Columbia County Special Needs Registry Change Request
If you are a current participant in the Special Needs Registry and your special needs information has changed or you no longer need to be on the Registry, please complete this form. Please submit a separate form for each change.
Date of Birth
Type of Change
Please choose from the following
My Address has Changed
My Contact Information has Changed
My Special Needs Have Changed
Please Remove me from the Special Needs Registry
Never submit passwords through Google Forms.
This form was created inside of Columbia County, NY.