The Special
Needs Registry is a St Mary’s County Government initiative that
involves many Departments and Agencies in the County. The Registry
seeks to assist individuals that may have difficulty evacuating during
an emergency situation on their own.
D I S C L A I M E R
I understand
that completion of this form is merely to assist with an emergency
response and in no way guarantees an emergency response or special
priority during an emergency or disaster. I understand in the event of
an emergency or disaster, if I need assistance, Public Safety will
prioritize use of pertinent county resources in accordance with county
policy. Therefore, I give Public Safety authorization to share this
information with other local support agencies in the event of an
emergency or disaster only. I also grant emergency response personnel
permission to enter my home during search and rescue operations
following a disaster, if necessary, to assure my safety and welfare.
If at any time a change is made to the above information, please
contact the Health Department, Public Safety, Dept on Aging, or The
Dept of Social Services for a new form
-
Special Needs Registry Form (PDF).
If you need
assistance completing this form contact one of the following agencies:
Health
Department—301 475 4330
Public Safety—301 475 4200 Option 6 Option 3
Department on Aging 301 475 4200 ext 1050
Department of Social Services— 240 895 7000
If you need
this form in a different format (other language, Braille Format, etc.)
please contact The Department of Public Safety—301 475 4200 Option 6
