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D DURHAM C IT /C COUNTY E EMERGENCY M ANAGEMENTACCESS AND FUNCTIONAL NEEDS REGISTRY FORM 2018 Please Note: Residents are encouraged to make arrangements with a health agency, friends, or family for
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Start by gathering all necessary information, including personal details, contact information, and any relevant medical conditions or special needs.
02
Fill out the personal information section first, providing your full name, address, phone number, and email address.
03
Proceed to the emergency contact section, where you will need to provide the name, relationship, and contact details of at least two individuals who can be reached in case of an emergency.
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Next, fill out the medical information section, including any allergies, medications, chronic conditions, or disabilities that emergency responders should be aware of.
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If applicable, provide details about any specific assistance or accommodations you may require during an emergency, such as transportation or communication needs.
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Lastly, review the completed form for accuracy and completeness before submitting it to the Durham City/County Emergency Management office.

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Durham City/County Emergency Management is needed by residents of Durham city and county.
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Anyone who wants to be prepared for emergencies and ensure that emergency responders have necessary information can benefit from filling out the form.
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Durham City-County Emergency Management is a governmental agency responsible for coordinating disaster preparedness, response, recovery, and mitigation efforts within Durham County and the City of Durham.
Individuals and organizations involved in emergency planning or response activities may be required to file documentation with Durham City-County Emergency Management.
To fill out Durham City-County Emergency Management forms, individuals should follow the specific guidelines provided by the agency, which typically include gathering required information, completing the necessary forms, and submitting them by the specified method.
The purpose of Durham City-County Emergency Management is to ensure the safety and preparedness of the community during emergencies and disasters through effective planning, response coordination, and recovery efforts.
Information that must be reported typically includes details about emergency plans, resources available for response, coordination efforts with other agencies, and readiness assessments.
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