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Special Needs Registration

If you have a disability, use medical equipment at home, are hearing or vision impaired, or are elderly, or for other reasons anticipate needing assistance during an emergency, please complete the following survey by either:

1. Completing the SNAP (Special Needs Assistance Program) survey on-line, CLICK HERE
   
   OR
   
   
2. Download the English survey form, CLICK HERE (pdf) or Download the Spanish survey form, CLICK HERE (pdf)  
   
   (you will need Adobe Acrobat Reader, in order to open the above PDF document.  You can download this software for free, by clicking the white and red icon to your left)