Special Needs Registry

Please complete this form to register special needs person with the Locust Township Police Department.

Your Contact Information
Handle with Care Person
Location

Hint, click the map to add or drag a GPS Marker. Zoom in for a better view.

Information
Include school/work info, car info, triggers, calming methods, service animal, etc.
Attach a photo (jpg, jpeg, png) of the person.
Emergency Contacts
Include as much contact information as possible, e.g. name, address, phone, etc.
I understand that submitting a false report is punishable by law.