R.U. OK

The Maricopa County Sheriff’s Office (MCSO) offers a FREE automated telephone service to help keep Sun City senior residents safe. Through the RUOK program, which stands for “are you okay?” participants receive phone calls from MCSO at a designated time each day to check on their status. If no one answers the phone after several tries, MCSO deputies drive to the home to check on the resident. This program is limited to residents of Maricopa County and those living within the boundaries of Sun City.

Enrolling
Participants can enroll by entering the information below or by picking up forms available at:

Sun City Posse
10861 W Sundland Drive
Sun City, AZ 85351

If there is a problem once you start receiving telephone calls from R.U.O.K, you should call (602) 876-4123 and leave a message. If after 2 weeks you have not started receiving R.U.O.K calls, then call the Chaplain (623) 972-2555 x132, and we will resend your application to the Sheriff’s Office.

R.U.O.K. REQUEST FORM

Subscriber Name

Subscriber Name(Required)

First Middle Last

Subscriber Address

Subscriber Address(Required)

Street Address Address Line 2 City ZIP Code

Subscriber Phone(Required)

Subscriber Date(Required)

In Case of Emergency, Notify: 1

In Case of Emergency, Notify: 1(Required)

Street Address Address Line 2 City ZIP Code

Emergency, Notify: 1 Phone(Required)

In Case of Emergency, Notify: 2

In Case of Emergency, Notify: 2(Required)

Street Address Address Line 2 City ZIP Code

Emergency, Notify: 2 Phone(Required)

Dangerous Pets?

Yes or No? — If "Yes" please type & location(Required)

Live Alone?

Yes or No? — If "No" please type name(s) residents(Required)

Able to Walk?

Yes or No?(Required)

Best Time to Call You?

Best Time to Call You(Required)

Keys on Premise?

Yes or No? — If "Yes" location?(Required)

Keyholder Info: 1

Keyholder Info: 1(Required)

Street Address Address Line 2 City ZIP Code

Keyholder Info: 1 Phone(Required)

Keyholder Info: 2

Keyholder Info: 2 Address

Street Address Address Line 2 City ZIP Code

Keyholder Info: 2 Phone

Doctor and Clergy

Doctor’s Name(Required)

First Last

Doctor’s Phone(Required)

Clergy’s Name(Required)

First Last

Clergy’s Phone(Required)

Medical History

Please list the location of Medical History and list of Physical Impairments(Required)

WAIVER OF LIABILITY • R.U.O.K. PROGRAM

I hereby agree to accept the terms of this agreement for participation in the R.U.O.K. computer program in Northwestern Maricopa County, Arizona. I agree to release and hold harmless the Maricopa County Sheriff’s Office, and any and all other participating agencies and/or its agents or employees from any and all liability for any acts or omissions resulting from participating in the program.

This release of liability and agreement given by me shall apply to any right of action that might accrue to my heirs and personal representatives. Participation will be based on the decision of the Division Commander for the Communications Division of the Maricopa County Sheriff’s Office, and the stature of the systems at the time of request. The user candidate agrees to furnish personal history information of a confidential nature, with will be kept on file in the Communications Center of Maricopa County Sheriff’s Office.

No release of information will take place except to on duty public safety personnel in the performance of their assigned duties. The user Candidate agrees to incur the cost of owning and operating a telephone in their residence and additionally agrees to furnish access keys to two parties of the candidate’s choice. This information will be kept on file at the Maricopa County Sheriff’s Office. The user candidate agrees to notify the R.U.O.K. system in the event that the candidate will be unavailable for the predesigned telephone call from the system.

WAIVER OF LIABILITY DATE(Required)

Signature(Required)