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911 Registration/Project Lifesaver of OC NY
Thank you for your interest in the 911 Registry and/or Project Lifesaver of Orange County NY. Please complete this application for one or both services.
911 Registry
This free service for children and adults with developmental disabilities provides a mechanism for families and caregivers to submit vital information to be entered into the 911 system. This confidential information will be maintained as required by law however, in the event of an emergency, the information is conveyed to first responders via broadcast over public airways. Registration is voluntary and the information must be verified as current, annually. Parents and caregivers will receive a request for verification annually. If verification is not received, the person’s information will be removed from the system.
To register someone into the 911 registry: Submit a completed application using the following link (for 911 only applications, you may omit the schedule of supervision section) Enrollment Application for Project Lifesaver and/or 911 Registry
Project Lifesaver
This is a service for children and adults with autism, Alzheimer’s, or related disorder at risk of wandering, eloping, or becoming disoriented and requiring 24/7 supervision. Those enrolled wear a small personal transmitter around the wrist or ankle that emits an individualized tracking signal via radio frequency. If an enrolled person goes missing, the caregiver notifies 911 and a trained emergency team from the Sheriff’s office responds with locator equipment
To apply for Project Lifesaver:
- Complete and submit:
- Enrollment Application for Project Lifesaver and/or 911 Registry (including the schedule of supervision section).
- Acknowledgements, Waiver and Consent for Release of Information (PDF)
- Submit:
- A recent digital headshot; and
- Documentation of a qualifying diagnosis of a developmental disability, Alzheimer’s, or related disorder or OPWDD eligibility; and
- Where applicable, documentation of legal authority (e.g., legal guardian, power of attorney, custodial parent) Note: In cases of shared custody, both parents must consent and agree to terms of enrollment and two schedules of supervision may be needed.
- Print, read and save:
Submit all to:
Project Lifesaver of Orange County
Orange County Department of Mental Health (OCDMH)
30 Harriman Drive Goshen, New York 10924
Email: lprieto@orangecountygov.com
Do not send payment until you have been approved!
If approved, you will be asked to remit a one-time equipment fee in the amount of $346.99 to the County of Orange; cash, checks or money orders only. Once received, the equipment order will be placed with Project Lifesaver International. Annually, six batteries will be needed plus additional bands at a cost of approximately $10.00 each. Please inquire about potential resources available for those in need of financial assistance.
When your kit arrives, we will schedule an appointment for pick up and enrollment. At that time, we will provide instructions and observe as you assemble, properly seal, and conduct a transmitter battery test.
We are excited to offer this service. Please do not hesitate to contact me should you have any questions or concerns.
Sincerely,
Christine Smallin LMSW, MA
Director of Developmental Disabilities Services
(845) 291-2620
csmallin@orangecountygov.com
Project Lifesaver Kits = $346.99 (includes shipping from Project Lifesaver International)
Includes Transmitter -Lubricant -Six Bands/Straps -Six 60 day Batteries -Tester -Black “O” Ring -Magnet Board
The "Enrollment Application for 911 Registry and Project Lifesaver (PDF)" is a fillable form in PDF format. You may need to download the form to your computer and use the latest version of Adobe Acrobat Reader to open and complete the application.