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In Case of Emergency Contact Form

This form is available to citizens who may have someone with special needs or have an aging family member that may have difficulty communicating to first responders during an emergency. Simply complete the form and print a copy, fold the form in half on the dotted line and attach to a refrigerator using a magnet or tape with the 911 logo to the front. You may even wish to place a copy in the glove compartment of your car. Information on this form can save critical time and assist police, fire or EMS personnel during an emergency.

Help protect you and your family members.  


Size 126.45 KB
Downloads 2029


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