National Family Violence Apprehension Detail

Sign-up Form and Registration/Info Packet

Download the SWEEP Registration and Information Packet (PDF format) -- containing info, phone numbers and everything else you'll need to participate.

Agency Information

Agency Name

Agency Head (optional)

Address

City

State

ZIP

We are joining the SWEEP as a:

Participating Agency

A "Participating Agency" is an agency that either works on its own OR coordinates a team of various sub-agencies during the SWEEP.

Sub-Agency

A "Sub-agency" is working with a Participating Agency as part of its coordinated team effort.

If you are registering as a sub-agency, please name your participating agency:

Name

Primary Phone

Secondary Phone (optional)

Name (optional)

Email (optional)

Primary Phone (optional)

Secondary Phone (optional)

CAPTCHA

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