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Town of West Hartford

NoReply@WestHartfordCT.GOV

50 S Main, West Hartford, CT, 06107, US

860-561-7500

Special Needs Registry

Residents are reminded that emergencies and disasters can occur at any time and that they should be prepared with an emergency plan in place should the need arise. As a supplement to these plans, the Town of West Hartford has a Special Needs Registry program. This a voluntary program that enables residents with health or medical conditions to inform the Town of their needs. The registry helps emergency responders identify individuals who may need extra assistance during emergencies, evacuations, or extended utility outages. Additionally, the information in the database is used for planning and preparation to better equip the Town for both natural and man-made disasters.

Registrations will remain active for one year from the date of application. To remain on the list, residents must sign up annually.

Disclaimer:

In an emergency or disaster, police, fire, and other responders might not be able to access your information. The Registry in no way replaces the responsibility of individuals to have their own emergency plans in place. Participating in the Registry does not shift any responsibility from the individual to the Town. More information on emergency planning can be found at www.ready.gov. The Registry is a voluntary program and in no way ensures that the individual enrolling in the program will receive immediate or preferential treatment in an emergency. This registry does not guarantee any service from the Town of West Hartford.

Today's Date

Date Picker

Is this a new or updated registry form?

Full Name

Full Address

Do you live in an apartment?

If you wish to designate someone other than yourself as a contact person when the list is updated (annually) please give their name and telephone number:

Contact's Full Name

Contact's Full Address

Please be sure to notify the Fire Department if there is any change in your status.