Question title

* Let us know who you are.

Question title

What type of group do you represent?

Select the option that best describes the group you represent.

Poll question: What type of group do you represent?. Select one option.
Use Tab to navigate between options, Space or Enter to select
Select a response

Question title

What is the title of your group?

This can be the HOA/organization name or description of the group.

Question title

What is your role/title?

Question title

What is the address of your HOA, neighborhood or group?

Question title

What jurisdiction is your HOA, neighborhood or group located in?

Poll question: What jurisdiction is your HOA, neighborhood or group located in?. Select one option.
Use Tab to navigate between options, Space or Enter to select
Select a response

Question title

Show the area your HOA, organization, or neighborhood covers.

1) Select the 'Draw Line' tool

2) Create a shape that outlines your area

3) When finished with your shape, select 'Finish Editing'

4) Name your neighborhood or service area and select 'Post with Comment'

*Your outline may not initially show, and you may get reminder to complete the map when submitting, but if you draw the shape, finish editing, and post with comment, your map data has submitted.

Question title

Approximately how many households does your group include?

Poll question: Approximately how many households does your group include?. Select one option.
Use Tab to navigate between options, Space or Enter to select
Select a response

Question title

Enter the approximate total number of people included in your group.

Question title

If your group has additional members responsible for emergency preparedness or communications, please list their contact information below.

List their name, title (if applicable), email and phone number.

Question title

Let us know if you have any additional comments to share about your HOA, neighborhood or group.