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Harford County Bridge Program Referral Form

  1. Bridge Program logo (Word Bridge with orange blue and green circle)
  2. ONLINE REFERRAL FORM - Please complete all sections. If unsure of answer, write unknown, none or N/A.
  3. IF LAW ENFORCEMENT REFERRAL PLEASE UPLOAD REPORT

  4. Juvenile Justice Reform Act Referral - Was the child unable to be charged due to age?
  5. Is the Parent/Guardian aware of referral?*
  6. Leave This Blank:

  7. This field is not part of the form submission.