Online Form - Register-Evacuation-Seniors & Vulnerable

As part of the Shire of Wickepin's Local Emergency Management Plan, we maintain a list of residents who are either senior or vulnerable and may require assistance in the event of an emergency evacuation.

To keep this record up to date, we ask for your assistance.

We encourage you to be added to this list by completing the below form.

Your information is kept confidential and will only be used for the purpose of an emergency evacuation.

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