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Residential Emergency Response Notification
Are you – or someone you know -- may need assistance during an emergency? Do you know someone who has advanced medical conditions, is in a wheel chair, non-verbal, visually impaired, hearing impaired or someone with severe allergies etc?  

The Residential Emergency Response Notification Form is a useful “tool” for folks who have special needs, or advanced medical conditions.  It also provides important contact information of trusted individuals who can assist emergency responders when entering or securing your home during an emergency and allows for access information such as lock box or garage codes to be added to your address. It is particularly helpful for first responders to know about your distinct circumstances prior to arriving on scene. 

How does it work?  Fill out the form and submit to Centre County 911. The information is entered into our CAD Alerts (Computer Aided Dispatch) system based on your address. When-- and if -- you dial 911 for help, these “notes” will automatically generate on the CAD screen for dispatchers to see and relay to first responders as needed.

  • This information will only be shared with emergency responders during an emergency at the address listed on the form.
  • It may be relayed electronically, or by radio, to police officers, firefighters, paramedics, or other emergency responders by the staff at the Centre County 911 Emergency Communications Center.
  • Completing the Residential Emergency Response Notification form, and providing the personal information it includes, is entirely voluntary.
  • Centre County 911 will not place any notes on record without a completed form (signature required).
  • You can revoke the release of this personal information at any time.  
  • It is the resident’s responsibility to provide updates or changes to 911 (if you move, we can transfer the “remarks” to your new address)
  • Residential Emergency Response Notification has a 6 month review process which is done by email.  
  • A reply is mandatory during the 6 month review.  If there is no response, the “remarks” are removed from record automatically and the Residential Emergency Response Notification is discontinued.  
  • If you have questions or wish to update your information, or to revoke/discontinue your Notification Form, call Barbara at 355-6800.

Residential Emergency Response Notification Form

You can submit the form several ways: fax, email or U.S. Postal Service

Centre County 911           
ATTN:  Barbara
420 Holmes Street
Bellefonte, PA  16823

Fax:  814-355-6776