Fort Lee, MT · Bergen County
Special Needs Registry
Fort Lee residents use this registry form to share emergency-related information about a household member with special needs with Fort Lee Emergency Services.
What this form is
The Special Needs Registry collects information for Fort Lee Emergency Services to use in an emergency or disaster. Fort Lee residents complete a separate form for each person with special needs in the household, providing contact, medical, mobility, and evacuation-assistance details. The form says the information is confidential and instructs registrants to contact the Fire Prevention Bureau if the person moves.
Who needs it
Fort Lee residents should complete a separate registry form for each household member with special needs.
How to submit it
Return the completed form to the Fort Lee Fire Prevention Bureau, 1365 Inwood Terrace, Fort Lee, NJ 07024.
About notarization
This registry form is completed without a notary; it mentions no notarized or sworn attachment or step, and does not indicate a signature requirement.
How to submit this form
- 1
Download The Form
Download the Special Needs Registry form.
- 2
Complete The Form
Provide the requested information for one household member with special needs; complete a separate form for each person.
- 3
Gather Attachments
The form does not list any required attachments.
- 4
Return The Form
Send the completed form to the Fort Lee Fire Prevention Bureau at 1365 Inwood Terrace, Fort Lee, NJ 07024.
Frequently asked questions
- What is the Fort Lee Special Needs Registry?
- It is a form for Fort Lee residents to provide emergency-related information about a household member with special needs for use by Fort Lee Emergency Services.
- Who should complete this form?
- The form is for people who live in Fort Lee. A separate form is required for each person with special needs in the household.
- How do I submit the Special Needs Registry form?
- Return the completed form to the Fort Lee Fire Prevention Bureau at 1365 Inwood Terrace, Fort Lee, NJ 07024.
- Do I need a notary for the Special Needs Registry?
- No. The form does not indicate a notary requirement or mention a notarized or sworn attachment or step.