Santa Clarita Valley Special Needs Registry

Click Here to Access Special Needs Registry form Online. (PDF)

Instructions

Thank you for your interest in the Special Needs Registry. This program has been developed by the Community and Law Enforcement Aware Response Committee. Formed in 2003 in Santa Clarita, California, CLEAR is a collaborative of organizations and individuals who are concerned about the increased risk of special populations in criminal situations, either as victims or offenders. CLEAR focuses on creating solutions.

Purpose

The Special Needs Registry assists law enforcement personnel to be more responsive in emergencies to residents of the Santa Clarita Valley with special needs. The registry can help law enforcement identify those who cannot identify themselves due to a disability or special need, such as Alzheimer’s Disease or dementia, autism, or a speech disorder. Families or agencies can voluntarily provide information about their individuals with special needs so that law enforcement will:

Have a photograph, description and contact information for people with special needs in our community who may need special assistance in an emergency.
Be better equipped to help people with special needs who may become lost, injured, or who may wander away from home.
Be aware of special medical, safety and behavioral concerns of individuals with special needs.
Be aware of accommodations that may be needed in interacting with the person.

How to Participate: For residents of the Santa Clarita Valley

Complete a Confidential Special Needs Registry Form for each individual, providing as much information as you can.
Include a recent identification-type photo such as a passport photo or school photo.
Check the box to receive an email reminder when it is time to update the form. Forms not updated will be discarded at the second anniversary so that the Sheriff’s department will be sure that all the individuals in the Special Needs Registry are still living in the area and that the information on file is current. Alternatively, obtain and complete a reminder postcard from the watch deputy, which will be mailed to you when it is time to update.
The person completing the form should sign and date it. In the case of adults being registered, the adult should sign the form unless he or she has a conservatorship.
Mail or hand deliver the completed form with photograph attached to:

SCV Special Needs Registry
c/o Watch Deputy
Santa Clarita Valley Sheriff's Station
23740 Magic Mountain Parkway
Santa Clarita, CA 91355

General Tips

The registry is available to all residents of the Santa Clarita Valley who are served by the Santa Clarita Valley Sheriffs Station. City residency is not required.
Write legibly, or complete the form online. You can access the online form at www.clearscv.org.
When answering the questions, think about what your special needs individual might do in case
of emergency and use this information on the form.

Where will he or she go? Is he or she drawn to water, busy roads or other unsafe places?
Will he or she hide from emergency personnel?
What could a Sheriff do or say that can help calm them?
How will they react to being touched?
What medication will he or she need?
What foods should be avoided?
If the person must be detained, should he or she be held separately from other jail detainees?
What other accommodations might the person need?

If your phone number, address or other important information changes before your annual update, we recommend that you complete a new form and mail it in.
Make sure your family member or client with special needs carries some sort of identification. Bracelets, necklaces, ID cards, and clothing tags are all good choices.
Tell other family members, friends or neighbors about the Registry, especially if they will be listed as alternate Emergency Contacts.
Keep a copy of your completed form for your records. The form you submit will be kept in a confidential binder and used only under the supervision of the Santa Clarita Sheriff Station’s Watch Deputy.

Information about the Sponsor

The Santa Clarita Valley Special Needs Registry is a project of the Community and Law Enforcement Aware Response Committee (CLEAR), a Santa Clarita Valley organization dedicated to improving safety for individuals with disabilities. The Special Needs Registry is free to participants, and has been funded through a grant from the Autism Society of America, California Chapter and Los Angeles Chapter.

If you have questions about CLEAR or the Santa Clarita Valley Special Needs Registry, please contact Deputy Rick Cordero at 661-294-1188 x474, Emily Iland at 661-297-4033 or visit www.CLEARscv.org

Click Here to Access Special Needs Registry form Online. (PDF)

The registry may be filled out on your computer and printed for mailing or delivery, or a blank form may be printed and handwritten. However, the online form cannot be submitted electronically.