This form can be accessed here: GTPD Emergency Needs Preparedness Registry Form
The Gloucester Township Police Department (GTPD) has created a voluntary Gloucester Township Emergency Preparedness Registry that will let police, fire and other first responders in our community better prepare for, and respond to your needs during a hurricane, storm or other major emergency. This has been established to collect information for emergency responders to help assist those with special needs or high risks during an emergency, especially when family, caregivers or others are unable to help them.
Many people may need extra help during a time of emergency including people who:
- Use life support systems such as oxygen, respirator, ventilator, dialysis, pacemaker, or are insulin dependent;
- Have mobility disabilities and use a wheelchair, scooter, walker, cane, or other mobility device;
- Are visually impaired, blind, hard of hearing, or deaf;
- Have speech, cognitive, developmental or mental health disabilities; or
- Use assistive animals or prosthesis.
The information submitted to the Gloucester Township Emergency Needs Preparedness Registry can be shared with local first responders and emergency management officials. Your information is held confidentially and will only be accessed to assist in your safety and well-being in the time of an emergency affecting your area of Gloucester Township.
This information can be used to notify first responders when they are responding to a household that may have someone with special needs enrolled in the Registry. This notification allows first responders additional time to consider how to best respond to that incident. Please note that strict confidentiality is maintained at all times and only those that have a reason to access the information are authorized to do so.
If you cannot complete the enrollment form yourself, a family member, caregiver, or authorized representative can enroll on your behalf. For additional information on this program you may contact the Community Relations Bureau at firstname.lastname@example.org or call Police Services at 856-228-4011.