Cambria 9-1-1 Premise Alert Form
The Premise Alert System provides families with a uniform method to alert first responders about special needs individuals. It also provides first responders with advance knowledge, allowing for quick and educated responses during crises, evacuations, and disasters.

The Premise Alert System utilizes a notification form to capture information about an individual with special needs.  The information shared on the form will be provided to emergency responders and it will be associated with the address provided in the 9-1-1 Center’s Computer Aided Dispatch software system.  If a call is processed for the identified address, 9-1-1 Call Takers and Emergency Responders will be able to see that there is Premise Alert System information available for that particular address.  

Who can use it?
Anyone who has a special need, health challenge or disability such as, but not limited to, Alzheimer's  Disease, Autism, Mental Health Challenges, Intellectual Disability, a complex or rare medical condition, who would like first responders such as police, ambulance and fire department to know of their special needs.

Who can fill out this form?
*Individuals with special needs can fill it out for themselves.
*Parents of minor children
*Guardians of minor children
*Current Foster Care Parents
*Those with LEGAL guardianship for another
*Those with the Power of Attorney for another

You do not have to provide any information you do not want First Responders to know or use.

This form is good for 1 year. If you move or need to make changes in the information just fill out another form and submit it.  The contact person will be notified as a reminder to submit a new form.  If a new form is not submitted, the information will be removed from our database.  

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