Fire & Police Advocates

Information Update Form


If you have been appointed as the fire or police advocate for your department and your up to date information has not been submitted to the Citizens Commission for the Safety and Care of the Elderly,

please download this form, print/mail or email it to:

Chief Richard Susi, Ret.

at or

PO Box 6041
Providence, RI, 02940



Department or District Name: __________________________________________


Advocate Name: _____________________________________________________


Advocate Contact information:


Email address: __________________________________


Business phone: _________________________________


Cell phone: _____________________________________


Other phone: ____________________________________



For verification purposes, please provide the name and contact information of the chief, supervisor or person responsible for appointing you an elderly advocate: