The Disability Indicator Form is available for citizens of Jasper County which can help ensure that first responders are aware of any specific needs or challenges individuals may have during emergencies. This can lead to more effective and tailored assistance when it’s needed most. The provided information will be 'flagged' on the person and address profiles in our agency's information computer systems.
Please Note: If the home address or person's name is not provided during an emergency, the flag will not be available for first responders. How to Fill Out the Form:- Personal Information:
- Name, address, and contact information.
- Emergency / Caregiver contact details.
- Disability Information:
- Specify any disabilities or medical conditions.
- Note any mobility issues, sensory impairments, or cognitive challenges.
- Emergency Instructions:
- Provide specific instructions or information that responders should be aware of (e.g., garage or entry door pass-codes, hidden key locations).
- Voluntary Participation:
- Remember that providing this information is typically voluntary, but it can significantly enhance safety.
- Privacy Considerations:
- Ensure that the information will be kept confidential and used solely for emergency response purposes.
- Submitting Completed Forms:
- Email: forms@jaspercountypolice.com
- Fax: 219-866-4949
- In-Person: Jasper County Sheriff's Office - 2171 N McKinley Ave, Rensselaer, IN 47978 - MAP IT -
- In-Person: Jasper County Sheriff's North Annex - 11978 N County Rd 600 W, DeMotte, IN 46310 - MAP IT -
|
-  DOWNLOAD FORM |
