SPECIAL CITIZEN REGISTRY - City of Salem Oregon - cityofsalem 2025

1. Click ‘Get Form’ to open it in the editor.
2. Begin by filling out the Individual Registration section. Provide your first name, last name, and middle name as required.
3. Next, enter your contact information including home phone, work phone, and cell phone. Ensure accuracy for effective communication.
4. Complete the personal details such as date of birth, gender, race, height, weight, eye color, hair color, and any distinguishing marks.
5. In the description field, provide a brief overview of your disability and any medical issues that may assist responders during an emergency.
6. Attach a recent photograph (head and shoulders) or arrange for one to be taken by contacting the program coordinator.
7. Fill out the associates' information section with details about at least two contacts who can be reached in case of an emergency.
8. Review all entered information for accuracy before submitting the form. Remember to keep your registration updated annually.

Start using our platform today to complete your registration easily and for free!