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Consent Release
Please review the following before completing, signing or submitting this form:
I understand I am enrolling myself, a close family member, or a person I am authorized to enroll in such a program to the Charlotte-Mecklenburg Police Department’s Safe Outcomes. I understand enrollment in this program is completely voluntary. The attached information is knowingly and willfully provided to Charlotte-Mecklenburg Police Department (CMPD) for the sole purpose of aiding emergency responders in better assisting myself, a close family member, or a person I am authorized to enroll in such a program. I, therefore, authorize the use of this information for aforementioned purpose. Any information provided will be stored in the Safe Outcomes and will be handled in accordance with CMPD’s Directive(s) and Standard Operating Procedure. CMPD respects your right to confidentiality and will strive to ensure that your personal information remains confidential. I understand that any information provided to CMPD may become a public record as defined in N.C.G.S. §132-1. However, CMPD will not release any information obtained under this program, except for as required by law. I understand that it will take ten (10) business days for the information entered in the Safe Outcomes website to be available to officers.
You must review and update or confirm your listing(s) in the registry:
– Every 12 months even if there are no changes.
– Or as soon as possible when there are changes.
This is to ensure accuracy in the event of an emergency.
I certify that all information I have provided to the Charlotte-Mecklenburg Police Department is true to the best of my knowledge.
*
I consent
New User Sign-up.
*Indicates Required Fields
Please fill out the form to create a new account.
*E-Mail Address:
*Password
Please refer to password complexity requirements below.
*Confirm Password
Please refer to password complexity requirements below.
*4 Digit PIN Number:
Used for password reset. The PIN can be any 4 digits, for example the last 4 digits of your SSN, last 4 digits of your phone number, or last 4 digits of your birth date in the YYMM format.
Back to Safe Outcomes Login!
The passwords you choose must:
be at least 8 characters long.
contain both upper and lower case characters.
contain at least one numeric character.
not repeat a previous password used on the account.
not contain your account or full name.