Special Needs Assistance Program (911-SNAP)


911-SNAP is a program designed to assist the elderly community, special needs population, or any person that may have limitations that require additional or extraordinary efforts by emergency responders, or which hamper their ability to evacuate during an emergency. How the Program Works...

"Special needs" information is entered into the E-911 database. When a call is placed from a residence, any information relevant to an occupant's special need(s) is displayed on the call-takerÕs monitor. The E-911 Operator will relay all "special needs" information to the emergency responders. The information is confidential and only shared with emergency responders to assess situations within the field and prepare for the prompt and efficient rescue, care, and treatment of persons involved or threatened by disasters or emergencies.

How to Join...

Participation in 911-SNAP is strictly voluntary. Eligible citizens interested in submitting information to be used for 911-SNAP can fill out the form below, or call and speak with a representative at 439-0811 to discuss the program in greater detail. Persons designated as caretakers of another individual are encouraged to participate.

911-SNAP Application

Person needing Special Assistance
Date of Birth:*
Name:*
Address:*
City:*
State:*
Zip:*
Phone:*
Alt. Phone:
Emergency Contact Person
Relationship:*
Name:*
Address:*
City:*
State:*
Zip:*
Phone:*
Alt. Phone:
Please provide the following information:
Impairment
  • Sight
  • Hearing
  • Speech
  • Physical
  • Other
Confinement
  • Wheelchair
  • Bed
Hospice Patient Oxygen on premises
Flammable Materials on Premises (please explain) Electric Medical Equipment (please explain)
Other (please explain)
Please explain your special needs situation, if none apply, just type N/A:

I hereby voluntarily submit my information and further authorize the Calcasieu Parish Communications District to release any and all medical information to any and all other public or private agencies as the District may deem necessary in the event that I require emergency assistance.

Person submitting request: 
Email: 
Date: