Passaic County New Jersey

Special Needs Registry Form

Dear Residents,

The Wayne Police Department would like to better serve the members of the community who have Autism, Down Syndrome, Alzheimer’s, Dementia and/or other Cognitive Impairment. To further assist this community, we are asking parents, guardians and caretakers of these individuals to complete the Emergency Awareness Form below. This form will enhance police officer(s) communication and response skills. The completed form will be entered into our private secure police database, allowing responding officers to access the information you have provided on the emergency form. This will help to facilitate effective and safe outcomes with every call we handle, and these forms will support us in achieving that goal.

All information you provide will only be entered into our police database and will be strictly confidential. We also would like to recommend submitting a photograph of the person on the form so that we could better identify someone in the event that they went missing.

Thank you for helping us assist these important members of our community.


Chief John McNiff