Special Needs/Emergency Management Information Form

Emergency Care for Residents in Need of Assistance

The Township's Emergency Management Office constantly updates its list of residents who would need assistance in the event of an emergency (e.g. natural disaster). The Township also forwards this information onto Chester County, so that they may have complete information for the following programs:

Premise Information - this is a County program where citizens with unique conditions at their home (elderly person, chronic illness, mobility challenges, and/or language barriers) can have their information added to the County's dispatch system so that it is immediately available to the 9-1-1 Telecommunicator when a 9-1-1 call is placed.

Reverse 9-1-1 - this is the County system that can place automated calls to residents, advising them of evolving situations, such as the need to shelter in place, missing persons, or localized flooding. The system can handle about 300 calls per hour. The system picks up the numbers from the listed land line telephone book. Persons with unlisted numbers, Voice over Internet Protocol (VoIP), or exclusive use of cell phones who would like to be included should complete the form below.

To register your information for these resources, please complete the following form. Thank you for your assistance in providing this important information.

Online Registration Form

All fields marked with an asterisk (*) are required.