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1. Who can use the Premise Alert System?

Anyone who has a special need, health challenge or disability such as, but not limited to, Alzheimer’s Disease, Autism, Mental Health Challenges, Intellectual Disability, a complex or rare medical condition, who would like first responders such as Police, ambulance and fire department to know of their special needs.

2. Who can fill out the request form?

Those who can fill out and submit the Premise Alert System Request Form (PDF) include:

• Individuals with special needs (can fill it out for themselves)
• Parents of minor children
• Guardians of minor children
• Current Foster Care parents (child’s name isn’t required)
• Those with legal guardianship for another
• Those with the Power of Attorney for another

If you do not have a legal right to provide this information, you should not fill out this form or provide this information.

3. Do I have to fill out the request form?

No, it is voluntary. You do not have to provide any information you do not want first responders to know or use.

4. How do I use the request form?

Fill out the form with as much information as you would want to be shared with emergency first responders, sign it, and then return a copy to your child’s teacher and the school will send all forms to the local police department  - or you may mail it back to your local police department. The information will be put into the police system for future use.

5. What police department should I send it to?

It will depend on where you reside.

Where You Reside	Where to Send
Emmaus Borough	Emmaus Police Department Attention: Sergeant Charles Palmer, OIC 400 Jubilee Street Emmaus, PA 18049
Alburtis Borough	Alburtis Police Department Attention: Chief Robert Palmer 260 Franklin Street Alburtis, PA 18011
Macungie Borough	Macungie Police Department Attention: Chief Edward Harry 21 Locust Street Macungie, PA 18062
Lower Macungie Township	Macungie Police Department Attention: Chief Edward Harry 21 Locust Street Macungie, PA 18062
Upper Milford Township	Macungie Police Department Attention: Chief Edward Harry 21 Locust Street Macungie, PA 18062

6. The request form asks for a recent photograph; what kind of picture is best?

Any picture is better than no picture, but the best picture is a close-up of the person’s face. A passport or school picture would suffice. It is best if the background is plain.

7. How often do I need to fill out the request form?

This form is good for 1 to 2 years depending on the system it is filed in. If you move or need to make changes to the information, just fill out another form and submit it. Any of the police departments will automatically use the new information.