9-1-1 Disability Indicator Form

The 9-1-1 Disability Indicator Form is designed to allow Brookline residents with disabilities to give information to Emergency Service Personnel to more effectively assist them in case of an emergency. If you need assistance completing this form, please contact Sarah E. Kaplan, ADA Coordinator at 617-730-2329 or [email protected].

9-1-1 Disability Indicator Form with Instructions