Make A Referral

Please fill out the form below to make a referral to LEAD.

Basics

Is this an emergency situation that requires an immediate response?(Required)
Is the situation non-violent in nature?(Required)
Describe your relationship to the person you are referring.

Eligibility Criteria

Does the individual reside in or spend time in the area highlighted in red below?(Required)
Note: Their permanent address does not need to be located within LEAD's catchment area.

LEAD Minneapolis’ catchment area covers East Lake Street from Chicago Avenue to Hiawatha Avenue AND two blocks north and two blocks south.

Please select any that may apply to this referral:(Required)

Referral Details

Please include a description of the public safety concern you have related to this referral.
If known, what are the name(s) of the individual(s) you are referring?
If known, what is the Date of Birth or approximate age(s) of the individual(s) you are referring?
If known, what is the phone number for the individual(s) that our Case Managers can use to contact them?
The information you provide here will aid LEAD Case Managers in their outreach, so please be as detailed as possible with physical descriptions, including any identifying features, and locations where the individual(s) can regularly be found to aid LEAD Case Managers in finding your referral.
Photos uploaded should maintain respect and privacy for the individual you are referring as well as any others who may appear in the photo. Photos of individuals should not be taken without their explicit permission. You may upload pictures of the location or other non-identifying photos that may aid our Case Managers in locating the individual referred.
Max. file size: 100 MB.

Your Contact Information

Name(Required)
Follow-up
Mailing Address
Would you be willing to complete a brief survey about your interaction(s) with the LEAD program?
What is your preferred method of communications?

Email updates
This field is for validation purposes and should be left unchanged.
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