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Deaf Resident Registry

Deaf residents may register TDD and/or fax lines with the City of Palo Alto Fire Department. This is to identify yourself as someone needing special assistance in case of an emergency

Deaf residents may use this form to register TDD and/or fax lines with the City of Palo Alto Fire Department. Please enter data in all the fields and press the submit button to forward the form. Information will be kept confidential and used for emergency notifications only.

ALL FIELDS ARE REQUIRED.

    Date:  * 
First Name:  * 
Last Name:  * 
E-mail:  * 
TDD #:  * 
Fax #:  * 
Street Name:  Select from list...
Number:  * 
Additional Comments:  * 
      

 

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City of Palo Alto City Hall - 250 Hamilton Ave, Palo Alto, CA 94301 | Main Telephone Number 650-329-2100 8am-5pm M-Th, Alt Fridays