Shannon D. Dicus
Sheriff-Coroner
Safe Return Home
Safe Return Program
First Name
First Name is required.
Middle Name
Last Name
Last Name is required.
Date of Birth
Date of Birth is required.
The date should be in the format mm/dd/yyyy
Phone
Phone Number is required.
The phone number should be in the format 999-999-9999
Email
Email should be in the format someone@example.com
Reason
Reason is required.
Additional Information