Trumbauersville, PA · Bucks County
Special Needs Program
Trumbauersville residents can complete this voluntary form to tell the borough about household members’ needs and help emergency managers prepare assistance.
What this form is
The Special Needs Program form helps Trumbauersville Borough’s Office of Emergency Management prepare for residents who may need assistance during an emergency. Residents are asked to complete it if they or someone else in their household has a listed special need. It requests contact details, physical and medical needs, language, household age groups, and driving information; responses are voluntary and kept confidential.
Who needs it
Residents should complete this voluntary form if they or anyone else living at their borough residence has a special need listed on it.
How to submit it
Return the completed form to the Trumbauersville Borough office, attention Marilyn J. Bobb, EMC, at One Evergreen Drive, PO Box 100, Trumbauersville, PA 18970.
About notarization
This form is completed without a notary; it lists no notarized attachment or sworn step.
How to submit this form
- 1
Download The Form
Download the Special Needs Program PDF.
- 2
Complete The Form
Provide household contact information and check any applicable physical, language, medical, age-group, and driving details.
- 3
Add Other Concerns
Include any additional information that could help the borough assist you during an emergency.
- 4
Return It To The Borough
Return the completed form to the borough office, attention Marilyn J. Bobb, EMC.
Frequently asked questions
- What is the Special Needs Program form for?
- It collects voluntary information about household members’ needs so Trumbauersville’s emergency management office can prepare to assist residents during an emergency.
- Who should complete this form?
- Complete it if you, a family member, or anyone else living at your borough residence has a special need listed on the form.
- Do I need a notary for the Special Needs Program form?
- No. This form is completed without a notary and lists no notarized attachment or sworn step.
- How do I submit the Special Needs Program form?
- Return it to the Trumbauersville Borough office, attention Marilyn J. Bobb, EMC, at the borough address printed on the form.