Create a Website Account - Manage notification subscriptions, save form progress and more.
By submitting this form, I / Legal Guardian / Personal Representative agree that my name be added to the Lincoln County Special Population Registry. In the Event of an emergency I hereby authorize the exchange of information between Lincoln County Emergency Services and the individuals and agencies listed on this form. I grant emergency responders permission to enter my home following an emergency event or disaster situation, if necessary, to assure my safety and welfare.
This field is not part of the form submission.
* indicates a required field