911 Disability Indicator Info

The disability indicator program is voluntary.  The disability indicator form was created by a group of several different organizations representing the mobility, hearing, speech and sight impaired communities.

*PLEASE NOTE: IT IS IMPORTANT TO SUBMIT A NEW DISABILITY INDICATOR FORM UPON CHANGE OF SERVICE PROVIDER, TELEPHONE NUMBER, OR ADDRESS*

The information provided on the disability indicator form enables a special code to appear on the 911 call takers screen which alerts the call taker that a person residing at that address may require special assistance during an emergency.

It is a standardized form created to encourage participation from all persons with disabilities. As you are aware, there are an extensive range of disabilities and medical conditions. The disability indicator categories listed on the form may be considered too broad for some; when you consider the extensive range of disabilities. However, information requested on the form must remain sensitive to those who may not wish to provide detailed information. Always remember information on the disability indicator form is confidential.

The disability indicator form is available through the State 911 Department (here) or it can be downloaded from this webpage.

The police department is the City of Salem’s 911 Municipal Coordinator.   The form can be emailed to ADMIN@SALEMPD.NET, or brought to the Salem Police Department at 95 Margin Street, Salem, MA.

A new Disability Indicator Form should be submitted for the following:

  1. A person moves or no longer resides at that address.
  2. The apartment number changes.
  3. The telephone number changes.
  4. To add or delete a disability.

Remember to review the lists carefully to maintain accurate records which will ensure the proper response in the event of an emergency.