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The Premise Alert System is a system used to notify emergency first responders, including police, fire and emergency medical services, of residents with special needs and conditions when responding to a
reported emergency at a specific address. This information is kept strictly confidential and participation in this program is voluntary. Participation, or the lack thereof, will in no way effect the level of service a resident will receive in the event of an emergency. It is the responsibility of participants in the program to update this information when necessary. It is recommended that the information be updated
You should not complete and submit this form unless you have the legal authority to provide and disclose this information.