This form can be accessed here: Autism-Development Disability Registry Form
The Gloucester Township Police Department has a registry for individuals with Autism or disabilities in efforts to give police quick access in an emergency to critical information about a person who is registered. The registry can provide police with emergency contact information, detailed physical descriptions, known routines, favorite attractions or special needs of an individual with Autism Disorder or other disabilities such as: Alzheimer’s, Dementia, Down Syndrome or any other endangered individuals
This information can greatly assist police officers when time is essential in communicating and dealing with an emergency situation involving a person with Autism Disorder as well as other disabilities. The registration form is four pages and asks for valuable information that the police officer may need when helping individuals with Autism Disorder or any other disability. We ask that all questions be filled out completely and a current photograph be provided. The form and photograph can be emailed to us at: firstname.lastname@example.org or it can be dropped off or mailed to the Police Station.
If you are unable to supply a photograph, the Gloucester Township Police Department can take one for you. The information you provide is confidential and will only be used by our police officers. If any of the information on the registration changes you are encouraged to inform the police department as soon as possible. We will look to update the registration yearly so we can be in possession of the most current photographs.
Another step we have taken to better assist our community members with Autism or special needs is by creating a sticker that can be placed on your vehicle or near the main entrance to your home that will alert an approaching officer that someone in the vehicle or the home could have a special need. We also have seatbelt sleeves that will warn a First Responder during an incident such as a motor vehicle crash that the occupant has Autism and may not respond. Pictures of the stickers and seatbelt sleeves are attached below.
This program, as well as the seatbelt sleeves and stickers are free to our residents. This is just another example of the partnership between the Gloucester Township Police Department and its residents. For a sticker or seatbelt sleeve, please stop in and see our Watch Desk officer at Police Headquarters, 1261 Chews Landing Rd., Laurel Springs, NJ 08021.
If you have questions about our Autism/Development Disability Registration Form please contact our Community Relations Bureau at email@example.com or call 856-228-4011.