The Special Needs Registry is Voluntary and Strictly Confidential

The Special Needs Registry will be used by Emergency personnel to check your welfare and/or assist in relocation during emergency situations. In addition, your basic medical history is entered into the 911 database and should an emergency call be received from your home telephone, the telecommunicators will be able to provide potentially lifesaving information to the responding emergency agency.

It is important that you Register now

Even if you plan to shelter with family or friends, it is important that you register now so that Emergency Personnel will be able to notify you of emergency evacuations and assist you during times of emergency should your plans or condition change.

Print out form
Form will need to be returned to Emergency Management via fax, mail or hand carried

Fill out Form and Submit Online
you will be contacted after received for verification