JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
CodeRed Sign-Up
Please submit your information below to sign-up for CodeRed alerts. Please fill in your name and any form of communication that you wish to receive.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
First Name
*
Your answer
Last Name
*
Your answer
Would you like to be
called or texted
with CodeRed Alerts?
*
Both calls and texts
Calls only
Texts only
No
If yes to the question above, please provide your telephone number in this format: xxx-xxx-xxxx
Your answer
If yes to text messages and/or phone calls, what cell phone provider do you use?
*Required in case of a technical difficulty with a phone provider
Your answer
Would you like to be
emailed
with CodeRed Alerts?
*
Yes
No
If yes, please provide your email address in the following format: email@example.com
Your answer
Which counties in Nebraska would you like to receive CodeRed Alerts about?
*
All Nebraska counties
Adams
Antelope
Arthur
Banner
Blaine
Boone
Box Butte
Boyd
Brown
Buffalo
Burt
Butler
Cass
Cedar
Chase
Cherry
Cheyenne
Clay
Colfax
Cuming
Custer
Dakota
Dawes
Dawson
Deuel
Dixon
Dodge
Douglas
Dundy
Fillmore
Franklin
Frontier
Furnas
Gage
Garden
Garfield
Gosper
Grant
Greeley
Hall
Hamilton
Harlan
Hayes
Hitchcock
Holt
Hooker
Howard
Jefferson
Johnson
Kearney
Keith
Keya Paha
Kimball
Knox
Lancaster
Lincoln
Logan
Loup
Madison
McPherson
Merrick
Morrill
Nance
Nemaha
Nuckolls
Otoe
Pawnee
Perkins
Phelps
Pierce
Platte
Polk
Red Willow
Richardson
Rock
Saline
Sarpy
Saunders
Scotts Bluff
Seward
Sheridan
Sherman
Sioux
Stanton
Thayer
Thomas
Thurston
Valley
Washington
Wayne
Webster
Wheeler
York
Required
Which livestock would you like to receive CodeRed alerts about?
*
Aquatic
Bovine
Cervids
Equine
Ovine/Caprine
Poultry
Swine
All of the above.
Required
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. -
Terms of Service
-
Privacy Policy
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report