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Coronavirus (COVID-19) Health and Safety Guide

ASERT has compiled resources for those with autism and those who care for people with autism relating to the current COVID-19 outbreak.

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Emergency Responder Notification Forms

Cartoon rendering of a police officer, firefighter, and doctor.

Image by ApVaper via VectorStock

Overview

Many counties throughout Pennsylvania have created a form to notify emergency responders that individuals on the autism spectrum, or with other diagnoses or needs, live at a particular address. It is important for emergency responders to be made aware of who lives in the home, any sensitivities than the autistic individual may have, and the types of behavior the responders may witness so they are better prepared to safely handle a potential emergency situation.

Below we have included links to these forms in the counties where they are available. In counties where a form is not available, the website of the county emergency management agency or local public safety office is listed. You can reach out to these offices to learn more about the services they offer and may be able to notify the emergency responders in your area about autistic individuals that may be living at a particular address. Please check back regularly for updates on emergency notification forms.

County Forms

 

Click a county to find more info

Select a county

Adams County
Allegheny County
Armstrong County
Beaver County
Bedford County
Berks County
Blair County
Bradford County
Bucks County
Butler County
Cambria County
Cameron County
Carbon County
Centre County
Chester County
Clarion County
Clearfield County
Clinton County
Columbia County
Crawford County
Cumberland County
Dauphin County
Delaware County
Elk County
Erie County
Fayette County
Forest County
Franklin County
Fulton County
Greene County
Huntingdon County
Indiana County
Jefferson County
Juniata County
Lackawanna County
Lancaster County
Lawrence County
Lebanon County
Lehigh County
Luzerne County
Lycoming County
McKean County
Mercer County
Mifflin County
Monroe County
Montgomery County
Montour County
Northampton County
Northumberland County
Perry County
Philadelphia County
Pike County
Potter County
Schuylkill County
Snyder County
Somerset County
Sullivan County
Susquehanna County
Tioga County
Union County
Venango County
Warren County
Washington County
Wayne County
Westmoreland County
Wyoming County
York County

Data by County

Adams County

Allegheny County

Armstrong County

Beaver County

Bedford County

Berks County

Blair County

Bradford County

Bucks County

Butler County

Cambria County

Cameron County

Carbon County

Centre County

Chester County

Clarion County

Clearfield County

Clinton County

Columbia County

Crawford County

Cumberland County

Dauphin County

Delaware County

Elk County

Erie County

Fayette County

Forest County

Franklin County

Website (Functional Needs Information Form)

Fulton County

Greene County

Huntingdon County

Indiana County

Jefferson County

Juniata County

Lackawanna County

Website

 

 

Lawrence County

Lebanon County

Lehigh County

Luzerne County

Lycoming County

McKean County

Mercer County

Mifflin County

Monroe County

Montgomery County

Montour County

Northampton County

Northumberland County

Perry County

Philadelphia County

Website (Register with 911- ADA Application Form)

Pike County

Potter County

Schuylkill County

Snyder County

Somerset County

Sullivan County

Susquehanna County

Tioga County

Union County

Venango County

Warren County

Washington County

Wayne County

Westmoreland County

Wyoming County

York County

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