Premise Alert Program

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The Illinois Premise Alert Program (Public Act 96-0788) provides for Public Safety Agencies in the State of Illinois to allow people with special needs to provide information to police, fire and EMS personnel to be kept in a database. The information can then be provided to responders dealing with situations involving the special needs individuals. The information provided by you will be kept confidential and used only to provide Police, Fire and EMS personnel with the information needed to deal with situations or emergencies involving a special needs person. The notification expires 2 (two) years after the date it was submitted. You may update or renew the information at any time by submitting the Premise Alert Form.

Information shall be entered into the Premise Alert Program or verified by:

(A) the individual,
(B) family members,
(C) friends,
(D) caregivers, or
(E) medical personnel familiar with the individual.

Individuals must understand that the information provided to the Premise Alert Program will not result in any type of preferential treatment to the individual and that the City of Crystal Lake and any other responding agencies will not be held liable for duties relating to the reporting of special needs individuals.

For the purposes of the Premise Alert program "disability" and "special needs individual" are defined as:

• "Disability" means an individual's physical or mental impairment substantially limits one or more of the major life activities; a record of such impairment; or when the individual is regarded as having such an impairment.
• "Special needs individuals" means those individuals who have or are at increased risk for a chronic physical, developmental, behavioral, or emotional condition and who also require health and related services of a type or amount beyond that required by individuals generally.

Click here to access application. Please forward completed forms to:

Crystal Lake Police Department
100 W Woodstock St
Crystal Lake, IL 60014

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