQFSTPO
5PJOUFSFTU4FOJPS4FSWJDFTPS3471QBSUOFST
t 5SJBEJTBQPTJUJWFQVCMJDSFMBUJPOTBOENBSLFUJOHUPPMGPS
TFSWJDFQSPWJEFST
t &NQIBTJ[FUIFCFOFmUTUPTFOJPSTBOECFTVSFUPSFGFSUP
PUIFS5SJBETVDDFTTFTXIFOEPJOHTP4VSWFZSFTVMUTBSF
CFOFmDJBMJOUIJTSFTQFDU
t %JTDVTTUIFNVUVBMBEWBOUBHFJOTIBSJOHSFTPVSDFTDSJNFQSFWFOUJPO
QSPHSBNT NBUFSJBMT JEFBTBOEWPMVOUFFST
t .FOUJPOJOUFOUTFOJPSTVSWFZT DSJNFQSFWFOUJPOSFBTTVSBODFBOEFEVDBUJPO
'PSUIF7PMVOUFFST
t *OWJUFPMEFSJOEJWJEVBMTXIPDBONBLFUIF5SJBEBTVDDFTTɩJTJTCFTUEPOFJO
QFSTPOPSCZUFMFQIPOF4FOEBGPMMPXVQMFUUFSUPVOEFSMJOFJNQPSUBODF
t $POUBDUTFOJPSTSFRVFTUJOHDSJNFQSFWFOUJPOQSPHSBNTPSIPNFTFDVSJUZ
TVSWFZTGPSUIFJSPSHBOJ[BUJPOTPSUIFNTFMWFT
t 3FMZPOPUIFSWPMVOUFFSQSPHSBNTUPBTTJTUPSTVQQMZWPMVOUFFST

Budget
t /PSNBMMZ NPTU5SJBETIBWFMJUUMFPSOPCVEHFU
t 4FOJPSTWPMVOUFFSUIFJSUJNFBOEDBOQSPWJEFNVDIPGUIFMFBEFSTIJQ
t 4FOJPSTFSWJDFPSHBOJ[BUJPOTVTVBMMZQSPWJEFTVQQPSU
t )PTQJUBMTBOENFEJDBMBTTPDJBUJPOTPGUFODPPQFSBUF BEEJOHDSJNFQSFWFOUJPOUPIFBMUIDBSF
FWFOUTBOEBTTJTUJOHJOPUIFSXBZTBTXFMM
t 'JSFmHIUFST MJCSBSJFT FEVDBUJPOBMJOTUJUVUJPOT DIVSDIBċMJBUFEPSHBOJ[BUJPOT BOEDJWJDBOE
.BTPOJDHSPVQTBSFPGUFOWFSZTVQQPSUJWF
t 0SHBOJ[BUJPOTUPXIPNTFOJPSTBSFJNQPSUBOUBTDMJFOUTPSDVTUPNFSTNBZPĊFSJOLJOEPS
PUIFSTVQQPSU "HFODJFTPO"HJOH HSPDFSZTUPSFT ESVHTUPSFT FUD

Manpower Constraints
*GBOPċDFSJTOPUBWBJMBCMF DIPPTFDBQBCMFTFOJPSTPSSFUJSFEPċDFSTXIPDBOMFBE*OUIJT
JOTUBODF PċDFSTTFSWFJOBOBEWJTPSZDBQBDJUZɩFZTVHHFTU FODPVSBHF IFMQUPQMBO CVUEP
OPUEJSFDUUIFQSPHSBN

PROGRAMS

7JDUJN"TTJTUBODF1SPHSBNT
Program Description:
4FOJPSTPGUFOGFFMMBXFOGPSDFNFOUJTVOBCMFUPBTTJTUXIFOWJDUJNJ[BUJPOPDDVST UIBUMBX
FOGPSDFNFOUJTUPPCVTZPSUIBUUIFDSJNFJTOPUXPSUISFQPSUJOH5SJBEIFMQTCSFBLEPXOUIFTF
NZUIT1PMJDF UIFTIFSJĊTPċDF BOEUIFEJTUSJDUBUUPSOFZTPċDFDBOIFMQXJUIWJDUJNBTTJTUBODF
$VMUVSBMJOnVFODFXJMMBĊFDUMBXFOGPSDFNFOUQFSDFQUJPOT4PNFPMEFSQFPQMFBSFOUTVSFXIBU
DPOTUJUVUFTBDSJNF0UIFSTBSFFNCBSSBTTFECZUIFQSPTQFDUPGGBNJMZPSBVUIPSJUJFTLOPXJOHUIBU
UIFZIBWFCFFOTXJOEMFE"QSJNBSZ5SJBEBDUJWJUZJTWJDUJNBTTJTUBODF5SJBENVTUmSTUJEFOUJGZ
XIPOFFETBTTJTUBODF BUBTLDPNQMJDBUFECZUIFVOXJMMJOHOFTTPGTPNFPMEFSQFPQMFUPSFQPSUDSJNFT
"HPBMPG5SJBEJTUPEFWFMPQBQSPHSBNJOXIJDITFOJPSWPMVOUFFSTFEVDBUFGFMMPXTFOJPSTPOTFOJPS
DSJNFɩSPVHITVDIBQSPHSBN BDPNGPSUBCMFNFBOTPGSFQPSUJOHDSJNFTIPVMECFQSPWJEFE BOE
BTTJTUBODFPĊFSFEJOUIFBGUFSNBUIPGDSJNFBHBJOTUBTFOJPS
Supporting Documentation for Program:

#BTFEPOTVSWFZTPGDSJNFWJDUJNTBHFEPSPMEFS BCPVUIBMGPGUIFWJPMFOUDSJNFTUIFZFYQFSJFODFE
XFSFBDUVBMMZSFQPSUFEUPUIFQPMJDFJO BOEPOMZQFSDFOUPGQSPQFSUZDSJNFTXFSFSFQPSUFE
TUBUFTUIF#VSFBVPG+VTUJDF4UBUJTUJDT"GUFSWJDUJNJ[BUJPO GFXTFOJPSTVOEFSTUBOEUIFDPVSUTZTUFN
BOEIPXUPOBWJHBUFJU4VSWFZFETFOJPSTIBWFTUBUFEBOFFEGPSBQFFSXIPJTBCMFUPFYQMBJOUIF
QSPDFTTBOEPĊFSTVQQPSU
Resources Needed (Volunteers/Staff/Material requirements):

'PSJOEFQUIUSBJOJOHPOUIFTVCKFDU DPOUBDUUIF0ċDFGPS7JDUJNTPG$SJNF5SBJOJOHBOE5FDIOJDBM
"TTJTUBODF$FOUFS1SPWJEFEBTBQSPGFTTJPOBMEFWFMPQNFOUPQQPSUVOJUZBOEDPNNVOJUZTFSWJDF BT
PGUIJTXSJUJOH 07$55"$HJWFTTQFDJBMDPOTJEFSBUJPOUPSFRVFTUTXJUITUBUFPSSFHJPOBMJNQBDUPS
UIBUBTTJTUNVMUJQMFBHFODJFTPSBOFUXPSLPGQSPGFTTJPOBMTFSWJDFQSPWJEFST5SBJOJOHBOEUFDIOJDBM
BTTJTUBODFBQQMJDBUJPOGPSNTBSFBWBJMBCMFCZNBJMPSPOMJOFBUPSXXXPKQVTEPK
HPWPWDBTTJTUXFMDPNFIUNM*OBEEJUJPO DPOUBDUWJDUJNBTTJTUBODFQSPHSBNTJOZPVSBSFBUPVUJMJ[F
MFDUVSFSTBOESFTPVSDFT""31T$JUJ[FOT(VJEFUPUIF$SJNJOBM+VTUJDF4ZTUFNJTBXJEFMZVTFE
SFTPVSDF0CUBJOTFOJPSWPMVOUFFSTUISPVHI3471 BEWFSUJTFNFOUTBOEPUIFSTFOJPSQSPHSBNT
Procedures (How program is put together):

1SJNBSJMZ UISPVHIUIF4"-5$PVODJM XPSLUPFEVDBUFTFOJPSTPOUIFJNQPSUBODFPGSFQPSUJOH
DSJNFBOEJUTCFOFmUTMPXFSSFDJEJWJTN TBGFSOFJHICPSIPPET MFTTFOJOHPGSFQFBUFEDSJNFTBHBJOTU
PUIFSTFOJPST1SPWJEFFEVDBUJPOPOXIBUDPOTUJUVUFTBDSJNF BOEXIZ XIFOBOEIPXUPSFQPSU
DSJNF1SPWJEFJOGPSNBUJPOPOMBXFOGPSDFNFOUGVODUJPOTBOEUIFBWBJMBCJMJUZPGBOPOZNPVT
SFQPSUJOH TVDIBTUISPVHI$SJNF4UPQQFST
&TUBCMJTIBWJDUJNBTTJTUBODFQSPHSBN&TUBCMJTIBDPNNJUUFFUPSFDSVJUPMEFSQFSTPOTXJUI
DPVOTFMJOHFYQFSJFODF1SPWJEFTVċDJFOUWPMVOUFFSUSBJOJOH QSPWJEFQFFSBTTJTUBODFBOESFDPHOJ[F
UIBUPMEFSWJDUJNTBSFDPNGPSUBCMFEJTDVTTJOHFYQFSJFODFTXJUIBQFFS0GUFO GPSNFSWJDUJNTDBOIFBM
CZIFMQJOHPUIFSTJOTJNJMBSTUSBJUT

*ODFSUBJODJSDVNTUBODFT JUNBZCFBQQSPQSJBUFGPSUIFWJDUJNBTTJTUBODFWPMVOUFFSUP
t -JTUFOUPBDSJNFWJDUJN TIBSFFYQFSJFODFTBOEPĊFSTVQQPSU
t "DUBTMJBJTPOUPTFSWJDFQSPWJEFST TVDIBTMPDLXJOEPXSFQMBDFNFOU
t "TTJTUJOPCUBJOJOHBQQSPQSJBUFDPVOTFMJOH
t "DUBTDSJNJOBMKVTUJDFTZTUFNHVJEF FTDPSUJOHWJDUJNTUPDPVSUIFBSJOHT
t 3FDPNNFOEJOWPMWFNFOUJO/FJHICPSIPPE8BUDIBOE
t 5BLFQBSUJOBDSJNFSFQPSUDBMMCBDLQSPHSBN VQEBUJOHWJDUJNTPOUIFQSPHSFTTPGUIF
JOWFTUJHBUJPO7PMVOUFFSTDBOBMTPHFUDSJNFJOGPSNBUJPOEFUBJMT
*GZPVSDPNNVOJUZBMSFBEZIBTBWJDUJNBTTJTUBODFQSPHSBN FYQBOEJU IBWJOHPMEFSWPMVOUFFST

BTTJTUPMEFSWJDUJNT5SJBEUIFSFCZDBOIFMQUIFTFOJPSSFEVDFUIFDIBODFPGSFQFBUWJDUJNJ[BUJPO
6UJMJ[FZPVSMPDBMDJUJ[FOBDBEFNZPSMBXFOGPSDFNFOUUPDPBDIUSBJOWPMVOUFFSTPOIPXUPBTTJTU
TFOJPSWJDUJNT
Evaluation Process:
*OJUJBMMZ ZPVSDSJNFSFQPSUJOHSBUFNBZBDUVBMMZSFHJTUFSBOJODSFBTFBTTFOJPSTCFDPNFNPSF
DPNGPSUBCMFJOSFQPSUJOHDSJNFT&TUBCMJTIFEVDBUJPOQSPHSBNTPOIPXUPBWPJEWJDUJNJ[BUJPOGPS
EJĊFSFOUDSJNFDBUFHPSJFTBOEMFDUVSFPOUIFTFSFQFBUFEMZ.POJUPSTUBUJTUJDTGPSFBDIDSJNFDBUFHPSZ
7JDUJNJ[BUJPOSBUFTBNPOHTFOJPSTFWFOUVBMMZTIPVMEESPQJODPSSFMBUJPOUPMFDUVSFQSPHSBNTBOE
FWFOUVBMSFEVDUJPOJOSFDJEJWJTN"ENJOJTUFSBTVSWFZUPTFOJPSTBGUFSBUUFOEJOHZPVSQSPHSBN
"TLDMFBSRVFTUJPOT TVDIBT i%PZPVGFFMTBGFSOPXLOPXJOHNPSFBCPVU@@@@@@@@@@DSJNF wPS
BTLJOHEJSFDURVFTUJPOTJOSFHBSETUPJEFOUJGZJOHDSJNJOBMCFIBWJPS)BWFBOFWBMVBUJPOQSPDFTTJO
QMBDFCFGPSFJNQMFNFOUJOHZPVSQSPHSBN
Potential Model Programs/Notes:

1SPQFSUZ$SJNF1SPHSBNT
ɩF64%FQBSUNFOUPG+VTUJDFTUBUFTUIBUNJMMJPOQSPQFSUZDSJNFTPDDVSSFEBHBJOTUQFSTPOT
PSPMEFSJO BOEQFSDFOUPGDSJNFTSFQPSUFEBHBJOTUPMEFSJOEJWJEVBMTXFSFQSPQFSUZ
DSJNFT*OBEEJUJPO QFSDFOUPGWJDUJNTPGOPOMFUIBMWJPMFODFBHFPSPMEFSPĊFSFEOPSFTJTUBODF
UPUIFDSJNF PGUFOBUFNQUJOHUBSHFUGPSDSJNJOBMT5SJBEDBOPĊFSTFWFSBMMFDUVSFQSPHSBNTUP
FEVDBUFTFOJPSTBCPVUQSPQFSUZDSJNFTBOEIPXUPNBLFUIFNTFMWFTBOVOMJLFMZUBSHFU

#VSHMBSZ UIFGUBOEWBOEBMJTNDBOCFFTQFDJBMMZEJTUSFTTJOHFDPOPNJDBMMZBOEFNPUJPOBMMZGPS
PMEFSQFPQMF4FOJPSTIBWFBGSBHJMFTFOTFPGTFDVSJUZBOEMJNJUFEBCJMJUZUPSFQMBDFTUPMFOPS
EBNBHFEQSPQFSUZ
4PNFTFOJPSTEPOPUSFQPSUDSJNFTBOETVTQJDJPVTBDUJWJUJFT GFBSJOHSFUBMJBUJPO%FGBDFNFOUPG
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MPDBMJ[FEDSJNFBOEQSFWFOUJPONFUIPETUIFSFGPSFCFDPNFTBLFZPCKFDUJWFPG5SJBE

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1SPWJEFEBTBQSPGFTTJPOBMEFWFMPQNFOUPQQPSUVOJUZBOEDPNNVOJUZTFSWJDF 07$55"$HJWFT
TQFDJBMDPOTJEFSBUJPOUPSFRVFTUTXJUITUBUFPSSFHJPOBMJNQBDUPSUIPTFUIBUBTTJTUNVMUJQMFBHFODJFT
PSBOFUXPSLPGQSPGFTTJPOBMTFSWJDFQSPWJEFST5SBJOJOHBOEUFDIOJDBMBTTJTUBODFBQQMJDBUJPOGPSNT
BSFBWBJMBCMFCZNBJMPSPOMJOFBUPSXXXPKQVTEPKHPWPWDBTTJTUXFMDPNFIUNM
*OBEEJUJPO 3471 UIFMPDBM"HFODZPO"HJOH "SFB"HFODZPO"HJOH PS""31DBOQSPWJEF
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WPMVOUFFSTUISPVHI3471 BEWFSUJTFNFOUTBOEPUIFSTFOJPSQSPHSBNT

&TUBCMJTIBQSPQFSUZUIFGUQSPHSBNCZDSFBUJOHTFWFSBMEJĊFSFOUUSBJOJOHQSPHSBNTPOTFOJPSUBSHFUFE
DSJNFT1SFTFOUUIFTFQSPHSBNTXIFSFTFOJPSTHBUIFS PSDSFBUFBTFOJPSWFOVFUPFEVDBUFUIFNPO
TFOJPSDSJNFTBGFUZ5PQJDTWBSZCZDPNNVOJUZ UIPVHITFWFSBMSFNBJODPOTJTUFOU5SBJODJUJ[FOTUP
NBLFUIFNTFMWFTBOEUIFJSQSPQFSUZMFTTBUUSBDUJWFUPUIJFWFTBOEWBOEBMTJMMVTUSBUFXBZTUPDBSSZ
NPOFZTBGFMZ MFBWFNPTUWBMVBCMFTBUIPNFBOEDBSSZNPOFZJOVODPOWFOUJPOBMXBZT
$JUJ[FOTDBOEFUFSUIFGU PSNPSFFBTJMZSFDMBJNTUPMFOQSPQFSUZ CZNBSLJOHWBMVBCMFTXJUIBO

JEFOUJGZJOHOVNCFS 0QFSBUJPO*EFOUJmDBUJPO
1MFBTFWJTJUXXXVTBPOXBUDIPSHBOEDPOUBDUUIF
/BUJPOBM4IFSJĊT"TTPDJBUJPOPSUFMFQIPOFQBSUJDJQBUJOHMPDBMMBXFOGPSDFNFOUBHFODJFTGPSEFUBJMT
ɩJFWFTPGUFOBSFBXBSFPGXIFONPOUIMZDIFDLTBSFEFMJWFSFEBOEBDUBDDPSEJOHMZ
&ODPVSBHFDJUJ[FOTUPVTFEJSFDUEFQPTJUUPUIFJSCBOLTSBUIFSUIBONBJMEFMJWFSZ

*OGPSNDJUJ[FOTBCPVUDSJNFEFUFSSFODF CVUDPOWFZJOGPSNBUJPO
XJUIPVUGSJHIUFOJOHUIFN'PTUFSDBVUJPOBOETBGFIBCJUTEPOPU
GFFEQBSBOPJB
Evaluation Process:
*OJUJBMMZ ZPVSDSJNFSFQPSUJOHSBUFNBZJODSFBTFBTTFOJPST
CFDPNFNPSFDPNGPSUBCMFJOSFQPSUJOHDSJNFT BTTUBUFEFBSMJFS
&TUBCMJTIBOFEVDBUJPOQSPHSBNGPSBWPJEJOHQSPQFSUZDSJNFBOE
MFDUVSFPOUIBUUPQJDSFQFBUFEMZ.POJUPSTUBUJTUJDTGPSQSPQFSUZ
DSJNF1SPQFSUZWJDUJNJ[BUJPOSBUFTBNPOHTFOJPSTTIPVMEESPQ
JODPSSFMBUJPOUPMFDUVSFQSPHSBNT"ENJOJTUFSBTVSWFZUPTFOJPST
BGUFSBUUFOEJOHZPVSQSPHSBN"TLDMFBSRVFTUJPOT TVDIBTi$BO
ZPVMJTUUISFFXBZTUPLFFQZPVSQSPQFSUZTBGF wPSBTLJOHEJSFDU
RVJ[RVFTUJPOTJOSFHBSETUPSFDUJGZJOHQSPQFSUZWVMOFSBCJMJUZ

&MEFS"CVTF1SPHSBNT
0GUFOBDPNNVOJUZTNPTUIJEEFODSJNF FMEFSBCVTFNBZOPUCFFWJEFOUJOZPVSDPNNVOJUZ
&MEFSBCVTFDBOCFQIZTJDBMPSNFOUBM JOUJNJEBUJPO GPSFYBNQMF
JOOBUVSF*UDPVMEBMTPCFmOBODJBM
PSJOWPMWFOFHMFDUPSTFMGOFHMFDU5SJBEWPMVOUFFSTDBOCFDPNFBEFQUBUSFDPHOJ[JOHTJHOTPGBCVTF
BOEBDUVQPOJUɩFZDBOJNQMFNFOUQSFWFOUJPOQSPHSBNTGPSTFOJPSTUPQSFWFOUFMEFSBCVTF

ɩF/BUJPOBM$SJNF7JDUJNJ[BUJPO4VSWFZDBOOPUBDDVSBUFMZNFBTVSFFMEFSBCVTF BTUIFNFOUBMMZ
JNQBJSFEPGUFODBOOPUSFQPSUWJDUJNJ[BUJPOPSEFTDSJCFEFUBJMT7JDUJNTEFQFOEFOUPOBCVTJWF
DBSFUBLFSTNBZOPUSFQPSUBCVTF*OBEEJUJPO mOBODJBMFYQMPJUBUJPONBZPDDVSXJUIPVUUIFWJDUJNT
LOPXMFEHF
ɩF/BUJPOBM$FOUFSPO&MEFS"CVTFTUBUFTUIBUBCPVUUXPPGUISFFDBTFTJOWPMWFBDBSFUBLJOH
SFMBUJWFPGUIFWJDUJNUIF$FOUFSFTUJNBUFTBUPSBUJPPGBCVTFDBTFTHPJOHVOSFQPSUFE
/FHMFDUDPOTUJUVUFEBCPVUQFSDFOUPGDSJNFT QIZTJDBMBCVTFBDDPVOUFEGPSQFSDFOUBOE
mOBODJBMFYQMPJUBUJPOXBTBQQSPYJNBUFMZQFSDFOUɩF4FOBUF4QFDJBM$PNNJUUFFPO"HJOH
TUBUFTUIBUGSPNUPUIFSFXFSFNJMMJPOJODJEFOUTQFSZFBS BQFSDFOUJODSFBTF
4FMGOFHMFDUJTBCVTF PGUFOEVFUPEJNJOJTIFENFOUBMPSQIZTJDBMBCJMJUZPSTPDJBMJTPMBUJPO.BOZPMEFS
QFSTPOTTFFOPPQUJPOTPUIFSUIBOUIFOFHMFDUGVMPSBCVTJWFTJUVBUJPO$VSSFOUMZ JGBDPNQFUFOUFMEFS
QFSTPODIPPTFTUPSFNBJOJOTVDIBTJUVBUJPO JUJTIJTPSIFSSJHIUUPEPTP
3FTFBSDITBZTUIBUiQBTTJWFOFHMFDUwGBJMJOHUPQSPWJEFQSPQFSOVUSJUJPO IZHJFOF MJWJOHDPOEJUJPOT

PSUPBENJOJTUFSNFEJDBUJPOPDDVSTXJUIUIFNPTUGSFRVFODZBOEDBOMFBEUPTFSJPVTIFBMUI
QSPCMFNTPSEFBUI

1SJOUFEJOGPSNBUJPODBOCFQSPWJEFECZIFBMUIDBSF NFOUBMIFBMUIPSDFSUBJOTPDJBMTFSWJDFT MBX
FOGPSDFNFOUPċDFSTBOEWPMVOUFFST'JOEWPMVOUFFSTCZBQQSPBDIJOHTPDJBMTQJSJUVBMPSHBOJ[BUJPOT
QPTUJOHSFRVFTUTJOTFOJPSSFMBUFEBSFBT BOE3471DIBQUFST6UJMJ[FZPVSMPDBM.FBMTPO8IFFMT
QSPHSBNTBOEPUIFSTFOJPSPVUSFBDIQSPHSBNTUPEJTTFNJOBUFBCVTFJOGPSNBUJPO

.BLFBCVTFBXBSFOFTTBSFHVMBSUPQJDGPSFYBNJOBUJPOɩFUPQJDTIPVMEJODMVEFEFUFDUJPO BTTJTUBODF
BOEQSPTFDVUJPO XJUIPMEFSJOEJWJEVBMTFEVDBUFEUPBTTJTUUIFNTFMWFTBOEPSPUIFST6OEFSTUBOEUIF
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MFDUVSFPOUIJTUPQJD

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t FMEFSBCVTF
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&TUBCMJTIiCVEEZOFUXPSLTw7PMVOUFFSCVEEJFTNBZCFGSJFOET BDRVBJOUBODFT PSTPNFPOFVOLOPXO

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5FMFQIPOFCBOLT XIJDIFOUBJMUFMFQIPOJOHTFOJPSTQMBDFEPOUIF5SJBEUFMFQIPOFMJTU DBOTFSWFUP

CPUIEFUFSBOEEFUFDUBCVTF5FMFQIPOFDBMMTQSPWJEFUIFPQQPSUVOJUZGPSJOEJWJEVBMTSFMVDUBOUUP
EJTDVTTBCVTFUPCFNPSFGPSUIDPNJOH
(PUPTFOJPSWFOVFTBOEPCUBJOMFDUVSFUJNFTEVSJOHSFHVMBSTFOJPSFWFOUT*GOPOFPGUIFTFWFOVFT
BSFBWBJMBCMF DSFBUFZPVSPXOTFOJPSTBGFUZGBJS UBQQJOHSFTPVSDFTUISPVHIZPVSTFOJPSQSPWJEFS
PSHBOJ[BUJPOT
Evaluation Process:
.POJUPSCFGPSFBOEBGUFSTUBUJTUJDTPOFMEFSBCVTFUISPVHIZPVSDSJNFTUBUJTUJDTBOEWJDUJNBTTJTUBODF
QSPHSBNT PSZPVSMPDBMMBXFOGPSDFNFOUBHFODJFT4VSWFZTDBOBMTPCFVUJMJ[FEBGUFSMFDUVSF
QSPHSBNT,FFQTVSWFZTFBTJMZRVBOUJmBCMF

'SBVETBOE4DBNT1SPHSBNT
'PSPMEFSQFSTPOT mOBODJBMMPTTDBOCFEFWBTUBUJOHɩFUSVTUJOHOBUVSFPGPMEFSJOEJWJEVBMT
MFBWFTUIFNTVTDFQUJCMFUPGSBVETBOETDBNTGSPNJOEJWJEVBMToPGUFOGBNJMZNFNCFSTPSQSJNBSZ
DBSFHJWFST QSFEBUPSZJOTUJUVUJPOT BOEPSHBOJ[FETDBNNFST

"DDPSEJOHUP""31TUVEJFT QFSDFOUPGUFMFNBSLFUJOHDSJNFTBSFQFSQFUSBUFEBHBJOTUUIFFMEFSMZ
"DDPSEJOHUPUIF/BUJPOBM'SBVE*OGPSNBUJPO$FOUFS UIFMJTUCFMPXDPOUBJOTUIFUPQUFMFNBSLFUJOH
TDBNTBOEGSBVETɩFNBKPSJUZPGUIFTFBSFEJSFDUFEUPXBSEUIFTIVUJO UIFFBTJMZDPOGVTFEBOEUIF
USVTUJOH
Telemarketing Scams, January—March 2005

Prizes/Sweepstakes 31%* $5,302** Work-at-Home Plans 4% $60
Requests for payment to claim prizes that Materials sold on false promises of big
never materialize profits working at home
Scholarships/Edu. Grants 13% $407 Lotteries/Lottery Clubs 4% $1,808
Falsely promise to help get scholarships or Requests for payment to claim lottery
government educational grants, for a fee winnings or get help to win, often foreign
lotteries
Credit Card Offers 10% $258 Buyers Clubs 3% $246
False promises of credit cards, even if credit Charges for memberships in discount buying
is bad, for a fee clubs consumers never agreed to join
Magazine Sales 7% $306 Phishing 3% $598
Misrepresent cost of subscriptions or pretend Calls pretending to be from well-known
to be publisher offering renewals source asking to confirm personal
information
Advance Fee Loans 6% $1,583 Fake Check Scams 3% $7,115
False promises of loans, even if credit is bad, Consumers paid with phony checks for
for a fee upfront work or items sold, instructed to wire
money back
*% of All Complaints **Average Loss
ɩFSFBSFWBSJPVTGBDUPSTMFBEJOHUPWJDUJNJ[BUJPONPSFTPXIFODPNCJOFEXJUISFEVDFENFOUBM
BOEQIZTJDBMBCJMJUJFT MPOFMJOFTT HSJFG JTPMBUJPO MPTT TFOTPSZJNQBJSNFOU JMMOFTT WBOJUZ MJNJUFE
JODPNFBOENJTUSVTUPGCBOLT
$POHSFTTFTUJNBUFTUIBU64DPOTVNFSTMPTFNPSFUIBOCJMMJPOBOOVBMMZUISPVHIUFMFNBSLFUJOH
GSBVE"TNBOZBTPOFJOUFODBMMFSTNBZCFGSBVEVMFOU

1SFEBUPSZ-FOEJOHɩFDPVOUZPSTUBUFPċDFPGDPOTVNFSBĊBJSTPSTUBUFBUUPSOFZHFOFSBMTPċDFDBO
QSPWJEFJOGPSNBUJPOPOJOGPSNFECPSSPXJOHUIBUDBOCFIFMQGVMJOQSFWFOUJOHWJDUJNJ[BUJPOUISPVHI
QSFEBUPSZMFOEJOHɩFBTTJTUBODFPGBRVBMJmFEBUUPSOFZ mOBODJBMBEWJTPS IPVTJOHDPVOTFMPSPSBQBOFM
PGUIFTFJOEJWJEVBMTDBOQSPWJEFPOHPJOHJOGPSNBUJPOUPTFOJPSTUPQSFWFOUBWFSZQBJOGVMFYQFSJFODF
$BMMUIF64%FQBSUNFOUPG)PVTJOHBOE6SCBO%FWFMPQNFOU )6%
GPS)6%DFSUJmFEIPVTJOH
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#VTJOFTT#VSFBV BOEGSBVEVOJUXJUIJOZPVSBHFODZ0CUBJOXSJUUFO
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BHFODJFT DPOUBDUJOGPSNBUJPOMPDBUFEJOUIJTNBOVBMBQQFOEJY

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7JDUJNTPG$SJNF
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SFBDITIVUJOTFOJPST3FQFBUZPVSNFTTBHFPGUFO

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TDBNTBSFMJTUFECFMPX
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PWFSQSJDJOH BCBOEPONFOUPSVOmOJTIFEXPSL GBJMVSFUPNFFUCVJMEJOHDPEFSFRVJSFNFOUTBOEGBJMVSF
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)PNFJNQSPWFNFOUGSBVEJTNPSFQSFWBMFOUJOUIFBGUFSNBUIPGDPNNVOJUZEJTBTUFST

5FMFNBSLFUJOH""31mOETUIBUNPSFUIBOIBMGPGUFMFNBSLFUJOHGSBVEWJDUJNTXFSFPWFSUIFBHFPG
&ODPVSBHFTFOJPSTUPBEPQUBQSFQBSFESFTQPOTFUPTVTQJDJPVTVOTPMJDJUFEPĊFST0MEFSJOEJWJEVBMT
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UIFNTFMWFTIBWFQMBDFEUIFDBMM*GZPVSTUBUFIBTBiEPOPUDBMMwMBX FODPVSBHFTFOJPSTUPBEEUIFJS
OBNFTUPUIFMJTU
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4"-5$PVODJMBOEWPMVOUFFSTUPBMFSUTFOJPSTXIFOGSBVEVMFOUPQFSBUPSTBSFJOUIFBSFB$POUBDU
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Evaluation Process:
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WJDUJNBTTJTUBODFQSPHSBNT PSZPVSMPDBMMBXFOGPSDFNFOUBHFODJFT4VSWFZTDBOBMTPCFVUJMJ[FEBGUFS
MFDUVSFQSPHSBNT,FFQTVSWFZTFBTJMZRVBOUJmBCMF
Potential Model Programs:

4FOJPS*EFOUJUZɩFGU1SFWFOUJPO
"TPOFPGUIFGBTUFTUHSPXJOHDSJNFTJOUIF64 JEFOUJUZUIFGUBĊFDUTUXJDFUIFOVNCFSPGTFOJPSTBT
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*EFOUJUZɩFGU4VSWFZ3FQPSU8BTIJOHUPO %$'FEFSBM5SBEF$PNNJTTJPO
8JUIJEFOUJUZUIFGU BOJOEJWJEVBMTJEFOUJUZJTBTTVNFEFJUIFSUFNQPSBSJMZPSMPOHFSUFSNUPDPNNJU
GSBVE"DSJNJOBMXJMMBTTVNFUIFOBNF BEESFTT TPDJBMTFDVSJUZOVNCFS CBOLPSDSFEJUBDDPVOU
OVNCFS PSPUIFSJEFOUJGZJOHJOGPSNBUJPOXJUIPVUUIFWJDUJNTLOPXMFEHFUPDPNNJUGSBVEPSPUIFS
DSJNFT*OQFSDFOUPGUIFSFQPSUFEDPNQMBJOUT OPMBXFOGPSDFNFOUBHFODZXBTOPUJmFE TJHOJGZJOH
UIBUNBOZWJDUJNTEPOPUIBWFQSPQFSUSBJOJOHBTUPIPXUPSFQPSUBOESFDUJGZUIFTFDSJNFT

ɩFBWFSBHFWJDUJNTQFOUBOBWFSBHFPGIPVSTSFTPMWJOHJEFOUJUZUIFGUJOɩF'5$TVHHFTUT
UIBU"NFSJDBOTTQFOUBMNPTUNJMMJPOIPVSTSFTPMWJOHJEFOUJUZUIFGUJO
"HFODJFTTUSFOHUIFOFĊPSUTUPDPNCBU
JEFOUJUZUIFGUCZJOWPMWJOH5SJBE JUT
QSPHSBNT BOEWPMVOUFFSTMJTUFEJOUIJT
SFTPVSDFNBOVBM
Resources Needed
(Volunteers/Staff/Material
requirements):
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NFTTBHFT
6TFMPDBMQSJOUJOHBOEBEWFSUJTFNFOUSFTPVSDFTGPSZPVSQSPHSBN

&EVDBUFTFOJPSTBCPVUJEFOUJUZUIFGUUPSFEVDFVOEFSSFQPSUJOHBOEUIFPDDVSSFODFPGmOBODJBMDSJNFT
&EVDBUFTFOJPSTUPJEFOUJGZGSBVEVMFOUBDUJWJUJFTCFGPSFWJDUJNJ[BUJPO BOEJGEFGSBVEFE IPXUIFZDBO
SFDUJGZUIFTJUVBUJPO
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#VSFBV GSBVEJOWFTUJHBUPST PSPUIFSTQFDJBMJ[FEEFQBSUNFOU4VNNBSJ[FUIFNBUFSJBMJOnJFSGPSNBU
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MJTUFEJOUIFBQQFOEJYPGUIJTQVCMJDBUJPO
$JUJ[FOTBSFJOTUSVDUFEOPUUPNBLFBOZUSBOTBDUJPOJOXIJDIUIFZHJWFDSFEJUDBSEJOGPSNBUJPOPWFS
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$SJNJOBMTPCUBJOQFSTPOBMJOGPSNBUJPOCZSVNNBHJOHUISPVHIUSBTI TUFBMJOHXBMMFUT QVSTFT NBJM

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4PNFEJTIPOFTUFNQMPZFFTTUFBMFNQMPZFSSFDPSETXJUIQFSTPOBMJOGPSNBUJPO$SJNJOBMTXJMMXBUDI
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'FEFSBM-BX&OGPSDFNFOUBHFODJFTJODMVEJOH
t 'FEFSBM#VSFBVPG*OWFTUJHBUJPO '#*
t 6OJUFE4UBUFT4FDSFU4FSWJDF
t 6OJUFE4UBUFT1PTUBM*OTQFDUJPO
t 4PDJBM4FDVSJUZ"ENJOJTUSBUJPOPċDFPGUIF*OTQFDUPS(FOFSBM
t 'FEFSBMJEFOUJUZUIFGUDBTFTBSFQSPTFDVUFECZUIF6OJUFE4UBUFT%FQBSUNFOUPG+VTUJDF

"EWFSUJTFZPVSQSPHSBN*GTFOJPSTBSFVOBXBSFPGZPVSTFNJOBSTBOEFĊPSUT ZPVSQSPHSBNXJMMGBJM
.BOZSBEJPTUBUJPOTDPOTJEFSUIJTLJOEPGJOJUJBUJWFBTBQVCMJDCSPBEDBTUJOHBOOPVODFNFOU NBLJOH
UIJTDPTUGSFF5SJBETIPVMEIBWFPSDSFBUFBDPOUBDUTIFFUPGMPDBMTFOJPSDFOUFSOFXTMFUUFST MPOHUFSN
DBSFGBDJMJUJFTBOEPUIFSTFOJPSUBSHFUFEQVCMJDBUJPOTUPSFMBZTFNJOBSJOGPSNBUJPO0UIFSBEWFSUJTJOH
WFOVFTBSFMPDBMOFXTDPWFSBHF nJFSTJOQVCMJDBSFBT TQJSJUVBMDFOUFSTBOEWPMVOUFFSQSPHSBNT TVDIBT
.FBMTPO8IFFMT
'JOBMMZ USBJOMBXFOGPSDFNFOUUPJOUFSWJFXPMEFSWJDUJNTFĊFDUJWFMZɩFRVBMJUZPGJOGPSNBUJPO
HBUIFSFEGSPNTFOJPSTXJMMJODSFBTFUIFMJLFMJIPPEPGBQQSFIFOEJOHPĊFOEFST-BXFOGPSDFNFOUNVTU
CFUSBJOFEUPJEFOUJGZBOEXPSLBSPVOEJNQBJSNFOUTPGUFOQSFWBMFOUJOTFOJPST1IZTJDBM TFOTPSZ
NFNPSZPSPUIFSDPHOJUJWFJNQBJSNFOUTDBOJOUFSGFSFXJUIBOPċDFSTBUUFNQUUPHBUIFSJOGPSNBUJPO
*NQSPWFEUFDIOJRVFTBMMPXUIFPċDFSUPEFWFMPQBRVBMJUZJOWFTUJHBUJPOBOEUPQPTJUJWFMZJNQBDU
WJDUJNTBUUJUVEFT CFIBWJPSTBOEQFSDFQUJPOTUPXBSEMBXFOGPSDFNFOU"EESFTTBMMSFMFWBOUJORVJSJFT
UPJODMVEFWJDUJNPĊFOTFPĊFOEFSDIBSBDUFSJTUJDT$SFBUFBOEVUJMJ[FBEFUBJMFEJOWFTUJHBUJPODIFDLMJTU
GPSUIFTFOJPSTFTUBUF mOBODJBMBSSBOHFNFOUTBOESFMFWBOUMFHBMEPDVNFOUT6UJMJ[FDSJNFWJDUJN
WPMVOUFFSTUPHBUIFSBEEJUJPOBMJOGPSNBUJPO BGUFSUIFJOJUJBMMBXFOGPSDFNFOUJOUFSWJFX
Evaluation Process:
*OFWBMVBUJOHZPVSQSPHSBN VTFBRVJ[BGUFSUIFQSFTFOUBUJPOUPBTTFTTUIFMFWFMPGJOGPSNBUJPO
TFOJPSTBCTPSCFE"TLJOHHFOFSBMJ[FERVFTUJPOTPOSFDPHOJ[JOH QSFWFOUJOH BOESFDUJGZJOHJEFOUJUZ
UIFGUDBOEFUFSNJOFXFBLOFTTFTJOQSFTFOUFSTGPSUIFOFYUTFNJOBS#ZPĊFSJOHUIFTFTFNJOBSTBOE
FWBMVBUJPOTPGUFOBOEVQEBUJOHUIFNBUFSJBMBTDSJNJOBMBDUJWJUZFWPMWFT ZPVIFMQFOTVSFUIBUTFOJPST
BSFDPOUJOVBMMZSFNJOEFEPGUIFGBDUPSTUIBUDPOTUJUVUFJEFOUJUZUIFGU
"SFEVDUJPOPGJEFOUJUZUIFGUJOZPVSDPNNVOJUZJTBOFWBMVBUJPOUPPMUPNFBTVSFQSPHSBNTVDDFTT
3FWJFXDSJNFTUBUJTUJDTGPSUIFTFDIBOHFT
-BXFOGPSDFNFOUJTOPUBDDPVOUBCMFUP5SJBE,FFQBXPSLJOHSBQQPSUXJUIUIFTIFSJĊ DIJFG
PGQPMJDF PSPUIFSPċDFSTUPJODSFBTFUIFOVNCFSPGMBXFOGPSDFNFOUPċDJBMTBUUFOEJOHBOE
DPOUSJCVUJOHUPUSBJOJOH
Potential Model Programs:

)PNF4BGFUZ*OTQFDUJPO1SPHSBNT
*OBEEJUJPOUPTFOJPSDSJNFTBGFUZ ZPVS5SJBEDBOJNQMFNFOUQSPHSBNTUIBULFFQTFOJPSTTBGF
4UBUJTUJDTTIPXUIBUIJHIFSQFSDFOUBHFTPGTFOJPSTBSFJOKVSFEBOELJMMFECZGBMMTEVFUPBOVOTBGF
FOWJSPONFOUBOEGSPNmSFTDBVTFECZFRVJQNFOUUIBUIBTOPUCFFONBJOUBJOFE"MUIPVHIOPU
BTFOJPSDSJNFTBGFUZJTTVFQFSTF UIFTFTUBUJTUJDTIBWFCFBSJOHPOMBXFOGPSDFNFOUEVUJFTɩJT
QSPHSBNPGIPNFmSFTBGFUZBOETFDVSJUZJOTQFDUJPOTJTBKPJOUFĊPSUCFUXFFOUIFTIFSJĊTPċDF
QPMJDFEFQBSUNFOUT mSFEFQBSUNFOUTBOE&.5XPSLFST8PSLXJUIMBXFOGPSDFNFOUBOETFOJPSTUP
QFSGPSNIPNFJOTQFDUJPOTUPSFEVDFGBMMBOEmSFTUBUJTUJDT

0GUFO TFOJPSTBSFVOBCMFUPNBJOUBJOUIFJSIPNFT BOEUIFDZDMFPGEJTSFQBJSBOEOFHMFDUDBOMFBEUP
BOVOTBGFFOWJSPONFOU*OBEEJUJPO TBGFUZFRVJQNFOUTVDIBTMPDLT QFFQIPMFT BOEmSFEFUFDUPST
NBZCFPVUPGEBUFPSOPUGVODUJPOJOH"TUIF/BUJPOBM4BGFUZ$PVODJMDIBSUCFMPXJOEJDBUFT EFBUIT
JOUIFIPNFBSFBUUSJCVUFEUPVOTBGFFOWJSPONFOUT
Home Accidents
Falls 31.8%
Poisoning 21.0%
Fire/burns 16.4%
Obstructed airway 8.7%
Suffocation 3.6%
Firearms 2.6%
Poison (gas) 2.1%
'BMMTBTBQFSDFOUPGGBUBMIPNFBDDJEFOUTBSFJODSFBTJOH.PSFUIBOPGUIFWJDUJNTBSFPSPMEFS
"DDPSEJOHUPUIF64'JSF"ENJOJTUSBUJPO "NFSJDBOTPWFSUIFBHFPGBSFBUBIJHISJTLPGEFBUI
BOEJOKVSJFTEVFUPmSFTBOESFQSFTFOUPWFS mSFSFMBUFEEFBUITFBDIZFBS1FPQMFPWFSBHFEJF
JOmSFTBUBSBUFUISFFUJNFTIJHIFSUIBOUIFSFTUPGUIFQPQVMBUJPO
#ZBEESFTTJOHGBMM mSFBOETBGFUZJTTVFTBTJUQFSUBJOTUPTFOJPST 5SJBEXJMMBMMFWJBUFMBXFOGPSDFNFOU

EVUJFTCVUBMTPIFMQUPLFFQTFOJPSTTBGF

$POUBDUUIF'FEFSBM0OMJOF3FTPVSDFT ""31 "ENJOJTUSBUJPOPO"HJOH "NFSJDBO'FEFSBUJPOGPS
"HJOH3FTFBSDI *OUFSOBUJPOBM"TTPDJBUJPOPG'JSF$IJFGT UIF/BUJPOBM7PMVOUFFS'JSF$PVODJM UIF
/BUJPOBM'JSF1SPUFDUJPO"TTPDJBUJPO /BUJPOBM4BGFUZ$PVODJM BOEUIF/BUJPOBM$FOUFSGPS*OKVSZ
1SFWFOUJPOBOE$POUSPMGPSEJTUSJCVUJPOBOEMFDUVSFNBUFSJBMTPOGBMMmSFIPNFTBGFUZ*GZPVQSFGFS
UPDSFBUFZPVSPXONBUFSJBMT UFBNVQXJUIQSJOUJOHTFSWJDFTJOZPVSBSFBUPQSPEVDFGBMMBOEmSF

TBGFUZJOGPSNBUJPO3FDSVJUWPMVOUFFSTGPSMFBnFUEJTUSJCVUJPO TJHOVQBOENBJOUFOBODFJOTUBMMBUJPO
FĊPSUT'PSQSFTFOUBUJPOT BOZTQBDFBDDFTTJCMFCZTFOJPST TVDIBTBDPNNVOJUZDFOUFS MJCSBSZ PS
PUIFSGBDJMJUZXJUIMFDUVSFTQBDF XJMMTVċDF6UJMJ[FMPDBMBEWFSUJTFNFOUSFTPVSDFTGPSZPVSQSPHSBN

%JTUSJCVUFQSFWFOUJPOJOGPSNBUJPOUISPVHITQJSJUVBMHSPVQT DJWJDPSHBOJ[BUJPOT .FBMTPO8IFFMT
/FJHICPSIPPE8BUDI BOETFOJPSDFOUFST"SSBOHFGPSTBGFUZMFDUVSFTXIFSFTFOJPSTHBUIFS
1SPNPUFZPVSGSFFFWBMVBUJPOBOEIPNFTBGFUZJOTQFDUJPOQSPHSBN BGUFSTFUUJOHRVBMJGZJOHGBDUPST
GPSQBSUJDJQBOUT7PMVOUFFSTTIPVMEUBLFSFHJTUSBUJPOTGPSBGSFFJOTQFDUJPO0CUBJOWPMVOUFFSTGSPN
BNPOHPUIFSSFTPVSDFT IJHITDIPPMBOEUSBEFTDIPPMTXJUIIBOEZNBODBQBCJMJUJFT XPPETIPQ GPS
FYBNQMF
.BTPOT ,JXBOJT$MVCT &BHMF4DPVUT FUD
4DIFEVMFFBDIQFSTPOGPSBPOFIPVSTMPU"MMPXNJOVUFTGPSBMBXFOGPSDFNFOUTFDVSJUZDIFDLBOE
NJOVUFTGPSBmSFEFQBSUNFOU&.5GBMMBOEmSFQSFWFOUJPODIFDL5FBNVQXJUIMPDBMIBSEXBSF
DPNQBOJFTUPTQPOTPSUIFQSPHSBNɩFDPNQBOZOPSNBMMZEPOBUFTmSFBMBSNTZTUFNT QFFQIPMFT
OJHIUMJHIUT MJHIUCVMCT PSPUIFSTBGFUZEFWJDFTGPSTFOJPSTMBDLJOHTBGFUZFRVJQNFOU0CUBJOSFMJBCMF
WPMVOUFFSTUPJOTUBMMFRVJQNFOU1SPNPUFUIFEPOPSUPFTUBCMJTISFQFBUQBSUJDJQBUJPO
.BLFQSFWFOUJPOBXBSFOFTTBSFHVMBSMFDUVSFUPQJD JODMVEJOHIPNFBTTFTTNFOUNBUFSJBMT GSFF

JOTQFDUJPOT BOEWPMVOUFFSTFSWJDFTBOEFRVJQNFOU"QQFOEJY/JODMVEFTBTBNQMFIPNF
JOTQFDUJPOGPSN
Evaluation Process:
&WBMVBUFZPVSQSPHSBNCZUIFOVNCFSPGTFOJPSTXIPTJHOVQGPSZPVSQSPHSBN:PVNBZBMTP
BENJOJTUFSBTIPSUTVSWFZBGUFSUIFJOTQFDUJPOXBMLUISPVHIMFDUVSF UPFWBMVBUFSFUBJOFEJOGPSNBUJPO

APPENDIX

Appendix A: 5SJBE$PPQerative"HSFFNFOU
5SJBE$PPQFSBUJWF"HSFFNFOUPG
"SFB $PVOUZ
4FOJPS$JUJ[FOT(SPVQ T
$PVOUZ4IFSJĊT0ċDF
1PMJDF%FQBSUNFOU T
Preamble
.BKPSQPMMTJOEJDBUFUIBUDSJNFBOEUIFGFBSPGDSJNFJNQBDUTFOJPST3FDPHOJ[JOHUIFJODSFBTJOHOVNCFSPGPMEFS
QFSTPOT XFEFTJSFUPJEFOUJGZBOEBEESFTTNPSFFĊFDUJWFMZUIFQSPCMFNTGBDFECZPMEFSDJUJ[FOT
#FDBVTFPGUIFBHJOHPGUIFQPQVMBUJPOBOEUIFJODSFBTJOHEFNBOETQMBDFEPOMBXFOGPSDFNFOUBHFODJFTUPNFFU
UIFOFFETPGPMEFSDJUJ[FOT JUJTJNQPSUBOUUIBUUIFDPVOUZTMFBEJOHMBXFOGPSDFNFOUBHFODJFTTVQQPSUQSPHSBNT
EFTJHOFEUPCFOFmUTFOJPSDJUJ[FOT
Statement of Agreement
*OMJHIUPGUIFBCPWF UIF4FOJPS4FSWJDFTPG@@@@@@@@@@@@@ @@@@@@@@@@@@@@ BOE@@@@@@@@@@@@
@@@@ UIF$IJFGTPG1PMJDFPG@@@@@@@@@@@@@@@@@@ @@@@@@@@@@@@@@@@@ BOE@@@@@@@@@@BOE
UIF@@@@@@@@@@@$PVOUZ4IFSJĊT0ċDFBSFEFUFSNJOFEUPFĊFDUDIBOHFɩFTFHSPVQTBOEBHFODJFTBHSFF
UIBUUIFPMEFSQPQVMBUJPOIBTTQFDJBMOFFETXJUISFTQFDUUPWJDUJNJ[BUJPOBOEGFBSPGDSJNF MPTT BOEJTPMBUJPO
8FBHSFFUIBUUIFTFOFFETDBOCFNFUCZMBXFOGPSDFNFOUBHFODJFTBOEUIFDPVOUZTQSFNJFSPSHBOJ[BUJPO T
PG
TFOJPST XPSLJOHUPHFUIFSBUBMMMFWFMTPGGSFFTPDJFUJFT
8FIFSFCZDPNNJUUPXPSLUPHFUIFSUPFOIBODFUIFDSJNFTBGFUZPGPMEFSQFSTPOT0VSQVSQPTFJTUPSFEVDF
DSJNJOBMWJDUJNJ[BUJPOUISPVHIDPPQFSBUJWFTUSBUFHJFT QMBOOJOHBOEQSPHSBNNJOH BOEJODSFBTFMBXFOGPSDFNFOU
BXBSFOFTTPGPMEFSQFSTPOTOFFEGPSTFDVSJUZBOEEJHOJUZ
ɩJTJOJUJBUJWFJTEFTJHOFEUPNPCJMJ[FDPNNVOJUZSFTPVSDFTUPBTDFSUBJOUIFOFFETBOEDPODFSOTPGPMEFSDJUJ[FOT
BOEUPQSPWJEFNFDIBOJTNTGPSNFFUJOHUIPTFOFFET
ɩFTIBSJOHPGSFTPVSDFTJTUIFmSTUTUFQJOBDIJFWJOHBOFĊFDUJWFNFBOTPGQSPWJEJOHFĊFDUJWFQSPHSBNT
ɩJTQSPDFTTXJMMJOWPMWFMBXFOGPSDFNFOU TFOJPST BOETFOJPSTFSWJDFTJOUIFEFWFMPQNFOU JNQMFNFOUBUJPOBOE
FWBMVBUJPOPGBDDFQUBCMFTPMVUJPOT5PHFUIFS XFXJMMTUSJWFGPSBSFOFXFETFOTFPGSFTQPOTJCJMJUZGPSUIFTFDVSJUZ
BOEXFMMCFJOHPGPMEFSDJUJ[FOTUISPVHIQVCMJDBXBSFOFTT USBJOJOH BOEUIFQSPWJTJPOPGDSJNJOBMKVTUJDFTFSWJDFT
ɩFSFGPSF CZBHSFFNFOU UIF5SJBEXJMMJOJUJBUFUIFBQQSPQSJBUFBDUJPOTUPBDIJFWFUIFTFPCKFDUJWFT
Accepted:
Name Date Name Date
Name Date Name Date
Name Date Name Date
Name Date Name Date

Appendix B: 5SJBE$PPQFSBUJWF"HSFFNFOU
Officer Interaction with Seniors
I. Purpose
ɩF@@@@@@@@@@@@@@@@@@@@@@@1PMJDF%FQBSUNFOU4IFSJĊT0ċDFXJMMUBLFBMFBEFSTIJQSPMF
JOQSPNPUJOHSFDPHOJUJPOPGBVOJRVFDIBMMFOHF BTXFMMBTUIFJNQPSUBOUTPVSDFPGTVQQPSUGPSMBX
FOGPSDFNFOUUIBUUIFPMEFSQFSTPOQSFTFOUT0ċDFSTTIPVMECFBXBSFUIBUUIFGFBSPGDSJNFBOEDFSUBJO
UZQFTPGDSJNJOBMWJDUJNJ[BUJPOUFOEUPCFQSPCMFNTNPSFPGUFOGPSPVSPMEFSJOEJWJEVBMT'PSUIFTF
SFBTPOT PċDFSTTIBMMQVSTVFTUFQTUPFOTVSFUIBUUIFSJHIUTBOEQSPUFDUJPOHVBSBOUFFECZMBXBSFBWBJMBCMF
GPSUIFPMEFSDJUJ[FOɩFEFQBSUNFOUXJMMTFFLBOEVTFBQQSPQSJBUFDPNNVOJUZSFTPVSDFTUP
t 1SPNPUFBDPPQFSBUJWFFYQBOTJPOPGDPNNVOJUZDSJNFQSFWFOUJPO
t 1SPWJEFFEVDBUJPOBMQSPHSBNTUPSFEVDFGFBSBOEWJDUJNJ[BUJPO
t 8PSLUPJEFOUJGZBOEBSSFTUUIPTFXIPDPNNJUDSJNFTBHBJOTUPMEFSJOEJWJEVBMTBOE
t *OWPMWFPMEFSWPMVOUFFSTJOTVQQPSUSPMFTJOUIJTQSPDFTT
$SJNF IBSBTTNFOUBOEDJSDVNTUBODFTSFTVMUJOHJOGFBSBSFTFSJPVT*UJTSFDPHOJ[FEUIBUDSJNFTBHBJOTU
PMEFSJOEJWJEVBMTNBZCFTVCUMFPSIJEEFO4PNFBSFWJDUJNJ[FECZGBNJMZNFNCFST IFBMUIDBSF
QSPWJEFST PSGSBVEVMFOUCVTJOFTTQSBDUJDFT4VDIBDUTDBVTFTPNFPMEFSQFSTPOTUPCFBWFSTFUPQBSUJDJQBUF
JODPNNVOJUZPSTPDJBMBDUJWJUJFT
ɩF@@@@@@@@@@@@@@@@@@@@@@@1PMJDF4IFSJĊT"HFODZXJMMNBJOUBJOBOBEWJTPSZ$PVODJMXIPTF
NFNCFSTIJQTIPVMEJODMVEFBMPDBM""313471NFNCFS BDSJNFQSFWFOUJPOPċDFS BMPDBMDMFSHZ
SFQSFTFOUBUJWF BMPDBMTPDJBMTFSWJDFTSFQSFTFOUBUJWFBOEUIF$IJFG&YFDVUJWF0ċDFSPGPUIFSJOUFSFTUFE
BSFBMBXFOGPSDFNFOUBHFODJFT"EEJUJPOBMSFMFWBOUNFNCFSTIJQJTXFMDPNFɩF$PVODJMTIBMMCFOBNFE
4"-5i4FOJPSTBOE-BX &OGPSDFNFOU
5PHFUIFSw
ɩFQVSQPTFPGUIF$PVODJMTIBMMCFUPSFTFBSDIBOEPĊFSQSPHSBNNBUJDSFNFEJFTUPUIFOFFETBOE
DPODFSOTPGPMEFSQFSTPOTBTJUQFSUBJOTUPDSJNJOBMBDUJWJUZ*UTIBMMCFBGPSVNGPSDPNNVOJDBUJPOTBOE
EJTDVTTJPOCFUXFFOMBXFOGPSDFNFOUBOETFOJPSTɩF$PVODJMNBZEFWFMPQJUTPXOBHFOEBT GPDVTJOH
PODSJNFBOETFDVSJUZSFMBUFEDPODFSOTPGPMEFSQFSTPOTɩF$PVODJMTIBMMEFUFSNJOFNFFUJOHGSFRVFODZ
BOEUIFGPSNBMJUZPGHPBMT NJOVUFT UPQJDT QSPKFDUT FUD
II. Definition
"OPMEFSQFSTPOJTEFmOFEGPSNFNCFSTPGUIF@@@@@@@@@@@@@@@@@@@@@@@@@@@1PMJDF4IFSJĊT
"HFODZBTBQFSTPOXIPIBTBUUBJOFEUIFBHFPG@@@@@@@@ZFBST -PDBMTUBUVUFTNBZEFmOFBQQMJDBCMF
BHF
III. Policy
*UTIBMMCFEFQBSUNFOUBMQPMJDZUPCSJOHJOWFTUJHBUJWFBOEFOGPSDFNFOUFMFNFOUTJOUPQSPNQUBDUJPO
GPMMPXJOHFBDISFQPSUFEPSPCTFSWFEJODJEFOUJOWPMWJOHBWJDUJNJ[FEPMEFSBEVMU&NQIBTJTTIPVMECF
QMBDFEPOWJDUJNBTTJTUBODFBOEBDDFTTJOHDPNNVOJUZSFTPVSDFTUPBTTJTUUIFWJDUJN0ċDFSTTIBMMCF
BMFSUUPUIFRVBMJUZPGMJGFGPSUIFPMEFSQFSTPOBOEEPDVNFOUBOESFQPSUTVCTUBOEBSEDPOEJUJPOTUPUIF
BQQSPQSJBUFBVUIPSJUZPSBQPMJDFTVQFSWJTPS

IV. Procedures
8IFOBOPċDFSEFUFSNJOFTUIBUBOJODJEFOUJOWPMWFTBOPMEFSQFSTPO UIBUPċDFSTIBMMFOTVSF
UIBUUIFGPMMPXJOHQSPDFEVSFTBSFFOBDUFE
" ɩFJODJEFOUTIBMMCFGVMMZJOWFTUJHBUFEBOEEPDVNFOUFE
# *GDJSDVNTUBODFTUISFBUFOUIFPMEFSQFSTPOTIFBMUI TBGFUZPSXFMGBSF UIFPċDFSTIBMM
JNNFEJBUFMZOPUJGZIJTIFSTVQFSWJTPS
$ 0ċDFSTTIBMMSFGFSUPUIFMJTUPGTPDJBMBHFODJFTUIBUNBZSFTPMWFBOZJNNFEJBUFUISFBU
ɩFEFQBSUNFOUTIPVMEQSFQBSFBOEVQEBUFBOBQQFOEJYUPUIJTQPMJDZMJTUJOHBMMSFMFWBOU
TFSWJDFQSPWJEJOHBHFODJFT
% *OJUJBMSFTQPOTFPċDFSTTIBMM
3FTQPOEJOBNBOOFSUIBUJTTFOTJUJWF XJUIDPOTJEFSBUJPOUPUIFDPOEJUJPOPGBWJDUJN
1SFTFSWFUIFDSJNFTDFOFBOEFWJEFODF
*EFOUJGZBOEJOUFSWJFXXJUOFTTFT
*OJUJBUFBGPMMPXVQWJTJUCZGBNJMZ GSJFOE PċDFS PSTPDJBMTFSWJDF JGXBSSBOUFE BOE
SFRVFTUOPUJmDBUJPOPGmOBMEJTQPTJUJPOBOE
"EWJTFBTVQFSWJTPSPGBEEJUJPOBMBTTJTUBODFOFFEFE
& ɩFSFWJFXJOHPSOPUJmFETVQFSWJTPSTIBMM
&OTVSFUIBUJNNFEJBUFUISFBUTUPIFBMUI TBGFUZPSXFMGBSFBSFSFTPMWFE
3FTQPOEUPUIFTDFOFJGSFRVFTUFECZUIFPċDFS
&OTVSFUIBUPċDFSSFTQPOTJCJMJUJFT TFFBCPWF
BSFNFU
"TTVSFWJDUJNTUIBUUIFEFQBSUNFOUXJMMSFOEFSBQQSPQSJBUFBTTJTUBODF
7FSJGZBSSBOHFNFOUTGPSBOZTVQQPSUQFSTPOPSBHFODZUPQSPWJEFBTTJTUBODF
*GXBSSBOUFE BSSBOHFGPSJODSFBTFEQBUSPMPGUIFBSFBUPFJUIFSQSFWFOUTPMWFDSJNFBOE
PSSFBTTVSFBWJDUJNBOE
*OGPSNQPMJDFBENJOJTUSBUPSPSIJTIFSEFTJHOFFPGBOZIFBMUI TBGFUZPSXFMGBSFDPOEJUJPO
UIBUNBZOFFEGPMMPXVQ
V. Training and Records (Optional)

" ɩFEFQBSUNFOUTIBMMQSPWJEFQFSJPEJDJOTFSWJDFUSBJOJOHUPQBUSPMBOEJOWFTUJHBUJWFPċDFSTPO
UPQJDTSFMFWBOUUPUIFBHJOHQSPDFTT TFOJPSDSJNFQSFWFOUJPO TFOJPSDSJNFUSFOET BOETFOJPS
WJDUJNJ[BUJPO
# ɩFEFQBSUNFOUTIBMMLFFQTVDISFDPSETUIBUXJMMBMMPXGPSBOBMZTJTPGWJDUJNJ[BUJPOEBUBTPUIBU
BQQSPQSJBUFDPVOUFSNFBTVSFTDBOCFEFWFMPQFEGPSSFEVDFEWJDUJNJ[BUJPO
$ 5PUIFFYUFOUQPTTJCMF JUTIBMMCFUIFQPMJDZPGUIFEFQBSUNFOUUPTIBSFLOPXMFEHFBOESFDPSET
PGTFOJPSDSJNF BCVTFPSOFHMFDUXJUIPUIFSMBXFOGPSDFNFOUBOEHPWFSONFOUBMTPDJBMTFSWJDF
BHFODJFTUIBUIBWFBMFHJUJNBUFJOUFSFTUJOUIFDBTF

Appendix C: 4BNQMF-FUUFSPG*OWJUBUJPO
%FBS
*XPVMEMJLFUPJOWJUFZPVUPTFSWFPOBDPNNJUUFFPGMBXFOGPSDFNFOU TFOJPST BOETFOJPSTFSWJDFT

XPSLJOHUPHFUIFSUPNBLF@@@@@@@@@@@@DPNNVOJUZBTBGFSQMBDFGPSTFOJPSDJUJ[FOTDBMMFE
4FOJPSTBOE-BX &OGPSDFNFOU
5PHFUIFS PS4"-5
*OTPNFPGPVSDPNNVOJUJFT TFOJPSTBSFEFGSBVEFE WJDUJNJ[FEPSBSFBGSBJEUPMFBWFIPNF TIPQ

XPSTIJQ PSTPDJBMJ[F GPSGFBSPGDSJNF
4IFSJĊ@@@@@@@@@@@@@@@@@@@@@ $IJFG@@@@@@@@@@@@@@@@@@ 3471SFQSFTFOUBUJWF

@@@@@@@@@@@@@@@@@@@@ BOE*IBWFTJHOFEBOBHSFFNFOUUIBUDPNNJUTPVSDPNNVOJUZTMBX
FOGPSDFNFOU XPSLJOHXJUITFOJPSWPMVOUFFST UPBEESFTTTFOJPSSFMBUFEDSJNFTPGPVSBSFB"MTP UIF
4UBUF4IFSJĊT"TTPDJBUJPO UIF4UBUF"TTPDJBUJPOPG$IJFGTPG1PMJDF BOE3471IBWFTJHOFEB5SJBE
"HSFFNFOUDPNNJUUJOHUIFNUPXPSLXJUITFOJPSTUPSFEVDFTFOJPSUBSHFUFEDSJNFT
*GZPVBDDFQUUIJTJOWJUBUJPOUPTFSWFPOUIF4"-5$PVODJM OPSNBMMZ mGUFFOPGZPVSQFFST

QMFBTF
QMBOUPBUUFOEUXPNFFUJOHTXJUIJOBNPOUI BOETVCTFRVFOUMZNFFUPODFFWFSZNPOUIUIFSFBGUFS
.FFUJOHTBSFOPSNBMMZPOFIPVSɩF$PVODJMXPVMEBUUFOEUIFTFNFFUJOHTXJUI4IFSJĊ$IJFG
@@@@@@@@@@@@@@ PSEFTJHOFF
4IFSJĊ@@@@@@@@@@@@@@@@@BOE*IBWFTFMFDUFEZPVUPTFSWFPOUIJTDPNNJUUFFCBTFEPO
ZPVSTLJMMTBOEFYQFSUJTF BOEXFIPQFZPVXJMMKPJOVTɩFQSPHSBNXJMMCFSFXBSEJOHUPTFOJPST
DPNNVOJUZ BOEUPZPVQFSTPOBMMZ*GZPVBHSFFUPTFSWF QMFBTFDBMMNZPċDF8FOFFEZPVSTFSWJDFT
3FTQFDUGVMMZ
@@@@@@@@@@@@@@@@ OBNF
$IJFGPG1PMJDF
@@@@@@@@@@@$JUZ1PMJDF%FQBSUNFOU
@@@@@@@@@@@@@@@@@@@@@@@@@@
@@@@@@@@@@@ @@@@@@@@@@@@@

Appendix D: 4FOJPS"EWJTPSZ$PVODJM1PMJDZ
S.A.L.T. Council of _________________________________ County/City; and Municipalities
of ______________________________ and _______________________________.
ɩF4FOJPS"EWJTPSZ$PVODJMNFFUTPOUIFmSTU5VFTEBZPGFBDINPOUIBUQN BMUFSOBUJOHNFFUJOH
MPDBUJPOTBNPOHUIF@@@@@@@@@@@@@@@@@@@@@1PMJDF%FQBSUNFOU @@@@@@@@@@@@@@@@@@
1PMJDF%FQBSUNFOU BOE@@@@@@@@@@@@@@@@@@@@@@@@@@@@4IFSJĊT0ċDF"UMFBTUUXPNFFUJOHT
FBDIZFBSTIBMMCFIFMEBUUIF@@@@@@@@@@@@@@@@@@@@@@@BOEUIF@@@@@@@@@@@@@@@@@@@@@@@@
XJUIBMMDPVOUZTFOJPSTJOWJUFEUPBUUFOE
Meetings:
.FFUJOHTBSFUPCFJOGPSNBUJWF XJUIUIF4"-5$IBJSNBOPċDJBUJOH
Agenda:
ɩFBHFOEBJTEFUFSNJOFECZUIFDIBJSNBO XJUIJOQVUGSPNUIFDIJFGTBOETIFSJĊPSEFTJHOBUF
Notification:
4"-5NFNCFSTTIBMMCFOPUJmFECZDBMM DBSE PSMFUUFSBUMFBTUPOFXFFLCFGPSFUIFMJTUFENFFUJOH TUBUJOHUIF
NFFUJOHEBUFBOEQMBDF
Minutes:
.FFUJOHNJOVUFTXJMMCFSFDPSEFECZB4"-5HSPVQEFTJHOFFBOEEJTUSJCVUFEUPNFNCFSTOPNPSFUIBOUFO
EBZTBGUFSUIFNFFUJOH
Attendance:
*UJTFYQFDUFEUIBUBMM4"-5$PVODJMNFNCFSTXJMMBUUFOEUIFNPOUIMZNFFUJOHTVOMFTTVOBWPJEBCMZQSFWFOUFE
GSPNBUUFOEJOHɩPTFVOBCMFUPBUUFOEXJMMOPUJGZUIFDIBJSQFSTPOQSJPSUPUIFNFFUJOHUJNFJOPSEFSUPDPOUJOVF
QBSUJDJQBUJPOPOUIF$PVODJMɩSFFDPOTFDVUJWFVOFYDVTFEBCTFODFTXJMMUFSNJOBUFNFNCFSTIJQ
Subcommittees:
$PNNVOJUZQBSUJDJQBUJPOTIBMMCFFODPVSBHFECZFTUBCMJTIJOHTVCDPNNJUUFFTPGUIF4"-5$PVODJMBTOFFEFE
*UJTFYQFDUFEUIBUTVCDPNNJUUFFTXJMMCFJOWPMWFEJOTVSWFZTPGUIFOFFETBOEDPODFSOTPGPMEFSDJUJ[FOT DSJNF
QSFWFOUJPOFEVDBUJPO SFBTTVSBODFQSPHSBNEFWFMPQNFOUFYQBOTJPO WJDUJNTFSWJDFT BOETQFDJBMQSPKFDUT4VC
DPNNJUUFFTTIBMMCFFTUBCMJTIFEUPNFFUUIFJNNFEJBUFBOEDIBOHJOHOFFETPGUIFDPNNVOJUZTQFDJmDDSJNFT
BHBJOTUPMEFSJOEJWJEVBMT

Appendix E: 5SJBE4"-5$PVODJM#ZMBXT
Article I. NAME
ɩFOBNFPGUIJTPSHBOJ[BUJPOTIBMMCF4FOJPST"OE-BX &OGPSDFNFOU
5PHFUIFS$PVODJM 4"-5
PGUIF
@@@@@@@@@@@@@@@@5SJBE
Article II. PURPOSE

ɩFQVSQPTFPGUIF4"-5$PVODJMTIBMMCFUPGVSUIFSUIFHPBMTBOEPCKFDUJWFTPGUIF5SJBE BKPJOUWFOUVSF
CFUXFFOUIF4IFSJĊT0ċDF UIF$IJFGTPG1PMJDFJOUIF$PVOUZBOE3471UPSFEVDFUIFDSJNJOBMWJDUJNJ[BUJPO
PGPMEFSQFSTPOT
Article III. MEMBERSHIP

" ɩF4"-5$PVODJMTIBMMDPOTJTUPGOPUNPSFUIBOUXFOUZCVUOPUGFXFSUIBOUFONFNCFST
# .FNCFSTIJQTIBMMCFFYPċDJPBOEBUMBSHF
&YPċDJP.FNCFSTTIBMMCFUIFEFTJHOBUFESFQSFTFOUBUJWFTPGFBDIPGUIF5SJBEPSHBOJ[BUJPOT
B 3471 PSFRVJWBMFOU
C @@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@4IFSJĊT0ċDF
D @@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@$IJFG T
PG1PMJDF
"UMBSHFNFNCFSTIJQTIBMMCFPQFOUPPċDFST DPNNVOJUZSFQSFTFOUBUJWFTBOEDJWJDPSHBOJ[BUJPOT TFSWJDF
QSPWJEFST BOETFOJPST
$ 4FMFDUJPOPG4"-5$PVODJMNFNCFSTBUMBSHFTIBMMCFNBEFCZBNFNCFSTIJQDPNNJUUFFDPOTJTUJOHPGUIF
FMFDUFEPċDFSTBOEUXPNFNCFSTTFMFDUFEBUUIF0DUPCFSNFFUJOH3FDPNNFOEBUJPOTGPSNFNCFSTIJQNBZ
CFNBEFUPUIFDPNNJUUFFJOXSJUJOH
% ɩFSFHVMBSUFSNPGPċDFGPSNFNCFSTBUMBSHFTIBMMCFUISFFZFBST.FNCFSTIJQTIBMMCFTUBHHFSFETPUIBU
POFUIJSEPGUIFNFNCFSTDPNQMFUFTUIFJSUFSNFBDIZFBS5FSNPGNFNCFSTIJQTIBMMCFHJO+BOVBSZBOEFOE
%FDFNCFS3FTJHOFENFNCFSTIJQTXJMMCFmMMFECZUIFNFNCFSTIJQDPNNJUUFF
Article IV. OFFICERS AND THEIR ELECTION

" ɩFFMFDUFEPċDFSTPGUIF4"-5$PVODJMTIBMMCFUIF$IBJSNBO 7JDF$IBJSNBO BOE4FDSFUBSZ
5SFBTVSFS
# "mWFNFNCFSOPNJOBUJOHDPNNJUUFFTIBMMCFFMFDUFEBUUIF+VMZNFFUJOHBOETIBMMQSFTFOUBTMBUFPG
DBOEJEBUFTGPSPċDFBUUIF0DUPCFSNFFUJOHɩFDPNNJUUFFTIBMMFMFDUJUTPXODIBJSNBO
$ ɩFPċDFSTTIBMMCFFMFDUFEGSPNXJUIJOUIF$PVODJMGPSBPOFZFBSUFSNɩFFMFDUJPOTIBMMCFIFMEBUUIF
0DUPCFSNFFUJOH XJUIUIPTFFMFDUFEBTTVNJOHPċDF+BOVBSZ0ċDFSTNBZCFSFFMFDUFEUPUIFTBNFPċDF
GPSTVDDFFEJOHUFSNT
Article V. DUTIES OF OFFICERS AND MEMBERS

" %VUJFTPGPċDFST
$IBJSNBOTIBMMQSFTJEFBUBMMNFFUJOHTPGUIF$PVODJM BQQPJOUDIBJSNFOBTOFFEFE BOETFSWFBTBOFY
PċDJPNFNCFSPGBMMDPNNJUUFFTXJUIUIFFYDFQUJPOPGUIFOPNJOBUJOHDPNNJUUFF
7JDF$IBJSNBOTIBMMQSFTJEFJOBCTFODFPGUIF$IBJSNBO BOEBTTVNFPUIFSEVUJFTBTSFRVFTUFE
4FDSFUBSZ5SFBTVSFSTIBMMNBJOUBJOBNFNCFSTIJQMJTU LFFQNFFUJOHNJOVUFT TFOEUJNFMZOPUJmDBUJPOPG
NFFUJOHTUPNFNCFST BOELFFQSFDPSETPGNPOFZTVOEFSUIFKVSJTEJDUJPOPGUIF$PVODJM
# %VUJFTPGNFNCFST
&BDINFNCFSTIBMMCFGBNJMJBSXJUI4"-5$PVODJMQVSQPTFT BUUFOESFHVMBSBOETQFDJBMDPVODJMNFFUJOHT
BOETFSWFPOBUMFBTUPOFTUBOEJOHDPNNJUUFF

Article VI. STEERING COMMITTEE
ɩF4UFFSJOH$PNNJUUFFTIBMMCFDPNQSJTFEPGUIFFMFDUFEPċDFST DIBJSNFOPGUIFTUBOEJOHDPNNJUUFFT BOE
JNNFEJBUFQBTUDIBJSNBOPGUIF$PVODJMɩF4UFFSJOH$PNNJUUFFTIBMMIBWFUIFBVUIPSJUZUPDPOEVDU$PVODJM
CVTJOFTTCFUXFFONFFUJOHTBOEUPmMMCZBQQPJOUNFOUBOZPċDFWBDBODZ XJUIBQQSPWBMPGUIFNFNCFSTIJQ
Article VII. COMMITTEES

" 4UBOEJOHDPNNJUUFFTPGUIF4"-5$PVODJMTIBMMCF
"EWJTPSZ
$SJNF1SFWFOUJPO
-FHJTMBUJPO
3FTPVSDF$PPSEJOBUJPO
5SBJOJOH
7JDUJN"TTJTUBODF
7PMVOUFFST
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/PNJOBUJOH
.FEJBPS1SPNPUJPOBM
# 4QFDJBMDPNNJUUFFTNBZCFBQQPJOUFECZUIF$PVODJM$IBJSNBOBTOFFEFE
$ $PNNJUUFFTTIBMMDPOTJTUPGUIFDIBJSNBO BUMFBTUUXP$PVODJMNFNCFST BOEDPNNJUUFFDIBJSNBO
BQQPJOUFFT
Article VIII. MEETINGS

" ɩF4"-5$PVODJMTIBMMNFFUUIFmSTU5VFTEBZPGUIFNPOUIVOMFTTPUIFSXJTFPSEFSFECZUIF$IBJSNBO
XJUI4UFFSJOH$PNNJUUFFBQQSPWBM
# 4QFDJBMNFFUJOHTNBZCFDBMMFEBUUIFSFRVFTUPGUIF$PVODJM$IBJSNBO
$ "RVPSVNTIBMMDPOTJTUPGPOFUIJSEPGUIFDVSSFOUNFNCFSTIJQ"TJNQMFNBKPSJUZPGUIFWPUJOHNFNCFST
QSFTFOUTIBMMCFUIFWPUJOHSVMF

Appendix F: 4"-5$PNNVOJUZ"DUJPO4VSWFZ
AARP/Police Department(s)/Sheriff’s Office
8FOFFEZPVSIFMQUPBTTJTUVTJOUBLJOHQPTJUJWFTUFQTUPJNQSPWFPVSDPNNVOJUZ1MFBTFBOTXFSFBDIRVFTUJPO
CZQMBDJOHBDIFDLJOUIFDPMVNOUIBUCFTUEFTDSJCFTZPVSWJFXT 1MFBTFDPNQMFUFUIJTTVSWFZPOMZPODF
5PXIBU
FYUFOUEPFTFBDIPGUIFGPMMPXJOHBĊFDUZPVSMJGF
Major Concern Minor Concern Very Little Concern

'FBSPGHPJOHPVUBGUFSEBSL
'FBSPGGSBVEPSDPOBSUJTUT
7BOEBMJTNJOUIFOFJHICPSIPPE
-BDLPGQVCMJDUSBOTQPSUBUJPO
4FOTFPGQFSTPOBMJTPMBUJPO
'FBSPGSPCCFSZ JFQVSTFTOBUDIJOH

'FBSPGCVSHMBSZ IPNFJOWBTJPO

7FOEPSTLOPDLJOHPOUIFEPPS
/FHMFDUCZGBNJMZPSGSJFOET
'FBSPGQFSTPOBMBCVTF
0UIFS
4PNFTVHHFTUFEJNQSPWFNFOUTJOUIJTDPNNVOJUZJODMVEFUIFGPMMPXJOH
8PVMEUIFTFDIBOHFTBEEJUJPOTJNQSPWFZPVSMJGF
Very Much To Some Degree A Total Waste
4USFFUMJHIUJOHJNQSPWFNFOUT
&YQBOEFE/FJHICPSIPPE8BUDI
1SPHSBN
1VCMJDUSBOTQPSUBUJPO
)PNFTFDVSJUZSFDPNNFOEBUJPOTCZ
QPMJDF
(SPVQIPVTJOHSFTJEFOU$PVODJMT
%BJMZSFBTTVSBODFQIPOFDBMMT
4FOJPSWBOBWBJMBCMFBUOJHIU
In which section do you live: /PSUIFBTU@@@@/PSUIXFTU@@@@4PVUIFBTU@@@@4PVUIXFTU@@@@

5PXOPG@@@@@@@@@@@@@@Sex: .BMF@@@'FNBMF@@@"HFo@@@@o@@@@0WFS@@@@
0QUJPOBM*OGPSNBUJPO:PVSOBNFBOEBEESFTTNJHIUCFIFMQGVM CVUBSFOPUSFRVJSFE
/BNF 1IPOFOVNCFS
"EESFTT

53*"%2VBMJUZPG-JGF4VSWFZ
8IJDIPGUIFTFDPNNVOJUJFTEPZPVMJWFJOPSDMPTFTUUP 5SJBEUPJOTFSUMJTUPGBSFBT
%PZPVMJWFBMPOF :FT@@@/P@@@

*OEJDBUFJOPSEFSPGJNQPSUBODF CFJOHNPTUJNQPSUBOU
UIFUPQDSJNFSFMBUFEDPODFSOTJO
ZPVSBSFB
@@@'FBSPG$SJNF @@@#VSHMBSZ @@@4PMJDJUPST7FOEPST
@@@7BOEBMJTN @@@7BDBOU"CBOEPOFE)PVTF @@@1VSTF4OBUDIJOH
@@@"OJNBM1SPCMFNT @@@5SBċD$PODFSOT @@@3BQF
@@@7JDUJNJ[BUJPO @@@'SBVETDBNT @@@"CVTF/FHMFDU
@@@3FTJEFOUJBM#VSHMBSZ @@@.VSEFS @@@"TTBVMU
@@@.BJM'SBVE @@@5FMFNBSLFUFST @@@*OUFSOFU'SBVE
0UIFS
$PNNFOUT
8PVMEZPVCFJOUFSFTUFEJOBOZPGUIFGPMMPXJOHDSJNFQSFWFOUJPOQSPHSBNT
@@@/FJHICPSIPPE8BUDI@@@)PNF4FDVSJUZ4VSWFZ@@@1FSTPOBM4BGFUZ4LJMMT
$PNNFOUT
8PVMEZPVCFJOUFSFTUFEJOQBSUJDJQBUJOHJOBWPMVOUFFSQSPHSBNUPBTTJTUMBXFOGPSDFNFOU
@@@:FT@@@/P
1MFBTFTQFDJGZBSFBTPGJOUFSFTU
@@@/FJHICPSIPPE8BUDI @@@3FBTTVSBODF7JTJUT @@@0ċDF8PSL
@@@7JDUJN"TTJTUBODF1SPHSBN @@@)PNF4FDVSJUZ @@@$SJNF1SFWFOUJPO
%PZPVOFFEBTTJTUBODFJO@@@5SBOTQPSUBUJPODPVSJFS@@@4IPQQJOH@@@3VOOJOH&SSBOET
@@@0UIFS
Optional Information, helpful but not required: "HF@@@ 4FY@@@

/BNF 1IPOFOVNCFS
"EESFTT
ɩBOLZPVGPSUBLJOHUIFUJNFUPmMMPVUUIJTTVSWFZɩJTTVSWFZXJMMIFMQZPVS5SJBEBOE4"-5
$PVODJM 4FOJPSTBOE-BX<&OGPSDFNFOU>5PHFUIFS
UPIFMQZPV1MFBTFSFUVSOTVSWFZUP /BNFBOE
BEESFTT
PSDBMM QIPOFOVNCFS
UPIBWFB4"-5WPMVOUFFSQJDLJUVQ

Appendix G: 4BNQMF"HFOEB
S.A.L.T Council Meeting
Date, Time, Location
* 8FMDPNFo$IBJSNBO $IJFG T
BOE4IFSJĊPS
SFQSFTFOUBUJWFT
** *OUSPEVDUJPOPG$PVODJM.FNCFSTBOEBOZHVFTUT
*** .JOVUFTPG-BTU.FFUJOH
*7 0WFSWJFXPG4"-51VSQPTFBOE"DUJWJUJFTUP%BUF
7 $SJNF6QEBUF $VSSFOU4UBUJTUJDT 1SPCMFNT 5SFOET
B 3FQPSUFE$SJNFT
C *OQVUGSPNTFOJPST6OSFQPSUFEDSJNFT 3VNPST
'FBST
7* 3FQPSUTGSPN$PNNJUUFFT
B $SJNF1SFWFOUJPO1SFTFOUBUJPOT1SPHSBNT
C 7PMVOUFFST
D 3FBTTVSBODF1SPHSBNT
E 7JDUJN"TTJTUBODF
F 5SBJOJOH
G &WBMVBUJPO
7** 4IPSU5FSN1MBOTUP.FFU/FFETPG0MEFS3FTJEFOUT
7*** -POH5FSN1MBOT
*9 $SJNF1SFWFOUJPO*OGPSNBUJPO5JQTGPS4"-5
.FNCFST BMTPUPCFTIBSFEXJUIGSJFOETBOEBDRVBJOUBODFT
9 0UIFS$PODFSOT
9* /FYU.FFUJOH

Appendix H: 4BNQMF3FGSJHFSBUPS$BSE
TRIAD
(Local Law Enforcement Agency)
Refrigerator Card
Name: Date Card Completed:
Address: Phone Number:
Allergies to Medications:
Whom to Contact and Phone Numbers:
1.
2. Date of Birth:
3. Major Illnesses:
Doctor’s Name:
Doctor’s Phone Numbere:
Health Care Plan:
Other:
Health Plan Number:
Medicare Number:
OVER FOR MEDICATIONS

TRIAD
(Local Law Enforcement Agency)
Back Side of Sample Refrigerator Card

Current Medications Date Updated Dosage Strength How Often Taken When Taken

Appendix I: 0MEFS1FSTPO3FGFSSBM$BSE
TRIAD
“Seniors & Law Enforcement Together”
OLDER PERSONS REFERRAL CARD
[Name of Local Law Enforcement Agency(ies)]
Name:
Address:
City: State: Zip:
Phone Number:
Nearest Relative:
Emergency Phone Number:
During the course of my duties, I observed the above person in need of the following:
Food: Security:
Clothing: Heat:
Care-Taking: Prevention Materials/Type:
Lighting: Other:
Officer Signature ID #

0MEFS1FSTPO3FGFSSBM$BSE #BDLTJEF
FOLLOW-UP
Date:
Referrals:
Comments:
Auxiliary Signature ID#

Appendix J: "EPQU"4FOJPS1SPHSBN
Definition
ɩF"EPQU"4FOJPSQSPHSBNJTTQPOTPSFECZ5SJBE*UJTBKPJOUWFOUVSFJOWPMWJOH
UIF@@@@@@@@@@@@@@@1PMJDF%FQBSUNFOU UIF@@@@@@@@@@@@@@@4IFSJĊT0ċDF
BOEUIF@@@@@@@@@@@@@@@$PVODJMPO"HJOH*UJTJOUFOEFEUPQSPWJEFTVQQPSUBOE
SFBTTVSBODFGPSPMEFSBEVMUTXJUITQFDJBMOFFET$POTJEFSFEGPSQBSUJDJQBUJPOBSFPMEFS
QFSTPOTXJUIMJNJUFENPCJMJUZPSNFEJDBMQSPCMFNT DPOmOFEUPUIFJSIPNFT PSMJWJOH
BMPOFXJUIMJNJUFEGBNJMZTVQQPSUɩJTQSPHSBNJTJOUFOEFEUPTVQQMFNFOUDBSF
QSPWJEFECZPUIFSQFSTPOTBHFODJFT
Goal
ɩF"EPQU"4FOJPSQVSQPTFJTUPFTUBCMJTIDPNNVOJDBUJPOBOEDPPQFSBUJPOBNPOH
MBXFOGPSDFNFOU TUBUFMPDBMBHFODJFT BOETFOJPSTUPNBYJNJ[FSFTPVSDFTBOEFOTVSF
UIBUTFOJPSOFFETBSFNPOJUPSFEBOESFGFSSFEBTOFDFTTBSZ
Implementation
ɩFGPMMPXJOHBHFODJFTXJMMQSPWJEFPċDFSTXIPXJMMBEPQUPOFPSNPSFTFOJPST
#BDLHSPVOEJOGPSNBUJPOXJMMCFQSPWJEFEPOUIFPMEFSQFSTPO FYQMBJOJOHBOZTQFDJBM
OFFETPSNFEJDBMQSPCMFNTɩFPċDFSXJMMDPOUBDUUIFSFGFSSBMBHFODZUPTDIFEVMF
UIFmSTUNFFUJOHXJUIBEWBODFOPUJDFBOEBDBTFXPSLFSQSFTFOUGPSUIFJOJUJBMWJTJU JG
OFDFTTBSZ"GUFSXBSE UIFPċDFSQMBOTGPSGVUVSFWJTJUToBUMFBTUPOFQFSXFFLɩF
PċDFSXJMMDBMMUIFTFOJPS T
BUMFBTUPODFBXFFL
%VSJOHFBDIWJTJUPSDBMM UIFPċDFSTIPVMECFBXBSFPGOFFETPSBUUFOUJPOSFRVJSFEGPS
UIFTFOJPS*OUIFFWFOUBOPċDFSGFFMTUIBUBSFGFSSBMJTJOPSEFS UIFPċDFSTIPVMEmMM
PVUBO0MEFS1FSTPOT3FGFSSBM$BSEUPOPUJGZUIF"EVMU1SPUFDUJWF4FSWJDFT 4FOJPS
3FGFSSBM1SPHSBN PSBQQSPQSJBUFTFSWJDFBHFODJFT
ɩJTQSPHSBNXJMMCFDPPSEJOBUFECZ@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@

Appendix K: "QQMJDBUJPOGPS5SJBE$BMM*O1SPHSBN
Name: Phone #:
Address:
Description of Home:
[Please describe exact location of your residence (example: route number, color of house, right or
left side of road, apartment house, etc.)]
Name of Nearest Neighbor: Neighbor’s Phone #:
Address:
Medical Problems:
Doctor’s Name: Doctor’s Phone #:
Name of person to be notified in case of illness (name, address, phone number, relationship)
Waiver of property damage: I hereby authorize any state or county law enforcement officer and/or medical unit to forcibly enter
my home (address above) in the event there is reasonable cause to suspect that I am in need of immediate medical assistance.
I agree to hold the state and county, together with its agents and/or employees, harmless for any damage to my property, both
personal and real, resulting from said forcible entry.
Signature: Date:

Appendix L: 1BMNPSF2VJ[4FMFDUFE2VFTUJPOT
True or False
*OHFOFSBM NPTUTFOJPSTBSFGBJSMZTJNJMBS
0WFSPGUIF64QPQVMBUJPOJTOPXBHFPSPMEFS
ɩFBHFEBSFNPSFGFBSGVMPGDSJNFUIBOBSFQFSTPOTVOEFS
.BOZPMEFSQFPQMF BHF
BSFTFOJMF JF EFGFDUJWFNFNPSZ EJTPSJFOUFE PS
EFNFOUFE

.PSFPMEFSQFSTPOT BHF
IBWFDISPOJDJMMOFTTFTUIBUMJNJUUIFJSBDUJWJUZUIBOUIFJS
ZPVOHFSDPVOUFSQBSUT
"UMFBTUPOFUFOUIPGUIFBHFEBSFMJWJOHJOMPOHTUBZJOTUJUVUJPOT JF OVSTJOHIPNFT
NFOUBMIPTQJUBMT IPNFTGPSUIFBHFE FUD

0MEFSQFPQMFVTVBMMZUBLFMPOHFSUPMFBSOTPNFUIJOHOFX
.PTUPMEFSXPSLFSTDBOOPUXPSLBTFĊFDUJWFMZBTZPVOHFSXPSLFST
ɩFSFBDUJPOUJNFPGNPTUPMEQFPQMFUFOETUPCFTMPXFSUIBOUIBUPGZPVOHFSQFSTPOT
ɩFNBKPSJUZPGPMEFSQFPQMFBSFTPDJBMMZJTPMBUFEBOEMPOFMZ
ɩFNBKPSJUZPGPMEFSQFPQMFBSFXPSLJOHPSXPVMEMJLFUPIBWFTPNFLJOEPGXPSLUP
EP JODMVEJOHIPVTFXPSLBOEWPMVOUFFSXPSL

.PTUTFOJPSTBSFTFUJOUIFJSXBZTBOEVOBCMFUPDIBOHF

Answers
'BMTFɩFSFBQQFBSUPCFBTNBOZEJĊFSFODFTCFUXFFOPMEFSQFPQMFBTBOZBHFMFWFM4PNFFWJEFODF
JOEJDBUFTUIBUQFPQMFUFOEUPCFDPNFNPSFIFUFSPHFOFPVTBTUIFZBHF
'BMTF*O UIFSFBSFBOFTUJNBUFENJMMJPOQFPQMFBHFPSPMEFSJOUIF6OJUFE4UBUFT
BDDPVOUJOHGPSBMNPTUQFSDFOUPGUIFUPUBMQPQVMBUJPO
"DDPSEJOHUP/BUJPOBM$PVODJMPOUIF"HJOH JO QFSDFOUPGPMEFSQFPQMF BOEPMEFS
TBJE
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Appendix M: $JUJ[FO-BX&OGPSDFNFOU"DBEFNZ"QQMJDBUJPO
%BUFPG"QQMJDBUJPO
/BNF %BUFPG#JSUI
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I hereby certify that the information contained in this application is true and complete to the best of my knowledge. You are hereby
authorized to make any investigation of my personal history deemed necessary for consideration to attend the Citizen Police Academy.
4JHOBUVSF %BUF

Appendix N: *OEFQFOEFOU-JWJOH8FFL
Release Form
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UIBUUIFSFJTOPGFFGPSUIJTTFSWJDFBOEUIBUJUNBZUBLFVQUPNPOUITUPDPNQMFUFUIFBVUIPSJ[FE
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Electrical outlets
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Fire Safety:
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Comments:
Project Information
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Appendix O: &MPQFNFOU%SJMM&WBMVBUJPO'PSN
To be completed and sent to the Regional Director of Operations
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Contents (or directions where to find these items in the community)
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Assessment Outcome:
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3FTJEFOUQMBDFEPOBTBGFUZDIFDLMJTU :FT /P
3FTJEFOUJTBTTJHOFEBXBOEFSHVBSE :FT /P
4JHOBUVSF %BUF

RESOURCES

Resources
Administration on Aging Better Business Bureau TRANS UNION
Public Inquiries Unit Elder Fraud Hotline • To report fraud, call (800) 680-7289
330 Independence Avenue, SW or write to P.O. Box 6790 Fullerton,
4200 Wilson Blvd, Suite 800
Washington, D.C. 20201 CA 92634
Arlington, VA 22203-1838
Phone: (202) 619-0724 • To order a copy of your credit
Phone: (703) 276-0100
TDD: (800) 877-8339 report ($8.00 in most states), write
Fax: (703) 525-8277
Eldercare Locator (800) 677-1116 to P.O. Box 390 Springfield, PA
www.bbb.org
Fax: (202)357-3555 19064 or call (800) 888-4213
www.aoa.dhhs.gov • To OPT OUT of pre-approved
Consumer Action Handbook
offers of credit and marketing
Name and Address to: Handbook lists, call (800) 680-7293 or (888)
Alzheimer’s Association
Pueblo, Colorado 81009. 5OPTOUT or write to P.O. Box
National Headquarters
Phone: (888) 878-3256 97328 Jackson, MS 39238
225 North Michigan Avenue, Fl. 17 www.ConsumerAction.gov
Chicago, IL 60601 • www.tuc.com
Phone: (800) 272-3900 Credit Bureaus:
Fax: (312) 335-1110 Deaf Telephone Services;
To report to your Credit Bureaus: TDD-TTY
www.alz.org
EXPERIAN (FORMERLY TRW) Operational Services, directory
AARP • To report fraud, call (888) assistance 1 (800) 855-1155
EXPERIAN or (888) 397-3742,
601 E. Street, NW
Washington, D.C. 20049
fax to (800) 301-7196, or write to Department of Health and
P.O. Box 1017 Allen, TX 75013. To Human Services
(888) 687-2277
order a copy of your credit report 200 Independence Avenue, S.W.
www.aarp.org
($8.00 in most states), write to Washington, D.C. 20201
American Bar Association P.O. Box 2104 Allen, TX 75013 or Phone (202) 619-0257
Commission on Law and Aging call (888)EXPERIAN or Toll Free: (877) 696-6775
(888) 397-3742 www.hhs.gov
740 15th Street, N.W.
• To OPT OUT of pre-approved
Washington, DC 20005
offers of credit and marketing Department of Justice (DOJ)
Phone: (202) 662-8690
lists, call (800) 353-0809 or
Fax: (202) 662-8698 950 Pennsylvania Avenue, NW
(888)5OPTOUT or write to
abaelderly@abanet.org Washington, DC 20530-0001
P.O. Box 919 Allen, TX 75013
www.abanet.org/elderly Phone: (202) 514-2000
• www.experian.com
TYY: (202) 514-0716
American Federation for Aging askdoj@usdoj.gov
EQUIFAX
Research (AFAR) www.usdoj.gov
• To report fraud call (800) 525-
70 West 49th Street, 11th Floor 6285 or write to: P.O. Box 740250
New York, NY 10018 Direct Marketing Association:
Atlanta, GA 30374-0250 Direct Mailing List Removal
Phone: (212) 703-9977 • To order a copy of your credit
Fax: (212) 997-0330 Access web site and follow
report ($8.00 in most states) call
info@afar.org removal instructions
(800) 685-1111 or write to P.O. Box
WWW.infoaging.org 1120 Avenue of the Americas
740241 Atlanta, GA 30374-0241
New York, NY 10036-6700
• To OPT OUT of pre-approved
Phone: (212) 768-7277
offers of credit, call (888)
www.the-dma.org
567-8688 or write EQUIFAX
OPTIONS, P.O. Box 740123
Atlanta, GA 30374-0123
• www.equifax.com

Resources
Direct Marketing Association: ID Fraud, Contact: Meals On Wheels Association
Telephone Preference Service • Federal Trade Commission of America
Access web site and follow www.ftc.gov 203 South Union Street
removal instructions • U.S. Postal Service www.usps. Alexandria, VA 22314
www.the-dma.org/consumers/ gov/websites/depart/inspect Phone: (703) 548-5558
offtelephonelist.html • U.S. Secret Service Fax: (703) 548-8024
www.treas.gov/usss www.mowaa.org
Eldercare Locator • U.S. Social Security
Administration www.ssa.gov
Phone: (800) 677-1116 • Federal Bureau of Investigation Medicare and
Fax: (202) 296-8134 www.fbi.gov Medicaid Services
TYY: (800) 677-1116 • U.S. Department of Justice 7500 Security Boulevard
www.eldercare.gov www.usdoj.gov Baltimore, MD 21244-1850
• Privacy Rights Clearinghouse Phone: (877)267-2323
Federal Interagency Forum on www.privacyrights.org TTY: (866) 226-1819
Aging-Related Statistics • Identity Theft Prevention and Medicaid Fraud Control Unit:
3311 Toledo Road, Room 6227 Survival www.identitytheft.org (800) 371-0824
Hyattsville, MD 20782 www.cms.gov
Phone: (301) 458-4460 International Association of
Fax: (301) 458-4037 Chiefs of Police National Association of State
www.agingstats.gov 515 North Washington Street Directors of Veterans Affairs
Alexandria, VA 22314 www.nasdva.com
FirstGov for Seniors Phone: (800) 843-4227
U.S. General Services Administration Fax: (703) 836-4543 National Association of Area
1800 F Street, NW www.iacp.org Agencies on Aging
Washington, DC 20405 1730 Rhode Island Ave, NW,
Phone: (800) 333-4636 International Association of Suite 1200
Fire Chiefs
www.firstgov.gov/topics/seniors.shtml Washington, DC 20036
4025 Fair Ridge Drive, Suite 300 Phone: (202) 872-0888
Federal Online Resources Fairfax, VA 22033-2868 Fax: (202) 872-0057
Phone: (703) 273-0911 www.n4a.org
www.FirstGov.gov — official federal
Fax: (703) 273-9363
and state government web sites.
www.iafc.org National Association of State
Hearing Aid Helpline Units on Aging
Legal Services for the
International Hearing Society Information/Resource/Referral
Elderly (LSE)
16880 Middlebelt Road Support Center
130 West 42nd Street, 17th Floor 1201 15th Street, NW, Suite 350
Livonia, MI 48154
New York, NY 10036 Washington, DC 20005
(800) 521-5247
Phone: (212) 391-0120 Phone: (202) 898-2578
www.ihsinfo.org
Fax: (212) 719-1939 Fax: (202) 898-2583
Hn4923@handsnet.org www.nasua.org
Home Safety Council
www.nia.nih.gov
The Federal Citizen Information Center
Dept. 656L, Pueblo, CO 81009.
(888) 878-3256 and ask for Item 656L.
www.pueblo.gsa.gov

Resources
National Center for Injury National Domestic National Long Term Care
Prevention and Control Violence Hotline Ombudsman Resource Center
Mailstop K65 Phone: (800) 799-7233 1424 16th Street, NW, Suite 202
4770 Buford Highway NE TTY: (800) 787-3224 Washington, DC 20036
Atlanta, GA 30341-3724 www.ndvh.org Phone: (202) 332-2275
Phone: (770) 488-1506 Fax: (202) 332-2949
Fax: (770) 488-1667 National Fire Protection Ombudcenter@nccnhr.org
OHCINFO@cdc.gov Association www.ltcombudsman.org
1 Batterymarch Park
National Center on Elder Quincy, MA 02169-7471 National Organization for Victim
Abuse (NCEA) Phone: (617) 770-3000 Assistance (NOVA)
1201 15th Street, NW, Suite 350 Fax: (617) 770-0700 1730 Park road, NW
Washington, DC 20005-2842 www.nfpa.org Washington, DC 20010
Phone: (202) 898-2586 Phone: (800) TRY-NOVA
Fax: (202) 898-2583 National Fraud Phone: (202) 232-6682
NCEA@nasua.org Information Center Fax: (202) 462-2255
www.elderabusecenter.org (800) 876-7060 nova@try-nova.org
www.fraud.org www.try-nova.org
National Center for
Victims of Crime National Hospice and Palliative National Sheriffs’ Association
2000 M Street, N.W., Ste. 480 Care Organization (NHPCO) 1450 Duke Street
Washington, DC 20036 1700 Diagonal Road, Suite 625 Alexandria, VA 22314-3490
Phone: (800) 394-2255 Alexandria, VA 22314 (800) 424-7827
www.ncvc.org Phone: (800) 658-8898 Fax: (703) 519-8567
Phone: (703) 837-1500 www.sheriffs.org
National Committee for the Fax: (703) 837-1233
Prevention of Elder Abuse info@nhpco.org National Volunteer
1612 K Street, NW www.nhpco.org Fire Council
Washington, DC 20006 1050 17th Street, NW, Suite 490
Phone: (202) 682-4140 National Institute of Washington, DC 20036
Fax: (202) 223-2099 Environmental Health 202/887-5700
www.preventelderabuse.org Sciences (NIEHS) 202/887-5291 Fax
National Institute of Health (NIH) 1-888-ASK-NVFC (275-6832)
National Council on PO box 12233 www.nvfc.org
Aging, Inc. (NCOA) Research Triangle Park, NC 27709
300 D Street, SW, Suite 801 Phone: (919) 541-3345 Social Security Administration
Washington, DC 20024 TTY: (919) 541-0731 Office of Public Inquiries
Phone: (202) 479-1200 www.niehs.nih.gov Windsor Park Building
Fax: (202) 479-0735 6401 Security Boulevard
info@ncoa.org Baltimore, MD 21235
www.ncoa.org Phone: (800) 772-1213
TTY: (800) 325-0778
www.ssa.gov

Resources
Substance Abuse and Mental Volunteers of America
Health Services Administration 1660 Duke Street
(SAMHSA) Alexandria, VA 22314
Department of Health and Human Phone: (800) 899-0089
Services Phone: (703) 341-5000
1 Choke Cherry Road Fax: (703) 341-7000
Rockville, MD 20857 info@voa.org
Phone: (800) 729-6686 www.volunteersofamerica.org
Phone: (240) 276-2000
TTY: (800) 487-4889 Young Men’s Christian
Fax: (301) 468-7394 Association (YMCA)
info@samhsa.gov 101 North Wacker Drive, 14th Floor
www.samhsa.gov Chicago, IL 60606
Phone: (800) 872-9622
Training and Technical Phone: (312) 977-9063
Assistance Center www.ymca.net
Office for Victims of Crime
10530 Rosehaven Street Young Women’s Christian
Suite 400, Fairfax, VA 22030 Association (YWCA)
Phone: (866) 682-8822 1015 18th Street, NW, Suite 1100
TTY: (866) 682-8880 Washington, DC 20036
Fax: (703) 279-4673 Phone: 202-467-0801
TTAC@ovcttac.org Fax: 202-467-0802
www.ovcttac.org info@ywca.org
www.ywca.org
U.S. Health & Human Services
200 Independence Avenue, SW
U.S. Senate Special

Committee on Aging
G31 Dirksen Senate Office Building
Phone: (202) 224-5364
Fax: (202) 224-8660
mailbox@aging.senate.gov
www.aging.senate.gov

Ohio
Ohio Resources
Triad Partners
Buckeye State Sheriffs’ Association
Buckeye State Sheriffs’ Association Ohio Association of Chiefs of Police, Inc.
6230 Busch Boulevard
6230 Busch Blvd., Suite 260 6277 Riverside Drive, Suite 2N
Suite 300
Columbus, OH 43229 Dublin, OH 43017
Columbus, OH 43229
(614) 431-5500 (614) 761-0330
614-431-5500
www.buckeyesheriffs.org www.oacp.org
www.buckeyesheriffs.org
Ohio Crime Prevention Association Ohio Domestic Violence Network
Ohio Association
6277 Riverside of Chiefs
Drive, of Police
Suite 2N (800) 934-9840
6277 Riverside
Dublin, OH 43017Drive #2N www.odvn.org
Dublin, OH 43017
(614) 718-3211
614-761-0330
www.ocpa-oh.org
Action Ohio Coalition for Battered Women
www.oacp.org 36 West Gay Street, Suite 311
Ohio Attorney General’s Office Columbus, OH 43215
Ohio Attorney General’s Office (888) 622-9315
Crime Victims Assistance and Prevention www.actionohio.org
Criminal Justice Initiatives Section
150 East Gay Street
150 East Gay Street, 25th Floor
25th Floor OH 43215
Columbus, Ohio Coalition for Adult Protective Services
Columbus, OH 43215
(614) 466-5610 1335 Dublin Road, Suite 214A
614-466-5610
www.ag.state.oh.us Dublin, OH 43215
www.ohioattorneygeneral.gov (614) 481-3511
www.ocapsohio.org
Healthcare Fraud Section
Ohio
150 Crime Prevention
East Gay Association
Street, 17th Floor
P.O. Box 857
Columbus, OH 43215
Delaware, OH 43015
(614) 466-0722
740-417-9027
www.ag.state.oh.us
www.ocpa-oh.org
AARP Ohio
Ohio Department
17 South of Aging
High St., Suite 800
50 West Broad
Columbus, OH Street
43215
9th
(866)Floor
389-5653
Columbus, OH 43215
www.aarp.org
800-266-4346
www.aging.ohio.gov
Ohio Department of Aging
50 West Broad Street, 9th Floor
Columbus, OH 43215
(614) 466-5500 or (614) 466-6190 – TTY
www.goldenbuckeye.com
82
RECOMMENDED
READING

Recommended Reading
A Police Guide to Surveying conducting community surveys. being practiced in police forces in
Citizens and Their The document is also available at England and Wales.
Environments www.ojp.usdoj.gov/bjs.
Bureau of Justice Assistance, Opportunity Makes the Thief:
1993. This guide offers a practical The COPS Collaboration Toolkit: Practical Theory for Crime
How to Build, Fix, and Sustain Prevention
introduction for police practitioners to
Productive Partnerships by Marcus Felson and Ronald V.
two types of surveys that police find
useful: surveying public opinion and Gwen O. Briscoe, Ph.D., Anna T. Clarke (Home Office Police Research
surveying the physical environment. Laszlo, Tammy A. Rinehart. Series, Paper No. 98, 1998). Explains
It provides guidance on whether and (U.S. Department of Justice, Office how crime theories such as routine
how to conduct costeffective surveys. of Community Oriented Policing activity theory, rational choice theory
Services, 2001). and crime pattern theory have
Assessing Responses to practical implications for the police in
Problems: An Introductory Guide Crime Prevention Studies their efforts to prevent crime.
for Police Problem-Solvers Edited by Ronald V. Clarke
by John E. Eck (U.S. Department (Criminal Justice Press, 1993, et Problem Analysis in Policing
of Justice, Office of Community seq.). This is a series of volumes of by Rachel Boba (Police Foundation,
Oriented Policing Services, 2001). applied and theoretical research on 2003). Introduces and defines
This guide is a companion to the reducing opportunities for crime. problem analysis and provides
Problem-Oriented Guides for Police Many chapters are evaluations of guidance on how problem analysis
series. It provides basic guidance to initiatives to reduce specific crime can be integrated and institutionalized
measuring and assessing problem- and disorder problems. into modern policing practices.
oriented policing efforts.
Excellence in Problem-Oriented Problem-Solving Tips: A Guide
Bringing Victims into Policing: The 1999 Herman to Reducing Crime and Disorder
Community Policing Goldstein Award Winners Through Problem-Solving
The National Center for Victims of This document produced by the Partnerships
Crime and the Police Foundation. National Institute of Justice in by Karin Schmerler, Matt Perkins,
(Bureau of Justice Statistics and collaboration with the Office of Scott Phillips, Tammy Rinehart and
Office of Community Oriented Community Oriented Policing Services Meg Townsend. (U.S. Department
Policing Services, 2002). and the Police Executive Research of Justice, Office of Community
Forum provides detailed reports of the Oriented Policing Services, 1998).
Call Management and best submissions to the annual award
Community Policing program that recognizes exemplary Using Analysis for Problem-
problem oriented responses to various Solving: A Guidebook for Law
Tom McEwen, Deborah Spence,
community problems. A similar Enforcement
Russell Wolff, Julie Wartell, Barbara
Webster. (Bureau of Justice Statistics publication is available for the award Timothy S. Bynum. (U.S. Department
and Office of Community Oriented winners from subsequent years. The of Justice, Office of Community
Policing Services, 2003). documents are also available at www. Oriented Policing Services, 2004).
ojp.usdoj.gov/nij.
Conducting Community Surveys
Not Rocket Science? Problem-
by Deborah Weisel (Bureau of Justice Solving and Crime Reduction
Statistics and Office of Community
by Tim Read and Nick Tilley (Home
Oriented Policing Services, 1999).
Office Crime Reduction Research
This guide, along with accompanying
Series, 2000). Identifies and describes
computer software, provides
the factors that make problem-
practical, basic pointers for police in
solving effective or ineffective as it is

NATI
Alert Pages

NATI ALERTS
COMMUNITY SAFETY AND THE SENIOR
According to the Administration on Aging A Profile of Older Americans:2003, 77.4% of all seniors lived in
metropolitan areas—50% in suburbs and 27.4% in central cities. The remainder 22.6% lived in non-
metropolitan areas. In addition, the elderly are less likely to change residence than other age groups.
About thirty-one percent of seniors—10.5 million, live alone. The Bureau of Justice Statistics report, Criminal
Victimization and Perceptions of Community Safety in 12 cities, 1998, states that an approximate 42% of
metropolitan residents cite that they were fearful of crime in their neighborhood. In contrast, 71% cited a fear
of crime in their city. Senior statistics typically are higher. Those fearful of crime state that assault with a
gun and robbery as the street crimes they most feared.
Residents of the same study stated that neighborhood conditions reinforced these fears and affected their
sense of safety. Those conditions included public drug use, transients/homeless, abandoned buildings and
cars, vandalism or graffiti, loitering, poor lighting, trash, and empty lots.
Neighborhood Safety for Law Enforcement: There were approximately eight property crimes to every
violent crime, on average, in 2003 (Federal Bureau of
Investigation, Crime in the United States, 2003).
The National Institute of Justice formed the Strategic Approximately 35% of those surveyed in metropolitan
Approaches to Community Safety Initiative (SACSI) to areas reported violent and property crimes to the po-
pinpoint homicide prevention for law enforcement. The lice (Bureau of Justice Statistics, Criminal Victimization and Per-
study states that to reduce overall crime, consider the ceptions of Community Safety in 12 Cities, 1998).
following:
x Reduce high crime neighborhood poverty Law Enforcement Community Projects:
x Eradicate drug demand
Provide a local anonymous vehicle for reporting crime
x Federally prosecute all illegal gun carriers and suspicious activity in neighborhoods. This
x Offer parenting classes; and, can be mailer forms posted in your newspaper or
public places, or a telephone number in which to
x Support conflict resolution training and anti-gang leave detailed information (Office of Justice Programs,
programming in the schools. Project Safe Neighborhoods).
Partner with neighborhood groups to combat

In 2000, there were 7.7 million background checks con-
neighborhood crime. Involve job training agen-
ducted in the purchase of a firearm. Two percent
cies, small businesses, mortgage lending institu-
were found to be prohibited purchasers. Prohibiting
tions, educational associations and local govern-
factors included prior felonies, history of mental ill-
ment to address neighborhood decay (the National
ness, drug addiction, and domestic violence (Bureau of Training and Information Center).
Justice Statistics, Improving Criminal History Records for Back-
ground Checks, 2002).
Through Project Safe Neighborhoods, identify the
Approximately 89% of state criminal history repositories most serious, violent offenders in the city and in-
were automated by 2001. States held about 63.6 mil- crease the arrest, prosecution and incarceration
lion criminal records on individuals, with 3 of 4 histo- of these offenders. Studies found that 40% of
ries accessible for background checks (Bureau of Justice homicides were connected with more than one
Statistics, Improving Criminal History Records for Background
assailant and many victims and suspects had
checks, 2002). prior involvement in the criminal justice system
(Office of Justice Programs, Project Safe Neighborhoods).
In 2003, an estimated 82.8 percent of the U.S. population
lived in a metropolitan area, with an estimated 1.2
million violent crime offenses (Federal Bureau of Investiga-
tion, Crime in the United States, 2003).

Resources:
Neighborhood Safety for the Individual:
U.S. Department of Justice, Office of Justice Programs
Start or strengthen a Neighborhood Watch, Window 810 Seventh Street, N.W.
Watch, Adopt-A-Senior, or other neighborhood Washington, DC 20531
program. www.ojp.usdoj.gov
Find out whether your area has community policing. If Project Safe Neighborhoods
not, contact your local police department or sheriffs Office of Justice Programs
office to begin one. Build repoire with your offi- 810 7th Street, NW
cers. Washington, DC 20531
Help those who need a hand making their homes more AskPSN@usdoj.gov
secure, such as seniors, people living alone, or www.projectsafeneighborhoods.com
persons with disabilities.
Community Transportation Association of America
Trim shrubs, install wide-angle viewers, put in deadbolt
1341 G Street, N.W., 10th floor
locks.
Avoid high-crime areas in your neighborhood and pair (800) 891-0590
or group up for evening excursions. (202) 737-9197
webdesign@ctaa.org
Neighborhood Safety, Community Efforts: U.S. Administration on Aging
For vacant lots, work with your local Environmental Department of Health and Human Services
Protection Agency, city council, and other local Washington, DC 20201
officials to clean up and transfer them to the com- (202) 619-0724
munity for parks and recreation areas (U.S. Environ- (202) 357-3560 fax
mental Protection Agency, A cleaner Outdoors, 2004). aoainfo@aoa.gov
www.aoa.gov
Neighborhood safety programs that work to fight crime Eldercare Locator (800) 677-1116
and drugs are entitled by federal law to up to 15
percent of federally seized drug assets, such as U.S. Environmental Protection Agency
money and property. Pursue funding for Ariel Rios Building
neighborhood initiatives (the National Training and Infor- 1200 Pennsylvania Avenue, N.W.
mation Center).
Initiate a federally funded Project Safe Neighborhoods (202) 272-0167
initiative through your director of public safety and www.epa.gov
local law enforcement entities. This project works
to combat gun violence and crimes associated National Training and Information Center
with gun possession (Office of Justice Programs, Project 810 North Milwaukee Avenue
Safe Neighborhoods). Chicago, IL 60622
(312) 243-3035
Work with law enforcement, social service providers,
(312) 243-7044
community groups, and religious organizations to
ntic@ntic-us.org
give seniors crime prevention tools help make
www.ntic-us.org
them less likely victims of crime . Practitioners
agree that senior and community interaction in- Form Number NATI-04-07
creases a sense of security (National Crime Prevention
Council, Coalition Principle: Crime Prevention Requires Coop-
eration Among All Elements of the Community, 2004).
Provide Senior Transportation:

Transportation is one of the most common needs ex-
pressed by seniors that can often lead to ‘shut-in’ mental-
ity, exacerbating the fear of crime. In order to enhance
transportation options, work with your local Eldercare
Locator and the Administration on Aging to address the
following objectives:
x Better coordination of transport resources.
x Helping older adults recognize and use their
transportation options.
1450 Duke Street, Alexandria, VA 22314
x Developing creative and flexible designs for 703-836-7837 phone � 703-519-8567 fax
transportation services. triad@sheriffs.org � www.nationaltriad.org

NATI ALERTS
ELDER ABUSE
Most frequently hidden, elder abuse may not be evident in your community.Victims depend-
ent on abusive caretakers may not report abuse. Financial exploitation may occur without the
victim’s knowledge.
The National Crime Victimization Survey cannot accurately measure elder abuse, as it is
vastly unreported, and the mentally impaired often cannot report victimization or describe de-
tails.
Elder Abuse Defined: Elder Abuse and Death:

Elder abuse refers to any knowing, intentional, Of the 1.7 million senior deaths in 2000—about
or negligent act by a primary caregiver or 574 were classified as homicides, suggesting
other, that willfully or through negligence, that some go undetected. Less than one per-
causes a senior harm, serious risk, or death. cent of elder deaths have autopsies.
Dr. Elizabeth Burton, MD, Baylor Univ. School
Abuse Facts: of Medicine, noted a 44% discordance on
The National Center on Elder Abuse states that cause of death between clinicians and patholo-
about two of three cases involve a caretaking gists.
relative – estimating a 5-to-1 ratio of abuse
cases going unreported. Abuse may be:
x Physical - Threatening/inflicting physical

About 59% of crimes were neglect, 16% physi-
cal abuse, and 12% financial crimes. pain or injury, or depriving of a basic need.
x Emotional - Inflicting mental pain, anguish,

The Senate Special Committee on Aging states or distress by verbal/nonverbal acts.
that there were 2.5 million abuse incidents; a 20
percent increase from ‘99 - 2000. x Sexual - Non-consensual sexual contact.
x Exploitation - Taking, misusing, or conceal-

Self-neglect is abuse often due to diminished
mental or physical ability or social isolation. ing senior funds, property, or assets.
Many seniors remain in a neglected/abusive x Neglect - Failure by caregivers to ade-
situation. A competent senior may have the
quately provide food, shelter, and/or health
right to remain in an abusive situation.
care for a senior.
Passive neglect - failing to provide proper nutri- x Abandonment - The desertion of a senior
tion, hygiene, living conditions, or administer by a caretaker.
medication is common, leading to serious
health problems or death.

Elder Abuse warning signs: Types of Offenders:
Listed below are some indicators of possible abuse: Generally, a combination of psychological, social,
and economic factors, along with the mental and
x Bruises, pressure marks, broken bones, abrasions,
physical conditions of the victim and the perpetra-
burns, or untreated injuries in various stages of heal-
tor contribute to elder maltreatment.
ing.
Well-Intended, normally competent individuals—
x Unexplained withdrawal from routine activities, a now overwhelmed, highly stressed, with low re-
sudden shift in alertness, and unusual depression. sources.
x Bruises or bleeding around the breasts or genital Well Intended, Impaired individuals—may have
area, or unexplained STD’s. chronic or cyclical impairments.
x Sudden changes in financial situations, unex- Narcissistic Individuals—Self centered, exclusive

plained disappearance of funds or valuables, or unex- interest in their own needs.
plained transfer of assets to a family member or Abusive Individuals—Chronically angry, unhappy,
someone outside the family. critical, and feels justified in abuse.
x Bedsores, unattended medical needs, poor hy- Sadistic Individuals—Derive a sense of power from
giene, and abnormal weight loss. controlling/inflicting pain and suffering on others.
x Behavior such as belittling, threats, and other uses

of power and control by caretaker. Resources:
x Strained or tense relationships, frequent argu- National Center on Elder Abuse
ments between the caregiver and elderly person. 1225 I Street, NW Suite 725
x Unusual behavior usually attributed to dementia Washington, DC 20005
(e.g. sucking, biting, rocking). (P) (202)989-2586
x Desertion of an elder person in a hospital, nursing NCEA@nasua.org
facility, shopping center, or other location.
National Committee for the Prevention of Elder
Abuse
Self-Neglect signs:
www.preventelderabuse.org
Most cases reported to Adult Protective Services
are due to self-neglect. Self-neglect is often coupled Eldercare Locator:
with health factors, lack of a social support group, www.eldercare.gov
Alzheimer's disease/dementia, or drug/alcohol
abuse. Elder Abuse FAQ’s/NCEA Publications:
Self-neglect often includes: www.elderabusecenter.org
xHoarding Form Number NATI-04-04
xFailure to take medications

xFailure to seek medical treatment
xNeglecting a stove/oven
xPoor personal hygiene
xInappropriate clothing (e.g. no coat in winter)
xBewildered
xPoor housekeeping
xDehydration/Malnutrition 703-836-7837 phone � 703-519-8567 fax
triad@sheriffs.org � www.nationaltriad.org

NATI ALERTS
I D E N T I T Y T H E F T A N D T H E E L D E R LY
Identity theft is the fastest growing crime in the country – Last year nearly 10 million Americans had
their identities stolen. This cost nearly $50 billion with the average victim loss being $4,800. Sen-
iors are defrauded at twice the rate of the rest of the population.
Seniors are targeted for crimes for several reasons:
Availability—retired, less mobile, and perhaps in poor health, seniors are often home for cold calls,
and identification information.
Vulnerability—seniors alone with caretakers, unscrupulous family members, and with possible
memory impairments are targeted for identification fraud.
Money—targeted seniors are a ready money supply from savings or property.
Loneliness- Lack of friendships can position seniors to be receptive to fraud.
Identity Theft Defined In 2003, according to the FTC Identity Theft
Data Clearinghouse, there were 214,905 iden-
Identity assumed to commit fraud under the as- tity theft complaints. 54% of the complaints did
sumed identity is identity theft. A criminal will not notify a law enforcement agency, indicating
assume the name, address, social security that many victims do not know how to report
number, bank or credit account number, or and rectify these crimes.
other identifying information, without the victims’ Victims spent an average of 30 hours resolving
knowledge to commit fraud or other crimes. the problems brought on by a theft of their iden-
tity in 2002. The FTC survey suggests that
Criminals obtain personal information by rum- Americans spent almost 300 million hours re-
maging through trash, stealing wallets, purses, solving problems related to identity theft in the
mail, pre-approved applications, or tax informa- past year.
tion. They pose as telemarketers or sweep-
According to the FTC, 66% of identification
stakes employees to get personal information.
theft victims gave criminals requested personal
They send false e-mails, requesting informa-
information. Actions related to identification
tion. Dishonest employees steal employer per-
theft can be a federal offense and violations of
sonnel records. Criminals will watch or listen
these federal laws are investigated by Federal
for pin numbers, calling or credit card numbers.
Law Enforcement agencies including:
x Federal Bureau of Investigation (F.B.I.).
Identification Theft Facts:
x United States Secret Service.
A 2003 survey sponsored by the Federal Trade
x United States Postal Inspection.
Commission (FTC) found that almost 10 million
adults had their personal information misused x Social Security Administration /Inspector General.
through identity theft in the past year. (Federal Trade x Federal Identity Theft cases are prosecuted by the
Commission, 2003.)
United States Department of Justice

Credit Bureaus: To Combat ID Theft:
Better Business Bureau
EXPERIAN(FORMERLY TRW)
Elder Fraud Hotline
Phone: (804) 780-2222
To report fraud, call (888) EXPERIAN, fax to
(800) 301-7196, or write to P. O. Box Consumer Action Handbook
1017 Allen, TX 75013 Name and Address to: Handbook
Pueblo, Colorado 81009.
To order a copy of your credit report($8.00
(888) 878-3256
in most states) write to P. O. Box 2104
www.ConsumerAction.gov
Allen, TX 75013 or call (888)EXPERIAN
or (888) 397-3742 Consumer Response Center
Federal Trade Commission
To OPT OUT of pre-approved credit offers
and marketing lists, call (800) 353-0809
(202) FTC-HELP [382-4357]
or write to P. O. Box 919 Allen, TX
TDD: (202) 326-2502
75013
www.experian.com Reporting ID Theft: (when relevant)
Federal Trade Commission
EQUIFAX www.ftc.gov
U.S. Postal Service
To report fraud call (800) 525-6285 or write: www.usps.gov/websites/depart/inspect
P. O. Box 740250 Atlanta, GA 30374 U.S. Secret Service
www.treas.gov/usss
To order a copy of your credit report:
U.S. Social Security Administration
($8.00 in most states) call (800) 685-
www.ssa.gov
1111 or write to P. O. Box 740241 At-
Federal Bureau of Investigation
lanta, GA 30374-0241
www.fbi.gov
To OPT OUT of pre-approved offers of U.S. Department of Justice
credit: www.usdoj.gov
call (888) 567-8688 or write EQUIFAX Privacy Rights Clearinghouse
OPTIONS, P. O. Box 740123 Atlanta, www.privacyrights.org
GA 30374-0123 Identity Theft Prevention and Survival
www.equifax.com www.identitytheft.org
Form Number NATI-04-02
TRANS UNION
To report fraud, call (800) 680-7289 or write:

P. O. Box 6790 Fullerton, CA 92634
To order a copy of your credit report($8.00
in most states), write to P. O. Box 390
Springfield, PA 19064 or call (800) 888-
4213
To OPT OUT of pre-approved offers of
credit and marketing lists, call (800) 680-
7293 or write to P. O. Box 97328 Jack-
son, MS 39238 1450 Duke Street, Alexandria, VA 22314
www.tuc.com 703-836-7837 phone � 703-519-8567 fax

NATI ALERTS
OLDER DRIVER SAFETY
Presently, about one of every eight citizens in a given community is over 65 years of age. And, it is
estimated that as many as 90 percent of these older Americans, are still licensed to drive.
As we grow older, physical changes occur that affect our ability to drive safely. Eyesight, one of the
most critical aspects of driving, begins to deteriorate after age 40. Reaction time and flexibility also
diminish as we age.
The National Highway Traffic Safety Administration states that if a person lives long enough, physi-
cal changes or diminished ability due to disease will alter the performance level of critical skills
needed to drive.
Aging Facts:
In ten years, the US population over 65 Aging Driver Facts:
grew by 47%. Despite lower risk-taking, seniors are more
likely to be hurt or die in a car crash
By 2030 there will be 70 million seniors liv- (NHTSA).
ing in the US (Administration on Aging).
Only teenagers have a higher crash fatality
In 2000 about 35 million Americans were 65 rate than seniors (IIHS).
or older—about one of every eight (US Cen-
sus). Older drivers frailty makes them more likely
In 2000, there were 20 million older women to hurt themselves rather than others
and 14 million older men, a ratio of 141 (NHTSA and others).
women for every 100 men. The ratio in- Drivers over 65 are almost twice as likely to
creased with age (US Census). die in a crash- over 75 are 2 ½ times
There are 11 times more seniors (65+) in more likely to die and those over 85 are
America than there were in 1900, more almost 4 times more likely to die (AAA Foun-
dation for Traffic Safety).
than tripling during the last century (US
Census).
Senior crash fatality rates have climbed
There are 33 times more people over 85 at while overall fatality rates for all ages
the beginning of this century than in combined have remained stable since
1900 (US Census). 1991 (NHTSA).
Older drivers made up 10 percent of all li-

censed drivers in 2000, compared with 8
Driver Fat alit y Rat e (per 100 million VMT) percent in 1989 (NHTSA).
Sour ce: NHTSA
There were 19.1 million older licensed driv-

8
7
6
ers in 2001—a 36% increase from 1990
5
4
(NHTSA).
3
2
1
0 By 2020, there will be more than 40 million
licensed drivers ages 65 and older
(NHTSA).
Age

Licensed Drivers 70+ (Projected)
Source: NHTSA
20 Males 17.9
16 Females 13.9
12.8
11.8
12 10.1
9.0
8 7.0 6.3
0
1990 2000 2010 2020 1990 2000 2010 2020
Aging Driver Facts: Law Enforcement’s Role:

In 2002, 81 percent of fatal accidents involv- Cite offenders. The scope of the problem is
ing older drivers happened during the likely understated because officers are
day. 75% involved another vehicle reluctant to take enforcement action
(NHTSA). against “grandma and grandpa.”
Aging causes changes in psychomotor, cog- Know your state’s referral process for driver
nitive and visual ability—necessary for licensing retesting. Request retests for
safe motor vehicle operation (Widely cited). errant drivers as appropriate.
Senior drivers are over-represented in inter- Build coalitions to effectively channel com-
section crashes, and senior pedestrians munity resources. Undertake or
are up to five times more likely to die in strengthen Triads.
crashes than any other age group (NHTSA).
Act as a referral resource to link seniors,
According to the Insurance Institute for adult children and community outreach
Highway Safety, about half of fatal systems.
crashes in 2002 involving drivers 80
years and older occurred at intersections
and involved more than one vehicle.
Training Issues:
Officers need to be trained about aging—
how it affects people, its broad impact on
society, its impact on police services de-
livery. They especially need to be
trained how an older driver population
will affect traffic safety.
Law enforcement officers need to know how
to recognize the signs of dementia.
Law enforcement officers need sensitivity
training that focuses on the needs of an
aging community. 1450 Duke Street, Alexandria, VA 22314
703-836-7837 phone � 703-519-8567 fax

NATI
Resource
Pages

NATI RESOURCES
FRAUDS, SCAMS, AND THE SENIOR CITIZEN
Seniors are defrauded at twice the rate of the rest of the population. Through the efforts of officers
and Triad volunteers, seniors recognize fraud and scams and those who perpetrate them.
Seniors are targeted for crimes for several reasons:
x Availability—Seniors are often home for cold calls, and scam artists.
x Isolation—Very often seniors do not live in proximity of family and lack individuals to review in-
vestment or decision making.
x Loneliness- Lack of friendships can position some to be receptive to a friendly voice and con.
x Health issues—As one ages, natural health issues evolve. This often leaves seniors unable to
repair and upkeep homes, positioning them for scams and fraud.
x Money—Seniors are often targeted because cons see them as trusting and an easy target for
money from savings or property.
Fraud and Scam Facts: Twenty-six percent of victims of telemarketing

Losses associated with home improvement fraud overall in 2002 were age 60 or older. The
fraud against persons 65 and over, typically elder age group was victim of prizes and
range from $1,000 to $5,000, although figures sweepstakes fraud at a higher rate of 61 per-
as high as $10,000+ have been reported cent (National Consumer League. 2003. Credit Card Scams Bump
(American Association of Retired Persons. 2001). Prizes and Sweepstakes as #1 Telemarketing Fraud. Washington, DC).
Securities regulators estimate that securities It has been estimated by the U.S. General Ac-
and commodities fraud totals approximately $40 counting Office that healthcare fraud totals 10
billion a year (National White Collar Crime Center. 2002. Securi- percent of total healthcare expenditures each
ties Fraud. Richmond, VA). year. Total expenditures currently exceed $1
trillion a year, which puts annual healthcare
Check fraud is estimated to cost United States fraudulent losses at $100 billion (National White Collar
businesses $10 billion a year (National White Collar Crime Crime Center. 2002. Healthcare Fraud: Richmond, VA).
Center. 2002. Check Fraud. Richmond, VA).
The National Fraud Information Center received

There are approximately $500 million worth of reports of Internet fraud totaling $14,647,933
checks forged annually (Federal Trade Commission. 2003). during 2002. Ninety percent of the losses oc-
curred at online auction sites (National Fraud Information
The average loss to consumers from telemar- Center. 2003. Internet Fraud Statistics. Washington, DC: National Consumer
League).
keting fraud in 2002 was $845. The three most
common forms of fraud were telephone offers
for credit cards (27 percent); work-at-home of- Consumer Sentinel, the fraud complaint data-
fers (18 percent); and prizes and sweepstakes base developed and maintained by the Federal
(16 percent) (National Fraud Information Center. 2003. Telemarket- Trade Commission received 380,103 consumer
ing Fraud Statistics. Washington, DC: National Consumer League). fraud and identity theft complaints in 2002. Con-
sumers reported losses from fraud of more than
$343 million (Federal Trade Commission 2003).

Fighting Elderly Fraud and Scams Resources:
Predatory Lending: Home loans and preda-
tory lending schemes can place older in- Better Business Bureau
Elder Fraud Hotline-Phone: (804) 780-2222
dividuals in a situation where they can no
longer pay their mortgage, resulting in the Consumer Response Center
loss of their home. Many times, these of- Federal Trade Commission
fers come by telephone, mail, e-mail and Washington, DC 20580
even the seniors’ door. (202) 382-4357 TDD: (202) 326-2502
Home Improvements: According to the Con-
Credit Bureaus:
sumer Federation of America, home im-
EXPERIAN(FORMERLY TRW)
provement and contractor-related com-
To report fraud, call (888) 397-3742 or write
plaints are the second largest consumer
to P. O. Box 1017 Allen, TX 75013
complaint in the U.S. Often, these home
www.experian.com
improvement scams are directed toward
the elderly. Frequent complaints involve EQUIFAX
workmanship issues, overpricing, aban- To report fraud call (800) 525-6285 or write :
donment or unfinished work, failure to P. O. Box 740250 Atlanta, GA 30374
meet building code requirements, and fail- www.equifax.com
ure to use a written contract.
TRANS UNION
Telemarketing: Congress estimates that To report fraud, call (800) 680-7289 or write
consumers lose more than $40 billion an- to P. O. Box 6790 Fullerton, CA 92634
nually to telemarketing fraud. As many as www.tuc.com
one in ten callers may be fraudulent.
AARP finds that more than half of tele- Direct Marketing Association: Telephone/ Di-
marketing fraud victims were over the age rect Mailing List Removal-Access web site and
of 50. These calls may take the form of follow removal instructions
phony charity collection, investment op- www.the-dma.org
portunities, sweepstakes, or lotteries.
To verify a charitable organization, contact:
Warning Signs of Elder Fraud schemes National Fraud Information Center
1-800-876-7060
"Free" gifts that require you to pay shipping and National Charities Information Bureau
handling fees, redemption fees or gift taxes 1-212-929-6300 (NY)
before delivery
Philanthropic Advisory Service Council of Better
Business Bureaus
"High profit, no-risk" investments
"Act now" and other high pressure sales tactics
A request for a credit card number for identifica-

tion or to verify that you have won a prize
Refusal to provide written information or even

the most basic details about an organization
Organizations that are unfamiliar or have only a

post office box for an address
703-836-7837 phone � 703-519-8567 fax

NATI RESOURCES
INTERNET AND TELEMARKETING FRAUD
The National Fraud Information Center received reports of Internet fraud totaling $14,647,933 dur-
ing 2002. Ninety percent of the losses occurred at online auction sites. (National Fraud Information Center.)
Twenty-six percent of victims of telemarketing fraud overall in 2002 were age 60 or older and was
victim of prizes and sweepstakes fraud at a higher rate of 61 percent. (National Consumer League.)
Telemarketing Fraud Facts: Internet Fraud Facts:

The National Fraud Information Center states Average Internet Fraud Loss: $803
that consumer telemarketing fraud loss in
2002 was $845. The three most common forms Top 6 Internet Frauds Jan-Jun 2004
of fraud were telephone offers for:
Online Auctions* 28%
x credit cards (27%); General Merchandise 19%
x work-at-home offers (18%);
x and prizes and sweepstakes (16 %). Nigerian Money Offers 9%
Congress estimates that consumers lose $40+ Phishing 5%
billion annually to telemarketing fraud. As many Information/Adult Services 3%
as one in ten callers may be fraudulent. Lotteries/lottery clubs 2%
AARP finds that more than half of telemarketing
fraud victims were over the age of 50. Crowded Inbox
The flow of spam continues to rise, even
How Telemarketing Scams Work though a federal anti-spam law took effect on
A fraudulent telemarketing operation is usually January 1, 2004. Source: Symantec
a "boiler room," where seasoned operators try
to scam people.
60% Spam as a
Cold Calls. Scammers may get your number percentage
from a telephone directory, a mailing list or a of all e-mail
list of those who have responded to previous
telemarketing solicitations. 40%
Direct Mail. You may get mail saying you've
won a prize or a contest. The instructions tell
you to respond with certain information. If you
do, you'll be called by a fraudster. 20%
Broadcast and Print Advertisements. You

may place a call in response to an advertise-
ment. The fact that you initiate the call doesn't
mean the business is legitimate. ‘01 ‘02 ‘03 ‘04

To Combat Telemarketing/Internet Theft: Better Business Bureau
Elder Fraud Hotline
Don’t be pressured to make a quick decision. Phone: (804) 780-2222
Don’t give your credit card, account, or Social Internet Fraud Watch
Security number. (800) 876-7060
Be cautious of statements that you’ve won a www.fraud.org
prize-send no money to claim it.
Consumer Response Center
Don’t agree to pay a registration or shipping fee Federal Trade Commission
to receive a “prize.” 600 Pennsylvania Avenue, NW
Check out a charity before you give. Ask how (877) FTC-HELP [382-4357]
much goes to the charity. TDD: (202) 326-2502
Beware of offers to “help” you recover money www.ftc.gov
you may have lost previously. Direct Marketing Association (Sweepstakes)
www.the-dma.org
Check out unsolicited offers with the Better
Business Bureau, local consumer protection National Fraud Information Center
agency, or state Attorney General’s office. (800)876-7060
www.fraud.org
Resources: Federal Bureau of Investigation

EXPERIAN(FORMERLY TRW) www.fbi.gov
To report fraud, call (888) EXPERIAN or
U.S. Department of Justice
(888) 397-3742, fax to (800) 301-7196, or
www.usdoj.gov
write to P. O. Box 1017 Allen, TX 75013
To OPT OUT of pre-approved offers of credit Privacy Rights Clearinghouse
and marketing lists, call (800) 353-0809 www.privacyrights.org
or write to P. O. Box 919 Allen, TX 75013
Identity Theft Prevention and Survival
www.experian.com
www.identitytheft.org
EQUIFAX
To report fraud call (800) 525-6285 or write: Form Number NATI-04-05
P. O. Box 740250 Atlanta, GA 30374

To OPT OUT of pre-approved offers of credit:
call (888) 567-8688 or write EQUIFAX
OPTIONS, P. O. Box 740123 Atlanta,
GA 30374-0123
www.equifax.com
TRANS UNION
To report fraud, call (800) 680-7289 or write:
P. O. Box 6790 Fullerton, CA 92634
To OPT OUT of pre-approved offers of credit
and marketing lists, call (800) 680-7293
or write to P. O. Box 97328 Jackson, MS 1450 Duke Street, Alexandria, VA 22314
39238 703-836-7837 phone � 703-519-8567 fax
www.tuc.com triad@sheriffs.org � www.nationaltriad.org

NATI RESOURCES
PUBLIC SAFETY AND THE SENIOR CITIZEN
According to the Bureau of Justice Statistics of 2003, property crime declined through 2002 and stabilized in
2003. Violent crime rates have declined since 1994, reaching the lowest level ever recorded in 2003. How-
ever, personal victimization in 2002 of those over 65 were reported only 58.1% of the time.
Of crimes reported in 2002, only 6.5% of all property crimes affected those 65 and over. Of all reported
crimes of violence and assault, 11.6% were 50 and older. Statistically, seniors are the minority group af-
fected by violent and assault crimes.
Specifically, crimes of violence occurred during the day (6am-6pm) 52.7% of the time. Nighttime crimes of
violence occurred 45.6% of the time.
Specifically, property crimes occurred during the day (6am-6pm) 37.9% of the time. Nighttime property
crimes occurred 42.4% of the time.
Public Safety: According to the U.S. Department of Justice,
Crimes of violence happened at or near the parking facilities are more likely settings for
home in 31.7% of the cases reported. crime—both violent and property—than all other
real estate except residential.
Over 90% of all crime occurs after dark, states
the National Institute of Justice. Parking facilities comprise a large area with low
levels of activity. Violent crime is more likely to
54.1% of robbery and assaults reported in- occur in a parking facility than in other commer-
volved strangers, and occurred on a street cial facilities.
other than near the home.
Public Transportation Safety:
Seniors over 50 report being assaulted 3.8 Of incidents reported, only 5.5% of robbery or
times more than that of property crimes, such assaults happened on public transportation.
as robbery or purse snatching.
Elevator Safety:
Parking Facilities: Stairs, lobbies, and elevators have been at
Robbery and assault happened in a parking lot highest risk for personal crime incidents in park-
or garage in 43.2% of cases reported. In 30.8% ing facilities, due to the constrained and iso-
of these cases, the offender was a stranger. lated nature of the space.
Bureau of Justice Statistics, 2003 Bureau of Justice Statistics, 2003

Protecting Yourself While Out Resources:
On the Street: Watch for loiterers. Do not
carry large sums of money. Travel with Bureau of Justice Statistics
www.ojp.usdoj.gov/bjs/
others. Travel on well traveled, well lit
streets. Be aware of your surroundings.
If followed, go into the nearest business Crime Prevention Tips
www.crimepreventiontips.org/public-safety
or to the nearest occupied house.
Crime Prevention Through Environmental
On Public Transportation: While waiting, Design in Parking Facilities
stand near others who are also waiting. If U.S. Department of Justice
the area is deserted, stand near an occu- Office of Justice Programs
pied, well-lit building. Be aware of those National Institute of Justice
around you on public transport. If empty, Washington, DC 20531
sit near the driver. At your destination, be Research in Brief, 1996, NCJ 157310
aware of those who exits with you. After Smith, M.
dark, attempt to get off the bus in well-
lighted areas. Have someone meet you. Criminal Victimization in the United States
2002 Statistical Tables
On the Elevator: Observe elevator interior U.S. Department of Justice
before entering. Wait until the next eleva- Office of Justice Programs
tor if you are uncertain of an occupant. Bureau of Justice Statistics
Stand near the control panel—if accosted, December 2003, NCJ 200561
press ALL buttons. If a suspicious person
enters the elevator, exit before the door National Criminal Justice Reference Service
closes. Before exiting from the elevator, NCJRS
observe the corridor for suspicious activ- Box 6000
ity. Be aware of your surroundings. Rockville, MD 20849-6000
askncjrs@ncjrs.aspensys.com
Guarding Against Purse/Wallet Snatchers (800)851-3420
Remove the opportunity. Do not carry a Physical Environment and Crime
purse/wallet, but opt for a belt-pack, fanny Research Report, 1995, NCJ 157311
pack or other means. Taylor, Ralph B., and Adele V. Harrell
Shop with a friend.
If you carry a purse/wallet, never allow anyone
to see how much money you are carrying.
Do not sit purse or wallet on a counter while ex-
amining merchandise.
Walk confidently with your head up and show a
sense of purpose.
Carry only items that are essential. Photocopy
identification, credit cards, and medical cards
for replacement purposes, and keep in a
safe place.
If a criminal who wants your money, purse or 1450 Duke Street, Alexandria, VA 22314
valuables confronts you, cooperate and give 703-836-7837 phone � 703-519-8567 fax
them up.

NATI RESOURCES
VA N D A L I S M A N D T H E S E N I O R C I T I Z E N
Vandalism is the willful or malicious destruction, injury, disfigurement, or defacement of any public
or private property, without the consent of the owner—costing schools, homeowners, businesses,
youth, and others more than $15 billion a year. (Office of Juvenile Justice and Delinquency Prevention, 1998)
When compared with other age groups, persons age 65 or older were disproportionately affected by
property crimes. More than nine in ten crimes against the elderly were property crimes, such as
vandalism. (U.S. Department of Justice, Bureau of Justice Statistics 1998).
Annually on average, 2.5 million property crimes—home, vehicle, and property crimes, including
vandalism—against persons ages 65 or older occurred (U.S. Department of Justice, Bureau of Justice Statistics 1998).
Juveniles and Vandalism: Seniors and Vandalism:
Law enforcement made approximately According to the National Institute of Justice,
136,500 arrests of juveniles for vandal- neighborhood physical conditions, such
ism. This represents 44% of all vandal- as vandalism and graffiti, contribute to
ism arrests. Most vandals are young resident concerns for personal safety
people (Office of Juvenile Justice and Delinquency Pre- and their desire to leave their neighbor-
vention, 2000).
hood (Impacts of Specific Incivilities on Responses to
Female proportions of all juvenile arrests for Crime and Local Commitment, 1979-1994).
vandalism increased to 12% in 1997 (Office A study by the Consortium for Political and
of Juvenile Justice and Delinquency Prevention, 2000).
Social Research draws a strong correla-
In 1997, 49% of vandalism cases referred to tion between social disorder (teen va-
juvenile courts were handled outside of grancy and vandalism) and residential
the courtroom—meaning the juvenile fear of crime, victimization, and negative
served in probation, community service neighborhood perceptions (Evaluation of the
or similar social program (Office of Juvenile Jus- Impact of Innovative Policing Programs on Social Disorder in
tice and Delinquency Prevention, September 2004). Seven Cities in the United States, 1983-1990).
About half of all cases referred to juvenile A Fall, 2000 Gallup Poll stated that 12% of
court intake are handled informally, or all US households had had one’s home,
without charges. Most informally proc- car, or property vandalized. In addition,
essed cases are dismissed (Office of Juvenile more than one fourth of these crimes
Justice and Delinquency Prevention, June 2003). were not reported to police (The Gallup Poll,
2000)
Juveniles are more likely to commit crimes
in groups and are more likely to be ar- Vandalism results in local governments
rested than are adults (Crime in the United States, spending tax dollars for clean up ef-
2002). forts—money that could better serve
Vandalism accounted for 105,900, or 43% of other social services (Bureau of Justice Assis-
tance, Office of Justice Programs, 2004)
all juvenile arrests in 2002 (Crime in the United
States, 2002) In 2000, it is estimated that 6.1 million
In 2002, juveniles were involved in approxi- households in the United States were van-
mately 4 of 10 vandalism arrests (Crime in dalized-most unreported (Crime and Victimization in
America Statistical Overview, The National Center for Victims of
the United States, 2002).
Crime, 2002).

Reasons for Vandalism: Resources:
x Feeling a need to fit in National Crime Prevention Council
1000 Connecticut Avenue, NW, 13th Floor
x Please a friend Washington, DC 20036
x Parent retribution/Defiance (202)466-6272
(202)296-1356 (fax)
x Backlash to pressures at home www.ncpc.org
x Peer pressure/acceptance
U.S. Department of Justice
x For fun Office of Justice Programs
x Counter low self esteem Juvenile Justice / Delinquency Prevention
810 Seventh Street, NW
x Identify turf or territory (gang related) Washington, DC 20531
x Anger/Revenge (202)307-5911
www.ojp.usdoj.gov
x Boredom
Boys & Girls Clubs of America
1230 West Peachtree Street NW
To Counter Vandalism: Atlanta, GA 30309
x Stay active in your community to feel safer (404)815-5700
and to make your neighborhood safer. (404)815-5789 (fax)
www.bgca.org
x Train citizens to recognize/report suspicious
and criminal activities in their neighborhood. Juvenile Justice Clearinghouse
PO Box 6000
x Join a Neighborhood/Apartment/Window Rockville, MD 20849-6000
Watch, a Triad, or a Citizen Patrol. (800)851-3420
(301)519-5212 (fax)
x Report broken street lights, clean up parks www.ncjrs.org
and vacant lots and lobby local government
for better public lighting. Keep America Beautiful, Inc.
1010 Washington Boulevard
x Start a clean-up crew. Ask local businesses Stamford, CT 06901
to donate supplies for covering graffiti, or (203)323-8987
tools and equipment for repairing vandalized (203)325-9199 (fax)
property. www.kab.org
x Write articles on the cost of vandalism and Form Number NATI-04-06
graffiti, their impact on neighborhoods and

school/other budgets for activities, and how
the courts—juvenile and adult—treat van-
dals.
x Start a vandalism hotline in cooperation with
law enforcement and school officials that
lets callers anonymously report incidents of
vandalism and gives tips about vandals.
x Work with your community to adopt a street
or park monthly. Clean up, plant trees,
bushes, and flowers. Repair equipment and
703-836-7837 phone � 703-519-8567 fax
install trash containers.

NATI RESOURCES
THE FEAR OF CRIME AND THE SENIOR
A single senior victimization can frighten a community of seniors. They abandon patterns of
visiting friends, going to worship, shopping, and other social interaction. According to the
American Nurses Association, "Secondary Victimization" can lead to a condition of hyper
vigilance, suspicion and paranoia. This becomes more acute with violent crimes.
The U.S. Department of Justice states that among victims of non-lethal violence, persons 65
or older were about 6 times more likely than younger persons to never go out at night.
For the isolated or incapacitated senior, perception of the outside world is based on, and often
skewed by, media reports, who often sensationalize senior crime.
Independence
What are targeted Crimes?
Victimization may destabilize an older per-
Frauds and scams, purse snatching, pick
son’s sense of security. It can compromise
pocketing, theft of checks from the mail and
the will to cope with future problems.
crimes in long-term care settings –more often
happen to, or target, older victims according Combating Vulnerability
to AARP studies. Elder abuse always hap- Address seniors often unwarranted fear of
pens to seniors, of course. crime. Develop programs helping seniors to
realistically assess/reduce victimization risk.
The elderly fear the possibility of crime,
Implement or expand senior sensitive
even if they have not been victims. Often,
crime prevention programs with the fol-
seniors take precautions and continue with
lowing factors in mind:
their lives. Others acutely alter their life-
style or withdraw, debilitating the senior. x Prepare crime statistics for elderly vic-
timization. Explain to seniors what, when
Impact
and where crimes are occurring.
Elder victimization has far-reaching conse-
quences, such as slower injury recuperation- x Dispel unwarranted or exaggerated fears.
Physical and emotional trauma can lead to Surveys can indicate whether statistics
incapacity. and actual criminal activity are consistent.
Income x Plan a crime prevention education cam-
According to the Department of Justice, rob- paign to reach seniors – briefly, clearly,
bery accounted for a quarter of the violent and frequently.
crimes against persons age 65 or older. Fi- x Where other agencies sponsor crime pre-
nancial losscan do irreparable damage to a vention programs for elderly citizens, ex-
limited budget as well as emotional well be- pand those efforts.
ing.

Senior Safety Tips Resources:
Three reasons seniors are targets of violence : National Crime Prevention Council
1000 Connecticut Avenue, NW, 13th Floor
Lack of Awareness—Know where you are and Washington, DC 20036
what is going on around you. Look alert. (202)466-6272
Body Language—Keep your head up, swing (202)296-1356 (fax)
your arms, stand straight. www.ncpc.org
Wrong Place, Wrong Time—Don’t walk alone U.S. Department of Justice
or in unfamiliar neighborhoods. If you sense Office of Justice Programs
something is wrong, get away quickly. Juvenile Justice / Delinquency Prevention
810 Seventh Street, NW
Home Safety Tips Washington, DC 20531
(202)307-5911
x Lock your doors and windows, use deadbolt www.ojp.usdoj.gov
locks, install a good security system, get a
noisy dog, pin your windows. Boys & Girls Clubs of America
1230 West Peachtree Street NW
x Join a Neighborhood/Apartment/Window
Atlanta, GA 30309
Watch, a Triad, or a Citizen Patrol. (404)815-5700
x Never hide a key outside your home. Make (404)815-5789 (fax)
sure your keys are readily available as you www.bgca.org
approach your house. Juvenile Justice Clearinghouse
x Use a timer to turn on lights, radio or TV PO Box 6000
while you are away to give the impression Rockville, MD 20849-6000
that someone is home. (800)851-3420
(301)519-5212 (fax)
x Keep the outside of your home well illumi- www.ncjrs.org
nated at night.
Keep America Beautiful, Inc.
x Install a panoramic peephole and use it 1010 Washington Boulevard
when answering the door. Stamford, CT 06901
(203)323-8987
x Ask for ID from workmen. If you remain sus- (203)325-9199 (fax)
picious, call the company. www.kab.org
x Never let people know that you live alone.
Record answering machine messages in the
plural, use initials on your mailbox and in
phonebook listings.
x If you arrive at home and suspect a break-in,
DO NOT go into the house. Call police from
a cell phone or neighbors home.
x Trim plants away from windows and doors.
Plant prickly bushes under windows and
never leave a ladder or chairs outside the
home that can be used to gain entry. 1450 Duke Street, Alexandria, VA 22314
x If you live in an apartment building, avoid 703-836-7837 phone � 703-519-8567 fax
going into the laundry room or garage alone. triad@sheriffs.org � www.nationaltriad.org

This project was supported by Grant No. 97-
DD-BX-0003 awarded by the Bureau of Justice
Assistance, Office of Justice Programs, U.S.
Department of Justice. The Assistant Attorney
General, Office of Justice Programs, coordinates
the activities of the following offices and
bureaus: Bureau of Justice Assistance, Bureau
of Justice Statistics, National Institute of Justice,
Office of Juvenile Justice and Delinquency
Prevention and the Offices of Victims of Crime.
Points of view or opinions contained within this
document are those of the author and do not
necessarily represent the official position or
policies of the U.S. Department of Justice.
OHIO TRIAD PARTNERS
Ohio Attorney General Mike DeWine
Buckeye State Sheriffs’ Association
Ohio Association of Chiefs of Police
Ohio Crime Prevention Association
Ohio Department of Aging
The Ohio Attorney General’s

Crime Victims Assistance and Prevention
150 E. Gay St., 25th Fl.
Columbus, OH 43215
614-466-5610 • 800-582-2877
Triad@OhioAttorneyGeneral.gov

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OHIO

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Triad: A Concept in Action

The NATI Logo

Chapter Five – Structure of Triad .................... 16 Appendix ............................................................. 51

NATI Resource Pages ....................................... 95

Percentage of the population age 65 and older, by state, 2000

Less than 10%

Who are Seniors?

Getting Under Way

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Role of the S.A.L.T. Council

Activities of the S.A.L.T. Council

Information Sharing and Education

Advocacy and Advisory Group

What the Council is Not

S.A.L.T. Council Meetings

Ten Tips for S.A.L.T. Councils

The Older Victim

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What are Targeted Crimes?

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Secondary or Vicarious Victimization

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Training for Ofﬁcers

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What Ofﬁcers Know

Victimization and its Effects

Crime Reporting by Older Individuals

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Starting a Citizen Police Academy

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Law Enforcement Agencies

Victim and Witness Assistance

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Planning for Evaluation

The Measuring Stick

Goals and Objectives

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Methods of Gathering Information

Determining Results by:

Involving Triad Partners

Supporting Documentation for Program:

Resources Needed (Volunteers/Staff/Material requirements):

Procedures (How program is put together):

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Potential Model Programs/Notes:

Supporting Documentation for Program:

Resources Needed (Volunteers/Staff/Material requirements):

Procedures (How program is put together):

"DDPSEJOHUPUIFQVCMJDBUJPO '3453&410/4&507$5.40'$3.& 64

0MEFSJOEJWJEVBMTGFBSUIFQPTTJCJMJUZPGDSJNF FWFOJGUIFZIBWFOPUCFFOWJDUJNT0GUFO TFOJPST

ɩSPVHIFEVDBUJPOBOEUSBJOJOHCZMBXFOGPSDFNFOUQSPGFTTJPOBMT DPNNVOJUZMFBEFST TFOJPSJTTVFT

8IFOFYQBOEJOHFYJTUJOHDSJNFQSFWFOUJPOQSPHSBNT PSBEEJOHOFXPOFT DPOTJEFSUIFGPMMPXJOH

4"-54QFBLFST#VSFBVNFNCFSTPGUIF4"-5$PVODJM MBXFOGPSDFNFOU BOEPUIFSTFOJPST

1VCMJDIPVTJOHQSPKFDUT$JUZHPWFSONFOU TPDJBMTFSWJDFT MBXFOGPSDFNFOUBOEIPVTJOH

4BGF8BMLT.S.BSL'FOUPO FEJUPSPGUIF#PTUPOCBTFE8BMLJOH.BHB[JOF TUBUFTUIBUUIF

*OTPNFOFJHICPSIPPET IPXFWFS WFOUVSJOHPVUDBOCFQPUFOUJBMMZEBOHFSPVT3FNPWFTFOJPSTGSPN

3FGSJHFSBUPS$BSET0SJHJOBUJOHJO.PONPVUI$PVOUZ /+ UIJTFBTJMZSFQMJDBCMFQSPEVDUJTOPX

'JMFPG-JGF"OJEFBPSJHJOBMMZEFWFMPQFEJO#SJEHFQPSU $POOFDUJDVU UIJTQSPHSBNVUJMJ[FTBDMFBSMZ

0MEFS1FSTPOT3FGFSSBM$BSE0SJHJOBMMZEFWFMPQFEJO7PMVTJB$PVOUZ 'MPSJEB UIFTFDBSETBSF

"EPQUB4FOJPS#FHVOJO4U.BSUJO1BSJTI -PVJTJBOB MBXFOGPSDFNFOUPċDFSTiBEPQUwB

*OWJUFEJTFBTFTQFDJBMJTUTUPQSPWJEFUSBJOJOH"M[IFJNFST"TTPDJBUJPODIBQUFST GPSFYBNQMF PĊFS

"GUFSWPMVOUFFSTBSFSFDSVJUFE CFHJOFEVDBUJOHGPSFYBNQMF UISPVHIUIF$JUJ[FO"DBEFNZ

& WBMVBUJPOJTBOFDFTTBSZDPNQPOFOUPGBOZTVDDFTTGVM5SJBEBUUIFWPMVOUFFS BTTJHOFEUBTL

"OFWBMVBUJPO QFSUJOFOUBUBMMUISFFBGPSFNFOUJPOFEMFWFMT TIPVMEBOTXFSUIFTFRVFTUJPOT

1BSUJDJQBOUT0ċDFS+POFT %FQVUZ4NJUI BOE.S4FOJPS7PMVOUFFS

*GZPVSDPNNVOJUZBMSFBEZIBTBWJDUJNBTTJTUBODFQSPHSBN FYQBOEJU IBWJOHPMEFSWPMVOUFFST

3FTFBSDITBZTUIBUiQBTTJWFOFHMFDUwGBJMJOHUPQSPWJEFQSPQFSOVUSJUJPO IZHJFOF MJWJOHDPOEJUJPOT

&TUBCMJTIiCVEEZOFUXPSLTw7PMVOUFFSCVEEJFTNBZCFGSJFOET BDRVBJOUBODFT PSTPNFPOFVOLOPXO

t i-FBWFZPVSOVNCFSBOEXJMMHFUCBDLUPZPVBGUFSDIFDLXJUI UIF#FUUFS#VTJOFTT#VSFBV

'PSQSFTFOUBUJPOT VUJMJ[FTFOJPSBDDFTTJCMFTQBDF TVDIBTBDPNNVOJUZDFOUFSPSMJCSBSZ6UJMJ[FZPVS

1SPWJEFBSUJDMFT CSPDIVSFT BOEQSFTFOUBUJPOTXJUIGPMMPXVQCVMMFUJOTBOESFNJOEFSTUP

ɩFSFGPSF CZBHSFFNFOU UIF5SJBEXJMMJOJUJBUFUIFBQQSPQSJBUFBDUJPOTUPBDIJFWFUIFTFPCKFDUJWFT

*GZPVBDDFQUUIJTJOWJUBUJPOUPTFSWFPOUIF4"-5$PVODJM OPSNBMMZ mGUFFOPGZPVSQFFST

In which section do you live: /PSUIFBTU@@@@/PSUIXFTU@@@@4PVUIFBTU@@@@4PVUIXFTU@@@@

%PZPVMJWFBMPOF :FT@@@/P@@@

Optional Information, helpful but not required: "HF@@@ 4FY@@@

'MBTIMJHIUT XJEFCFBN TIBUUFSSFTJTUBOU CBUUFSJFTDIFDLFEPOESJMM FYUSBCBUUFSJFTBWBJMBCMF

3FTJEFOUJTBMFSUBOEPSJFOUFEBOEOPUBUSJTLGPSFMPQFNFOU :FT /P

3FTJEFOUPGUFOSFRVFTUTUPHPIPNFBOEPSJTTFBSDIJOHGPSIPNF :FT /P

3FTJEFOUIBTBIJTUPSZPGMFBWJOHIJTIFSIPNFPSGBDJMJUZ :FT /P

3FTJEFOUFYQFSJFODFTJODSFBTFEDPOGVTJPOBUDFSUBJOUJNFTPGEBZ :FT /P

3FTJEFOUIBTIBEBEFDMJOFJODPHOJUJWFTUBUVT :FT /P

3FTJEFOUXBMLTQBDFTBCPVUGBDJMJUZBOEJTPGUFOGPVOEBUBOFYJUEPPS :FT /P

3FTJEFOUJTDBQBCMFPGJOEFQFOEFOUNPCJMJUZ :FT /P

3FTJEFOUSFTJTUTSFEJSFDUJPO :FT /P

3FTJEFOUBUUFNQUTUPGPMMPXPUIFSTXIFOMFBWJOHUIFCVJMEJOH :FT /P