Houston County Emergency Services

E-911 Residential Premise Information Form

Providing this information to the Houston County E-911 Center is voluntary and allows them to better assist you in the event of an emergency with your special needs child/adult. This information will be maintained in a local law enforcement records management system. By filling out the form below, you will be giving the 911 center and first responders information about your special needs person whom lives in your home. Click the picture to fill out this form electronically.