Bel Marin Keys Disaster Preparedness Household Information Form

Please take a moment to complete our online Household Information Form. We encourage all Bel Marin Keys residents to register their information, including block captains. Our goal is 100% participation. If you need help completing the form, please contact District and one of our staff members will assist you.

Register

This is my first time registering my household?

I have already registered and need to change my information. I have already registered and need to change my information. (Please complete the full form with your new information; your prior registration will be deleted and replaced)

Do you, or anyone in your household, have any specialist training that may be useful in a disaster situation e.g. medical, military, rescue etc. If so, please describe.

Do you, or anyone in your household, have any special needs that may mean you need additional assistance e.g. hearing/vision impairment, mobility issues? If so, please describe.

Download OK/HELP Banner (to be completed)

OK/HELP Banner Download

In addition, please print out our OK/HELP banner and store it somewhere safe. In the event of a disaster, this banner should be placed in a prominent position in your residence so that it is visible from the street. This will allow our block captains to quickly ascertain who needs assistance.