DENS Citizens Registration
Delaware911
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ABOUT:

Dear Delaware Resident,

The Delaware ‘911’ emergency system and the Delaware Emergency Management Agency (DEMA) welcome you to the Emergency Preparedness Voluntary Registry for citizens who have special needs.

‘911’ and DEMA in collaboration with other agencies, both state and non-state, have developed this Voluntary Registry to help you prepare for an emergency event before it happens. Emergencies and disasters sometimes happen with no warning and you need to be ready.

Local and state emergency planners and first responders will use the information gathered from this site to plan for local and state emergencies. The ability to plan ahead will help emergency personnel to better serve the community at times of crisis such as: snow, floods, fire, tornadoes, or events that involve terrorism. On a daily basis, ‘911’ personnel and first responders will have access to this information and will use it to better serve you should you need to dial ‘911’. This includes fire, police, and EMT personnel.

This is a voluntary registry. The information entered in it will be shared with ‘911’, fire, police, and EMT personnel and will be used by emergency planners and first responders in times of crisis.

If you do not want to disclose your protected health information, please STOP now, and do not complete this form.

The submission of unauthorized protected health information through this registry is illegal and is considered a violation of 11 Del.C. §863. Be sure before entering such protected health information about another person that you have that person’s express permission to do so or by reference to Delaware law or statute.

IMPORTANT TO NOTE:
  • In an actual emergency, response agencies will try to provide the necessary assistance, but this cannot always be assured.
  • To best guarantee personal safety, individuals should make plans and follow government response guidance.
  • If requested to re-locate to an emergency shelter as a last resort a personal caregiver should accompany you if you should require specialized medical needs.
  • The Voluntary Registry is primarily web based and secure. By voluntarily completing the registry you authorize that the information you enter will be shared with emergency planners at the local and state level in Delaware and that information will remain confidential at all times and will be used for the sole purpose of emergency planning, response, and return. Emergency planners belong to the Delaware Division of Public Health Division, the Delaware Emergency Management Agency, local fire districts, and the Department of Transportation.
  • Information that you enter into this Voluntary Registry will be updated on an annual basis or as needed to remain current by you or your representative. A notice will be sent to you on an annual basis to remind you to update your information. By completing this Voluntary Registry you are authorizing the right to send a reminder notice by the program contractor to you on an annual basis in the format preferred by you. Should the contractor receive no response from you at that annual update, your information will be deleted from the Voluntary Registry. This information will be shared with ‘911’ personnel and first responders (fire, police, and EMT personnel) in case of a ‘911’ emergency, as well as with emergency planners at a state and local level.
REGISTER:

Before entering information in the Voluntary Registry click on the button below.

Clicking on this button confirms that you have read and agree to all of the above “Important to Note".

Please read the above “Important to Note” before you continue.