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NJ Register Ready (Special Needs Registry for Disasters)

Human Services Division

Special Needs Registry
Salem County participates in the state-wide registry for residents with access and functional needs called NJ Register Ready. Register Ready is voluntary and free program designed to assist first responders and emergency planners in identifying those residents that may need assistance in evacuating in advance of an emergency and so that emergency management may develop the necessary plans to support those needs. It will also help emergency planners in the development of shelter plans for those residents with Access and Functional Needs. The information collected through a secure on-line portal is only accessible to the Salem County Health and Human Services/ Salem County Office of Emergency Management and first responders.

What is NJ Register Ready? NJ Register Ready has been established to collect information emergency responders will need to help locate and evacuate people with Access and Functional Needs during an emergency, when a family, caregiver or are unable to help them.

Who Should Register?  You (or someone on your behalf) should register if you may find it difficult to get to safety with family or friends or to a public shelter during an emergency evacuation, because of a physical or cognitive limitation, language barrier, or lack of transportation. Remember, your priority should be to relocate with a family member or friend first!

How can I submit my information? 
You can complete the online form on our site, or you can choose to register in one of the other 2 following ways:

  1. Print and complete the Register Ready Form and mail it to the Salem County Health and Human Services- Attn: Jenna Hogate at 110 Fifth St. Salem, NJ 08079
  2. Call 856-935-7510 extension 8304 to register by telephone. TTY/TDD translation services also available by calling TOLL FREE at 2-1-1

Have questions or need assistance in completing the form?
If you have questions pertaining to NJ Register Ready, call 856-935-7510 x8304.

Are you already a Register Ready NJ user and want to update your information?(Required)

Who is filling out this form?

Are you the person who needs assistance?

Information about the person requiring assistance

Use TDD/TTY?
Weight over 300 lb?
Gender

Emergency contact information

Please provide as much contact information as possible.

Information about individual's condition or situation

This is to provide medical or emergency personnel with any information that may be vital to know in case of an urgent situation.
Evacuation Information. Select all that apply and at least one must be checked:(Required)
Does not:
Has difficulty walking and requires:
Requires medical equipment that is not easily transportable
Are all of the conditions resulting in the need for evacuation assistance temporary?
Do you have medications that must be taken with you if evacuated?
Do you have a service animal?
Do you have pets?
Do you have a 24 hour caretaker?
If yes, will the caretaker travel and/ or stay with you?
Do you require evacuation assistance 24/7?
Do you have any allergies?
This field is for validation purposes and should be left unchanged.