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Escambia County Special Needs Registry
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The Escambia County Division of Emergency Management is partnering with the State of Florida, Division of Emergency Management to maintain a statewide registry for persons that may need transportation assistance to and from a public evacuation shelter and their home, and for persons with special medical conditions that may seek shelter at the special medical needs evacuation shelter.

The registry system also allows medical care facilities who manage the local medically vulnerable citizenry, the opportunity to register, not their clients, but their facility as a local medical care providing facility and their facility profile as it may relate to infrastructure and operational readiness for local emergency management planners.

It will be of the utmost importance for registrants to provide as much information about their medical and physical conditions, prescription information, transportation needs, etc. to enable medical triage staff to properly evaluate registrants for special needs shelter eligibility. Should a registrant only have a transportation need to a general shelter, only that information will be required. For more information about the Special Needs Shelter, medical eligibility, and process information, please click Special Needs Shelter Information link.

Completing the Escambia County Special Needs Registry does not automatically qualify the individual for a special needs shelter. A response will be provided from the Division of Emergency Management directly to each registrant as to the outcome of the special needs registration evaluation.

For registry questions, please contact the Escambia County Emergency Management.

Email: bchattaw@myescambia.com
Phone: 850-471-6400

Any applicant directly or through a representative, that chooses to voluntarily register through this registry understands and accepts the following:

  • Florida Statute 252.905 (1) declares “Any information furnished by a person or business to the division (Florida Division of Emergency Management) for the purpose of being provided assistance with emergency planning is exempt from s. 119.07 (1) and s. 24 (a), Art. I of the State Constitution.”
  • Florida Statute 252.355 (4) declares “All records, data, information, correspondence, and communications relating to the registration of persons with special needs as provided in subsection (1) are confidential and exempt from Fla. Stat. 119.07(1), except that such information shall be available to other emergency response agencies, as determined by the local emergency management director. Local law enforcement agencies shall be given complete shelter roster information upon request.”
  • I hereby request that the information I have provided be listed in Escambia County’s and the State of Florida’s Disaster Preparedness Registry.
  • I understand that my participation in this registry is voluntary and that all information that I provide will only be used for disaster and emergency planning purposes only.
  • I understand that at any time I may ask that my name be removed from the Registry by updating my profile in the registry online or by sending a written request to Escambia County Emergency Management to archive the information in the registry.
  • I grant permission to emergency medical providers, transportation providers and other emergency responders to enter my residence in an emergency, to provide care and to disclose the information I have provided as needed to respond to my emergency needs. This is not intended to limit a responder’s ability to enter or respond to an emergency as allowable by law.
  • I understand that if I need assistance during disasters, that I must initiate contact with local officials requesting the assistance services that I may need, at the time of need, as a result of a disability.
  • I understand that this registration form and process is for planning and information purposes only. This voluntary registration program is designed for emergency planners and responders to develop plans and identify resources that will be able to be utilized to assist people that may be in need of specialized assistance during disasters. This registration does not reserve space in public shelters and does not constitute automatic provisions of services during disasters.
  • I understand that I should call 911 if I am in an emergency, even though I have submitted information to the registry.
  • I understand that I am responsible for making my own emergency preparations and plans. This may include, but is not limited to, responsibility for establishing communication with family members or caregivers, and the provision of prescription medications, oxygen supplies, medical equipment, and special dietary items that I may require if I evacuate from my home.
  • I understand that I can bring my service animal to an emergency shelter, but I am responsible for the feeding and care of my animal.
  • I understand that it is my responsibility to update the information I have provided at least once a year or when my information changes, whichever occurs first, or the registration will automatically be archived.
  • I understand that this form is a public record under the Florida Public Records Act and that information may be disclosed to a third party as required by law. However, the records custodian shall redact any exempt or confidential information prior to disclosure, including my social security number and protected health information.


Important!
Floridians are encouraged to prepare for all types of emergencies. Building an individual or family emergency plan is the first step. During an emergency, the government and other agencies may not be able to meet your needs. You should be prepared to take care of yourself and loved ones for a minimum of 72 hours. Those individuals with a special need are encouraged to identify an emergency support network and to build a disaster supply kit. Registering on this website is not a guarantee that emergency officials will be able to assist you in an emergency.

Special Needs Survey is Developed By Delta Development Group, Inc. (www.deltaone.com)
© Delta Development Group, Inc. 2006 - All rights reserved