Skip to form

Village of Croton-on-Hudson

managersoffice@crotononhudson-ny.gov

1 Van Wyck Street, Croton-on-Hudson, NY, 10520, US

914-271-4781

Special Needs Database

Do you need assistance in an emergency? Are you disabled or have any special needs? If you answered “yes” then please consider signing up for our voluntary Special Needs Database, a confidential residential listing of people with special needs. The database will be used by Croton Public Safety Agencies  (Police, Fire and EMS) as a way to help you during emergency situations.
 
The information contained on this form will not be made public but may, in the case of an emergency, be shared with police, fire and EMS personnel.

Special Needs (check all that apply)

Full Address

Emergency Contact