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Family Support Request

 

Please use this online form as a request for assistance from Backing the Blue Line. We will review the request and respond according to our Standard Operating Procedures. If this is urgent, please feel free to contact us via email.

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Any information you do not know, please put "Do Not Know" or "N/A".  If you have any questions, comments or concerns, please contact Family Support Director or Fallen Officer Memorial Rose Director.

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Family Support Request Form

Who is your request for?

Please list a departmental contact, family friend or family member we could contact for further information, if needed, as well as how to contact them.

Please be as specific as possible... Include names, dates and anything else that will help us give them the best support and care we can. (Who, what, when, where, how, etc.)

By submitting this form, you are granting the following permission to email you.

 

Backing the Blue Line: Police Wives of Minnesota

7900 International Drive, Suite 300
Bloomington, MN 55425
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