Emergency Assistance Information

Press Enter to show all options, press Tab go to next option

The Yuma County Office of Emergency Management (OEM) has developed this pre-registration process to establish an assistance registration database. This database will contain information about those individuals with acute or functional needs such as mobility issues, vision or hearing issues or perhaps those individuals who do not have the ability to drive – all issues that could hinder their ability to self-evacuate during an emergency situation.

The Office of Emergency Management will reference the pre-registration information to assist emergency personnel in knowing that an individual at a specific location may need some special attention during an emergency.

We also recommend printing and forwarding this form to individuals who may require assistance and may not have Internet access. Please mail the completed form to the following address:

Yuma County Emergency Management
2200 W. 28th Street
YUMA, AZ 85364

The Office of Emergency Management and departments under the County Administrator take personal privacy and confidentiality very seriously. Your information will be safeguarded and will not be shared with any other agency except first responders or emergency services. By providing this information, you are authorizing the information contained herein to be released to the county's OEM office and emergency response personnel. If you have any questions, contact the Yuma County Health District  at (928) 317-4680 or email Lynn Harlow-Smith.

 Submit completed form below

  •  Emergency Assistance Information

English Form

Spanish Form

Registration does not guarantee availability of transportation.

Online Help Center

  • Online Chat
  • Submit a Service Request
  • County Directory