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Emergency Response
CPN Census Survey
CITIZEN POTAWATOMI NATION EMERGENCY RESPONSE INFORMATION
CPN CDIB
If CPN Employee enter your Employee ID
First Name
Last Name
Address
City
State
Zip
Phone
Email
In the event of an emergency, could a Citizen Potawatomi Nation contact You?
Yes
No
STORM SHELTER REGISTRATION
Have Storm Shelter?
No
Yes
Do you own your property?
No
Yes
Do you want a storm shelter? (MUST own property)
No
Yes
Type of Shelter
In-ground
Safe Room
Basement
Crawl Space
Expected Occupancy
0
1
2
3
4
5
6
7
8
9
10+
Shelter Location Description (Ex. SW Corner of Home)
Fire District
Shawnee(5)
Bethel
Maud
Earlsboro
Wanette
Mcloud
Asher
Tecumseh(2)
Other
I don't know
Special Needs (Medical Considerations, Gate Codes, Pets, etc)