PersonSafe Alert Registration

If you have a person in your household that has unique needs, or an elderly person with cognitive impairments, we  encourage you to fill out the form below.  

The information in this form will allow us to create notes regarding an individual, and the related address, that can be used to the benefit of our emergency personnel/officers and the person noted.  Our goal is to have a positive and safe interaction with our community members, hence the request for specific and detailed information including any unique needs or behaviors.  You can provide as much, or as little information as you wish, but the more informed we are, the better we can serve our community.  All information is kept confidential. We encourage you to also submit a CURRENT PHOTO with the registration form.  A request will be sent on an annual basis to update the information provided.  

Please complete and send the form and photo to Police@ci.benicia.ca.us