Emergency Needs Database (Marcus Alert)

Our Emergency Needs Database gives residents and businesses an opportunity to provide information to emergency response agencies regarding those with special needs. In the event of an emergency, emergency response agencies will be better equipped to serve them. The information collected here will not be available to the public. It will only be shared with emergency response agencies to improve their ability to serve.

By submitting your information, you agree that you voluntarily authorize its release to emergency responders.

Emergency Needs Database

  1. Please provide the information of the person and contact for who is submitting this information to the Emergency Needs Database.
  2. Please verify the information provided above is correct and is the information of the person and contact for who is submitting this data to the Emergency Needs Database.
  3. Please provide the information of person identified for the Emergency Needs Database.
  4. (Note: Date of birth is mandatory if the medical information being provided is for a juvenile. Per law, such information will be removed upon the person reaching the age of 18, unless requested to remain in the database.)

  5. Gender
  6. In the event emergency services needs to contact a family member, or business owner/keyholder, please provide the following information:
  7. (Mother, Father, Sibling, Guardian, Friend, Keyholder, Owner)

  8. Leave This Blank:

  9. This field is not part of the form submission.