Shelter Registration   Shelter Registration Form

Tornado Shelter / Safe Room Notification Form
Many indoor and outdoor storm shelters could go unnoticed by search and rescue personnel after the devastation left by severe weather, especially tornadoes. Survivors may go undetected for long periods of time, trapped and camouflaged by debris. By submitting the information below, emergency responders will have valuable information during search and rescue operations

Upon completing the form, click the 'Submit Request' button at the bottom of the form and a report containing the information you've provided will be submitted to the Fort Smith Police Department. Scroll down to the bottom of the page and you will be able to print this report for your own records.

Primary Contact Information:
Last Name*:   *Required Fields 
First Name*:  
Property Address for Shelter Location*:  
Phone Number*:  
Secondary Emergency Contact Information (not yourself):
Contact Last Name:  
Contact First Name:  
Contact Phone Number:  
Shelter Information :
Shelter Type*:  
Shelter Location*:  
Maximum Occupancy:  
Installed By:  
Date Installed:  
Additional Information:
   Serious Medical Issues or Ailments To Be Shared With Emergency Personnel:  
 


By selecting this box, I am willfully releasing information to the Fort Smith Police Department regarding the presence of a storm shelter or safe room on my property located within the city limits of Fort Smith. I also understand the information provided to the Fort Smith Police Department may be subject to the Freedom of Information Act upon request by any Arkansas citizen.