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    911 Fire-Rescue Drive
    London, KY 40741



    (606) 864-2922
    Emergency Services Disability Indicator Form
    This form is utilized to assist emergency personnel within London's city limits in responding to an emergency at your address.
    Please provide any special code or access information to make entry on/in property.
    Please fill this form out again if the status of the above disability indicator(s) change at any time.
    Is there a place where an individual is located, for example, a specific room or floor of the home?
    Please check all that apply.