Operational Tool Kit

Operational Toolkit: Forms, policies and procedures were created to support the needs of the community based coordinator doing post-arrest jail diversions. Click on an item on the list below, or scroll down further for additional information about each item.

* Theses forms should be considered "examples" of documents for local customization and approach.


This includes the development of the following items:

Human Services Detainee Intake Screening

Our screener completes this form in the pre-booking area or in the community and reviews charges to determine if the individual is eligible for diversion. This covers the four areas of concern: medical, mental and chemical health, and corrections. This form helps the CBC and individual develop a plan.

ROI Legal

The purpose of any release of information form is to coordinate services for the individual. This form marks what information the individual is allowing to be shared with a county attorney, public defender, lawyer, and/or probation official.

Results Referral Form

The results and referral form is completed to summarize screening results and legal charges, make referrals, and outline placement options. The form includes an application for services section.

ROI Medical

The purpose of any release of information form is to coordinate services for the individual. This form marks what information the individual is allowing to be shared with a human services, health care providers, mental or chemical health care facility, and/or a treatment center.

Initial Screening Form

The purpose of any release of information form is to coordinate services for the individual. This form marks what information the individual is allowing to be shared with a human services, health care providers, mental or chemical health care facility, and/or a treatment center.

Privacy Rights Notice

This form is an explanation of privacy rights. Information will only be shared if allowed.

My Yellow Line Plan

An individual fills out a YL Plan with the help of the screener.

Release of Liability - Alcohol/Drug

If an YLP individual is leaving the pre-booking location, a release of liability form is signed by the person taking them off the premise. The receiving person is agreeing to accept liability for the individual who was detained.

Release of Information

A Release of Information form is signed to coordinate services to entities for each individual. *NOTE: This form is printed on carbon copy paper to protect privacy while only requiring one signature from the individual.

Completion Notification to Law Enforcement

When an individual completes their My Yellow Line Plan, a success letter is sent to the officer involved in the original incident.

ROI Law Enforcement

The purpose of any release of information form is to coordinate services for the individual. This form marks what information the individual is allowing to be shared with Law Enforcement.

Non-Completion Notification to Law Enforcement

In the event that an individual does not meet expectations and/or complete their My Yellow Line Plan, a letter is sent to the officer recommending the individual to be criminally charged.

Archived (no longer used)

YLP Offense List

Not all individuals are eligible for the Yellow Line Project. Attached are our current offense categories.

YLP Participation Agreement / Treatment Plan

The individual, law enforcement officer, and screener must all sign the agreement to start the diversion plan. This is what we refer to as "the three yes's