Bernardsville OEM State of Emergency Hotline
Residents of Bernardsville Borough can use this form to advise the Office of Emergency Management of their needs for special assistance or extra help during the Covid-19 Health Emergency or other States of Emergency .
You can also request help by calling the Bernardsville OEM Covid-19 Hotline at (908) 636-7666
Your response will be recorded by OEM staff and you will be contacted to discuss how we may be able to help you meet your needs.
Puede responder en su idioma preferido.
Puede dejar un mensaje al 908 636-7676. Te devolveremos la llamada
Please DO NOT use this form to request urgent help
If you have a medical, police, or other EMERGENCY call 911. Seek medical attention if you feel unwell.
What is your name?
What is your email address?
Where do you live?
What is your home (landline) phone number?
What is your Mobile Phone number?
What is the best way to reach you?
Tell us about your circumstances and your needs for special assistance or extra help
Residents may need help with tasks including: food and medication; family care; meal delivery; shopping; pet care; and more.
Optional: Are you currently infected with the Covid-19 virus, or do you think you may be?
Your response will not affect the help you receive
Optional: Do you think you in a high-risk category for Covid-19?
Older persons and those with existing health conditions may be more at risk of serious complications.
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This form was created inside of Borough of Bernardsville.