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Special Needs Evacuation Program

The information provided on the registration form will remain confidential. It will only be given to first response agencies (fire, police, search and rescue, etc.) at the time of an emergency and only to those who are directly involved with your well being. This form also authorizes these same emergency response agencies to access your property during post-disaster search and rescue activities.

You can register online, or you can download a copy of the registration form, fill it out and mail it to the Mill Valley Police Department.

Read over the registration form. Print legibly and answer all questions. If your form is missing information, such as your correct phone number, address, etc., we may not be able to contact or mail you important information. Also we cannot determine your shelter type and needs unless you answer all questions regarding your medical needs and conditions. Do not leave any sections blank.

Mail your registration to:
Mill Valley Police Department
1 Hamilton Drive
Mill Valley, CA 94941.

The Special Needs Evacuation Registry will be periodically updated. New forms will be mailed to registrants to keep information current and verify eligibility. Registrants who do not reply or cannot be reached at this time will be removed from the SNE registry. If your information changes within the annual period, you are responsible for informing the Mill Valley Police Department of such changes. Remember, if we cannot contact you during an emergency evacuation, we cannot help you.

Police Department Contact Information:
Police Emergency Phone: 911 from landline phone or 415-389-4170 from a cell phone
Police Non-emergency Phone: 415-389-4100
Police Anonymous Tip line: 415-721-4547
Police Fax: 415-389-4148.
Police Email: info@millvalleypd.org

Police Station Office Hours:
Monday to Friday 8:00 am to 5:00 pm

Download the Registration Form or Register Online.

Packing and Supplies List.

Back to program overview.

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Last updated: 10/25/2010 10:21:28 AM