Emergency Management

For individuals unable to complete the online form, a paper form is available here.

• Special Needs Online Registration Form

The purpose of the Special Needs Program is to provide transportation and sheltering for Alachua County residents who have mental or physical limitations or disabilities and have no other option but to request public assistance for evacuation planning in the event of a disaster such as a hurricane.

Your agency plays a very important role in the registration process and identification of Special Needs people in the area due to the constant contact with potential clients year-round. Identify eligible clients and inform them of the availability of the Special Needs Program. Registration is online, free, voluntary and confidential.

Although new clients can be added to the program at any time, we recommend that you register current clients prior to Hurricane Season to allow Emergency Management staff appropriate time for (June 1 - November 30).

• Only use the Special Needs online registration form​ to enter new registrants
• Send all completed registration forms to Alachua County Emergency Management.
• To make updates to existing registrations with the most current, accurate information, please call Alachua County Emergency Management at 352-264-6500