Special Needs Signup for Jamestown Residents

This Special Needs signup is for Jamestown residents who may require additional assistance in a 911 emergency and/or evacuation. (To find out more about 911 emergencies, see What Is a 911 Emergency on this website). You can also provide information about pets that may need to be rescued if you’re not at home.

Signing up is completely voluntary and easy:

  1. Complete the form below.
  2. When finished, click on the “Sign Up” button at the bottom of the form.

Submitting the information on this form will alert the JVFD first responders to pay particular attention to your situation in the event of a 911 emergency. And be assured that: The information you provide in the form will be kept private and can be viewed only by JVFD volunteers, when needed, to find and help you in an emergency as quickly as possible.

We encourage you to sign up if you have special needs (such as a physical limitation) that would affect your ability to evacuate by foot, or if you have pets that you want us to know about in the event of an evacuation.

Please note the following:

  • The JVFD responds ONLY to 911 emergency calls to provide help in a life-threatening situation (see What Is a 911 Emergency on this website). The JVFD does NOT do “well being checks,” for example, at the request of a friend or relative.
  • The JVFD will NOT contact anybody you list on this form as an “alternate contact”—this is the responsibility of the Boulder County Sheriff. The JVFD can, however, forward your alternate contact information to the Sheriff.

If you are already signed up and want to update your informationclick here to have your private update link emailed to you. (Scroll to the bottom of the page after the pages is refreshed to see the Request Your Private Link form.)
If you don’t see the email in your Inbox, check your Spam folder. If its not there use the Contact Us to ask for help.

Signup Form for Jamestown Residents Only

If you have questions or need help click here.

Request your Private Link

IMPORTANT: If, after clicking the Sign Up button above, the form remains on the screen it means there is required information that has not been filled in. Scroll to the top of the form to see a list of what’s missing. If you want additional help in signing up, please click here to send a request for help.