Georgia Certificate Authorizing Transport to Emergency Receiving Facility and Report FORM 1013

Form Template

As soon as possible, but within 72 hours after receiving this certificate, the Peace Officer shall make diligent efforts to take the named Individual into custody.

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Thereafter, the Peace Officer shall transport the Individual to the emergency receiving facility serving the county where such person is found, as named above. This certificate expires 7 days after it is executed and submitted. This certificate and the Report of Peace Officer are to be delivered by the Peace Officer to the emergency receiving facility and are to be made a part of the above-named Individual's clinical record. If private transportation by family, friends, or other means is deemed safe, it shall be encouraged and authorized. This does not relieve the county governing authority from its responsibility to arrange for transportation when needed or requested. This app is specific to the State of Georgia. The Georgia Certificate Authorizing Transport to Emergency Receiving Facility and Report FORM 1013 mobile app allows you to replace your paper authorization with a cell phone, tablet or even a computer. The mobile form includes fields to document items such as date, emergency receiving facility, telephone number, staff and captures staff signature. Once the mobile app is filled out a secure PDF is generated. The PDF is easy to share, and a copy is stored in your account for your transportation and receiving records. You can also use the App Builder to personalize and customize this mobile form.

Features
  • Signature Capture
  • Submission Editing
  • Reference Data
  • Dispatch
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Platforms
  • iPhone
  • iPad
  • Android
  • Windows
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Integrations
  • Quickbooks
  • Salesforce
  • Google Docs
  • Dropbox
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