ADDR – Autism Development Disability Registration

This form can be accessed here: Autism-Development Disability Registry Form

The Gloucester Township Police Department has created 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 two 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.

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.

This program is free to the community and another example of the partnership between the Gloucester Township Police Department and its residents.  Form is attached to this message.

If you have questions about our Autism/Development Disability Registration Form please contact our Community Relations Bureau at or call 856-228-4011.

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