Greenfield, NY · Saratoga County
Are You Ok? Program Application
Greenfield residents use this application to share personal, medical, and emergency contact information with the town’s Are You OK Committee.
What this form is
This application lets Greenfield residents provide information for the town’s Are You OK Program, including contact details, health and mobility needs, and emergency contacts. Applicants also indicate whether they need evacuation or transportation assistance and sign to confirm their information and permissions. Participation is voluntary, and the form states that submitting it does not obligate the town to provide services.
Who needs it
Greenfield residents who want to provide the Are You OK Committee with information that may help emergency responders address their needs should complete this application.
How to submit it
The form lists the Greenfield Are You OK Committee at Greenfield Town Hall, PO Box 10, Greenfield Center, NY 12833, and includes fax number 518-893-2460.
About notarization
This application is signed and dated without a notary; the document does not identify any attached or related step that must be sworn or notarized.
How to submit this form
- 1
Download The Application
Download the Are You Ok? Program Application PDF.
- 2
Complete The Application
Provide your contact details, residence information, health and assistance needs, and emergency contacts.
- 3
Gather Optional Information
You may attach a medication list; the form asks where medication and a Vial or File of Life are kept.
- 4
Submit To The Committee
Use the Greenfield Are You OK Committee address or fax number listed on the form.
Frequently asked questions
- What is the Are You Ok? Program Application?
- It collects a resident’s contact information, health and mobility needs, emergency contacts, and details relevant to evacuation or transportation assistance.
- Who should complete this application?
- Greenfield residents who wish to participate in the voluntary program and share information that may help emergency response agencies address their needs can complete it.
- Do I need a notary for the Are You Ok? Program Application?
- No. The application is signed and dated without a notary. The document does not identify any attachment or related step that must be sworn or notarized.
- How do I submit the Are You Ok? Program Application?
- The form lists the Greenfield Are You OK Committee at Greenfield Town Hall, PO Box 10, Greenfield Center, NY 12833, and fax number 518-893-2460.