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Use this form to register for evacuation assistance for the 2022 hurricane season.

"*" indicates required fields

REGISTER FOR HURRICANE EVACUATION ASSISTANCE - 2022

In order to assist you with transportation needs in the event of an evacuation order, please fill out the following form as completely as possible.

Please note that this registry is for citizens of incorporated Gretna, which consists of addresses in the zip code 70053 and the Timberlane subdivision of 70056. If you are in unincorporated Gretna, please register with Jefferson Parish.

If you would rather fill out this information on a paper version, you may print a PDF version of this application by clicking here. Return this form with your water bill payment or drop it off in the green depository box next to City Hall on the river-bound side of Huey P. Long Avenue.

NOTE: Regardless of whether or not you believe that we have your information on file, please fill out this form again so that we may update your information. You must re-register every year.

MEDICAL / MOBILITY SPECIAL NEEDS

A personal care assistant will travel with me.*
What portable equipment will you bring? (Please check all that apply)
What will you bring for mobility? (Please check all that apply)

VOLUNTARY SUBMISSION NOTICE

I am submitting this information voluntarily and understand that the information provided will be used for providing transportation in the event a declared emergency evacuation is called, and I am asked to leave my home for safety reasons.

This field is for validation purposes and should be left unchanged.