Social Needs Registry Form - Help & Explanatory Information

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If you are not able to use this form to provide information and do not have someone who can help you fill this out, please call (703)324-9000, TTY (703)324-9001.

Explanatory Information for Questions on the Social Registry Form

Organization will communicate with social needs members for:

 Pre-emergency planning: Emergency events can occur quickly and without warning. Planning for any emergency requires considering all likely scenarios. Being prepared can reduce fear, anxiety, and losses that accompany disasters. Your organization can assist with communicating emergency preparedness information provided by Fairfax County.

 During an emergency: During an emergency your organization can stay informed to help others receive the advice and guidance of authorized county government officials in charge of the emergency event response. The Community Emergency Alert Network (CEAN) is an emergency communication system used by Fairfax County Government to send emergency alerts, notifications and updates to your cell phone, pager, PDA and/or e-mail account.

 Post-emergency recovery resources: After an emergency your organization can assist with communicating steps to prevent or reduce future losses as well as providing resources to assist residents with the repair of damaged property.

 Telephone: Primary phone number of organization.

 TTY: TTY numbers are used to communicate with people that may be deaf or hard of hearing.

 E-mail: Primary e-mail of organization.

Social needs population served:

 Disability: People with sensory disabilities (e.g. visual, hearing and speech disabilities), psychiatric disabilities, intellectual disabilities, and physical disabilities; but they do not meet the definition of Medical Needs.

 Limited English Proficiency: People with limited or no ability to speak, read, or write English or who possess low literacy skills in any language. Some documents may not be translated into multiple languages.

 Age: People whose age may exacerbate their vulnerability to emergencies, such as older adults and children.

 Economically Disadvantaged : People with limited financial resources to prepare for and respond to an emergency,

 Public Transportation Dependent: People without access to privately owned vehicles who use the region’s taxi, public bus and rail transportation, and paratransit services.

 Isolated by Culture or Religion: People whose cultural or religious beliefs may isolate them from information and resources in an emergency.

 Digital Divide Barrier: People without access to information delivered through technology.

 Household Pets and Service Animals: People with houshold pets and service animals as defined by federal statute.

A household pet is a domesticated animal, such as a dog, cat, bird, rodent (including a rabbit), or turtle that is traditionally kept in the home for pleasure rather than for commercial purposes and can travel in commercial carriers and be housed in temporary facilities. Household pets do not include reptiles (except turtles), amphibians, fish, insects/arachnids, farm animals (including horses), and animals kept for racing purposes.

A service animal is any guide dog, signal dog, or other animal individually trained to do work or perform tasks for the benefit of an individual with a disability. Work of a service animal includes, but is not limited to, guiding individuals with impaired vision, alerting individuals with impaired hearing to intruders or sounds, providing minimal protection or rescue work, pulling a wheelchair, or fetching dropped items. A service animal is any animal "individually trained to do work or perform tasks for the benefit of an individual with a disability."

 Licensed Facilities: People residing in or attending licensed facilities, such as nursing homes, hospitals, assisted living facilities and day-care centers are covered by the facility evacuation plans required by state law and licensing regulations.

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