333 S. Meridian, Puyallup, WA 98371 - 253-841-4321

City of Puyallup

Emergency Management Special Needs Registration

Emergency Care for Residents in Need of Assistance

The City of Puyallup's Emergency Management Office constantly updates its list of residents who would need assistance in the event of an emergency (e.g. natural disaster).

Premise Information - this is a City program where citizens with unique conditions at their home (elderly person, chronic illness, mobility challenges, and/or language barriers) can have their information added to the City's dispatch system so that it is immediately available to the 9-1-1 Telecommunicator when a 9-1-1 call is placed.

Puyallup Alert (Reverse 9-1-1) - this is the City system that can place automated calls to residents, advising them of evolving situations, such as the need to shelter in place, missing persons, or localized flooding. The system can handle about 300 calls per hour. The system picks up the numbers from the listed land line telephone book. Persons with unlisted numbers, Voice over Internet Protocol (VoIP), or exclusive use of cell phones who would like to be included should complete the form below.  More information on Puyallup Alert.

To register your information for these resources, please complete the following form. Thank you for your assistance in providing this important information.

Online Registration Form

Name:  

Telephone number:  

Cell phone number:  

Address:  Zip code  

Who would you like us to contact in case of an emergency?

Name of contact:  

Contact's Home Phone:  

Contact's Cell Phone or alternate number:  

What is your relationship?   

I have the following special needs (you may choose more than one):
  I require oxygen
  I am unable to walk or have difficulty walking
  I am vision impaired
  I have a hearing impairment
  I can not speak/read English

Is there anything else you want to tell us about?