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Senior/Special Needs Registry

Steps

  1. 1. Step One
  2. 2. Contact Information - Senior/Person with Special Needs
  3. 3. Contact Information - Person Completing Form
  4. 4. OFFICE USE ONLY
  • Step One

    1. SENIOR/SPECIAL NEEDS REGISTRY


      Romeoville Fire Department

    2. Residents who are seniors or who have special medical needs (important medications, medical devices, or other requirements) are encouraged to fill out the Registry form. This form will be submitted directly to the Romeoville Fire and Police Departments so that emergency responders will know ahead of time about any special circumstances that may be encountered when responding to a call at your home. This database may also be used in the event of emergencies like power outages and weather related occurrences. The information will remain confidential and be used only by fire, police, and 9-1-1 personnel that serve your area.