Skip to form




What is the Extra Assistance Registry?
The Extra Assistance Registry is a voluntary program to help emergency responders better serve residents who find it difficult to help themselves in the event of a major disaster or extreme weather events, such as a hurricane or heatwave.

You should register if you…
● Live alone & will need assistance during an emergency
● Have a hearing or visual impairment, or other physical or cognitive limitation
● Require mobility assistance, a service animal or other help to get around
● Rely on supplemental oxygen or refrigerated medication
● Have limited English language skills

If any of the above make it difficult for you to manage on your own, or reach family or friends during an extreme weather event, then you should register. A family member or friend may also register you on your behalf.

Who will see this information and how will it be used?
The information you provide to the registry is confidential and will be used only for emergency planning and response. It will not be made available to the public or shared with federal agencies.

The Municipality may also send you notifications or updates about weather events and preparedness strategies. If you need assistance completing this online form, please contact Princeton Human Services at 609-688-2055 or 1 Monument Drive. If you would like to print and submit a paper copy of the form, you can download and print here and drop it off at the Department of Emergency and Safety Services at 1 Monument Drive.

Please Note:
● The first line of defense against the effects of a disaster is personal preparedness. During an emergency, the government and other agencies may not be able to meet your needs. It is important for all citizens to make their own emergency plans and prepare for their own care and safety in an emergency. Registering with the Extra Assistance Registry is not a guarantee that emergency officials will be able to assist you in an emergency.
● The Extra Assistance Registry is for residents living in the Municipality of Princeton. You may have a Princeton address but reside in a neighboring municipality. Check the Municipal Map to determine if you live within the jurisdiction of Princeton.
Please check that you agree before continuing.
By continuing I agree that I am willing to complete a digital version of the document(s) and that information about my user session will be stored.

Princeton Prepares Intake Form

Street Name

The fields are currently being loaded. Please wait a few more seconds...

Do you currently receive any notifications from the municipality of Princeton?

What is your preferred language

What is your preferred notification method (Please fill in at least one in addition to an email address)

Is there anyone in the local area that we can contact?

Please chose yes or no for the descriptions that apply to your personal living situation:

Do you live alone?

Do you have a hearing impairment?

Do you have a visual visual impairment?

Do you require mobility assistance?

Do you require supplemental oxygen?

Do you require medication that needs to be refrigerated?

Do you require a service animal to be with you?