DOSSIER

FORM PO-52 · CONFIDENTIAL

CORE DATA

COLOR / GROUP:
SPOUSE / EMPLOYER / TARGET:
ADDRESS / SUPERVISOR / HANDLER:
PROFESSION / SHIFT / CODE:

NON-CORE DATA

CHILD:
PET:
VEHICLE:
HOBBY:
EMPLOYER:
NEIGHBOR:
FAVORITE DRINK:
FAVORITE FOOD:
FAVORITE BOOK / MOVIE:
ALMA MATER:
SECRET ADDICTION:
MOTHER-IN-LAW (Name):
MOTHER-IN-LAW (Complaint):

Submission constitutes consent. Retention is indefinite. The municipality is not liable for data that remembers you back.