Mokena Fire Protection District © 2017 ALL RIGHTS RESERVED

forms

Special Needs Form


IF THERE IS A FAMILY MEMBER WITH THE FOLLOWING CONDITIONS:

*VISUALLY IMPAIRED

*HEARING IMPAIRED

*SPEECH IMPAIRED

*OTHER SPECIAL DISABILITIES

*WHEELCHAIR CONFINED

*DO NOT RESUSCITATE ORDERS


The Mokena Fire Protection District keeps a CONFIDENTIAL computer file of residents who have special needs. Should a life-threatening emergency or fire occur, this information is given to the responding firefighter/paramedics.

For your convenience you can either download a special needs form or submit the information using the submission form below.

Will County EMA Emergency Alert Notifications