Who can apply for the South Brunswick Special Needs Registry?

The registry is open to people who live, work, or attend school in South Brunswick and have a physical or mental impairment that limits one or more major life activities. An authorized person may submit the application on someone else’s behalf.

What information does the application ask for?

It asks for identifying and contact details, information about the registrant’s needs and communication, emergency contacts, and details such as school or employer and vehicle information. Include a recent photograph.

How do I submit the Special Needs Registry Application?

Email the completed application and photograph to specialneedsreg@sbpdnj.net, with “SNR” or “Special Needs Registry” in the subject field. You can also mail or drop it off at South Brunswick Police Headquarters, Attn: Special Needs Registry, 540 Ridge Road, Monmouth Junction, NJ 08852.

South Brunswick, MT · Middlesex County

No notary required

Special Needs Registry Application

The South Brunswick Police Department application lets eligible people or their legal guardians register information to help first responders assist during emergencies.

What this form is

The Special Needs Registry helps police and other emergency personnel access information about a registrant during an emergency. The registry is open to people who live, work, or attend school in South Brunswick and have a physical or mental impairment limiting one or more major life activities. The application asks for personal, medical, communication, school or employment, vehicle, and emergency contact details, plus a recent photograph.

Who needs it

A person who lives, works, or attends school in South Brunswick and has a qualifying impairment, or an authorized person submitting on their behalf, may apply.

How to submit it

Email the completed application and a photograph to [email protected], with “SNR” or “Special Needs Registry” in the subject field. You may also mail or drop it off at South Brunswick Police Headquarters, Attn: Special Needs Registry, 540 Ridge Road, Monmouth Junction, NJ 08852.

About notarization

This document is signed and dated without a notary; include the registrant’s recent photograph with the application.

How to submit this form

1
Download The Application
Download the South Brunswick Special Needs Registry application PDF.
2
Complete The Application
Enter the registrant’s personal, needs, contact, and emergency contact information.
3
Gather The Photograph
Include a recent photograph of the registrant with the completed application.
4
Sign And Date
The person completing the form signs and dates it, and identifies their relationship to the registrant.
5
Submit To The Police Department
Email the application and photo with the required subject line, or mail or drop them off at South Brunswick Police Headquarters.

Frequently asked questions

Who can apply for the South Brunswick Special Needs Registry?: The registry is open to people who live, work, or attend school in South Brunswick and have a physical or mental impairment that limits one or more major life activities. An authorized person may submit the application on someone else’s behalf.
What information does the application ask for?: It asks for identifying and contact details, information about the registrant’s needs and communication, emergency contacts, and details such as school or employer and vehicle information. Include a recent photograph.
Do I need a notary for the Special Needs Registry Application?: No. The document is signed and dated without a notary. Include the registrant’s recent photograph with the application.
How do I submit the Special Needs Registry Application?: Email the completed application and photograph to [email protected], with “SNR” or “Special Needs Registry” in the subject field. You can also mail or drop it off at South Brunswick Police Headquarters, Attn: Special Needs Registry, 540 Ridge Road, Monmouth Junction, NJ 08852.

Need something notarized?

This Special Needs Registry Application doesn’t need a notary — but if you have another South Brunswick form that does, a commissioned online notary can help.