Persons with Disabilities Registry

What is the Persons with Disabilities Registry?

In 2023, the Florida Legislature passed the “Protect Our Loved Ones Act,” which, effective January 1, 2024, authorized the creation of a specialized registry for people with disabilities to improve their interactions with law enforcement by informing law enforcement about a person’s disability or special needs. This registry and any information you chose to disclose is completely voluntary. Some benefits of the registry include greater understanding of behaviors and needs should the disabled person become missing or have an encounter with law enforcement.

• Persons with Disabilities Registry Brochure (English)
• Persons with Disabilities Registry Brochure (Spanish)

Who is eligible?

It is specifically designed for persons within Alachua County who have any type of confirmed developmental, psychological or other disability or condition, including, but not limited to, autism spectrum disorder, Alzheimer’s disease or a dementia-related disorder, Bipolar Disorder or Down syndrome. Enrollment requires proof of disability and, if applicable, proof of guardianship for registrations made on behalf of someone else.

How does it work?

Qualifying individuals or their guardians should complete the online registration form.

The form will be sent to our Crime Prevention Unit for review and follow up. Once approved, the information will only be available to employees within the Alachua County Sheriff’s Office to access in the official performance of their duties. If you have questions about the process, or need to update information previously submitted to the registry, please call our Crime Prevention Office at (352) 367-4044.

Initial Registration

• Initial Registration

Update Information

• Update Information

Remove Registration

• Request to Remove Registration

Name *

First

Middle

Last

DOB *

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Please upload photo of individual.

Note: Photo must be passport style portrait that has a white or off-white background. No other persons or elements with them or in the background. The file must be in .JPG format and smaller than 1MB.

Does the individual live alone? *YesNo

INDIVIDUAL'S ADDRESS INFORMATION

Address

Address Line 1

City

— Select state —AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingState

Zip Code

Email

Home Phone

Please enter at least one phone number

Registration Type *

• Self
• Guardian

Work Phone

Cell Phone

Proof of guardianship. PDF file only < 1MB

PHYSICAL DESCRIPTION OF INDIVIDUAL

Gender *SelectMaleFemale

Race or Ethnicity *SelectWhiteBlackOrientalIndianPhilippineOtherHispanicNon HispanicUnknown

Height *ft.1234567

Eye Color *SelectBlueBrownGreenHazelOther

Inches *in.0123456789101112

Hair Color (if applicable) *SelectBlackBrownBlondeGrayGreenOther

Weight (lbs) *

Scars, marks, tattoos, body markings, amputations

PRIMARY EMERGENCY CONTACT

Parents, guardians, head of household/residence, or care providers

Name *

First

Middle

Last

Emergency Contact Email

Check this box if Emergency Contact's address is the same as the individual.

• Same as individual

Emergency Contact Address

Address Line 1

City

— Select state —AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingState

Zip Code

Home Phone

Please enter at least one phone number

Work Phone

Cell Phone

ALTERNATE EMERGENCY CONTACT

If you enter an alternate emergency contact, please be sure to enter the required information same as the Emergency Contact above.

Name

First

Middle

Last

Alternate Emergency Contact Email

Check this box if Alternate Emergency Contact's Address is the same as the individual

• Same as individual

OR Check this box if the Alternate Emergency Contact's address is the same as Emergency Contact above

• Same as Emergency Contact Address

Address

Address Line 1

City

— Select state —AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingState

Zip Code

Home Phone

Please enter at least one phone number.

Work Phone

Cell Phone

Medical Conditions

Please tell us about other relevant medical conditions the individual may have

• No sense of danger
• Blind
• Deaf
• Non-Verbal
• Intellectual Disability
• Prone to Seizures
• Cognitive Impairment
• Other

If other, please explain:

Sensory or dietary issues, if any:

Please upload medical diagnosis (proof of disability). PDF file only (<1 MB) *

Prescription medication needed:

Additional information first responders may need: *

Prove you are not a robot *

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