Submit a Special Consideration Form

The purpose of the Special Consideration Form is to provide first responders with information and resources that will allow them to better assist the subject of the form during an emergency or other encounter.  Information such as medical conditions, behaviors, preferred method of communication during crisis, known locations if lost, etc. 

Completed forms can be mailed or brought to the Eureka Police Department, 604 C St. Eureka, CA 95501.

Special Consideration Form