Community Notification Enrollment

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Simpson County Fiscal Court, KY

Please take a moment to fill in the appropriate information below to be notified by your local emergency response team in the event of emergency situations or critical community alerts. Examples include: evacuation notices, bio-terrorism alerts, boil water notices, and missing child reports. This information will remain the property of ECN and will not be disclosed unless compelled to do so by a court of sufficient jurisdiction.

PROVIDE

VERIFY

SUBMIT

Location Details

*required fields

* Address to be monitored
please no P.O. boxes

Apt/Suite/Unit

* City

* This address is

residentialbusiness

* State

* Zip Code

Is this address a mobile or manufactured home?

Contact Information

* Name
first and last or business

Phone 2

Mobile
TDD/TTY device
Tone delivery, for hearing impaired

* Phone 1

Mobile
TDD/TTY device
Tone delivery, for hearing impaired

Alert Types
	Emergency Notifications	General Notifications

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Password		Re-key Password

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