Port Lavaca, TX · Calhoun County
Autism Elopement Alert Form
This form collects person-specific and emergency contact information to help first responders search for and support an individual with autism.
What this form is
The Autism Elopement Alert Form records information for first responders, including an individual’s description, medical and sensory needs, emergency contacts, and preferred communication methods. It also asks about nearby water sources, familiar locations, behaviors, identifying information, and tracking devices. The form includes space to attach a current photo and a field for the date submitted.
Who needs it
A parent, guardian, household member, or care provider can complete the form with information about an individual with autism for first responders.
How to submit it
Submit it to the city department named on the form; check the city website for current contact details.
About notarization
This form does not require notarization; it requests a submission date, and the document identifies no attachment or related step as sworn or notarized.
How to submit this form
- 1
Download The Form
Download the Autism Elopement Alert Form PDF.
- 2
Complete The Form
Fill in the individual’s identifying, medical, communication, and emergency contact information.
- 3
Attach A Current Photo
Attach a current photo in the space provided and enter the date submitted.
- 4
Submit To The City
Submit it to the city department named on the form; check the city website for current contact details.
Frequently asked questions
- What information does the Autism Elopement Alert Form request?
- It asks for identifying and physical details, medical and sensory needs, emergency contacts, communication preferences, familiar locations, and tracking information.
- Who can complete this alert form?
- The form requests information from parents, guardians, a head of household or residence, or care providers about the individual.
- Do I need a notary for the Autism Elopement Alert Form?
- No. The form does not require notarization; it requests a submission date and identifies no attachment or related step as sworn or notarized.
- How do I submit the Autism Elopement Alert Form?
- Submit it to the city department named on the form; check the city website for current contact details.
Need something notarized?
This Autism Elopement Alert Form doesn’t need a notary — but Texas residents can notarize other documents online with a commissioned online notary.