Special Needs Alert Program (SNAP)

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Special Needs Alert Program (SNAP) Form(PDF, 879KB)

What is SNAP?

The Special Needs Alert Program, or SNAP, provides First Responders with resources needed to identify and assist individuals with special needs who find themselves in an emergency situation. Enid residents can now complete a simple information form and a SNAP alert will be created in a secure communications database.

A SNAP alert defines the individual’s condition and/or needs to First Responders prior to them arriving to an incident to improve their response, interaction and communication with the individual. The alerts may also assist responders in identifying an individual with special needs who needs assistance.

Who Should Participate?

Individuals with a physical or mental impairment; including those with an increased risk for chronic physical, developmental, behavioral, or emotional conditions that require specialized assistance to best serve their needs and provide for increased safety for the individual and First Responders.Individuals with dementia and/or Alzheimer’s.

Use of Information

Enrollment in the Special Needs Alert Program will establish two alerts in our communications database.

Personal Alert: This alert is tied to the name, date of birth and description of the individual. It will never expire.
Location Alert: This alert is tied to an address. It must be updated annually to remain active.

When an officer is dispatched to a call for service, the database will notify officers of any SNAP alerts attached to a person involved or the location of the incident. The SNAP alert is not a label but only an additional resource to allow the officer to best respond to the incident.

Information related to a Location Alert will need to be updated annually, or when such information changes.

Provided information will be sent to police, fire and/or EMS personnel responding to calls via in-vehicle technology depending upon the nature of the call. Information provided allows First Responders to take extra steps to assist those individuals based upon their specific needs.

How To Participate

You can download a form to fill out and return from our website: www.enid/org/services/police, pick up a form from our Records Division located in our lobby at 301 W. Garriott between 8 a.m. and 6 p.m. Monday through Friday and return it filled out, fill out a form electronically and email it to EPDsnap@enid.org, use the survey on our site to populate the needed information or email EPDsnap@enid.org to request an electronic copy of the form.

If you are a parent, guardian or caregiver of an individual with medically diagnosed special needs, please complete the following form to participate in the program. Answer all questions completely and accurately as the information will be used to create an alert in our database. If you have questions regarding any portion of the form, send an email to EnidSNAP@enid.org.

First Name * (required)

Middle Name

Last Name * (required)

Nickname

Date of Birth * (required)Date of Birth * (required)

Open the calendar popup.

Home Street Address * (required)

City * (required)

Home Phone

Mobile Phone * (required)

Race (Select all that apply) * (required)

Gender * (required)

Male
Female

Height * (required)

Weight * (required)

Hair Color / Length * (required)

Eye Color * (required)

Please list any physical identifiers that could aid in identification (scars, birthmarks, tattoos, physical conditions):

Please upload a digital head and shoulders photo of the individual (.jpeg or .png file type and less than 10 mb in size) * (required)

Other special needs:

Other pertinent information:

Other pertinent information to be shared about the registrant

Tendencies, behaviors and insights

What upsets this individual?

Are they known to wander?

What is their safety item or something that calms them?

What is their favorite place or a common place they may attempt to visit?

If Dementia or Alzheimer’s, what memory/place are they most likely to recall?

Does this individual have any serious medical conditions that put them at risk withoutmedication?

Are there any addresses within city limits that this individual knows how to get to?

Doctor’s Office/Hospital preference?

Does this individual operate at their age level? If not, what age level do they operate at?

Does this person trust strangers?

Does anyone assist you with caretaking? Has this individual been to their house? Where dothey live?

How are you referred to as caregiver? (mom/mommy/dad/daddy)

Does this individual wear a geolocation device?

Does this individual have a special needs identification bracelet?

Does this individual frequent any parks/stores/public access locations within city limits?

Primary Emergency Contact

First Name * (required)

Middle Name

Last Name * (required)

Relationship * (required)

Street Address * (required)

City * (required)

Home Phone

Work Phone

Cell Phone * (required)

Email Address * (required)

Secondary Emergency Contact

First Name

Middle Name

Last Name

Relationship

Street Address

City

Home Phone

Work Phone

Cell Phone

Email Address

Authorization for Alert

By submitting this form, I certify that the information provided is true and accurate to thebest of my knowledge. I understand that I voluntarily provided this information listed in theform and that it will not result in any type of preferential treatment from First Responders. Ihereby authorize the Enid Police Department to create an alert using the above informationand consent to that information being shared with local first responders. * (required)

	Yes	No
I agree	Yes	No

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