Request for Voluntary Emergency Contact Information

The Town of Readfield has an Emergency Operations Plan to ensure timely and effective responses to any future disasters that might confront our community.  The plan includes a contact list of residents who might need a check-in or assistance during an emergency situation. 

Complete the form below to inform Town staff and emergency personnel that you or another community member may be at increased risk during severe weather events, prolonged power outages, or other emergencies. Examples of community members who might need a check-in or assistance during an emergency situation include those with special medical needs, powered medical equipment, mobility issues, isolated locations, or anyone with general concern for their safety or wellbeing during emergencies.  Names and contact information are kept confidential and are used exclusively to perform check-ins during emergency situations. 

If you are signing up a friend or neighbor, please check the appropriate box so we can contact the individual and confirm their interest in being on the list.

Finally, if you're interested in volunteering to assist town staff and emergency personnel in making emergency contacts please fill out the "Volunteer" section at the bottom of the form.

Thank you, and be safe!