Registry Home Page What is the registry? Online registration form Paper registration form (Available in multiple languages) Text only forms (For screen readers)

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Give Yourself a Better Chance

Registry for People with Special Needs During an Emergency

Paper Registration Forms

  • Microsoft Word Logo Disaster Assistance Voluntary Registry Form (Word Format)
  • Adobe Acrobat Logo Disaster Assistance Voluntary Registry Form (PDF Format)

Forms in Other Languages

  • Spanish Language
    • Microsoft Word Logo Spanish Disaster Assistance Voluntary Registry Form (Word Format)
    • Adobe Acrobat Logo Spanish Disaster Assistance Voluntary Registry Form (PDF Format)
    • Adobe Acrobat Logo Spanish Disaster Assistance Voluntary Registry Information
    • Adobe Acrobat Logo Spanish Frequently Asked Questions
  • Hmong Language
    • Microsoft Word Logo Hmong Disaster Assistance Voluntary Registry Form (Word Format)
    • Adobe Acrobat Logo Hmong Disaster Assistance Voluntary Registry Form (PDF Format)
    • Adobe Acrobat Logo Hmong Disaster Assistance Voluntary Registry Information
    • Adobe Acrobat Logo Hmong Frequently Asked Questions
  • Russian Language
    • Microsoft Word Logo Russian Disaster Assistance Voluntary Registry Form (Word Format)
    • Adobe Acrobat Logo Russian Disaster Assistance Voluntary Registry Form (PDF Format)
    • Adobe Acrobat Logo Russian Disaster Assistance Voluntary Registry Information
    • Adobe Acrobat Logo Russian Frequently Asked Questions
People Sharing

"The more we share about us and our supports, the better off we'll be in a disaster."

Emergency Management | Government of Dane County