Autism Registry Form

The Fort Fairfield Police Department collects this information in order for us to assist you or your loved one in the event you become lost or missing.

Please contact us if you would like to speak with an officer instead of using the online form. We would be glad to visit and assist you.

Please be as detailed as possible when filling out the form. All information you provide is optional. We would like to have a picture of the person described below. If your registrant wears glasses, we would like to have 2 pictures. One with and one without glasses. We will assist you with a picture or you can email them to bcampbell@fortfairfield.org

Thank you for participating!

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