Functional Needs Form

The emergency management committee appreciates that when a community wide emergency happens there are those with physical and medical needs that are particularly vulnerable. We would like to reach out and assist those community members who might need an extra hand at those times but we require self-identification information.  This information will be kept confidential and used only in the event of a community wide disaster.  Please help us serve those of you with special needs in the event of a community wide emergency.  Please complete the “Functional Needs” form and mail to Emergency Management, Town of Lyme, One High Street, PO Box 342, Lyme, NH 03768 ATTN: MCaudill-Slosberg, EMD.