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Town of West Hartford

NoReply@WestHartfordCT.GOV

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

860-561-7500

WHFD Special Needs Registry

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

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