Will you or someone you care for require assistance during an evacuation or an extended power outage?

If so, please fill out the East Lyme Resident Request For Assistance During An Emergency Form found in the Downloads section below.

In order to provide the highest level of assistance to the residents of East Lyme during an emergency, the Office of Emergency Management is asking residents who would require assistance during an evacuation or an extended power outage, to please complete this form.

We can only help you if we know where you are, how to contact you and what your specific needs are.
If you are a caregiver for someone who, may be in need of assistance during an emergency, please assist them with filling out this form and return it to:

East Lyme Emergency Management
Attention: Deputy EMD Wilson
P.O. Box 519
Niantic, CT 06357

OR

Email the completed form to Deputy EMD Wilson at: EastLymeEOC@EastLymePolice.org

In the event of local emergency, local public safety personnel will contact you to arrange for assistance. This information is voluntary and confidential.

Downloads: