If you or anyone in your household has a Special Need that would need to be taken into consideration in the event of a disaster, we would like to know. Then fill out the file below and drop it in the mail. The file below can be filled out in two ways. Either:

• be filled out online, printed, signed, and mailed in to us, or
• printed out, filled out by hand, signed, and mailed to us.

If you do not want to use the online form, we will be happy to mail one to you. Feel free to contact us at (760) 924-1830 and ask us to mail you a Special Needs Form. Make sure to give us your mailing address and let us know if you want it printed in English or Spanish.

What do we mean when we say "people with a special need"? There are many kinds. For example:

• Physical Disability
• Mental Disability
• Blind or Visually Impaired
• Deaf or Hearing Impaired
• Frail, Elderly Seniors
• Heart Condition
• Lung Condition or Asthmatic
• Need of Life Sustaining Medications (Diabetic, Seizure, Allergy Medications)
• Oxygen Dependent

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Special Needs Form
(Size: 1.15 MB)

Sobre Necesidades Especiales o Discapacidades Formulario
(Tamaño: 2.58 MB)

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