How do I enter my Information Into the Special Needs Information Form?
The form is designed to be easy and simple to be filled in without needing assistance. Enter the information when requested, where applicable. Answer questions with yes or no responses, and provide any additional details if necessary.
Should I Fill Out The Form?
That’s entirely up to you and is your decision. The information you provide will be used during disaster and/or emergency situations. If you feel assistance would be required during a disaster or emergency, please fill out the form. If you feel well enough to not require assistance you don’t have to. It’s optional and designed to help us locate citizens with special needs that would require assistance, quicker.
How Will My Information Be Used?
Privacy is important. Information provided through the Special Needs Information collection form will be kept confidential and private. It will not be shared with external parties that will sell or use the information provided for nefarious purposes. The information will be used by emergency personnel and responders during emergencies to be able to locate and assist citizens with special needs.
What If I Don’t Have a Computer?
Entering information through the form is the easiest, quickest, and most accurate way for information to be entered into the system. A family member or emergency contact can assist entering the information. Visiting the Sullivan County Library where PC’s are available to public to use is also an option. If a paper option is preferred, please contact Sullivan County Emergency Services at (570) 946-5010 for a paper form to be issued by mail. When the paper form is received, it will be entered into the system.
What Kind Of Assistance Can Be Expected To Be Received By Providing My Information?
Information gained from the Special Needs Information collection form will enable Sullivan County Emergency Services and local level emergency responders to come to aide with necessary equipment and vehicles for citizens with special needs. Assistance is not guaranteed by completing this form, and is based on resources available during an emergency or disaster.
Will I Be Contacted After I Provide My Information?
An automated email will be generated and sent to the email address provided on an annual basis to keep our records current and if anything has changed. If a paper form was submitted, you will receive a telephone call or a flyer in the mail requesting any updated information.
If anything changes between the time your information is submitted or updated, and you would like to notify us sooner of any changes, please contact Sullivan County Emergency Services at (570) 946-5010 for direction.